Chapter 4 Flashcards
Emphasis is placed on the influence of personal and environmental factors on the three dimensions of body functions and structures, activities, and participation.
International Classification of Functioning (ICF) Model
Outcome scales can serve three different clinical purposes including
Evaluate change over time (ex: using EBP)
Discriminate between different groups (ex: interdisciplinary work)
Predict future status (ex: testing/clinic surveys)
Creating instruments where a specific domain of content is sampled and items are developed to represent this domain
Psychometric Methods
Understanding how people value their life or health state (e.g., utility measures)
Decision Theory
Types of Outcome Measures Based on Scope
Generic instruments
Disease or symptom-specific measures that focus on the key aspects of a disease or symptom
Regional or body part-specific measures that focus on a body area
Patient-specific measures where items are selected to be meaningful to patient
Ex: DASH
We can receive access to information about outcome measures through
Texts, Web sites, and journal articles
May need to contact developers to get forms and permissions
Is it ok to copy outcome measures/assessments without authorized forms or pre mission?
No, May need to contact developers to get forms and permissions
Evaluating Outcome Measures czar happen through what two things
Responsiveness and discriminate validity
important for using instruments to evaluate change over time
Responsiveness
important for using an instrument to determine which group a patient belongs (to determine a diagnosis; or status such as “able to return to work”).
Discriminate validity
Stability Or consistency of a measure when no change occurs is important to insure a stable baseline AND because any measurement error is background noise that makes it difficult to determine when REAL change has occurred
Reliability
National initiatives by the professional associations; traditional workshops; published editorials, scientific articles, and textbooks; professional association endorsement; and development of outcomes databases.
Facilitators
Lack of time, administrative support, or specific knowledge on how to find and apply measures.
Barriers