POPULARITY
Join Dr. Anna Wolska from the Lupus Foundation of America and Dr. Laurent Arnaud, Professor of Rheumatology at the Department of Rheumatology, University Hospitals of Strasbourg as they discuss systemic lupus erythematosus (SLE) clinical trials. In this episode, Dr. Arnaud highlights the complexities of drug approval processes in lupus, the pivotal role of large-scale phase three randomized trials and critical outcome measures in these trials, from primary endpoints assessing treatment efficacy to secondary and exploratory measures capturing broader impacts on patient health and quality of life. Read the article: https://lupus.bmj.com/content/11/1/e001114
The PEC podcast team covers the Prehospital Emergency Care Journal Volume 28 Number 1. We talk about engaging manuscripts in this journal like: Mobile Integrated Health Care Roles of US EMS Clinicians: A Descriptive Cross-Sectional Study & A Systematic Review of Methodologies and Outcome Measures of Mobile Integrated Health-Community Paramedicine Programs Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@weberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
This episode features Hannah Scott, (King's College London, Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, London, UK) What is already known about the topic? Person-centred outcome measures have been shown to improve the quality of care and patient outcomes in adult palliative care when successfully implemented into routine care. Several factors influence implementation in adult services, but they have not been identified in care for children with life-limiting and life-threatening conditions. The views of stakeholders are key to successful development, implementation and use of outcome measures in practice. What this paper adds? Perceived benefits of using person-centred outcome measures include enhanced understanding of what matters to patients and families, improved communication and collaborative working and standardised data collection and reporting; perceived risks include negative impacts on care and measures not being used as intended. Potential barriers to implementation include acceptability and usability of the measure for children, burden and capacity of patients and families to complete the measure, privacy concerns, protecting family members and language barriers; potential facilitators include explaining the benefits of person-centred outcome measures and securing ‘buy-in', measures being implemented by known and trusted health and social care staff and the language in the measure being meaningful to children and families. Eight recommendations are presented to minimise risks and support successful implementation of child and family-centred outcome measures for children with life-limiting and life-threatening conditions. Implications for practice, theory, or policy The benefits of person-centred outcome measures for care should be explained to children, families and professionals to facilitate buy in and successful implementation. Implementation strategies should be designed collaboratively with professionals to ensure implementation of person-centred outcome measures is feasible within current practice and does not impact negatively on care. Professionals introducing and administering the measure should be known and trusted by the child and family, and should discuss usage preference and information sharing to address any privacy concerns. Full paper available from: https://journals.sagepub.com/doi/full/10.1177/02692163241234797 If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: a.nwosu@lancaster.ac.uk
Chantelle is back, and this time she's chatting with Cathy about the latest on government mandated client outcome measures. Listen as they talk about the increased need to have measurable goals and goal-driven programs to support clients funding, their own love-hate relationship with goal measurement, and the overall importance of measuring goals in your business. Topics covered on client outcome measures: Occupational therapy goals. Key parts of creating smart(er) goals. Gold-standard research tools. The importance of revisiting conversations with clients. The separation between functional goals and measurable goals Practice makes perfect Connect with Chantelle Robards Visit Chantelle's Website Follow Chantelle on Instagram (@chantelle_robards) Connect with Chantelle on LinkedIn Connect with Nacre Consulting: Join the Accelerator Mastermind Complete the Allied Health Biz Quiz Let's connect on Instagram Follow us on Facebook Let's connect on LinkedIn Join our Facebook Group online community More about The Private Practice Made Perfect Show: The Private Practice Made Perfect podcast is a much loved conversation for those wanting to hear real life Australian Allied Health business stories, adventures and the occasional confession. The outstanding guest list includes business owners and wonderful small business supporters such as accountants, marketers, bookkeepers, IT wizards, virtual assistants, lawyers and more. As you know, it takes a village to run a business. Cathy gathers the tribe, captures the collective wisdom and conveniently delivers it to your earbuds. All episodes are chatty, honest and practical… warning… we often stray from the topic, talk of wine and laugh loudly. See omnystudio.com/listener for privacy information.
