Rehabilitation Research Boot Camp: Self-Report & Outcome Measures

Presented by Ken Learman

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One of the most germane questions a clinician can ask themselves after a patient encounter is “did the patient get any better?” This is not a straightforward question to answer for a myriad of reasons. Even though outcomes measures have been frequently found to be reliable and have been validated sometimes on diverse populations, many cues provided in a patient encounter can impact the results of the outcomes assessment and may alter the real nature of the results you are seeking. This course will explore many of the clinical considerations for clinical outcomes measures and will identify methods to minimize inappropriate biases often encountered in practice. It will also assist the participant in identifying useful self-report outcomes measures.

Meet your instructor

Ken Learman

Ken Learman, PT, PhD, OCS, COMT, FAAOMPT is a Professor of Physical Therapy at Youngstown State University where he is responsible for teaching manual therapy, patient examination and clinical reasoning, and research design and data analysis in the curriculum. Ken is also affiliated faculty at Duke University Division of…

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Chapters & learning objectives

Why Study Outcomes Measures

1. Why Study Outcomes Measures

Chapter one introduces the participant to the world of outcomes measures and to the myriad of resources available to find outcome measures used. This module will explain the advantages of using standardized outcome measures and how they can benefit both patients and clinicians.

Dimensions of Recovery

2. Dimensions of Recovery

Chapter two will discuss the many dimensions of recovery. The concept of recovery will be broken down into various constructs explored and the elusive nature of explanation, testing, and measurement will be explained. This module will address the need for the clinician to identify the most important dimensions of recovery as they pertain to the individual and how this may be variable depending on environmental and personal factors contextually specific to the patient.

Psychometric Properties of Outcomes Measures

3. Psychometric Properties of Outcomes Measures

Chapter three will describe and discuss the attributes of outcome measures and how to determine the reliability and validity of outcomes measures. This module will discuss responsiveness, meaningful change and how to assess if a specific outcome measure is effective in representing a construct of interest. This is important in assisting the clinician in evaluating the quality of specific outcomes measures for a given construct in a given patient population.

COSMIN Criteria for Outcome Measures

4. COSMIN Criteria for Outcome Measures

Chapter four will describe and discuss the COSMIN initiative for evaluating the quality of outcomes instruments. The historical perspective leading up to the creation will be provided as well as how it can be used to assess the quality of each outcome tool used clinically. The purpose of covering this material lies in the need to separate the best outcome tools from those that don’t provide enough value in the clinical environment as well as to emphasize the importance of pursuing evidence for generalizability of outcome tools to differing populations of patients.

Specific Outcomes Measures

5. Specific Outcomes Measures

Chapter five will discuss some of the pros and cons to using SRMs and PPMs and will cover how to choose the right outcomes measures. Some specific examples of outcomes measures will be covered.

Summary

6. Summary

Chapter six will summarize the handful of key points from the previous 6 modules. It is important to emphasize and reinforce the key points to ensure learning the essentials of grant application and management.