title: Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season.
abstract: BACKGROUND
  Clinicians are urged to document patient-based outcomes during rehabilitation to measure health-related quality of life (HRQOL) from the patient's perspective. It is unclear how scores on patient-reported outcome instruments (PROs) vary over the course of an athletic season because of normal athletic participation.
  
  
  OBJECTIVE
  Our primary purpose was to evaluate the effect of administration time point on HRQOL during an athletic season. Secondary purposes were to determine test-retest reliability and minimal detectable change scores of 3 PROs commonly used in clinical practice and if a relationship exists between generic and region-specific outcome instruments.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Athletic facility.
  
  
  METHODS
  Twenty-three collegiate soccer athletes (11 men, 12 women).
  
  
  METHODS
  At 5 time points over a spring season, we administered the Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure-Sport, and Knee Injury and Osteoarthritis Outcome Score (KOOS).
  
  
  RESULTS
  Time effects were observed for the DPA (P = .011) and KOOS Quality of Life subscale (P = .027). However, the differences between individual time points did not surpass the minimal detectable change for the DPA, and no post hoc analyses were significant for the KOOS-Quality of Life subscale. Test-retest reliability was moderate for the KOOS-Pain subscale (intraclass correlation coefficient = 0.71) and good for the remaining KOOS subscales, DPA, and Foot and Ankle Ability Measure-Sport (intraclass correlation coefficients > 0.79). The DPA and KOOS-Sport subscale demonstrated a significant moderate relationship (P = .018).
  
  
  CONCLUSIONS
  Athletic participation during a nontraditional, spring soccer season did not affect HRQOL. All 3 PROs were reliable and could be used clinically to monitor changes in health status throughout an athletic season. Our results demonstrate that significant deviations in scores were related to factors other than participation, such as injury. Finally, both generic and region-specific instruments should be used in clinical practice.
authors.affiliation: Old Dominion University, Norfolk, VA.
authors.forename: Johanna M
authors.initials: JM
authors.lastname: Hoch
authors.affiliation: Old Dominion University, Norfolk, VA.
authors.forename: Beth
authors.initials: B
authors.lastname: Druvenga
authors.affiliation: Old Dominion University, Norfolk, VA.
authors.forename: Brittany A
authors.initials: BA
authors.lastname: Ferguson
authors.affiliation: A.T. Still University, Mesa, AZ.
authors.forename: Megan N
authors.initials: MN
authors.lastname: Houston
authors.affiliation: Old Dominion University, Norfolk, VA.
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Hoch
mesh_terms: D000328:Adult; D000368:Aged; D016512:Ankle Injuries / Q000209:etiology / Q000534:rehabilitation; D001265:Athletic Injuries / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000209:etiology / Q000534:rehabilitation; D007719:Knee Joint / Q000502:physiology; D008297:Male; D020370:Osteoarthritis, Knee / Q000534:rehabilitation; D017063:Outcome Assessment, Health Care; D063868:Patient Outcome Assessment; D011788:Quality of Life; D015203:Reproducibility of Results; D012621:Seasons; D012916:Soccer / Q000293:injuries*; D014495:Universities
keywords: evidence-based practice; health-related quality of life; injury history; patient-centered outcomes