Outcome measure selection in community-based stroke rehabilitation: An exploration of therapists' current practice in Scotland
Aim: To examine the rationale for selection of outcome measures currently in use by UK rehabilitation professionals in community stroke rehabilitation.
Method: Senior stroke rehabilitation therapists were invited to participate in a web-based Scotland-wide survey, which explored current outcome measure, rationale for selection, fit with patient preferences, and professional characteristics. The survey was piloted prior to use and refined with input from steering group members. 12 rehabilitation therapists further took part in in-depth follow-up interviews exploring the rationale behind choosing particular outcome measures.
Results: 110 participants (49 physiotherapists, 39 occupational therapists, 22 Speech and language therapists) completed the web-based survey. Most (60%) reported that relevance to patients was the primary driver for choosing outcome measures. Accessibility was of primary importance to only 8.7% of respondents. 35.6% of therapists reported dissatisfaction with existing outcome measures in terms of their relevance for patients. Interviews revealed the complexities of measuring outcomes, which are relevant to patients in the community setting and different outcome measurement philosophies across disciplines.
Conclusion: As policy and practice is shifting towards greater patient-centredness in rehabilitation and assessment, choice of outcome measures is driven by relevance. However, accessibility is not key to therapists' choice of outcome measures despite emphasis on service user inclusion.
Learning Areas:Provision of health care to the public
Public health or related research
Describe the rationale for selection of outcome measures currently in use by UK rehabilitation professionals in community stroke rehabilitation.
Keyword(s): Outcome Measures
Qualified on the content I am responsible for because: PhD in psychology; 20 years of disability-related health research.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.