Navegando por Autor "Thomazi, Maria Clara Bellavinha"

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Validação do questionário Duke Activity Status Index (DASI) para avaliação da capacidade funcional, por meio de contato telefônico, em indivíduos com Doença de Parkinson
(Faculdade Ciências Médicas de Minas Gerais, 2023-09-20) Thomazi, Maria Clara Bellavinha; Campelo, Raquel de Carvalho Lana; Leopoldino, Amanda Aparecida de Oliveira
Introduction: Parkinson's Disease (PD) is a chronic-degenerative and progressive disorder of the central nervous system, more prevalent in the elderly, characterized by both motor and non-motor changes. Given the decline in physical abilities and in carrying out activities of daily living, it is crucial to establish a suitable method for assessing functional capacity for this population. The Duke Activity Status Index (DASI) is an easily administered and low-cost questionnaire, capable of measuring the functional capacity of individuals. Currently, there are no studies validating the DASI in the PD population, especially through telephone calls. With the COVID-19 pandemic, there was a need to validate new ways of administering questionnaires, particularly remotely. Objective: To validate the DASI questionnaire for assessing the functional capacity of individuals with PD through telephone contact. Objective: To validate the DASI questionnaire for assessing the functional capacity of individuals with PD through telephone contact. Materials and Methods: This is a methodological study in which individuals diagnosed with PD were included. Sociodemographic and clinical data were initially obtained, and subsequently, the patients underwent the DASI on two occasions: face-to-face and by telephone, both conducted by the same examiner. To compare the mean differences in the total scores of the questionnaires administered face-to-face and by telephone, the Student's T-test was used, with a 95% confidence interval, to investigate the concurrent validity between the modes of application. The values obtained in each of the questionnaire items, administered face-to-face and by telephone, were compared using the Kappa coefficient. Results: Fifty-one PD patients were included in the study, with an average age of 66.9 (±8.5) years and an average diagnosis time of 106.7 (±65.0) months. No significant difference was observed between the averages of the scores obtained in both the face-to-face DASI application and via telephone contact (40.3±14.0 versus 40.7±13.5, respectively). Most of the questions showed substantial agreement (items 3, 5, 8, 10, and 12, 0.638 ≥ k ≤ 0.790) or almost perfect agreement (items 6, 7, and 9, 0.812 ≥ k ≤ 0.940) between the two DASI application routes, except for a single question which showed moderate agreement (item 11, k=0.497). Conclusions: The application of the DASI via telephone proved to be valid for assessing the functional capacity of individuals with PD.