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jessiekate22
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158443
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Exam
Updated:
2012-06-12 20:10:06
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Outcome measures
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2020
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  1. What is health outcome?
    • - is a change in health status where the cause is not specified
    • - a health outcome cahnge in the health of an individual, group or population , which is whollu or partially attributable to an intervention or series of interventions
  2. Why should we use outcome measures?
    • - evaluate treatment techniques, modalities and strategies
    • - managing cases. This can vary from treatment regimes implemented to decisions about whether a pt is a candidate for a particular program
    • - develop clinical pathways for specific diagnosis
    • -collate data to enable the formation of a database upon which health workers can develop standards or program goals
    • - evaluate programs
    • - compare the outcome of treatment between one institution and another
    • - allocate resourses
  3. What should we measure?
    • - perspective
    • - what constitutes progress or success
    • - traditional measures of health outcome
    • - quality of life
  4. What is a definition of health?
    - a state of complete hysical, mental and social well- being, and not merely the absence of disease or injury
  5. What is the multidemensional models of health?
    • - morbidity (diease or impairment)
    • - limitations to functional activities (disability)
    • - role limitations due to health problems( handicap)
    • - bodily ain
    • - menatl health
    • - vitality (energy/ fatigue)
    • - general perception of heatlh
  6. Reliability of selecting instruments and measures?
    • - what was the sampled tested
    • - internal consistency
    • - stability
    • - standards of reliability
  7. Validity
    • - face validity
    • - content validity
    • - concurrent validity
    • - construct validity
  8. Responsiveness
    • - large scale studies
    • - published estimates of clinically significant change
  9. Practical utility
    • - length of questionnaire
    • - expense of its administration
    • - clinicains need instruments that are simple, inexpensive and, if possible versatile
  10. What can we measure?
    • - physical imapirment
    • - pain
    • - function
    • - quality of life
  11. Physical impairment measures
    • - probably most common outcome measured in clinic physio
    • - includes measurements such as jt ROM and mm strength
    • - measurements both within an individual treatmentand between treatments
  12. Pain measurements
    • - verbal rating scale
    • - visual analogue scale
    • - McGil pain questionnaire
    • - behavioural rating scales
    • - pain perception profiles
  13. Function measurement
    • - roland morris disability questionnaire
    • - oswestry low back pain disability questionnaire
    • - therapists judgement of function- unreliable
    • - pt specific function scale
  14. QoL measurements
    • - sickness impact profile
    • -SF-36
    • most common health outcome qu used today
    • 36 qu to measure 8 diff dimensions: physical functioning, role physical, body pain, general health, vitality, social functioning, role emotion and mental health
  15. - can only make comment on what you measure using outcome instruments
    - it is not possible to make accurate inferences about one of these elements based on another eg predict pain status based on ROM
  16. What are the problems and danger in measuring outcomes?
    • - statistical significance vs clinical change
    • - quality of data- garbage in- garbage out
    • - causality
    • - bias- rehab professionals as raters have a stake in outcome

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