Measuring outcomes is essential to show the efficacy of interventions. Below are resources to assist you in understanding and using measurement tools.
Outcome Measurement Teaching Modules/Webinars
As part of the Rehabilitation Research and Training Center grant on Improving Measurement of Medical Rehabilitation Outcomes (NIDRR grant H133B090024), a set of Outcome Measurement Teaching Modules has been developed by researchers and clinicians from the Rehabilitation Institute of Chicago, Washington University, and the University of Illinois at Chicago. The educational modules include Power Point presentations with speakers notes, videos, and worksheets. All four modules can be accessed at http://www.rehabmeasures.org/rehabweb/education.aspx. They are also provided below:
- Module 1: An introduction to measurement in rehabilitation
- Module 2: Using Outcomes in Clinical Assessment and Intevention Planning
- Module 3: Understanding Measurement Properties
- Module 3: Supplemental Slides & Worksheets
- Module 4: Strategies for Successful Implementation
In addition to the above modules, three webinars are currently available. All three webinars can be accessed at http://www.rehabmeasures.org/rehabweb/education.aspx. They are also provided below:
- Fundamentals of Measurement in Rehabilitation for Older Adults (This webinar is designed to help clinicians select and interpret outcome measures with older adults. The hour long presentation demonstrates the selection of instruments from a database and interpretation of scores by considering information on measurement properties of validity, reliability, and clinical utility.)
- Demystifying Rasch Analyses for Clinical Application (Rasch analysis is increasingly utilized in research studies to determine psychometric properties of assessment instruments. Terminology that is common in Rasch analysis, such as logits, infit, outfit, mean square and others are new to many clinicians, which is a barrier to reading, critiquing, and applying an article. The purpose of this webinar is to provide a basic overview of Rasch analysis and its associated terminology. Three recommended readings will provide an example of how to interpret Rasch analysis results, figures and tables in published research articles.)
- Using Client-Centered Practice and Patient-Reported Outcomes (Patient Reported Outcome Measurements (PROMs) provide clinicians with an efficient method of assessing a patient’s perspective of their own progress. PROMs are the focus of many research studies and are used in some clinical practice settings. Because PROMs are relatively new to rehabilitation, there are many questions about appropriate utilization of these measures. Are PROMs reliable in my patient/client population? Will these instruments provide a valid measurement of my patient’s/client’s progress? How do PROMs compare to performance-based measures? Should a PROM be used in conjunction with a performance-based measure?
Resources and Sites for Measurement Tools
The International Classification of Functioning, Disability, & Health (ICF)
The ICF is a biospsychosocial model and classification system developed by the World Health Organization. The American Therapeutic Recreation Association (ATRA) endorses the use of ICF in Recreational Therapy practice. The model and classification system can be used in Recreational Therapy practice to 1) provide a scientific basis for consequences of health conditions, 2) to establish a common language to improve communications, 3) to permit comparison of data across countries, health care disciplines, services, and time, and 4) to provide a systematic coding scheme for health information systems. The ICF includes over 1,500 codes – many of which relate to Recreational Therapy practice (e.g., Body Function codes such as attention, pain, and control of voluntary movement; Activity & Participation codes such as using transportation, taking care of plants, play, recreation, community life, and interpersonal interactions and relationships; and, Environmental Factor codes such as assets, immediate family, attitudes, and policies).