This episode is a short compilation of an algorithm in looking at basic outcome measures and pain in GI Dysfunction. Susan explores the basics of the history which can give great insight into the addition of more sophisticated outcome measures and pain exploration. Start with the basics and then expand! A glance at this episode: [0:01] Evaluating and managing pain in people with GI dysfunction [1:18] Abdominal pain and its relationship to GI dysfunction [4:47] Visceral pain and myofascial pain syndromes [9:14] Pelvic health and bowel dysfunction assessment tools [13:12] Bowel habits and GI health assessment Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript
This week we are going to dig into some interesting research I've been compiling the last several months (and I have plenty more where this came from!). We will cover an array of our favorite topics in red light therapy, mitochondria and methylene blue. We will first look at a piece of research that discusses primary mitochondrial diseases (PMDs); however, the article is directed towards physicians and how they can start to recognize patterns and red flags associated with various PMDs (i.e., mitochondrial dysfunction). To me this is extremely exciting in the sense that this type of mitochondrial information is (slowly but surely) permeating its way into the allopathic world. It can't happen fast enough!The second article looks at methylene blue and a new, yet quite similar synthetic dye salt, blue compound called toluidine blue. The study looks at how when used together, they have a synergistic effect against oral squamous cell carcinoma. I need to know more about toluidine blue!The third article looks at the effect of transcranial photobiomodulation on concussions. This study is a perfect example of a "non-result" not necessarily being a bad thing or that is should be taken at face value. I will discuss why.The last, and likely most relevant, study I review is on red light therapy's impact on reducing pain and improving function with plantar fasciitis (PF). I've personally never dealt with PF, but I have treated it countless times as a physical therapist and know many other people that have dealt with it -- long story short, it is not fun in the slightest and is incredibly easy for it to become a chronic and/or recurring issue. Red light therapy certainly has a role to play with PF. And, based on my experience, cupping may be one of the BEST modalities in the fight against PF. Did anyone say ReVamp cupping system for combined red light therapy and cupping? As always, enjoy the information and light up your health! - Key points: Introduction and Content Teaser (00:00:16 - 00:01:04:29) Dr. Mike's welcome and reflections. Teaser for red light therapy, mitochondrial health, and more. BioLight's Evolution (00:01:04:29 - 00:04:05:09) Revamped cupping system introduction. Upcoming research coverage. BioLight's future and seamless integration. Vision and Innovation (00:04:05:09 - 00:06:45:01) Vision for 2024 and beyond. Examples of integrating red light therapy. BioLight's new direction and upcoming products. Mitochondrial Health Focus (00:06:45:04 - 00:08:06:22) Integration of methylene blue. BioLight as a mitochondrial health company. Primary Mitochondrial Diseases (00:08:06:24 - 00:14:14:25) Introduction to the research article. Red flags and manifestations across body systems. Conclusion and article promotion. Mitochondrial Oxidative Phosphorylation (00:18:25:17 - 00:19:32:25) Focus on genetically determined impairment. Reiteration of manifestations and red flags. Photodynamic Therapy with Methylene Blue (00:21:07:08 - 00:28:03:14) Introduction to the second article. Investigation and synergistic effects. Toluidine blue's potential and further exploration. Red Light Therapy and Concussion Introduction to red light therapy for concussion (00:28:03 - 00:28:44) Emphasis on mitochondria's role in brain health. Mitochondrial Dense Tissue (00:28:44 - 00:29:15) Significance of mitochondria in the brain. Teaser for transcranial photobiomodulation article. Clinical Trial Article (00:29:15 - 00:29:55) Overview of a randomized clinical trial on photobiomodulation. Background on Transcranial Photobiomodulation (00:29:55 - 00:30:27) Literature on benefits for post-concussion recovery. Methods and Outcome Measures (00:30:27 - 00:31:16) Description of the study methods and primary outcome measure. Participant Demographics and Sessions (00:31:16 - 00:32:22) Details on participants and session frequency. Results and Conclusion (00:32:22 - 00:33:37) Presentation of results and conclusion. Research Limitations (00:33:37 - 00:34:40) Reflection on study limitations and importance of details. Negative Results and Quality (00:34:40 - 00:36:05) Interpretation of negative results and critique of research quality. Final Thoughts (00:36:05 - 00:37:04) Reminder that negative results don't dismiss potential benefits. Plantar Fasciitis and Photobiomodulation Therapy Introduction to Plantar Fasciitis Article (00:39:14 - 00:39:54) Teaser for an article on Photobiomodulation Therapy for plantar fasciitis. Cupping for Plantar Fasciitis (00:39:55 - 00:41:03) Efficacy of cupping for plantar fasciitis. Mechanism, benefits, and procedure details. Cupping Sounds and Pathology (00:41:51 - 00:42:38) Discussion on sounds during cupping and their relation to pathology. Photobiomodulation Article Introduction (00:42:38 - 00:44:10) Overview of an article on Photobiomodulation Therapy for plantar fasciitis. Conservative Treatment Critique (00:44:10 - 00:45:06) Critique of conservative treatments for plantar fasciitis. Corticosteroid Injection Issues (00:45:06 - 00:46:02) Caution against corticosteroid injections and their detrimental cycle. Introduction to Photobiomodulation Therapy (00:46:27 - 00:47:37) Introduction to Photobiomodulation Therapy for tendinopathy. Dosage and Wavelengths (00:47:37 - 00:49:14) Enthusiasm for optimized wavelengths and dosing parameters. Importance of detailed dosing information. Near-Infrared for Plantar Fascia (00:49:14 - 00:49:41) Advocacy for near-infrared wavelengths for deeper tissue effects. Study Overview (00:51:19 - 00:53:16) Assessment of clinical impact on pain and function. Photobiomodulation Therapy Protocol (00:53:40 - 00:54:49) Details on therapy frequency and duration. Outcomes and Measurements (00:54:49 - 01:01:01) Primary outcomes: pain reduction and functional improvement. Study Summary and Discussion (01:01:01 - 01:04:34) Three main findings and future considerations. Conclusion and Closing Remarks (01:04:34 - 01:06:45) Long-term benefits of standardized therapy. Encouragement to share findings and closing remarks. _ Articles referenced in episode: Red Flags in Primary Mitochondrial Diseases: What Should We Recognize? Photodynamic Therapy with an Association of Methylene Blue and Toluidine Blue Promoted a Synergic Effect against Oral Squamous Cell Carcinoma A Randomized, Double-Blinded, Placebo-Controlled Clinical Trial Evaluating Transcranial Photobiomodulation as Treatment for Concussion Photobiomodulation Therapy Plus Usual Care Is Better than Usual Care Alone for Plantar Fasciitis: A Randomized Controlled Trial - We have recently added the new Shine to the Beauty Bundle and Ultimate Bundle! With the BioLight Bundles you save 20% on all of the products in the Bundle all year long. No coupon code necessary! - Kindle version of Red Light Therapy Treatment Protocols eBook, 4th Edition - To learn more about red light therapy and shop for the highest-quality red light therapy products, visit https://www.biolight.shop - Dr. Mike's #1 recommendations: Grounding products: Earthing.com EMF-mitigating products: Somavedic Blue light blocking glasses: Ra Optics - Stay up-to-date on social media: Dr. Mike Belkowski: Instagram LinkedIn BioLight: Instagram YouTube Facebook
