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A multimedia preference-assessment tool for functional outcomes

M K Goldstein1, D Michelson, A E Clarke

  • 1Department of Medicine, Stanford University.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1993
PubMed
Summary
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This study introduces ADLIB, a new computer program for rating quality of life in activities of daily living (ADLs). ADLIB was found easy to use by older patients and aligns with geriatric care practices.

Area of Science:

  • Geriatric medicine
  • Health outcomes research
  • Quality of life assessment

Background:

  • Clinical trials frequently measure functional outcomes using activities of daily living (ADLs).
  • A gap exists in quality-weighting for ADL assessments.
  • Standardized methods are needed for comprehensive outcome evaluation.

Purpose of the Study:

  • To design and pilot-test ADLIB (ADL Index Builder), a multimedia computer program.
  • To elicit quality-of-life ratings for various ADL health states.
  • To establish population-based preference ratings for clinical trial efficacy and cost-effectiveness analysis.

Main Methods:

  • Developed a multimedia computer program (ADLIB) to present ADL health states.
  • Recruited patients over 50 with no prior computer experience.

Related Experiment Videos

  • Collected quality-of-life ratings for each presented ADL health state.

    • Main Results:

    • Pilot testing confirmed ADLIB is user-friendly for older adults without computer experience.
    • Geriatric healthcare professionals validated the ADL presentations align with clinical practice.
    • The program successfully elicited quality-of-life preference ratings.

    Conclusions:

    • ADLIB is a viable tool for obtaining quality-weighted ADL data.
    • This method can enhance the assessment of clinical trial efficacy.
    • ADLIB can provide crucial quality-weights for cost-effectiveness analyses in healthcare.