Outcome Measures Flashcards
1
Q
What are outcome measures
A
- measurement instruments with a list of items (at the BSF, activity, or participation level)
- they generate scores that are intended to quantify a patient’s performance or health status based on standardized evaluation protocols or close-ended questions
- essential part of EBP (evidence based practice)
- intended to track change in functional status (different from other tests like MMT or ROM)
2
Q
Why do we need outcome measures
A
- objective baseline
3
Q
What happens when you pick the right outcome measure
A
- helps clinical design making
- assists in formulating the evaluation, diagnosis, & prognosis
- informing/modifying the POC (plan of care)
- help re-evaluate the success of physical therapy interventions
- helps with communication
4
Q
Describe APTA’s outcome measure section
A
- includes the ICF figure and lists 26 categories of test/measures based on constructs
- no specific recommendations for use of one outcome measure over another
- no design making guideline
5
Q
Describe the decision making framework
A
- Referral: reason, medical diagnosis, nursing notes
- Initial observations: movements, functional abilities, communication
- History: review charts
- Systems review: identify areas that need further exam
- Final selection
6
Q
Factors to consider when selecting an outcome measure
A
- What to measure
- Purpose of measure
- Type of measure
- Patient and clinic factors
- Psychometric factors
- Feasibility
7
Q
How to decide what to measure
A
- apply the ICF model on the Guide’s PT examination guideline to create decision making process
8
Q
What 3 purposes are outcome measures designed to fulfill
A
- Discriminate
- Evaluate
- Predict
9
Q
Describe discriminate purpose of outcome measures
A
- distinguish/categorize people in different groups
- helps with screening treatment needs assessment
- allow fewer response choices in order to discriminate
10
Q
Describe evaluate purpose of outcome measures
A
- can evaluate change over time
- responsive to change
- determine effectiveness of treatment
- part of evaluation/re-evaluation
11
Q
Describe predict purpose of outcome measures
A
- forecast future status
- identify risk
- help with prognosis
- help with D/C planning
12
Q
What are the different types/focus of outcome measures
A
- Generic vs Disease specific OM
- Performance based OM
- Self report OM
13
Q
Describe a generic vs disease specific OM
A
- Generic: designed to be used across all patient populations regardless of health condition, more likely to have normative data
- Disease specific: for specific disease condition, more meaningful to the patient, but less likely to have normative data
14
Q
Describe a performance based OM
A
- measures the actual performance of a predetermined task in a structured environment
- insight into patient’s actual capabilities at a specific point in time
- may not reflect performance in real environment (house/community)
15
Q
Describe a self-report OM
A
- provides information on the patient’s opinions/perceptions about the impact of their health condition
- cannot be observed, patient may over or under estimate their abilities or report what the clinician wants to hear