Follow me on Instagram!! @dr.nicholasgiliberti Sources for my notes: Final Frontier & Scorebuilders test prep sites/courses HOPE THIS HELPS! WE WILL PASS!!!!!!! --- Support this podcast: https://podcasters.spotify.com/pod/show/nicholas-giliberti3/support
In this episode of "Pushing Pediatrics," Sheila and Sara explore the critical role of standardized outcome measures in pediatric physical therapy. They discuss how these measures shape clinical decisions, including eligibility, intervention strategies, goals, and service intensity. The hosts emphasize the importance of understanding the purpose of testing and considering the goals of the child and their family when selecting appropriate outcome measures. They delve into the two critical types of standardized tests: norm-referenced and criterion-referenced, highlighting their differences and applications. Sheila and Sara also touch on psychometric properties, validity, and the importance of adhering to test administration guidelines. They provide insights into the use of outcome measures for screening, prediction, determining differences, and evaluating change. The hosts recommend utilizing the ICF model and the APTA fact sheet on outcome measures for comprehensive understanding. They then dive into motor development and control. They emphasize that the chapter is crucial for understanding foundational concepts. The hosts recommend reading the chapter in full and utilizing bonus content, such as videos and developmental milestones offered in the e-book version. They discuss various developmental theories, including neural-maturationist theory, cognitive-behavioral theory, cognitive: Piagetian theory, motor-learning theory, and dynamical systems theory. Sheila and Sara highlight the importance of internal and external factors in development and provide insights into postural control and reflexes. Listeners are encouraged to dive deeper into these concepts and refer to additional resources for a thorough grasp of the subject matter. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Don't let outdated research hold you back. Embrace the future of pediatric physical therapy with scite.ai. Sign up today and experience the power of evidence-based practice at your fingertips. https://scite.ai/?=sheila ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell's physical therapy for children. Elsevier. https://pediatricapta.org/includes/fact-sheets/pdfs/FactSheet_ListofPediatricAssessmentToolsCategorizedbyICFModel_2013.pdf
Ever wondered why some nonprofits thrive while others struggle to make a real difference? Join us, your co-hosts Ken Berger and Peter York, in cracking the code of impact measurement in nonprofits. With Peter's expertise in the field, we unlock the complexities of this vital tool that goes beyond mere data collection, homing in on the metrics of success and exploring who gets to define them. Buckle in as we challenge the notion of success and highlight the need to consult those being served about their desired outcomes.Our journey doesn't stop there. We delve into the murky waters of outcome measurement and the stark divide between funders who push for certain results and those who simply monitor outputs. We tackle the tension between desired outcomes and resource constraints and highlight the role of nonprofits in designing programs that yield realistic and beneficial results for those they serve. Listen closely as we navigate the difficult terrain where market transactions don't always prioritize those in need.Lastly, we draw back the curtains on data collection from beneficiaries, discussing its role in shaping impactful programs. We question the limitations of satisfaction metrics and advocate for investing in data systems that yield more precise outcomes. While the road to data-driven decision-making in nonprofits may be steep, we tie up our discussion with collaborative solutions that encourage shared ownership of impact measurement systems. Don't miss out on this enlightening conversation that puts nonprofits, their beneficiaries, and their funders under the microscope.
Drs Nicholas Silvestri and Kelly Gwathmey discuss how exercise and other modifiable lifestyle factors can influence how patients experience the burden of myasthenia gravis. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/990462). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Evidence-based Practice in Rehabilitation of Myasthenia Gravis. A Systematic Review of the Literature https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7739309/ Drugs That Induce or Cause Deterioration of Myasthenia Gravis: An Update https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038781/ The Humanistic Burden of Myasthenia Gravis: A Systematic Literature Review https://pubmed.ncbi.nlm.nih.gov/35486970/ Outcome Measures in Clinical Trials of Patients With Myasthenia Gravis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793650/
Rehabilitation Oncology - Rehabilitation Oncology Journal Podcast
On this special Ask the Authors episode of the Rehabilitation Oncology Podcast, Drs. David Doubblestein and Bryan Spinelli discuss the use of outcome measures among certified lymphedema therapists and the importance of selecting outcome measures to comprehensively assess all domains of an individual's function.
In this podcast author Maxine Fong discusses her paper 'Clinical functional outcome measures for children with cerebral palsy after gait corrective orthopaedic surgery: A scoping review' The paper is available to read here: https://onlinelibrary.wiley.com/doi/10.1111/dmcn.15622 Subscribe to our channel for more: https://bit.ly/2ONCYiC ___ Listen to all our episodes: https://bit.ly/2yPFgTC __ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___ Watch DMCN videos on our YouTube channel: https://bit.ly/2ONCYiC Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress
Moderator: Anna Kostera-Pruszczyk (Warsaw, Poland)Guest: Antonio Toscano (Messina, Italy)For the final episode of the month on Muscle and Neuro-muscular Junction disorders, Prof. Pruszczyk discusses Pompe's Disease with Prof. Antonio Toscano.
