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Community Rehabilitation for Rural and Remote Australia: Measuring What Matters Based on the International
Alice Cairns1,2, Ruth Barker3
1Murtupuni Centre for Rural and Remote Health, James Cook University, Australia.
Evaluating community rehabilitation services in rural Australia requires a standardized approach. Current outcome measures lack consistency, hindering robust assessment of service effectiveness and quality of life improvements.
Area of Science:
- Health Services Research
- Rehabilitation Medicine
- Rural Health
Background:
- Community rehabilitation services in rural and remote Australia face challenges in consistent evaluation.
- Quantitative outcome measures used to assess these services vary significantly.
- There is a need to understand the current landscape of outcome measurement in this context.
Purpose of the Study:
- To systematically review quantitative outcome measures used for community rehabilitation services in rural and remote Australia.
- To identify and categorize measures related to activity, participation, and quality of life.
- To inform the development of a standardized evaluation framework.
Main Methods:
- A comprehensive scoping review was conducted, adhering to PRISMA extension guidelines.
- Extensive database searches (MEDLINE, PubMed, EMBASE, CINAHL, Scopus, Cochrane, JBI, PsycINFO, Web of Science, Google Scholar) were performed for studies from January 2010 to September 2023.
- Studies involving allied health outpatient, subacute, or nonacute services for rural/remote populations with impairments were included, considering face-to-face and telehealth delivery.
Main Results:
- A total of 27 studies were analyzed, identifying 40 distinct outcome measures for activity, participation, and quality of life.
- Few outcome measures were consistently applied across studies, and even fewer showed significant changes in more than one study.
- Most studies focused on single interventions rather than evaluating the overall service model.
Conclusions:
- A core dataset and common evaluation framework are essential for robust assessment of community rehabilitation services in rural and remote Australia.
- The proposed framework must ensure measurement consistency aligned with rural service models and environmental factors.
- Standardized evaluation will enhance the understanding and effectiveness of these vital services.
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