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Evidence About Outcomes/Self-Reported Outcomes Studies

Evidence About Outcomes/Self-Reported Outcomes Studies. Group 10: Kendell Davenport, Jade Fulton, Tricia Oldenberg , Tracy Sweeney, Christina Sweet. Objectives.

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Evidence About Outcomes/Self-Reported Outcomes Studies

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  1. Evidence About Outcomes/Self-Reported Outcomes Studies Group 10: Kendell Davenport, Jade Fulton, Tricia Oldenberg, Tracy Sweeney, Christina Sweet.

  2. Objectives • What are the purposes and contributions of outcomes and self-report outcomes measures research to physical therapist patient/client management? • Why “person-level” measures are used in outcome research? • Differentiate between efficacy and effectiveness. • Compare and contrast the minimal detectable change and the minimal clinically important difference. Why a change in score may be interpreted differently by a physical therapist and a patient/client?

  3. What is outcomes research? • Looks at the end results of an intervention in a real world clinical setting. • It is patient focused, examining the patients experience of care and how well they perceive that an intervention worked for them. • From the patients’ perspective how the treatment result is affecting their daily function, activity participation.

  4. Self Reported Outcomes Research “Self-reported” outcomes research refers to collecting the patients’ personal statements of satisfaction of dissatisfaction with treatment. Happy Patient Not So Happy Patient

  5. How outcomes research can be used in physical therapy practice • Use to understand the likes and dislikes of patients. • Gain insight of the patient’s perspective • Can be used in conjunction with clinical judgment to determine what intervention will be the best fit for a patient.

  6. ICF Model-Person level

  7. Helps the therapist to be patient focused and look at how therapy directly affects a patient’s life. • Looking beyond pathology or body structure or function as the main focus of treatment.

  8. Person Level Measures • Person level measures come in two forms: • Self Reported: Qualitative information that is collected in survey, attitudinal scales, interviews, etc. • Performance Based: More quantitative in nature and usually measureable, numerical outcomes.

  9. Why person level measures used in outcomes research There is a lot of different ways to treat a person’s problem. Need to choose an intervention using evidence, clinical judgment, patient preference.

  10. Perfection vs. Real Life Efficacy Effectiveness Producing a desired outcome under normal clinical conditions. • Producing a desired outcome under ideal conditions.

  11. Minimal Detectable Change Minimal Clinically Important Difference Smallest difference that clinicians and patients would care about. Is the minimum amount of change a population experiences over a certain amount of time that is considered statically significant.

  12. Why PT’s and pt.s care about MCID The patient and therapist might have totally different “scales” of what is significant. • A therapist might just focus on what is measureable and clinically significant. • A patient might focus on personal feelings about how they performed or how much effort it took to make a gain.

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