Sometimes the best inspiration happens when you are standing still
Join Sara and Sheila as we review some commonly use outcome measures - straight from the APTA Fact Sheet. Need more help? Consider a Medbridge subscription. More content plus FOUR practice exams to get you ready for TEST DAY! Use our Medbridge Affiliate code for a discount on your subscription! https://www.medbridgeeducation.com/pushing-pediatrics Affiliate Code: PUSHINGPEDS Resources: https://pediatricapta.org/includes/fact-sheets/pdfs/FactSheet_ListofPediatricAssessmentToolsCategorizedbyICFModel_2013.pdf
PT, PTA, OT, OTA, SLP, Audiology – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. Have you ever wondered what drives your patient's behaviors? Specifically those with cognitive impairment such as dementia or brain injury. Have you found it challenging to work with individuals who display behaviors that interfere with treatment and engagement? In this episode, we talk with Aimee E. Perron, PT, DPT about maladaptive behaviors due to traumatic brain injury and ways to modify your treatment approach for optimal outcomes. How are we doing? Click here to give us feedback (01:57) Takeaways From Today's Discussion (02:35) Behavior Defined (04:57) Maladaptive vs. Adaptive Behavior (07:12) Case Example (11:00) Influencing Factors of Behavior (17:07) The Brain's Role in Behavior: The Theory of Localization (24:49) What We Can Do to Influence Behaviors (32:11) Emotional Intelligence and Rational Detachment (35:57) Case Example: The Importance of Learning More About Individuals (37:49) Ranchos Los Amigos Scale (39:57) Additional Assessment Considerations (41:04) Outcome Measures (43:26) Information to Gather and Document (47:17) Strategies for Engagement and Behavior Modification (50:41) Time Out Procedure (52:30) Contingency Management Procedures (55:14) Addressing Inappropriate Sexual Behaviors (56:57) Positive Programming Procedures (59:16) Behavioral Contracts (1:00:56) Stimulus Control Procedures (1:02:08) Addressing Behaviors at Any Stage of Recovery: Dos and Don'ts (1:06:14) Conclusion The content for this course was created by Aimee E. Perron, PT, DPT. The content for this course was created by Wendy Phillips, PT, BSPT. Here is how Relias can help you earn continuing education credits: Access your Relias Library offered by your employer to see course certificate information and exam; or Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. Learn more about Relias at www.relias.com. Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. Resources Crisis Prevention Institute: https://www.crisisprevention.com/Library The Center for Outcome Measurements in Brain Injury: https://www.tbims.org/list.html
Join Susan and Erica while they present case studies to highlight clinical reasoning. This is part 2 of a 2-part series from a webinar. These case studies include pregnancy-related pelvic girdle pain, an athlete with shoulder pain, and a few more. Follow along and recognize the unique clinical reasoning for each client. A glance at this episode: [2:26] What is a cross-legged squat [6:00] What is a complex exercise program [8:28] Assessing the patient and how far they can walk without pain [13:44] Why you need to really take care of yourself, but a lot of people aren't [15:39] Assessments from the front of the room [19:42] Changing the neurophysiological input to the system [22:14] Common patterns in patients with chronic neck pain [26:15] Changing the context changes the experience and changes the brain [28:53] Positive transference to performance Related links: Access the Slides for this Webinar Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript
In this 2 part episode, Susan and Erica discuss what it takes to become a clinical expert, and how that translates into effectively assessing and treating the "tough to treat". They highlight common errors in clinical reasoning and how to avoid them. They also discuss common red and yellow flags and when to trust your gut. This is part of what makes an expert. Remember, the organization and structure of a clinician's knowledge are more important than the content itself. Learning how to ask the right questions will lead you to the driver more quicker. A glance at this episode: [5:48] The importance of critical thinking in clinical practice [10:44] Clinical red flags and clinical yellow flags [12:35] Red flags that go along with back pain [18:08] Central sensitization is a good outcome measure [20:51] What does a successful outcome look like [26:47] How to get someone from free contemplative to contemplative [29:41] A brief case study of two patients with low back pain [35:24] What's optimal for these patients [41:19] Nerves are bloodsuckers and need to move [48:32] How to know when to change posture [55:23] Case study of a client with progressive pain in back of pelvis Related links: Access the Slides for this Webinar Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript
Join Sara and Sheila as we provide some research review specifically related to outcome measures. Need more help? Consider a Medbridge subscription. More content plus FOUR practice exams to get you ready for TEST DAY! Use our Medbridge Affiliate code for a discount on your subscription! https://www.medbridgeeducation.com/pushing-pediatrics Affiliate Code: PUSHINGPEDS Resources: Fetters, L., & Tilson, J. (2018). Evidence Based Physical Therapy (2nd ed.). F.A. Davis Company. --- Support this podcast: https://anchor.fm/pushingpediatrics/support
3 Mistakes to Avoid with Outcome Measures Join Dustin Jones as he discusses the top 3 mistakes you want to avoid when using outcome measures with older adults. --- Want to make sure you stay on top of all things geriatrics? Go to https://MMOA.online to check out our Free eBooks, Lectures, & the MMOA Digest!
Dr. Dustin Jones // #GeriOnICE // www.ptonice.com
Coauthors Dori Beeler, PhD, of the Levine Cancer Institute; Shelley Wang, MD, MPH, of The University of Texas MD Anderson Cancer Center; and Viraj A. Master, MD, PhD, of the Winship Cancer Institute of Emory University, spoke with CancerNetwork® about their review published in the journal ONCOLOGY® titled Cancer-Related Fatigue Outcome Measures in Integrative Oncology: Evidence for Practice and Research Recommendations. In the article, the authors and their colleagues explored negative impacts, mechanisms, and measurement concerns surrounding cancer-related fatigue. They also proposed strategies for standardization and future directions in the space.
