assessment methods for capturing information from the patient
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Assessment/Methods for capturing information from the patient. Outcome Measures for Clinical Research Information Gathering for Clinical Care. Outcome Measures for Clinical Research. 1) Demographic Database 2) Radioisotope Drooling Measurement 3) Drool Quantification

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slide2

Outcome Measures for Clinical Research

  • Information Gathering for Clinical Care
slide3

Outcome Measures for Clinical Research

1) Demographic Database

2) Radioisotope Drooling Measurement

3) Drool Quantification

4) Teacher Drool Scale

5) Time Sampling

6) Behavior Medical Rating Scale

7) Parent Questionnaires

8) Goal Attainment Scaling

slide4

Minimum database recommended for drooling studies

1) Name/address

2) Age/sex

3) Primary diagnosis

4) Phase of illness - acute vs. chronic

5) Intelligence level

6) Social factors - SES

7) Oral-motor dysfunction measure of severity

8) Eating method/ability

9) Positioning information

10) Severity of drooling

quantitative measure (objective)

perceived social and functional impairment (subjective)

11) Nutritional status

12) Dental Status

13) Medications

14) Other associated medical problems

15) Location of intervention - clinic, home, school, etc.

slide5

Radioisotope Drooling Measurement

Ekedahl and Hallen - 1973

Technitium - pertechnetate I.V. infusion, isotope

measured in saliva @ 30 minute intervals.

slide6

Drool Quantification Non-Invasive Technique

Sochaniwskyj - 1982

1) collection cup and bonnet

2) vacuum pump

3) collection chamber

15 minute collection sessions X10/day

slide7

Teacher Drool Scale (TDS)

1) No drooling

2) Infrequent drooling, small amount

3) Occasional drooling, on and off all day

4) Frequent drooling, but not profuse

5) Constant drooling, always wet

slide8

Time Sampling

1) Stream of saliva

2) Bubble of saliva

3) Total

20 second observations @ 30 second intervals

minimum of 40 data points/session

Outcome expressed as a percentage

slide9

Behavioral and Medical Rating Scale (BMRS)

1. Not at all 2. Just a little 3. Quite a bit 4. Very much

1. Restless, overactive ¹

2. Excitable, impulsive ¹

3. Disturbs other children ¹

4. Fails to finish things he starts, short attention span ¹

5. Constantly fidgeting

6. Inattentive, easily distracted ¹

7. Demands must be met immediately, easily frustrated ¹

8. Cries often and easily

9. Mood changes quickly and drastically

10. Temper outbursts, explosive and unpredictable behavior ¹

11. Overly serious, sad, or sensitive

12. Change in co-ordination and/or body control ²

13. Fearful

14. Diarrhea/constipation (indicate) ²

15. Drowsy ²

16. Nasal congestion ²

17. Vomiting ²

18. Irritable ¹

19. Dry mouth ²

slide10

Parent Report Questionnaire

1) Medication use

2) Side effects

3) 5 point drooling scale of Camp-Bruno

4) Discontinuation of medicines

slide11

Goal Attainment Scaling

-Selection of observable, repeatable goals

-Specified performance conditions

-Criteria for success in measurable terms

-Content validity measuring changes in clinical

performance and the importance of observed changes

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