Outcome Measures

Question 1

what is an outcome measure

Answer 1

repeatable measures that are used to determine the success of a POC

Question 2

what may be included of the ICF model in an outcome measure

Answer 2

impairment of body function/structure
activity limitation
participation restriction
general health / wellness
patient/client satisfaction

Question 3

what is to be considered prior to choosing an outcome measure

Answer 3

psychometric properties
clinical utility

Question 4

what questions should be asked about an outcome measure’s psychometric properties

Answer 4

does the established research support its use?

does it measure its selected content

Question 5

what are the questions to ask when determining an outcome measure’s clinical utility

Answer 5

is it feasible to perform in the clinic? do you have the tools needed?
what is the cost of administration?

Question 6

MDC definiton

Answer 6

minimum change in score that ensures the change isn’t measurement error

Question 7

what is the most common self-reported outcome measure

Answer 7

questionnaire

Question 8

is an outcome measure only self reported or performance based

Answer 8

no, they can have elements of both in them

Question 9

what do performance based outcome measures demonstrate

Answer 9

effect of the level of impairment in the body structure/function

Question 10

what may occur when using a questionnaire

Answer 10

components may lead to areas that need to be assessed by performance-based measures

Question 11

how do performance based measures compare to examination measures like goniometry / mmt

Answer 11

“step-above”
can possibly give an objective baseline that is more relatable to POC formation

Question 12

what is a general outcome measure

Answer 12

general = global measure that provides an idea of overall health

Question 13

types of specific measures

Answer 13

either general region specific, condition specific, or individual specific

Question 14

what does a CPG provide relating to outcome measures

Answer 14

specific outcome measures to use based upon a specific condition

Question 15

what can be found on shirley ryan ability lab?

Answer 15

outcome measures for a condition / MDC and MCID scores

Question 16

what is important to remember about ability vs disability scales

Answer 16

ability - want a higher score
disability - want a lower score

Question 17

what are some ability scales

Answer 17

LEFS
KOS
PSFS
SANE Score

Question 18

what are some disability scales

Answer 18

oswestry
NDI
SPADI
QUICK DASH

Question 19

what is a ceiling effect

Answer 19

high proportion of respondents score very high

Question 20

what does a ceiling effect mean

Answer 20

individuals degree of function is too high for the measure to accurately capture

Question 21

what is a floor effect

Answer 21

high proportion of respondents score very low

Question 22

what does a floor effect mean

Answer 22

individuals degree of function is too low for the measure to accurately capture

Question 23

what determines a ceiling/floor effect? what does this do?

Answer 23

determined in the literature
- explains the appropriateness of a measure and its use in a specific population

–> if a patient is affected by either then it will be hard to see improvement

Question 24

how are outcome measures helpful in POC formation

Answer 24

allows for repeatable reassessment

links directly to patient’s limitations

shows impact of POC, may indicate a need for reevaluation

Question 25

when is “too soon” to reassess? why?

Answer 25

within 2 weeks – risk of recall bias

Question 26

how is therapeutic alliance formed with outcome measures

Answer 26

get an understanding of patient’s perception of their condition

demonstration/patient education moment that allows patient to understand the usefulness of the test and how it relates to goals

Question 27

definition of therapeutic alliance

Answer 27

collaborative relationship between patient and therapist for the purpose of therapy or treatment

Question 28

when thinking about the A in SMART goal writing, what is important to consider

Answer 28

age related normative values

Question 29

what needs to be avoided when assigning patients outcome measues

Answer 29

patient can see it as busy work