We begin this episode with a special appearance from NCQA President Peggy O'Kane, giving us exciting news about NCQA's first annual, live, in person, 4-day Health Innovation Summit! Join us October 31-November 3, 2022, in Washington, DC. Go to https://www.ncqasummit.com to register. For our featured interviews this week, we discuss NCQA's Person-Centered Outcome Measures.Imagine a clinician asking you what you feel, what you think might be wrong, and just…listening. And then the clinician says…what would you like to be able to do that you can't do now? What are your goals? And what can I do to help you get there?Person-Centered Outcome Measures have already begun to ask these questions and change the health care landscape. On this episode of “Inside Health Care”, we take a deep dive into the Person-Centered Outcome measures and what may be a revolutionary reorientation of the traditional doctor-patient relationship.For more on this, we speak with three people involved with this important NCQA project. First up, we talk with NCQA Senior Research Scientist Dr. Caroline Blaum. Then we hear from Patient Partner Ireland Hawkins, a retired researcher and caregiver, now a patient herself with a patient's perspective. After that, we hear from Sherry Nolen, a Patient Partner with a very clear caregiver perspective.For more information contact Dr. Caroline Blaum at pcomeasures@ncqa.org.Later in the show, we observe September's National Prostate Cancer Awareness Month. NCQA has a number of HEDIS measures related to cancer and cancer screenings. Go to www.NCQA.org and search “cancer” for more information.
Drs Stanley Cohen and Alexis Ogdie-Beatty discuss minimal disease activity and the disease activity measures used in clinical trials as well as practice in treating psoriatic arthritis. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/970781). The topics and discussions are planned, produced, and reviewed independently of advertiser. This podcast is intended only for US health care professionals. Resources Psoriatic Arthritis https://emedicine.medscape.com/article/2196539-overview A Proposed Revision to the ACR20: The Hybrid Measure of American College of Rheumatology Response https://www.rheumatology.org/Portals/0/Files/A%20Proposed%20Revision%20to%20the%20ACR20.pdf DAS28-CRP for Rheumatoid Arthritis https://reference.medscape.com/calculator/275/das28-crp-for-rheumatoid-arthritis ACR-FDA Summit https://www.rheumatology.org/Learning-Center/Educational-Activities/View/ID/1213 Measuring Minimal Disease Activity in Psoriatic Arthritis https://decisionpoint.medscape.com/rheumatology/viewarticle/951228 How Is the Severity of Psoriatic Arthritis and Psoriasis Usually Assessed? https://www.medscape.com/answers/2196539-155443/how-is-the-severity-of-psoriatic-arthritis-and-psoriasis-usually-assessed Standardizing the Monitoring of Outcome Measures https://www.medscape.com/viewarticle/741428 Patient Reported Outcomes in the Assessment of Minimal Disease and Remission https://decisionpoint.medscape.com/rheumatology/viewarticle/952950 Validating the SF-36 Health Survey Questionnaire in Patients With Psoriatic Arthritis https://pubmed.ncbi.nlm.nih.gov/9058658/ A Modified Version of the Health Assessment Questionnaire (HAQ) for Psoriatic Arthritis https://pubmed.ncbi.nlm.nih.gov/7586774/ Validation of the Psoriatic Arthritis Impact of Disease (PsAID) Questionnaire and Its Potential as a Single-Item Outcome Measure in Clinical Practice https://pubmed.ncbi.nlm.nih.gov/29146740/ Psoriasis and Psoriatic Arthritis Multicenter Advancement Network https://www.ppacman.org/ Enthesitis: Workup and Severity Assessment https://decisionpoint.medscape.com/rheumatology/viewarticle/951227 Psoriatic Arthritis Treatment & Management https://emedicine.medscape.com/article/2196539-treatment Effects of Ustekinumab Versus Tumor Necrosis Factor Inhibition on Enthesitis: Results From the Enthesial Clearance in Psoriatic Arthritis (ECLIPSA) Study https://www.sciencedirect.com/science/article/abs/pii/S0049017218301501?via%3Dihub
In this month's extrasode Adam takes a quick look at the day to day issues and frustrations he has with many outcome measures. To read the blog in full go here To find out more about Rehab Guru go here To become a NAF podcast patreon go here
This episode demystifies clinical medical care ‘best practices' — clinical guidelines & outcome measures. These are regularly created, validated & updated, by expert teams and organizations. This rigorous, evidence-based process provides the USA with a quality and up to date clinical health care system. [261 characters]. Guest: John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer. Resources: Avedis Donabedian — author of a classic core framework for evaluating the quality of medical care, laid out 50 years ago; the basis of our system today. This link is to a recent article about Donabedian and his work, and is helpful for understanding how and why outcome measures and clinical guidelines are needed and beneficial for quality health care. American Urological Association (AUA) Guidelines for Urology Care — find current health care guidelines for prostate conditions, bladder cancer, erectile dysfunction, etc. National Quality Forum (NQF)— nonprofit US organization that sets standards for quality health care, and provides other services that advance quality health care. National Committee for Quality Assurance (NCQA)— nonprofit US organization that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. Agency for Health Care Research and Quality (AHRQ) — lead US Federal agency charged with improving the safety and quality of healthcare for all Americans. AHRQ develops the knowledge, tools, and data needed to improve the healthcare system and help consumers, healthcare professionals, and policymakers make informed health decisions Podcast Webstie & Social Media: Podcast Website: theoriginalguidetomenshealth.org Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health/
