Centre for Allied Health Evidence, University of South Australia, Adelaide, Australia.
Disabil Rehabil. 2010;32(6):511-20. doi: 10.3109/09638280903171519.
Outcome measurement is an integral part of delivering rehabilitation services in community settings. However, measurement is of little value if instruments are chosen ad hoc and are not administered consistently. The purpose of this study was to develop and test a participatory process of outcome measure selection which would engender consistent use of robust and appropriate instruments.
The ICF provided the conceptual framework for a systematic review of the literature for relevant outcome measures. A summary of the critical appraisal of the clinimetric properties of the identified instruments was created. The summaries were reviewed and vetted by stakeholders including clinicians, researchers, and managers/policy makers.
From the 300 identified and appraised measures, 28 were chosen and made available in a Compendium of Clinical Measures for Community Rehabilitation. The Compendium contains three core measures to be used routinely with all rehabilitation clients and a further 25 that cover particular discipline and client needs. This resource is now available to all clinicians working in the participating rehabilitation services.
A participatory process combining rigorous review of the literature, expert opinion, and clinician feedback is recommended in the selection and implementation of outcome measures in rehabilitation settings in the community.
在社区环境中提供康复服务时，结果测量是不可或缺的一部分。然而，如果仪器是随意选择的，并且没有一致地进行管理，那么测量就没有什么价值。本研究的目的是开发和测试一种参与式的结果测量选择过程，该过程将产生一致使用强大且合适的工具。
国际功能、残疾和健康分类（ICF）为针对相关结果测量的文献系统回顾提供了概念框架。对确定仪器的临床测量特性进行了关键评估总结。这些总结由利益相关者（包括临床医生、研究人员和管理人员/政策制定者）进行审查和审查。
从 300 种确定并评估的测量方法中，选择了 28 种，并在社区康复临床测量综合手册中提供。该手册包含三个核心措施，用于常规使用所有康复患者，以及另外 25 个措施，涵盖特定的学科和患者需求。该资源现在可供所有在参与康复服务中工作的临床医生使用。
在社区康复环境中选择和实施结果测量时，建议采用结合文献严格审查、专家意见和临床医生反馈的参与式过程。
