Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2021 ◽  
Author(s):  
Heidi Radke ◽  
Alexander Joeris ◽  
Maio Chen
Keyword(s):  
Outcome Measures ◽  
Evidence Based ◽  
Orthopedic Care

scholarly journals Renal recipients’ knowledge and self-efficacy during first year after implementing an evidence based educational intervention as routine care at the transplantation clinic

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kristin Hjorthaug Urstad ◽  
Astrid Klopstad Wahl ◽  
Torbjørn Moum ◽  
Eivind Engebretsen ◽  
Marit Helen Andersen
Keyword(s):  
Outcome Measures ◽  
Educational Intervention ◽  
Education Program ◽  
Self Efficacy ◽  
Longitudinal Design ◽  
Routine Care ◽  
First Year ◽  
Evidence Based ◽  
Post Transplantation ◽  
Post Transplant

Abstract Background Following an implementation plan based on dynamic dialogue between researchers and clinicians, this study implemented an evidence-based patient education program (tested in an RCT) into routine care at a clinical transplant center. The aim of this study was to investigate renal recipients’ knowledge and self-efficacy during first year the after the intervention was provided in an everyday life setting. Methods The study has a longitudinal design. The sample consisted of 196 renal recipients. Measurement points were 5 days (baseline), 2 months (T1), 6 months (T2), and one-year post transplantation (T3). Outcome measures were post-transplant knowledge, self-efficacy, and self-perceived general health. Results No statistically significant changes were found from baseline to T1, T2, and T3. Participants’ levels of knowledge and self-efficacy were high prior to the education program and did not change throughout the first year post transplantation. Conclusion Renal recipients self-efficacy and insight in post-transplant aspects seem to be more robust when admitted to the hospital for transplantation compared to baseline observations in the RCT study. This may explain why the implemented educational intervention did not lead to the same positive increase in outcome measures as in the RCT. This study supports that replicating clinical interventions in real-life settings may provide different results compared to results from RCT’s. In order to gain a complete picture of the impacts of an implemented intervention, it is vital also to evaluate results after implementing findings from RCT-studies into everyday practice.

Practice-Based Evidence: Therapist as Researcher, Using Outcome Measures

Dramatherapy ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 4-15 ◽  
Author(s):  
Caroline Miller
Keyword(s):  
Outcome Measures ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
The Arts ◽  
Gathering Data

This article examines the nature of evidence in the arts therapies, and the benefits to clients and therapists of taking a practice-based evidence (PBE) approach to our work. PBE keeps the client at the centre of the work. It involves using assessment and outcome processes which are person-centred, and which can be designed around the client. It challenges the privileging of evidence-based practice (EBP) as providing the only standards for determining which treatments/therapies should be used with clients. It provides ways of gathering data which, cumulatively and singly, demonstrate the effectiveness of the arts therapies.

scholarly journals Evolution of Service Metrics and Utilisation of Evidence-Based Outcome Measures in Anterior Cruciate Ligament Reconstruction Rehabilitation: An Observational Review of Two Cohorts in a Public Hospital Physiotherapy Department

2020 ◽  
Author(s):  
Kirby Tuckerman ◽  
Wendy Potts ◽  
Milad Ebrahimi ◽  
Corey Scholes ◽  
Mark Nelson
Keyword(s):  
Acl Reconstruction ◽  
Outcome Measures ◽  
Public Hospital ◽  
Knee Function ◽  
Evidence Based ◽  
Activity Levels ◽  
Completion Rates ◽  
Model Of Care ◽  
Strength Assessment ◽  
New Model

AbstractObjectiveDetermine in patients undergoing supervised rehabilitation post ACL reconstruction in a public hospital, whether a new model of care incorporating a phase-based program, compared to standard care, increased physiotherapist utilisation of outcome measures, improved service metrics such as attendance and rehabilitation completion rates, as well as increased self-reported knee function and activity levels.MethodsPatients attending outpatient physiotherapy after ACL reconstruction at a metropolitan public hospital (N = 132) were included in retrospective chart review to assess utilisation of outcomes such as quadriceps and hamstrings strength assessment, patient attendance and rehabilitation completion. Phone followup (minimum one year) was conducted to retrieve patient-reported measures of knee function (IKDC) and activity (Tegner Activity Scale). Patients were categorised by rehabilitation model of care (contemporary - time based [N = 93] vs new - phase based [N = 39]) and logistic regression used to assess the influence of patient factors and model of care on outcomes.ResultsPatients included for analysis were aged 25 years at surgery (IQR 20.3 - 30.8), with 42.4% of non-Australia country of origin. Compliance was equivalent between models of care and completion rates (formally discharged by therapist) were low (30-38%). The probability of a patient receiving strength assessment was significantly associated with model of care, sex, BMI and the number of sessions attended. The probability of a patient being recorded as discharged from the program was significantly associated with the model of care, as well as the duration and number of sessions.ConclusionThe transition to a new model of care incorporating a phase-based rehabilitation program increased physiotherapist utilisation of certain evidence-based outcome measures, increased total duration of rehabilitation and increased the total number of sessions attended. Despite this, rehabilitation completion rates remained low, and no change was demonstrated with respect to self-reported knee function and activity levels.Level of evidenceIII, retrospective case-control study

scholarly journals Problems in Clinical Trial Design in Multiple Sclerosis

2002 ◽  
Vol 4 (3) ◽  
pp. 125-138 ◽  
Author(s):  
Jeffrey I. Greenstein
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Trials ◽  
Outcome Measures ◽  
Trial Design ◽  
Clinical Trial Design ◽  
Evidence Based ◽  
Controlled Clinical Trials ◽  
Cognitive Components ◽  
Basic Understanding ◽  
Clinical Measures

