Outcomes Flashcards
assignment of numbers to objects or events
measurement
reliability
measures consistently when applied to different individuals, times, situations
aka repeatability
validity
degree to which something is measuring what it is intended to measure
reliability vs validity
reliability - hitting same spot on the target over and over (repeatability)
validity - hitting the bull’s eye
branch of psychology studying design, qualities, administration, interpretation of tests for measurement of psychological concepts
psychometrics
a test given at the wrong time may run into the ceiling or floor effect - describe these
floor effect - assessment too challenging, many will receive lowest score
ceiling effect - assessment too easy, many will receive highest score
COMBI
Center for Outcome Measurement in Brain Injury - provides testing manuals
3 components of GCS and its shortcomings
score 3-15 (lower = severe)
3 components: eye opening, verbal response, motor response. Used early after injury
useful for trends in patient condition
NOT useful as predictor of long-term outcomes
the Rancho Los Amigos Level of Cognitive Functioning Scale is used (acute/post acute) setting
acute, for post-coma
the Mayo-Portland Adaptability Inventory (MPAI) is used (acute/post acute) setting
post acute, assists in evaluation of rehab programs designed to serve people with brain injuries
3 subscales - abilities, adjustment, participation
____ is a critical component of the WHO’s International Classification of Functioning, Disability, and Health (ICF) biopsychosocial model
participation (engagement in social roles). also considered one of the primary outcomes of rehab
engagement in social roles (WHO) / involvement in life situations (ICF)
participation
CHART-SF
Craig Handicap Assessment and Reporting Technique- Short Form - objective measure of person’s engagement in roles in society
subscales include physical independence, mobility, occupation, social integration, economic self-sufficiency, cognitive independence
PART-O
Participation Assessment with Recombined Tools- Objective - measures frequency of engagement or involvement with an activity. Input gathered from persons with TBI, family, advocates, and researchers
employment rate post TBI
10-40%. Males less likely to return to employment
Rehabilitation Act of 1973
set foundation for state vocational rehabilitation system (VR), a federal/ state-supported system to assist persons with disabilities pursuing meaningful careers
gold standard in measuring success of rehabilitation
return to work
Comprehensive Integrated Day Treatment model of return to work
individual and group therapies, supported employment, vocational trials
high success rate
Vocational Case Coordination (VCC) model of return to work
integrated medical and vocational case coordination. Services include work trials early in recovery, employer education, temporary work support. Very high success rate (earlier intervention = better outcome) and reduction in psychiatric co-morbidity
Support Employment Model of return to work
emphasizes use of vocational rehab professionals (employment specialist or job coach), intensive individualized assistance, real job and pay, community-based, “competitive”
services: assessment, job development, on the job training/ support, case management, long term follow along
a return to work plan that includes assessment, job development, on the job training/ support, case management, and long term follow along is following the ____ model
Support Employment model
state funded vocational rehabilitation follow 4 approaches:
minimal intervention, education & preparation, advocacy level services (approved only for severe disabilities), workplace support (on-site services)
