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Key Measurement and Feasibility Characteristics When Selecting Outcome Measures

  • Outcome Measurement in Rehabilitation (ME Kho, Section Editor)
  • Published:
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Abstract

Selection of appropriate outcome measures to assess progress in physical rehabilitation across the complete recovery continuum is essential but may pose challenges in clinical practice. This paper examines key measurement and feasibility characteristics for outcome measures, using critical care survivors as an exemplar. With increased survivorship following a critical illness, initiatives to improve the recovery trajectory for patients have become a focus for clinicians and researchers. For this patient cohort, we present a 3-tier framework and use of standing and non-standing patient phenotypes to guide instrument selection. Key measurement issues for clinicians to consider include the responsiveness, criterion validity, and reliability of functional assessment instruments. Patient-centered factors that may influence performance and the effectiveness of assessments include frailty, fatigue, and other varied symptoms of patient discomfort. Suggestions to address these challenges are discussed, specifically prioritizing outcome measurement according to tier, consideration of patient and ICU-related factors, and recommendations to standardize outcome measurement to a core set.

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Authors and Affiliations

  1. Faculty of Health, University of Technology Sydney, 235 Jones Street, Ultimo, NSW, 2007, Australia

    Doug Elliott

  2. Physiotherapy Department, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia

    Sue Berney

  3. School of Physiotherapy & Exercise Science, Curtin University of Technology, Kent Street, Bentley, WA, 6102, Australia

    Megan Harrold

  4. Department of Physiotherapy, Western Health, Western Hospital, Gordon Street, Footscray, VIC, 3011, Australia

    Elizabeth H. Skinner

  5. Department of Physiotherapy, School of Primary Health Care, Monash University, McMahons Road, Frankston, VIC, 3199, Australia

    Elizabeth H. Skinner

  6. Department of Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Carlton, VIC, 3053, Australia

    Elizabeth H. Skinner

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  3. Megan Harrold
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  4. Elizabeth H. Skinner
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Correspondence to Doug Elliott.

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This article is part of the Topical Collection on Outcome Measurement in Rehabilitation.

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Elliott, D., Berney, S., Harrold, M. et al. Key Measurement and Feasibility Characteristics When Selecting Outcome Measures. Curr Phys Med Rehabil Rep 3, 255–267 (2015). https://doi.org/10.1007/s40141-015-0099-9

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