Historically, it has been difficult to demonstrate the effectiveness of treatments for multiple sclerosis (MS) because of the variability in the course of the disease, the lack of well-defined, reliable clinical measures, and the pervasiveness of poorly controlled clinical trials. Hence, to interpret the results of clinical trials in MS and make evidence-based decisions regarding treatment for their patients, neurologists should have a basic understanding of appropriate outcome measures and the necessary controls of a well-designed study. This paper reviews the controls required to test the efficacy of agents for the treatment of MS and offers examples of poorly controlled clinical trials to illustrate the problems in interpreting data without such controls. In addition, the outcome measures that should be used to assess the efficacy of treatments on the physical, inflammatory, and cognitive components of the disease are discussed. (Int J MS Care. 2002; 4: 125–131, 136–137)

scholarly journals Patient-Reported Outcome Measures of Utilizing Person-Generated Health Data in the Case of Simulated Stroke Rehabilitation: Development Method

10.2196/16827 ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. e16827 ◽  
Author(s):  
Gerardo Luis Dimaguila ◽  
Kathleen Gray ◽  
Mark Merolli
Keyword(s):  
Health Care ◽  
Outcome Measures ◽  
Clinical Work ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Health Data ◽  
Health Conditions ◽  
Evidence Based ◽  
Development Method ◽  
Patient Reported

Background Person-generated health data (PGHD) are health data that people generate, record, and analyze for themselves. Although the health benefits of PGHD use have been reported, there is no systematic way for patients to measure and report the health effects they experience from using their PGHD. Patient-reported outcome measures (PROMs) allow patients to systematically self-report their outcomes of a health care service. They generate first-hand evidence of the impact of health care services and are able to reflect the real-world diversity of actual patients and management approaches. Therefore, this paper argues that a PROM of utilizing PGHD, or PROM-PGHD, is necessary to help build evidence-based practice in clinical work with PGHD. Objective This paper aims to describe a method for developing PROMs for people who are using PGHD in conjunction with their clinical care—PROM-PGHD, and the method is illustrated through a case study. Methods The five-step qualitative item review (QIR) method was augmented to guide the development of a PROM-PGHD. However, using QIR as a guide to develop a PROM-PGHD requires additional socio-technical consideration of the PGHD and the health technologies from which they are produced. Therefore, the QIR method is augmented for developing a PROM-PGHD, resulting in the PROM-PGHD development method. Results A worked example was used to illustrate how the PROM-PGHD development method may be used systematically to develop PROMs applicable across a range of PGHD technology types used in relation to various health conditions. Conclusions This paper describes and illustrates a method for developing a PROM-PGHD, which may be applied to many different cases of health conditions and technology categories. When applied to other cases of health conditions and technology categories, the method could have broad relevance for evidence-based practice in clinical work with PGHD.

scholarly journals EULAR evidence-based recommendations for the management of fibromyalgia syndrome

2007 ◽  
Vol 67 (4) ◽  
pp. 536-541 ◽  
Author(s):  
S F Carville ◽  
S Arendt-Nielsen ◽  
H Bliddal ◽  
F Blotman ◽  
J C Branco ◽  
...  
Keyword(s):  
Systematic Review ◽  
Outcome Measures ◽  
Fibromyalgia Syndrome ◽  
Task Force ◽  
Fibromyalgia Impact Questionnaire ◽  
Chronic Fatigue ◽  
Behavioural Therapy ◽  
Pharmacological Intervention ◽  
Evidence Based

Objective:To develop evidence-based recommendations for the management of fibromyalgia syndrome.Methods:A multidisciplinary task force was formed representing 11 European countries. The design of the study, including search strategy, participants, interventions, outcome measures, data collection and analytical method, was defined at the outset. A systematic review was undertaken with the keywords “fibromyalgia”, “treatment or management” and “trial”. Studies were excluded if they did not utilise the American College of Rheumatology classification criteria, were not clinical trials, or included patients with chronic fatigue syndrome or myalgic encephalomyelitis. Primary outcome measures were change in pain assessed by visual analogue scale and fibromyalgia impact questionnaire. The quality of the studies was categorised based on randomisation, blinding and allocation concealment. Only the highest quality studies were used to base recommendations on. When there was insufficient evidence from the literature, a Delphi process was used to provide basis for recommendation.Results:146 studies were eligible for the review. 39 pharmacological intervention studies and 59 non-pharmacological were included in the final recommendation summary tables once those of a lower quality or with insufficient data were separated. The categories of treatment identified were antidepressants, analgesics, and “other pharmacological” and exercise, cognitive behavioural therapy, education, dietary interventions and “other non-pharmacological”. In many studies sample size was small and the quality of the study was insufficient for strong recommendations to be made.Conclusions:Nine recommendations for the management of fibromyalgia syndrome were developed using a systematic review and expert consensus.

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