Clinician-Reported Outcome Measures: Experiences from Multicenter Follow-Up and an Overview of Commonly Used Measures in Vocational Rehabilitation and Disability Evaluation
The ICF concept is highly relevant in work disability evaluations and in evaluating vocational rehabilitation. Since factors such as environmental aspects have a profound impact on the individual’s ability to perform at work, they need as much attention as other aspects related to the individual’s capacity. Using an ICF-based approach gives the opportunity to ensure that all important aspects that can contribute to work ability are covered and well described.
Work disability evaluations and follow-ups on vocational rehabilitation include different methods and perspectives. Often, patient-reported outcome measures (PROMs) are used. Today, many valid and reliable instruments are available in many languages. These instruments are also efficient and easy to administer but will be only briefly mentioned in some sections of this chapter, while the focus is on clinician reported instruments and tests.
Clinician-reported outcome measures (CROMs) are widely used as observational instruments but also as more advanced measuring methods. In this chapter, we present different CROMs, explicitly related to the different components of the ICF. We also offer suggestions on CROMs in relation to different health conditions with a special focus on musculoskeletal conditions. Furthermore, we share our experience from evaluation of a national rehabilitation program with a focus on return-to-work where observations on function based on the ICF were used.
We conclude that using ICF-based CROMs on function is convenient in clinical settings and also in more complex evaluations. There is, however, still need to assure the reliability and validity of these measures and to further develop this area.
KeywordsAnkylose Spondylitis Sick Leave Work Ability Vocational Rehabilitation Disability Evaluation
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