Outcome Measures Flashcards
what is an outcome measure
repeatable measures that are used to determine the success of a POC
what may be included of the ICF model in an outcome measure
impairment of body function/structure
activity limitation
participation restriction
general health / wellness
patient/client satisfaction
what is to be considered prior to choosing an outcome measure
psychometric properties
clinical utility
what questions should be asked about an outcome measure’s psychometric properties
does the established research support its use?
does it measure its selected content
what are the questions to ask when determining an outcome measure’s clinical utility
is it feasible to perform in the clinic? do you have the tools needed?
what is the cost of administration?
MDC definiton
minimum change in score that ensures the change isn’t measurement error
what is the most common self-reported outcome measure
questionnaire
is an outcome measure only self reported or performance based
no, they can have elements of both in them
what do performance based outcome measures demonstrate
effect of the level of impairment in the body structure/function
what may occur when using a questionnaire
components may lead to areas that need to be assessed by performance-based measures
how do performance based measures compare to examination measures like goniometry / mmt
“step-above”
can possibly give an objective baseline that is more relatable to POC formation
what is a general outcome measure
general = global measure that provides an idea of overall health
types of specific measures
either general region specific, condition specific, or individual specific
what does a CPG provide relating to outcome measures
specific outcome measures to use based upon a specific condition
what can be found on shirley ryan ability lab?
outcome measures for a condition / MDC and MCID scores
what is important to remember about ability vs disability scales
ability - want a higher score
disability - want a lower score
what are some ability scales
LEFS
KOS
PSFS
SANE Score
what are some disability scales
oswestry
NDI
SPADI
QUICK DASH
what is a ceiling effect
high proportion of respondents score very high
what does a ceiling effect mean
individuals degree of function is too high for the measure to accurately capture
what is a floor effect
high proportion of respondents score very low
what does a floor effect mean
individuals degree of function is too low for the measure to accurately capture
what determines a ceiling/floor effect? what does this do?
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
how are outcome measures helpful in POC formation
allows for repeatable reassessment
links directly to patient’s limitations
shows impact of POC, may indicate a need for reevaluation
when is “too soon” to reassess? why?
within 2 weeks – risk of recall bias
how is therapeutic alliance formed with outcome measures
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
definition of therapeutic alliance
collaborative relationship between patient and therapist for the purpose of therapy or treatment
when thinking about the A in SMART goal writing, what is important to consider
age related normative values
what needs to be avoided when assigning patients outcome measues
patient can see it as busy work
