Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions

Abstract Background Upper extremity (UE) involvement is prevalent in 73% of individuals with arthrogryposis multiplex congenita (AMC), yet no AMC-specific outcome measure exists. When developing a measure specific to a population with a rare musculoskeletal condition, clinicians’ and patients’ persp...

Full description

Bibliographic Details
Main Authors: Caroline Elfassy, Lisa Wagner, Johanne Higgins, Kathleen Montpetit, Laurie Snider, Noémi Dahan-Oliel
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Research Involvement and Engagement
Subjects:
Online Access:https://doi.org/10.1186/s40900-023-00479-6
_version_ 1797555747588931584
author Caroline Elfassy
Lisa Wagner
Johanne Higgins
Kathleen Montpetit
Laurie Snider
Noémi Dahan-Oliel
author_facet Caroline Elfassy
Lisa Wagner
Johanne Higgins
Kathleen Montpetit
Laurie Snider
Noémi Dahan-Oliel
author_sort Caroline Elfassy
collection DOAJ
description Abstract Background Upper extremity (UE) involvement is prevalent in 73% of individuals with arthrogryposis multiplex congenita (AMC), yet no AMC-specific outcome measure exists. When developing a measure specific to a population with a rare musculoskeletal condition, clinicians’ and patients’ perspectives and involvement is a crucial and necessary step. This study sought to determine the most clinically useful items for an outcome measure of UE function for children with AMC as defined by caregivers and clinicians. Methods To ensure the perspectives and needs of caregivers of children with AMC and clinicians were considered in the development of the UE measure for AMC, a Nominal Group technique (NGT) with caregivers of children with AMC (phase 1) followed by a three-round survey with clinicians (phase 2) were carried out. Results Phase 1: Eleven individuals participated in the nominal group technique and identified 32 items. The most important items were Picking up an object (n = 11), Eating (n = 10), Reaching mouth (n = 10), Getting out of bed (n = 10). Phase 2: Invitations to participate to an online survey was sent to 47 experts in the field of AMC, 20 participants completed round 1, 15 completed round 2 and 13 completed round 3. Throughout the survey, participants were asked about movement required to screen the UE, essential domains to be included in the measure, establishing a scoring guide and identifying tasks associated with joint motion and position. Conclusion A preliminary version of an UE AMC-specific outcome measure was developed with the help of caregivers’ perspectives and expert opinions.
first_indexed 2024-03-10T16:53:01Z
format Article
id doaj.art-82c6cf62bdfb49848b94955a4282faca
institution Directory Open Access Journal
issn 2056-7529
language English
last_indexed 2024-03-10T16:53:01Z
publishDate 2023-08-01
publisher BMC
record_format Article
series Research Involvement and Engagement
spelling doaj.art-82c6cf62bdfb49848b94955a4282faca2023-11-20T11:15:22ZengBMCResearch Involvement and Engagement2056-75292023-08-019111110.1186/s40900-023-00479-6Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditionsCaroline Elfassy0Lisa Wagner1Johanne Higgins2Kathleen Montpetit3Laurie Snider4Noémi Dahan-Oliel5Faculty of Medicine, School of Physical and Occupational Therapy, McGill UniversityShriners Hospitals for ChildrenUniversité de Montréal, École de RéadaptationClinical Research Department, Shriners Hospital for Children –CanadaFaculty of Medicine, School of Physical and Occupational Therapy, McGill UniversityFaculty of Medicine, School of Physical and Occupational Therapy, McGill UniversityAbstract Background Upper extremity (UE) involvement is prevalent in 73% of individuals with arthrogryposis multiplex congenita (AMC), yet no AMC-specific outcome measure exists. When developing a measure specific to a population with a rare musculoskeletal condition, clinicians’ and patients’ perspectives and involvement is a crucial and necessary step. This study sought to determine the most clinically useful items for an outcome measure of UE function for children with AMC as defined by caregivers and clinicians. Methods To ensure the perspectives and needs of caregivers of children with AMC and clinicians were considered in the development of the UE measure for AMC, a Nominal Group technique (NGT) with caregivers of children with AMC (phase 1) followed by a three-round survey with clinicians (phase 2) were carried out. Results Phase 1: Eleven individuals participated in the nominal group technique and identified 32 items. The most important items were Picking up an object (n = 11), Eating (n = 10), Reaching mouth (n = 10), Getting out of bed (n = 10). Phase 2: Invitations to participate to an online survey was sent to 47 experts in the field of AMC, 20 participants completed round 1, 15 completed round 2 and 13 completed round 3. Throughout the survey, participants were asked about movement required to screen the UE, essential domains to be included in the measure, establishing a scoring guide and identifying tasks associated with joint motion and position. Conclusion A preliminary version of an UE AMC-specific outcome measure was developed with the help of caregivers’ perspectives and expert opinions.https://doi.org/10.1186/s40900-023-00479-6Stakeholder engagementOutcome measure developmentRare musculoskeletal conditionUpper extremity
spellingShingle Caroline Elfassy
Lisa Wagner
Johanne Higgins
Kathleen Montpetit
Laurie Snider
Noémi Dahan-Oliel
Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
Research Involvement and Engagement
Stakeholder engagement
Outcome measure development
Rare musculoskeletal condition
Upper extremity
title Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
title_full Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
title_fullStr Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
title_full_unstemmed Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
title_short Stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
title_sort stakeholder engagement in the development of an upper extremity outcome measure for children with rare musculoskeletal conditions
topic Stakeholder engagement
Outcome measure development
Rare musculoskeletal condition
Upper extremity
url https://doi.org/10.1186/s40900-023-00479-6
work_keys_str_mv AT carolineelfassy stakeholderengagementinthedevelopmentofanupperextremityoutcomemeasureforchildrenwithraremusculoskeletalconditions
AT lisawagner stakeholderengagementinthedevelopmentofanupperextremityoutcomemeasureforchildrenwithraremusculoskeletalconditions
AT johannehiggins stakeholderengagementinthedevelopmentofanupperextremityoutcomemeasureforchildrenwithraremusculoskeletalconditions
AT kathleenmontpetit stakeholderengagementinthedevelopmentofanupperextremityoutcomemeasureforchildrenwithraremusculoskeletalconditions
AT lauriesnider stakeholderengagementinthedevelopmentofanupperextremityoutcomemeasureforchildrenwithraremusculoskeletalconditions
AT noemidahanoliel stakeholderengagementinthedevelopmentofanupperextremityoutcomemeasureforchildrenwithraremusculoskeletalconditions