En este episodio, entrevisto a Isaac Padrón Afonso. Isaac Padrón es fisioterapeuta en la unidad de hospitalización de Neurología y Neurocirugía del Complejo Hospitalario Universitario de Canarias y miembro de la Comisión de Ictus del mismo hospital. También es TAFAD y lo he invitado a Hemispherics para hablar del ictus agudo y su manejo desde la fisioterapia, un campo que me causa mucho interés porque apenas he trabajado en él y tengo muchas dudas y preguntas que seguro que Isaac me ayuda a resolverlas. Twitter de Isaac: @ipafotfefisio Referencias del episodio: Guías: -T. Platz 2021 Clinical Pathways in stroke rehabilitation Germany -Warlow's Stroke: Practical Management, Fourth Edition. Edited by Graeme J. Hankey, Malcolm Macleod, Philip B. Gorelick, Christopher Chen, Fan Z. Caprio and Heinrich Mattle. © 2019 John Wiley & Sons Ltd. -www.nice.org.uk/guidance/ng128 stroke and transient ischaemic attack in over 16s: diagnosis and initial management 2019 -Stroke Foundation. Clinical Guidelines for stroke management 2017. Melbourne Australia -Heart and stroke Foundation Canada: Canadian stroke best recommendations: Stroke rehabilitation practice guidelines 2015 -Guidelines for adult stroke rehabilitation and recovery. A guideline for healthcare professionals from the American Heart Association/American Stroke Association 2016 -Intercollegiate stroke working party, National Clinical guideline for stroke, 5th edn. Royal College of Physicians, London 2016 Artículos: 1. Zhelev Z, Walker G, Henschke N, Fridhandler J, Yip S. Prehospital stroke scales as screening tools for early identification of stroke and transient ischemic attack. Cochrane Database of Systematic Reviews 2019 2. S. Marzolini et al. 2019. Aerobic Training and Mobilization early post-stroke: Cautions and Considerations 3. Peter Langhorne et al. 2017 A very early rehabilitation trial after stroke (AVERT): a phase III, multicenter, randomized controlled trial 4. Samar M. H. et al. 2016 Rehabilitation of motor function after stroke: A multiple systematic review focused on techniques to stimulate upper extremity recovery 5. J.M. Veerbeek et al. Is accurate prediction of gait in nonambulatory stroke patients possible within 72 hours poststroke? The EPOS study 2011 6. M. Smith 2017 the TWIST algorithm predicts time to walking independently after stroke 7. Consensus-Based Core Set of Outcome Measures for Clinical Motor Rehabilitation After Stroke—A Delphi Study. Front Neurol. 2020 8. APTA y ANPT: A Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation: A CLINICAL PRACTICE GUIDELINE 2018 9. International consensus recommendations for outcome measurement in post-stroke arm rehabilitation trials Julie Duncan Millar, Frederike Van Wijck, Alex Pollock, Myzoon Ali European Journal of Physical and Rehabilitation Medicine 2021 10. J.C. Van den Noort et al. 2017 European consensus on the concepts and measurement of the pathophysiological neuromuscular responses to passive muscle stretch 11. K.A. Wattchow et al (2018) Rehabilitation Interventions for Upper Limb Function in the First Four Weeks Following Stroke: A Systematic Review and Meta-Analysis of the Evidence Archives of Physical Medicine and Rehabilitation 12. De Sousa DG et. al. 2018 Interventions involving repetitive practice improve strength after stroke: a systematic review 13. S. Dorsch et al. 2019 In inpatient rehabilitation, large amounts of practice can occur safetly without direct therapist supervision: an observational study 14. Moore et al. 2020 Implementation of high-Intensty stepping training during inpatient stroke rehabilitation improves functional outcomes 15. K. Oyake et al. 2020 Motivational strategies for stroke rehabilitation: A Delphi study 16. Stewart JC and Cramer SC (2018) Genetic Variation and Neuroplasticity: Role in Rehabilitation after Stroke J Neurol Phys Ther. Author manuscript;
Home Health Minute: Home Health | Physical Therapy | Geriatrics
In this Podcast, Ken Miller talks with Dr. Jack M Guralnik about outcome measures and the New Toolbox II resource from the Home Health Academy. Dr. Jack Guralnik is currently Professor of Epidemiology and Public Health at the University of Maryland School of Medicine. He spent 25 years doing research at the National Institute on Aging and was Chief of the intramural Laboratory of Epidemiology, Demography and Biometry. He received his M.D. degree from Jefferson Medical College in Philadelphia and M.P.H. and Ph.D. degrees from the University of California, Berkeley. He is Board Certified in Public Health and General Preventive Medicine. Kenneth L Miller, PT, DPT is a board-certified geriatric clinical specialist, advanced credentialed exercise expert for aging adults and credentialed clinical instructor from APTA. He has over 26 years of clinical practice with the older adult population. Dr Miller is an assistant professor at the University of North Texas Health Science Center with dual appointments in the Department of Physical Therapy in the School of Health Professions and in the Department of Internal Medicine and Geriatrics in the Texas College of Osteopathic Medicine.
