Selecting outcomes measures in children's rehabilitation: a comparison of methods [corrected] [published erratum appears in ARCH PHYS MED REHABIL 2004 Feb;85(2):349].

OBJECTIVE: To evaluate the effects of using a computerized self-directed software program, All About Outcomes, to facilitate decisions about the most appropriate outcome measures to use in specific pediatric rehabilitation scenarios. DESIGN: A randomized controlled trial using a crossover design to...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 84; no. 4; pp. 496 - 500
Autores principales: Law M, Hurley P, Russell D, King G, Hanna S
Formato: clinical trial research tables/charts Journal Article
Publicado: W B Saunders 2003 Apr
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2003 Apr
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      pub: W B Saunders
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        atl: Selecting outcomes measures in children's rehabilitation: a comparison of methods [corrected] [published erratum appears in ARCH PHYS MED REHABIL 2004 Feb;85(2):349].
      aug:
        au:
          Law M
          Hurley P
          Russell D
          King G
          Hanna S
        affil: CanChild Centre for Childhood Disability Research, McMaster University, Faculty of Health Sciences, IAHS Bldg, 1400 Main St W, Hamilton, ON L8S 1C7, Canada; lawm@mcmaster.ca
      sug:
        subj:
          Children with Disabilities
          Outcome Assessment Methods
          Disability Evaluation In Infancy and Childhood
          Rehabilitation
          Software
          Clinical Assessment Tools
          Pediatric Physical Therapy
          Pediatric Occupational Therapy
          Information Retrieval
          Clinical Trials
          Crossover Design
          Summated Rating Scaling
          Child
          Human
          Child: 6-12 years
      ab: OBJECTIVE: To evaluate the effects of using a computerized self-directed software program, All About Outcomes, to facilitate decisions about the most appropriate outcome measures to use in specific pediatric rehabilitation scenarios. DESIGN: A randomized controlled trial using a crossover design to test the accuracy, time, and ease of use of the decision-making outcome software in selecting 3 potential clinical outcome measures for each of 2 clinical scenarios. SETTING: The trial was conducted in a university school of rehabilitation science in Ontario, Canada. PARTICIPANTS: Thirty student occupational therapists and physiotherapists enrolled at the university participated in the trial. INTERVENTIONS: Six clinical scenarios were created and paired into 3 sets with similar levels of difficulty. Participants were randomly assigned to select the 3 most appropriate outcome measures for 2 scenarios in 1 of the 3 sets by using the library or the software program. The order of the method of searching was randomized to control for order effect. MAIN OUTCOME MEASURES: Accuracy in identifying appropriate outcome measures, time for the search, ease of searching, and satisfaction with the search process were measured for all participants. Accuracy was rated by 2 independent raters who were unaware of the search method used to identify the outcome measures. RESULTS: In comparison to the library search method, the software search method was significantly more accurate, took less time, and was rated as easier in identifying appropriate outcome measures for the clinical scenarios. Users were also significantly more satisfied with the software searching method. The accuracy of the software method was not affected by whether participants used it first or second. However, the accuracy of the library search method improved if it was used after the software method. CONCLUSIONS: Software improved the accuracy and ease of identifying outcome measures for rehabilitation students. Further research is needed to evaluate whether identifying appropriate measures leads to an increased use of outcome measures in clinical practice. Copyright © 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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