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Assessment Tools and Outcome Measures:. Evidence-based Pearls for Rehabilitation Practice. William Poluha & Emily Etcheverry University of Manitoba Canadian Health Libraries Association/ Association des bibliothèques de la santé du Canada Conference 2006 Vancouver, BC May 15, 2006.

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assessment tools and outcome measures

Assessment Tools and Outcome Measures:

Evidence-based Pearls for Rehabilitation Practice

William Poluha & Emily Etcheverry

University of Manitoba

Canadian Health Libraries Association/

Association des bibliothèques de la santé du Canada

Conference 2006

Vancouver, BC

May 15, 2006

google search
Google Search

Barthel Index online

  • Background
  • Therapist Practice Issues
  • Collection
    • Building
    • Accessing
    • Using
  • Evaluation
school of medical rehabilitation
School of Medical Rehabilitation
  • Faculty liaison
  • Curriculum integrated information literacy
  • Emphasis on evidence-based practice
  • Student/Faculty requests for tools

Assessment Tool Collection Needed

therapist practice issues
Therapist Practice Issues
  • Evidence-based practice
    • Assessment tools needed for patient baselines and outcomes (Unsworth, 2000; Law, Baum & Dunn, 2005)
    • Need for tools in rehabilitation has increased over last 10 years (Finch, et al, 2002)
therapist practice issues13
Therapist Practice Issues
  • Barriers to using tools identified by therapists:

(Kay, Myers & Huijbregts, 2001; Pollock et al., 2000; von Zweck, 1999)

    • Lack of knowledge about tools
    • Difficulty finding a suitable tool
    • Limited access to tools to determine suitability
    • Limited access to tools for “hands-on” demos
    • Lack of time

Could really use an assessment tool collection!

  • Increased enrollment in School of Medical Rehabilitation (SMR) 2002 - 2004
    • Council of Post Secondary Education (Manitoba)
    • SMR submission included library funding
  • $5,000.00/year allocated for building the collection
  • Community Therapy Services support

We’re getting that assessment tool collection!

the collection
The Collection
  • 50 “toolkits” and growing
  • Assessments for Rehabilitation
    • Occupational Therapy
    • Physical Therapy
  • Original assessment tools/instruments
  • Manuals/books on development and use
building the collection
Building the Collection
  • Reviews
  • Consultations
  • Vendor Agreements
building the collection20
Building the Collection


  • Books on measuring health
  • Annotated lists of tools and outcome measures
  • Journal literature for tools on specific outcomes or disorders
  • Websites that index and annotate tools
  • Vendor websites
building the collection21
Building the Collection


  • Faculty:
    • list of tools used in teaching and research
  • Practicing therapists:
    • Tools they use with clients
    • Tools to evaluate prior to purchase
  • Students:
    • Research Methods course
    • Thesis research
    • Independent Study
    • Clinical/fieldwork setting
building the collection22
Building the Collection

Vendor Agreements

  • PhD or equivalent registrant to acquire some tools
  • Copyright protection
  • For education and reference use only
  • Not for use with clients in clinical or research settings
  • Secured storage
preparing tools for circulation
Preparing Tools for Circulation
  • Toolkits packaged in media bags
  • Inventory of components (numbered)
  • NLM call numbers with “ATOOLS” location
  • Copyright labels
  • Catalogued
using the collection
Using the Collection
  • Loan policy tries to balance vendor requirements with client needs
  • Unavailable for document delivery
  • Signed loan agreement
    • Condition / inventory report (loan out / return)
    • Copyright
    • Education or reference use
    • Not for use with clients in clinical or research settings
using the collection30
Using the Collection

In-library use

  • UM affiliates
  • Winnipeg Regional Health Authority employees

Non-affiliated therapists

  • In-library use only
  • Proof of professional credentials
  • Driver’s license in lieu of library card
using the collection31
Using the Collection

Outside use for SMR faculty / students only:

  • Faculty: up to one week
  • Students: up to 24 hrs. with faculty co-signing
accessing the collection
Accessing the Collection
  • Library Catalogue
  • Website
accessing the collection37
Accessing the Collection

Library Catalogue

  • NLM Medical Subject Headings
  • Additional index terms
    • Assessment, Tools, Outcomes, Measures, Instruments
    • Entire collection retrieved:
      • Two or more index terms keyword searched
      • Limit to Health Sciences Library
accessing the collection38
Accessing the Collection

Library Catalogue

  • Enhanced record
    • Tool summary
    • Equipment list
    • Link to tool record on website
    • Conditions of use
    • Tool acronym searchable
accessing the collection40
Accessing the Collection


  • Facilitates access to:
    • Tool collection
    • Resources on tools
accessing the collection41
Accessing the Collection

Website components

  • Introduction to the collection
  • Use policy
  • Annotated tool index
  • Searching for tools (tips)
  • Resources on tools (print & electronic)
  • Recommend a tool
  • Survey (feedback on using website)

Toolkit Survey (preliminary)

  • Sample n= 16
  • Primary role (faculty, student, therapist/professional)
    • 1 faculty
    • 1 therapist
    • 14 students
  • Professional affiliation (OT, PT, nurse, etc.)
    • 16 Occupational Therapist
toolkit evaluation
Toolkit Evaluation


  • “Excellent concept for a collection” (student)
  • “Appreciate having this access” (therapist)
  • “It would be helpful to take out of library” (student)
  • “…signing it out on a longer term basis” (faculty)
  • “…know whether scoring sheets can actually be used…” (faculty)
future evaluations
Future Evaluations


  • Website survey
  • Poster presentation survey at Canadian Association of Occupational Therapists Conference

Circulation staff

future development
Future Development


  • Search for a tool by outcome
  • Ada Ducas, Head, Health Sciences Libraries
  • Carol Cooke, Librarian & Web Goddess
  • Pam Green, Cataloguer
  • Lucilla Leung, Circulation Supervisor
  • Neil John Maclean Health Sciences Library Staff
  • Faculty and Students, School of Medical Rehabilitation
medical rehabilitation assessment tool website
Medical Rehabilitation Assessment Tool Website


Finch, E., Brooks, D., Stratford, P.W. & Mayo, N. (2002). Physical rehabilitation outcome measures: A guide to enhanced clinical decision making (2nd ed.). Hamilton, Ontario: BC Decker.

Kay, T.M., Myers, A.M., & Huijbregts, M.P.J. (2001). How far have we come since 1992? A comparative survey of physiotherapists’ use of outcome measures. Physiotherapy Canada, 54(4), 268-75, 281.

Law, M.C., Baum, C.M. & Dunn, W. (2005). Measuring Occupational Performance: Supporting best practice in occupational therapy (2nd ed.). Thorofare, NJ: Slack.

Pollock, A.S., Legg, L., Langhorne, P. & Sellars, C. (2000). Barriers to achieving evidence-based stroke rehabilitation. Clinical Rehabilitation, 14(6), 611-617.

Unsworth, C. (2000). Measuring the outcome of occupational therapy: Tools and resources. Australian Occupational Therapy Journal, 47(4), 147-158.

von Zweck, C. (1999). The promotion of evidence-based occupational therapy practice in Canada. Canadian Journal of Occupational Therapy, 66(5), 208-213.

the price is
The Price Is: