COMPS: Outcome Measures Flashcards
What are the Psychometric Properties of outcome measures?
- validity
- reliability
- responsiveness
- MCD/MCID
- Ceiling and floor effects
In the ICU there are ______psychometric properties
NONE
Some ex’s of ICU setting tests w/ NO psychometric props
6MWT
Katz ADL
Barthel Index
FIM
Gait Speed
TUG
Outcome Measures relevance to clinical practice?
- PURPOSE of instrument–WHAT is it measuring?
- Pt capacity–WHO is it for
- measurement props
- clinical utility and feasibility
- scoring
Purpose of the instrument–WHAT is it measuring?
Ex’s
- strength
- functional mobility
- mental assess.
- endurance assess.– 6MWT
- balance
- vertigo
- Fall Risk
Pt capacity – WHO is it for?
FCS/EFA
Neurosx only
Pt capacity– WHO is it for?
FAB
burns pop. only
Pt capacity– WHO is it for?
PFIT== strength, transfers, endurance
ONLY TESTED ON Mech. vented pts
Pt capacity–WHO is it for?
Perme–NO stairs though!
ONLY TESTED ON CV pts
Floor Effects……explain
If too HIGH== items too hard (everyone keeps getting lowest score bc they cannot do task)
Ceiling Effects…explain
High proportion of pts have MAX scores —- makes discrim. among pts @ top end difficult to progress
Clinical utility and feasibility…..what will you need and is it feasible?
PFIT, CPAx, SOMS, IMS, FSS-ICU, MRC-SS
NO EQUIP. NEEDED
Clinical utility and feasibility
DEMMI
pen, stopwatch
clinical utility and feasibility
SPPB, Perme
stopwatch
*ALSO SPPB 3x ea/task— is this feasible?
How can we tell if an outcome measure is Appropriate?
CORRECT tool for THIS pt pop. in THIS setting