112 年 國立臺灣大學物理治療系碩士班《英文科學論文閱讀測驗》
第 1 題
請閱讀該文獻的摘要內容並回答問題。
Abstract
Objective: To describe the feasibility of an evidence-based physical therapy (PT) program for persons with chronic low
back pain (LBP) originally designed for in-person delivery, adapted for telehealth using videoconferencing.
Design: Prospective, longitudinal cohort.
Setting: Three health care systems in the United States.
Participants: Adults, aged 18-64 years (N=126), with chronic LBP recruited from August through December 2020.
Intervention: Up to 8 weekly sessions of telehealth PT.
Main Outcome Measures: Follow-up assessments were 10 and 26 weeks after baseline. Participant outcomes collected
were the Oswestry Disability Index, Patient-Reported Outcomes Measurement Information System-29 health domains,
and pain self-efficacy. Implementation outcomes included acceptability, adoption, feasibility, and fidelity assessed using
participant surveys and compliance with session attendance.
Results: We enrolled 126 participants (mean age, 51.5 years; 62.7% female). Baseline perceptions about telehealth were
generally positive. Eighty-eight participants (69.8%) initiated telehealth PT, with a median of 5 sessions attended.
Participants in telehealth PT were generally satisfied (76.3%), although only 39.5% perceived the quality equal to in-
person PT. Telehealth PT participants reported significant improvement in LBP-related disability, pain intensity, pain
interference, physical function, and sleep disturbance at 10- and 26-week follow-ups.
Conclusions: The findings generally support the feasibility of telehealth PT using videoconferencing. Implementation and
participant outcomes were similar to in-person PT as delivered in the participating health care systems. We identified
barriers that may detract from the patient experience and likelihood of benefitting from telehealth PT. More research is
needed to optimize and evaluate the most effective strategies for providing telehealth PT for patients with chronic LBP.
(摘錄自APMR 2022;103:1924-34)
- 請簡要描述此篇研究目的? (10%)
- 請簡述此篇研究設計? (10%)
- 請簡述此研究的 outcome measures (15%)
- 請重點整理這篇研究的結果與結論 (15%)
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本題為閱讀測驗，主要在測試考生對英文科學論文摘要的理解能力。題目要求針對摘要內容回答四個問題，分別是研究目的、研究設計、結果衡量指標，以及研究結果與結論。
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研究目的 (Objective):
摘要的開頭即明確指出研究目的。- 原文： "Objective: To describe the feasibility of an evidence-based physical therapy (PT) program for persons with chronic low back pain (LBP) originally designed for in-person delivery, adapted for telehealth using videoconferencing."
- 詳解： 此研究旨在描述一項基於實證的物理治療 (PT) 方案的可行性。該方案原本是為慢性下背痛 (LBP) 患者設計的實體治療，現已改為透過視訊會議進行遠距醫療 (telehealth)。
- 【答案】 描述將原本為實體治療的慢性下背痛物理治療計畫，改為透過視訊會議進行遠距醫療的可行性。
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研究設計 (Design):
摘要的第二句即說明研究設計。- 原文： "Design: Prospective, longitudinal cohort."
- 詳解： 研究設計為「前瞻性、縱貫性世代研究」(Prospective, longitudinal cohort)。這表示研究者在研究開始前就預設了研究方向，並追蹤一群具有特定特徵（本例為慢性下背痛患者）的參與者，在一段時間內（縱貫性）收集資料，觀察其變化與結果。
- 【答案】 前瞻性、縱貫性世代研究 (Prospective, longitudinal cohort)。
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Outcome Measures (結果衡量指標):
摘要的 "Main Outcome Measures" 部分列出了主要的衡量指標。- 原文： "Main Outcome Measures: Follow-up assessments were 10 and 26 weeks after baseline. Participant outcomes collected were the Oswestry Disability Index, Patient-Reported Outcomes Measurement Information System-29 health domains, and pain self-efficacy. Implementation outcomes included acceptability, adoption, feasibility, and fidelity assessed using participant surveys and compliance with session attendance."
- 詳解： 摘要中明確區分為「參與者結果」(Participant outcomes) 和「執行結果」(Implementation outcomes)。
- 參與者結果 (Participant outcomes) 包括：Oswestry Disability Index (ODI，用於評估下背痛功能障礙的指標)、Patient-Reported Outcomes Measurement Information System-29 health domains (PROMIS-29，患者自述的健康領域問卷，涵蓋多個健康指標) 以及疼痛自我效能感 (pain self-efficacy)。