Show Notes: In this episode, I chat with Dr. Terry Jo Bichell, Founder & Director at COMBINEDBrain. Terry Jo Bichell worked as a documentary filmmaker in the early days of videotape, then became a public health nurse-midwife after filming a difficult birth in West Africa. When her youngest child, Lou, was diagnosed with Angelman syndrome, she switched from midwifery to clinical research on Angelman syndrome. Eventually, she went back to school to earn a PhD in neuroscience from Vanderbilt University in an effort to find treatments for her son. Along the way, she studied gene-environment interactions in Huntington disease as well as circadian aspects of Angelman syndrome and was a columnist for HDBuzz. After graduating, she was the Founding Director of the Angelman Biomarkers and Outcome Measures Alliance until 2018. Dr. Bichell founded a new non-profit in 2019, COMBINEDBrain (Consortium for Outcome Measures and Biomarkers for Neurodevelopmental Disorders), to assist other rare and ultra-rare neurogenetic disorders with clinical trial preparations. Explore more! Website: https://combinedbrain.org/ Instagram: https://www.instagram.com/combinedbrain/ Episode Segments: Intro, Rare disease fact of the week, Guest interview, Q & A Session, Outro See you all next week! - Shivani Vyas ☺ @raredisorderpod on IG & Twitter, The Rare Disorder Podcast on LinkedIn https://linktr.ee/theraredisorderpodcast --- Support this podcast: https://anchor.fm/theraredisorderpodcast/support
Show Notes for The Aspiring Psychologist Podcast Episode: 7Using Outcome Measures as an Aspiring Psychologist Thank you for listening to the Aspiring Psychologist Podcast. Outcome measures are important and due to the way services are funded they are likely part of the day-to-day life of an aspiring psychologist. Here's my run through of ways to use them and to optimise their use. Welcome & Intro to Outcome Measures: 00:30 How I gather data about myself: 02:00 Adult Mental Health: 03:30 Whizzy spreadsheet alert: 05:00The ACE scale: 06:30 Maslow's Hierarchy: 07:30Yana: 09:00Self-Actualisation: 11:00Demonstrating Change using outcome measures: 14:30 Using self in therapy: 16:00Embracing data as a psychologist & Close: 18:00 Links: To check out The Clinical Psychologist Collective Book: https://amzn.to/3jOplx0To check out The Grief collective Book: https://amzn.to/3pmbz5tTo check out The Our Tricky Brain Kit: https://www.goodthinkingpsychology.co.uk/tricky-brainConnect on SocialsFacebook: https://www.facebook.com/GoodThinkingPsychologicalServicesInstagram: https://www.instagram.com/drmariannetrent/LinkedIn: www.linkedin.com/in/dr-marianne-trent-psychology Twitter: https://twitter.com/GoodThinkingPs1
Show Notes for The Aspiring Psychologist Podcast Episode: 6Developing Skills in Non-Invasive History Taking Thank you for listening to the Aspiring Psychologist Podcast. Being able to run assessment and history taking sessions with your clients in a way which feels supportive and non-invasive is key. Here's my toptips for how to do it from a position of curiosity and non-judgement. Highlights: Welcome: 00:30 Attunement: 02:00 Outcome Measures: 03:00Session Content & Structure: 05:00Non-Judgment: 09:00 The Person and their relationship to the difficulties: 11:30Being honest about the intrusion: 13:30 The Single session intervention: 14:00 Links: To check out The Clinical Psychologist Collective Book: https://amzn.to/3jOplx0To check out The Grief collective Book: https://amzn.to/3pmbz5tTo check out The Our Tricky Brain Kit: https://www.goodthinkingpsychology.co.uk/tricky-brainConnect on Socials:Facebook: https://www.facebook.com/GoodThinkingPsychologicalServicesInstagram: https://www.instagram.com/drmariannetrent/LinkedIn: www.linkedin.com/in/dr-marianne-trent-psychology Twitter: https://twitter.com/GoodThinkingPs1
In this episode with Lars, we explore the errors of assuming what we are measuring is due to our intervention. We also delve into the quote “outcome measures measure outcomes not interventions.”Lars is a Physiotherapist, writer, internationally acclaimed lecturer, teacher, and personal trainer. He has a unique blend of knowledge about pain research, neuroscience, physiotherapy, rehabilitation, evidence-based medicine, science and critical thinking. Lars has worked over a decade full-time in the health industry, as both a manager and as an exercise and rehab specialist at corporate level.Our host is Michael Rizk from Physio Network and iMoveU: https://cutt.ly/ojJEMZs
When making a change or fixing a problem, most companies consider the outcome they want to achieve—what will be different—and how they'll measure that. But outcomes can take a long time. In the meanwhile, how do you know things are going the way you hoped? How do you make adjustments if needed? That's where steering signals come in. Interim measures and subtle signs that help you find the way.
Ari Ne'eman joins Ethics Talk to discuss his article, When Disability is Defined by Behavior, Outcome Measures Should Not promote “Passing,” in the July 2021 issue of the Journal, Visibility and Measurability in Health Care.
腦震盪之後,病人變得容易喘了!? (該不會是COVID??) 病人說他運動的時候會天旋地轉該怎麼辦? 身為治療師的你要如何評估呢?快來聽這集的內容吧! Timecode: 00:26 IG問答的聽眾提問回答:電影震盪效應對我們的啟發。轉型影評podcast囉! 10:58 Elaine小老師幫大家複習證據等級分類 11:13 腦震盪病人的自主神經系統和運動耐力檢查 14:17 Stanley和Frank補充Buffalo concussion treadmill/bike test 19:28 閒聊為什麼大家都要買穿戴式裝置,廠商Garmin, Asus, 捷安特這邊就交給你們了! 23:48 腦震盪病人的運動功能損傷的測試 26:37 補充”A Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation” CPG的內容 30:19 IG問答的聽眾提問回答:腦震盪後顱內壓介入的安全範圍 35:26 到底要不要分類腦震盪的病人呢?目前沒有實證的分類方式喔 39:07 腦震盪病人的社會心理因子影響評估 41:35 成效評估工具(outcome measure)的選擇,一定要選一個做紀錄並持續使用喔! 43:41 本集總結 歡迎到各平台追蹤或來信來訊跟我們提出疑問~ Facebook: https://www.facebook.com/2PROPT/ Instagram: https://www.instagram.com/2pro_pt/ Email: 2propt@gmail.com 也可以在此收聽: Apple podcast: https://tinyurl.com/y97q7tms Spotify: https://tinyurl.com/ydavzqxu Google podcast: https://tinyurl.com/yd86pbcl YouTube channel: https://tinyurl.com/y82ewo5b Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s Reference: Quatman-Yates CC, Hunter-Giordano A, Shimamura KK, et al. Physical Therapy Evaluation and Treatment After Concussion/Mild Traumatic Brain Injury. J Orthop Sports Phys Ther. 2020;50(4):CPG1-CPG73. doi:10.2519/jospt.2020.0301
In this APTA Live event, we will talk with members of the Cross-Academy/Section COVID-19 Core Outcome Measure Task Force about the physical therapy core outcome measures algorithms they developed — one for adults and one for children.
