Do hand outcome measures reflect cultural influences?

Öksüz, Çiğdem; Akel, Burcu Semin; Aran, Orkun Tahir; Sığırtmaç, İlkem Ceren; Leblebicioğlu, A. Gürsel

doi:10.1016/j.aott.2017.05.003

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…One barrier potentially influencing the routine collecting of outcome data in clinical practice is a tool's clinical applicability and utility. 15 , 32 , 33 The WCRT's success in routinely administrating the COPM once again demonstrates its feasibility and clinical utility in everyday, interdisciplinary, community-based rehabilitation team environments. 13 , 24 , 25 It also affirms that patient-reported outcome measures such as the COPM present a unique opportunity for clinical services that provide care to diverse populations in terms of age and health conditions, to routinely capture outcomes from a patient perspective, and in turn demonstrate efficacy of service delivery.…”

Section: Discussionmentioning

confidence: 99%

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The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review

Vyslysel

Barker

Hubbard

2021

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate whether patients experienced improved functional outcomes as a result of their admission to rehabilitation and to identify whether the service provided effective, patient-centered and goal-directed rehabilitation. Design Retrospective chart review of admission and discharge data from patients accessing the service between 2011 and 2019. Setting Community-based interdisciplinary rehabilitation service. Participants Consecutive patients (N=612) admitted to the service. Interventions Routine care delivered with a median duration of 181 days and an interquartile range of 120-261 days. Main Outcome Measures The Canadian Occupational Performance Measure (COPM) administered on admission and discharge and an improvement ≥2 in the COPM subscales of performance and satisfaction. Results Of 612 participants, 96% had the COPM administered at admission (baseline) and 68% again at discharge. Performance and satisfaction were measured in 584 patients at admission, 406 at discharge, and 404 at both time points. For performance, 243 patients (60%) experienced an improvement (≥2), with an average of 2.2 points. For satisfaction, 268 patients (66%) experienced an improvement (≥2), with an average of 2.8 points. Factors influencing outcomes, differed. For each 10 year increase in patient age, the average improvement in satisfaction was 0.26 points lower (95% confidence interval, 0.07-0.45) after adjusting for sex, duration, completion, and health condition. Conclusions Irrespective of patient-related factors and regardless of age, sex, health condition, or discharge plan, the majority of patients reported a positive functional outcome in COPM Performance and satisfaction as a result of time spent in the community-based rehabilitation service. This service provided equitable care and patient-centered, goal-focused, and outcome-based therapy that enabled patients to improve their functional capacity.

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Section: Discussionmentioning

confidence: 99%

“… 14 This can make it difficult to adequately demonstrate a health service's effectiveness, and in turn, the development and implementation of improved interdisciplinary models of care within this clinical context. 15 …”

mentioning

confidence: 99%

The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review

Vyslysel

Barker

Hubbard

2021

Archives of Rehabilitation Research and Clinical Translation

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“…Several upper extremity questionnaires have been used to measure hand and wrist disability in patients with RA . The DASH questionnaire has often been used to study upper extremity problems . However, the DASH does not separately evaluate right and left hand.…”

Section: Discussionmentioning

confidence: 99%

Validity of the Patient‐Rated Wrist Evaluation questionnaire in rheumatoid arthritis

et al. 2019

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Background The Patient‐Rated Wrist Evaluation (PRWE) is a patient‐reported questionnaire focusing on symptoms and function in wrist pathologies. It consists of 15 questions regarding pain and functional activities of the wrist. Rheumatoid arthritis (RA) is a multi‐systemic disease characterized by inflammation of the wrist and hand joints in almost all patients. This study aims to test the validity of PRWE in patients with RA. Method Seventy‐five patients with RA from a single outpatient clinic participated in the study. Patients filled out the Michigan Hand Outcomes Questionnaire (MHOQ) and grip strength of both hands were measured. Patients filled out the PRWE questionnaire consecutively once for the dominant and once for the non‐dominant hand. Correlations between PRWE and MHOQ and grip strength scores were analyzed by Spearman's correlation method. Results Our results demonstrated that there was a very strong correlation between the PRWE and the MHOQ and a moderate correlation between the PRWE and grip strength (P < .001). PRWE also showed negative and fair correlation with grip strength of both hands (P < .001). Conclusions The Patient‐Rated Wrist Evaluation is a valid tool for evaluating wrist involvement in patients with RA. PRWE may be preferred in the busy clinical setting since it has simple and short questions. Additionally, it may provide a sensitive follow‐up tool for patients separately using its subscales of pain and function.

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“…46 Furthermore, if respondents do not complete the questionnaire fully (if they skip more than three responses), the questionnaire cannot be used. 47 The DASH questionnaire has redundancy in items as evidenced by an elevated Cronbach alpha (0.97). 44,48 The DASH also has a ceiling effect such that the precision of assessing an individual with higher functional status is diminished.…”

Section: Disadvantages/criticismsmentioning

confidence: 99%

“…15,40,53 The MHQ can effectively discern even small functional differences in the affected versus nonaffected hand. 47,[53][54][55] It is also unique in that it addresses patient satisfaction with hand aes-thetics. 52,53 The MHQ is easy to use and has high test-retest reliability and internal inconsistency.…”

Section: Aims/advantagesmentioning

confidence: 99%

Patient-Reported Outcomes and Provocative Testing in Peripheral Nerve Injury and Recovery

John

Rossettie

Rafael

et al. 2023

J Brachial Plex Peripher Nerve Inj

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Background Peripheral nerve function is often difficult to assess given the highly variable presentation and subjective patient experience of nerve injury. If nerve assessment is incomplete or inaccurate, inappropriate diagnosis and subsequent treatment may result in permanent dysfunction. Objective As our understanding of nerve repair and generation evolves, so have tools for evaluating peripheral nerve function, recovery, and nerve-related impact on the quality of life. Provocative testing is often used in the clinic to identify peripheral nerve dysfunction. Patient-reported outcome forms provide insights regarding the effect of nerve dysfunction on daily activities and quality of life. Methods We performed a review of the literature using a comprehensive combination of keywords and search algorithms to determine the clinical utility of different provocative tests and patient-reported outcomes measures in a variety of contexts, both pre- and postoperatively. Results This review may serve as a valuable resource for surgeons determining the appropriate provocative testing tools and patient-reported outcomes forms to monitor nerve function both pre- and postoperatively. Conclusion As treatments for peripheral nerve injury and dysfunction continue to improve, identifying the most appropriate measures of success may ultimately lead to improved patient outcomes.

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Do hand outcome measures reflect cultural influences?

Cited by 4 publications

References 24 publications

The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review

The Canadian Occupational Performance Measure (COPM) as Routine Practice in Community-Based Rehabilitation: A Retrospective Chart Review

Validity of the Patient‐Rated Wrist Evaluation questionnaire in rheumatoid arthritis

Patient-Reported Outcomes and Provocative Testing in Peripheral Nerve Injury and Recovery

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