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Functional Outcomes

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Injury Research

Abstract

Measurement of functional outcome following injuries is a central tool in the assessment of the human and economic costs of injury, as well as the development and evaluation of programs and policies to improve outcomes following injury. A well-designed outcome measurement plan improves the quality of injury control research, minimizes study participant burden, and maximizes opportunities for future secondary data analyses. However, a key challenge in the development of a study measurement plan is the identification of appropriate, practical, well-validated measures. In this chapter, we review the major theoretical and practical issues in choosing functional outcome measures. Any discussion of the measurement of functional outcomes must include a review of the International Classification of Function (ICF), which has been created to provide a universal language for disability research. Using this framework, this chapter reviews the concepts of validity, reliability, and responsiveness for the measurement of impairments, activity limitations, and participation restrictions following injury.

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References

  • Baker, S. P., O’Neill, B., Haddon, W., Jr., & Long, W. B. (1974). The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. The Journal of Trauma, 14(3), 187–196.

    Article  CAS  PubMed  Google Scholar 

  • Barth, A. T., Bennett, B. C., Boudaoud, B., Brantley, J. S., Chen, S., Cunningham, C. L., et al. (2010). Longitudinal high-fidelity gait analysis with wireless inertial body sensors. Wireless Health, 192–193.

    Google Scholar 

  • Biering-Sørensen, F., Scheuringer, M., Baumberger, M., Charlifue, S. W., Post, M. W., Montero, F., et al. (2006). Developing core sets for persons with spinal cord injuries based on the International Classification of Functioning, Disability and Health as a way to specify functioning. Spinal Cord, 44(9), 541–546.

    Article  PubMed  Google Scholar 

  • Bourne, R. B., Maloney, W. J., & Wright, J. G. (2004). An AOA critical issue: the outcome of the outcomes ­movement. The Journal of Bone and Joint Surgery, 86, 633–640.

    PubMed  Google Scholar 

  • Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of Chronic Diseases, 40(5), 373–383.

    Article  CAS  PubMed  Google Scholar 

  • Cieza, A., Geyh, S., Chatterji, S., Kostanjsek, N., Ustün, B. T., & Stucki, G. (2006). Identification of candidate ­categories of the International Classification of Functioning Disability and Health (ICF) for a Generic ICF Core Set based on regression modelling. BMC Medical Research Methodology, 6, 36.

    Article  PubMed Central  PubMed  Google Scholar 

  • Coenen, M., Cieza, A., Stamm, T. A., Amann, E., Kollerits, B., & Stucki, G. (2006). Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient ­perspective using focus groups. Arthritis Research & Therapy, 8(4), R84.

    Article  Google Scholar 

  • De Kleijn-De Vrankrijker, M. W. (2003). The long way from the International Classification of Impairments, Disabilities and Handicaps (ICIDH) to the International Classification of Functioning, Disability and Health (ICF). Disability and Rehabilitation, 25(11–12), 561–564.

    PubMed  Google Scholar 

  • Dixon, D., Pollard, B., & Johnston, M. (2007). What does the chronic pain grade questionnaire measure? Pain, 130(3), 249–253.

    Article  PubMed  Google Scholar 

  • Donabedian, A. (1966). Evaluating the quality of medical care. Milbank Memorial Fund Quarterly, 44, 166–206.

    Article  PubMed  Google Scholar 

  • Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118, 622–629.

    Article  CAS  PubMed  Google Scholar 

  • Hammel, J., Magasi, S., Heinemann, A., Whiteneck, G., Bogner, J., & Rodriguez, E. (2008). What does participation mean? An insider perspective from people with disabilities. Disability and Rehabilitation, 30(19), 1445–1460.

    Article  PubMed  Google Scholar 

  • Hurst, R. (2003). The international disability rights movement and the ICF. Disability and Rehabilitation, 24, 572–576.

    Google Scholar 

  • Institute of Medicine (IOM); Pope, A. M., & Tarlov, A. R. (Eds.). (1991). Disability in America: a national agenda for prevention. Washington, DC: National Academy Press.

    Google Scholar 

  • Institute of Medicine’s Committee on Disability in America; Field, M. J., & Jette, A. M. (Eds.). (2007). The future of disability in America. Washington, DC: National Academy Press.

    Google Scholar 

  • Jette, A. M. (1994). Physical disablement concepts for physical therapy research and practice. Physical Therapy, 74(5), 380–386.

    CAS  PubMed  Google Scholar 

  • Jette, A. M. (2006). Toward a common language for function, disability, and health. Physical Therapy, 86(5), 726–734.

