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Measuring outcome.

A Tennant1

  • 1Rheumatology and Rehabilitation Research Unit, School of Medicine, University of Leeds, UK.

British Medical Bulletin
|November 25, 2000
PubMed
Summary
This summary is machine-generated.

Understanding health outcomes after stroke requires evaluating conceptual frameworks, measurement contexts, and instrument quality. Current clinical practice is adopting a core set of outcome measures.

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Area of Science:

  • Health outcomes research
  • Rehabilitation medicine
  • Clinical measurement

Background:

  • Defining health outcomes is crucial for evaluating goal achievement in illness.
  • Stroke outcome measurement requires understanding its conceptual basis, measurement context, and instrument caliber.
  • The World Health Organization (WHO) established a conceptual framework in 1980.

Purpose of the Study:

  • To review the conceptual basis, measurement context, and quality of instruments for assessing stroke outcomes.
  • To identify factors influencing outcome measurement in stroke care.
  • To explore the current use and emergence of outcome measures in clinical practice.

Main Methods:

  • Conceptual analysis of outcome measurement in stroke.
  • Review of contextual factors (e.g., setting, time since onset, professional mix).

Related Experiment Videos

  • Evaluation of psychometric properties (reliability, validity) of measurement instruments.
  • Exploration of Item Response Theory (IRT) for addressing measurement limitations.

    • Main Results:

    • Outcome measurement must consider factors like in-patient vs. out-patient settings, professional mix, time since stroke onset, and clinical vs. research environments.
    • Psychometric studies assess the reliability and validity of measurement tools.
    • Item Response Theory is being used to improve measurement accuracy and address limitations.
    • Current clinical use of outcome measures is limited, but a core set appears to be emerging by default.

    Conclusions:

    • A comprehensive approach is needed to define and measure stroke outcomes effectively.
    • Contextual factors significantly influence the interpretation and application of outcome measures.
    • Ongoing advancements, including IRT, aim to enhance the quality and utility of stroke outcome assessment.
    • Despite limited current use, a standardized set of outcome measures is gradually being adopted in clinical practice for stroke.