Physio Charlie

This was recently posted on iCSP:

Outcome Measures

Added by: rfergusonthomas
Posted: 28 October 2009 12:31

We have been asked to look at implementing an outcome measure that can be used from acute in-patient stay, through to intermediate care and then onto the domiciliary setting. As you can imagine this has stirred up a huge debate as to relevance, validity, etc so I was putting this out there to see if it something that has been done in other parts of the country?
The commisioners are wanting something that will measure patient satisfaction (with their outcomes/achievements, not the services involved) but we also feel we need to look objectively at the changes that occur. It needs to be multi-agency (health and adult community care) and multi-disciplinary and so needs to be easily understood and administered with inter-rater reliability.
I would appreciate any pointers!
Thanks,
Rhiannon

Title: euroquol
Added by: bwre002
Posted: 30 October 2009 08:38
Have you looked at euroquol? It has its own website - google it. Very generic so might be useful.
Title: Outcome measures
Added by: laurenreuter
Posted: 29 October 2009 18:25
How about PROMS/CROMS?

Patient-Reported Outcome Measures (PROMs)
Patient-reported outcome measures (PROMs) provide a means of gaining an insight into the way patients perceive their health and the impact that treatments or adjustments to lifestyle have on their quality of life. These instruments can be completed by a patient or individual about themselves, or by others on their behalf.

The CROMS is for clinicians.
Title: OCM
Added by: John Mclennan
Posted: 28 October 2009 14:24
have you considered the Patient Global Impression of Change? There has been widespread use of the PGIC in recent chronic pain clinical trials (e.g. Dunkl et al., 2000; Farrar et al., 2001), and the data provide a responsive and readily interpretable measure of participants’ assessments of the clinical importance of their improvement or worsening. Impression of change scores using different verbal outcome categories have also been used to determine the minimally important changes in quality of life measures (e.g. Guyatt et al., 2002; Hagg et al., 2003). These measures appear to have validity.

Guy, 1976 W. Guy, ECDEU assessment manual for psychopharmacology (DHEW Publication No. ADM 76–338), US Government Printing Office, Washington, DC (1976).
Farrar et al., 2001 J.T. Farrar, J.P. Young, L. LaMoreaux, J.L. Werth and R.M. Poole, Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale, Pain 94 (2001), pp. 149–158.
[sorry, don't have more refs]