Outcome Measures Ot Essay

1097 words - 5 pages

Using Outcome Measures in Occupational Therapy (Within a group setting)
The purposes of using outcome measures are two - fold:
1) To support evidence-based OT practice
“Professional credibility requires the demonstration of efficient and effective interventions. The ability to determine a patient’s functional status through a standardised assessment is essential for effective treatment planning and outcome measurement” (Welch & Forster 2003)

2) To convince powerful others of the value of OT

“Greater accountability…including improved quality of care, increased transparency and monitoring of care provided, value for money and improvements in the information available to ...view middle of the document...

However for the purpose of our group therapy, we have narrowed it down to four. The standardised outcome measures to be used on our client group and have been authored by an Occupational therapist are one or a combination of the following:

The Life Satisfaction Questionaire
Fugel-Meyer, Branholm & Fugel-Meyer (1991)
ICIDH-2 Level/s: Participation.
Purpose: To measure client satisfaction with life as a whole (happiness).
Target population: General adult population.
Number of items: Nine items examining client’s satisfaction with family life and friendships, financial situation, vocational situation, leisure situation and self-care.
Scoring system: Six point scale ranging from 1 (very dissatisfying) to 6
(very satisfying). Provides a client profile that can be monitored and revaluated over time.
Authors include an OT: Yes

Goal attainment questionaire (GAS)
Ottenbacher & Cusick (1990)
ICIDH-2 Level/s: Can be at any level of the ICIDH-2.
Purpose: An approach to evaluating program effectiveness. Investigates whether individual patient goals developed at admission are met by the time of discharge.
Target population: All.
Number of items: Any number of goals are set.
Scoring system: Assign weights to each of the goals identified, achieved by consensus between client, therapist, family and others. Weighting reflects prioritizing or ranking. If four goals are identified then the most important is +4 and the least important is +1. Determine this at the goal planning stage not at the evaluation stage or it introduces systematic error or bias. A formula to determine outcome is detailed in the reference.
Authors include an OT: Yes.

The Rivermead Rehabilitation Centre Life Goals Questionaire.
Davis et al. (1992)
ICIDH-2 Level/s: Participation.
Purpose: To measure the individual’s perception of the importance of life roles.
Target population: Adults.
Number of items: Nine items (question format) related to importance of residential and domestic arrangements, and ability to manage personal care, leisure, work, hobbies and interests, contacts with friends and neighbours, family life, religion and finances.
Scoring system: A four-point scale; ‘0’ = no importance to ‘3’ = extreme importance. A client profile is yielded along with qualitative data relating to individual items.
Authors include an OT: Yes.

(Unsworth C, 2000)

The Addiction Severity Index (ASI) is a multidimensional interview used to measure the substance use, health, and social problems of those with alcohol and other drug problems, both at admission to treatment and subsequently at follow-up contacts (McLellan,et al, 2006). In...

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