Is This Change Real? Interpreting Patient Outcomes in Physical Therapy

Editor/Author Riddle, Daniel L. and Stratford, Paul W.
Publication Year: 2013
Publisher: F.A.Davis Company

Single-User Purchase Price: $32.95
Unlimited-User Purchase Price: Not Available
ISBN: 978-0-80-362957-8
Category: Health & Medicine - Rehabilitation & Therapy
Image Count: 29
Book Status: Available
Table of Contents

This step-by-step guide explains how to incorporate evidence-based methods when interpreting outcomes of physical therapy on individual patients.

Share this

Table of Contents

  • Chapter 1 Outcome Assessment Is Not as Straightforward as It Appears
  • A Very Brief Introduction to Outcome Measures
  • What's Ahead
  • Chapter 2 ICF and HOAC II: Two Conceptual Frameworks to Augment Clinical Practice
  • What's Ahead
  • The ICF Model of Disablement
  • Key Elements of the ICF
  • ICF-Based Methods for Assessing Outcome
  • Disablement Examples Using the ICF
  • The HOAC II
  • Key Elements of HOAC II
  • Outcomes Assessment Using HOAC II
  • Blending ICF and HOAC II
  • Chapter 3 Merging the ICF and HOAC with Outcome Assessment
  • Chapter 4 How Confident Can I Be About the Outcome Measurement on My Patient?
  • What's Ahead
  • The Concept Behind This Question
  • Two Types of Measurement Error
  • The Measurement Framework
  • Reliability Coefficients: What Are They?
  • Rationale for Reliability Studies
  • What to Look for When Reviewing a Reliability Study
  • Can I Calculate the SEM If It Has Not Been Reported?
  • Translating Reliability Coefficients into Clinically Useful Information
  • The Bottom Line
  • Chapter 5 What Does This Outcome Measurement Really Mean?
  • What's Ahead
  • Part 1: To What Extent Does the Measure Assess What It Is Intended to Measure?
  • The Concept Behind This Question
  • The Measurement Framework
  • Types of Validity
  • Cross-sectional and Longitudinal Validity
  • Validity Coefficients
  • Part 2: What Is the Interpretation of the Measured Value?
  • The Concept Behind the Interpretability Question
  • Interpretation of Measures’ Scores That Are Not Highly Intuitive
  • Chapter 6 What Does a Change in the Outcome Measurement Indicate?
  • What's Ahead
  • The Concept Behind The Question: What Does a Change in the Outcome Measurement Indicate?
  • Diagnostic Test Method of Estimating Threshold Value for Change
  • Typical DTM Study Design
  • How a Threshold Value Is Calculated from DTM Studies
  • Translating DTM Results into Clinically Useful Information: Sensitivity, Specificity, and Predictive Values
  • Unchanged Group Method of Estimating a Threshold Value for Change
  • Typical Unchanged Group Study Design
  • How a Threshold Value Is Calculated from Unchanged Group Studies
  • Translating MDC into Clinically Useful Information
  • Reliability Change Index and Minimal Detectable Change
  • Percentile Improvement Method of Estimating a Threshold Value for Change
  • Typical PIM Study Design
  • How a Threshold Value Is Calculated from PIM Studies
  • Translating PIM Results into Clinically Useful Information
  • Putting It All Together: A Direct Comparison of the Three Threshold Value Estimation Methods
  • Considerations When Assessing Clinically Important Change
  • There's a Difference Between a Within-Patient Change and Between-Group Difference
  • Minimal Clinically Important Improvement in the Context of Specific Interventions
  • Minimal Clinically Important Improvement Is Baseline Score Dependent
  • Chapter 7 How Can I Establish a Target Goal Value for My Patient?
  • What's Ahead
  • The Concept Behind This Question
  • Methods Used to Establish Target Goal Values
  • The Within-Patient Comparison Approach
  • Normal or Customary Values: What Is It?
  • Reference Equations with Multiple Predictor Variables: What Is It?
  • Single-Group Percentile Method: What Is It?
  • Diagnostic Test Methodology
  • Chapter 8 When Should Reassessments Take Place?
  • What's Ahead
  • The Concept Behind This Question
  • Methods Used to Determine Target Goal Values
  • Modeling Change Over Time: Growth Curves: What Is It?
  • Compilation of Information from Separate Studies: What Is It?
  • Rationale for an Optimal Reassessment Interval
  • Chapter 9 Acknowledging Barriers and Identifying Barrier-Busting Strategies
  • Barriers to the Successful Implementation of Outcome Measures in Clinical Practice
  • Barriers Affecting the Therapist
  • Barriers Affecting the Patient-Measure Interaction
  • Resource and Organizational Barriers
  • Finding the Best Measures for You: Six Barrier-Busting Steps
  • Implementing the Best Measures for Your Practice
  • Chapter 10 Finding and Critiquing Outcome Measures
  • Finding Potential Outcome Measures of Interest for Your Unique Setting
  • Overview of an Efficient Search Strategy
  • A Search Example
  • Description of the Roland-Morris Measure
  • Critiquing Outcome Measures
  • Six Questions to Consider When Evaluating an Outcome Measure
  • What We Found About the Roland-Morris Measure
  • Chapter 11 Putting It All Together: Examples of the Application of Outcome Measures in Practice Settings