    PubMed  Google Scholar 

  • Jette, A. M., Haley, S. M., & Kooyoomijan, J. T. (2003). Are the ICF activity and participation dimensions distinct? Journal of Rehabilitation Medicine, 35, 145–149.

    Article  PubMed  Google Scholar 

  • Jurkovich, G., Mock, C., MacKenzie, E., Burgess, A., Cushing, B., deLateur, B., et al. (1995). The Sickness Impact Profile as a tool to evaluate functional outcome in trauma patients. The Journal of Trauma, 39, 625–631.

    Article  CAS  PubMed  Google Scholar 

  • Kerns, R. D., Rosenberg, R., Jamison, R. N., Caudill, M. A., & Haythornthwaite, J. (1997). Readiness to adopt a ­self-management approach to chronic pain: the Pain Stages of Change Questionnaire (PSOCQ). Pain, 72(1–2), 227–234.

    Article  CAS  PubMed  Google Scholar 

  • McConachie, H., Colver, A. F., Forsyth, R. J., Jarvis, S. N., & Parkinson, K. N. (2006). Participation of disabled ­children: how should it be characterised and measured? Disability and Rehabilitation, 28(18), 1157–1164.

    Article  CAS  PubMed  Google Scholar 

  • McDowell, I., Spasoff, R. A., & Kristjansson, B. (2004). On the classification of population health measurements. American Journal of Public Health, 94(3), 388–393.

    Article  PubMed  Google Scholar 

  • McNaughton, H., McPherson, K., Falkner, E., & Taylor, W. (2001). Impairment, disability, handicap and participation in post-poliomyelitis subjects. International Journal of Rehabilitation Research, 24, 133–136.

    Article  CAS  PubMed  Google Scholar 

  • Nagi, S. (1991). Disability concepts revisited: implications for prevention. In A. Pope & A. Tarlov (Eds.), Disability in America: toward a national agenda for prevention (pp. 309–327). Washington, DC: National Academy Press.

    Google Scholar 

  • Participation Team Working Report. (2005, October). Conceptualizing and measuring participation. Toronto: Toronto Rehabilitation Institute.

    Google Scholar 

  • Patient-Reported Outcomes Measurement Information System (PROMIS). PROMIS Preliminary Item Banks. (2006). http://www.nihpromis.org/WebPages/PreliminaryItemBanks(2006).aspx.

  • Pollard, B., Johnston, M., & Dieppe, P. J. (2006). What do osteoarthritis health outcome instruments measure? Impairment, activity limitation, or participation restriction? The Journal of Rheumatology, 33(4), 757–763.

    PubMed  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1984). The transtheoretical approach: crossing traditional boundaries of therapy. Homewood, IL: Dow Jones-Irwin.

    Google Scholar 

  • Schepers, V. P., Ketelaar, M., van de Port, I. G., Visser-Meily, J. M., & Lindeman, E. (2007). Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health. Disability and Rehabilitation, 29(3), 221–230.

    Article  CAS  PubMed  Google Scholar 

  • Stamm, T., & Machold, K. (2007). The International Classification of Functioning, Disability and Health in practice in rheumatological care and research. Current Opinion in Rheumatology, 19(2), 184–189.

    Article  PubMed  Google Scholar 

  • Stucki, G., Ewert, T., & Cieza, A. (2003). Value and application of the ICF in rehabilitation medicine. Disability and Rehabilitation, 25(11–12), 628–634.

    PubMed  Google Scholar 

  • Ustün, T. B., Chatterji, S., Bickenbach, N., & Schneider, M. (2003). The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disability and Rehabilitation, 24, 565–571.

    Google Scholar 

  • Verbrugge, L., & Jette, A. (1993). The disablement process. Social Science & Medicine, 38(1), 1–14.

    Article  Google Scholar 

  • Ware, J. J., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual ­framework and item selection. Medical Care, 30, 473–483.

    Article  PubMed  Google Scholar 

  • Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993, October). The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX.

    Google Scholar 

  • WHODAS Home Page. (2010). http://www.who.int/icidh/whodas/FAQ.html.

  • Wolf, P. S. A., & Jacobs, W. J. (2010). GPS technology and human psychological research: a methodological proposal. Journal of Methods and Measurement in the Social Sciences, 1(1), 1–15.

    Google Scholar 

  • World Health Organization. (WHO). (1980). International Classification of Impairments, Disabilities, and Handicaps. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization (WHO). (2001). International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization.

    Google Scholar 

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Correspondence to Renan C. Castillo PhD .

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Castillo, R.C. (2012). Functional Outcomes. In: Li, G., Baker, S. (eds) Injury Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1599-2_18

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  • DOI: https://doi.org/10.1007/978-1-4614-1599-2_18

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