In this APTA Live event, we will talk with members of the Cross-Academy/Section COVID-19 Core Outcome Measure Task Force about the physical therapy core outcome measures algorithms they developed — one for adults and one for children.
Dedee Murrell, MD, FAAD interviewed by Vinod Nambudiri, MD, MBA, FAAD
Outcomes measures in physical therapy are often seen as helpful for some and a huge burden for others. There are limitations. And while insurance companies tend to love them (maybe for the wrong reason), they aren’t always helpful for us … Read more > The post Outcome Measures in Physical Therapy appeared first on Mike Reinold.
The neck pain CPG expects physical therapists to screen for red flags, but it doesn't give much detail on how to do that. Dr. Austin Kercheville fills in those gaps with this discussion of neck pain red flags and indications for imaging.Find the articles referenced at physiofieldguide.com/resources.Find more resources and subscribe to practice questions at PhysioFieldGuide.com.Support the show (https://www.patreon.com/physiofieldguide)
How is the OCS going to approach low back pain differential diagnosis and red flags? Dr. David Smelser discusses low back pain red flags using the CPG as well as a recent JOSPT article by Finucane et al. You can bet your bottom dollar this will be on the exam.Find the Finucane article at https://www.jospt.org/doi/10.2519/jospt.2020.9971.Find more resources and subscribe to practice questions at PhysioFieldGuide.com.Support the show (https://www.patreon.com/physiofieldguide)
Reviewing a small study on anxiety and chiropractic care and the outcome measures you can use in your practice today to gather data and track changes. Get info like this for your practice at chiroedgemedia.com
Dr. Alan Fredendall // #QAMonday // www.ptonice.com
"A core outcome set (COS) is an agreed standardised set of outcomes that should be measured and reported, as a minimum, in all clinical trials in specific areas of health or health care".
Un listado extenso de outcome measures se puede encontrar en Phisiopedia (https://www.physio-pedia.com/Category:Outcome_Measures) , o en la base de datos de Rehabmeasures (https://www.sralab.org/rehabilitation-measures) .
In this episode of the NIH Collaboratory Grand Rounds podcast, Dr. Adrian Hernandez sits down with Dr. Elise Berliner and Michelle Leavy to discuss the Development of Harmonized Outcome Measures for Use in Research and Clinical Practice. In the discussion, Dr. Berliner and Leavy explain the outcome measures framework and harmonizing outcomes in specific clinical areas.
Brenda is a physical therapist looking to utilize the correct outcome measure to assess a patient's improvements and current ability related to ADL's. The physical therapist is challenged with determining the correct and MOST appropriate outcome measure to utilize with a patient who has a CVA. How well do you know your outcome measures? Let's test your understanding in this excellent episode about outcome measures. Are you looking for an awesome cheatsheet with the top 10 outcome measures to know for the NPTE? Look no further https://www.kylericeprep.com/p/outcome-measures Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #1 solution to STOP getting stuck.
In this live recording of the eighth #UnblindingResearch session on 'Outcome Measures, Confidence Intervals and p values' from DREEAM through a made up beta blocker 'Superlol' we go through: - p values and significance - how mean values move and standard error of the mean - how outcome measures are made and revisiting QALYs Don't be mean and bear the pressure! The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/new-blog-1/2018/9/30/outcome-measures Subscribe to Take Aurally on SoundCloud and iTunes Remember you can find Take Aurally and NUH DREEAM on both Facebook and Twitter The amazing DREEAM Research Team can be found on both Facebook and Twitter Our next #UnblindingResearch session will be on Randomisation on 21st November 1000-1100 in DREEAM. Next week's episode will be on Cardiac History Taking
In this live recording of the seventh #UnblindingResearch session on 'Sampling' from DREEAM through the medium of Gummy Bears we go through: - the principles of sampling and why we do it - significance and power and how we quantify them - how sample size is calculated Hopefully this session will help you to bear sampling! The blog entry containing the slides, #TakeVisually and more info can be found at https://www.takeaurally.com/take-visually/2018/9/5/unblindingresearch-session-seven-sampling Subscribe to Take Aurally on SoundCloud and iTunes Remember you can find Take Aurally and NUH DREEAM on both Facebook and Twitter The amazing DREEAM Research Team can be found on both Facebook and Twitter Our next #UnblindingResearch session will be on Outcome Measures, Confidence Intervals and p values on 17th October 1000-1100 in DREEAM. Next week's episode will be our second Redthread special!
SHOW NOTES I recently contacted the National Strength and Conditioning Association (NSCA) region director asking for an interview referral for the best person on this topic… her answer was Dr. Seth Myers. I thought it was funny he was the top suggestion because he is also a chiropractor. I thought I was going to be given the contact of someone who only does coaching. Dr. Myers didn’t disappoint. Trained under the ideals of Dr. Stuart McGill PhD, he gave some great pointers on how we can address and prevent lower back pain while squatting, deadlifting, snatching and more. Here’s some topics we hit: - Assessment - Direction of tolerance or increase symptoms and what it means - Disc and type of injuries - Outcome Measures other than pain - Butt Winking (Spinal Flexion) - Intra-abdominal pressure - Core work and why - How to return to lifting - Fear avoidance Dr. Seth Myer’s Bio: “My name is Seth Myers and I am a Sports Chiropractor practicing at JointFit Chiropractic and Sports Medicine Center in Manhattan, KS. I practice with an emphasis in evidence-based medicine and focus on active care. The treatment I provide is focused on empowering the patient and helping them navigate through musculoskeletal issues that are slowing them down in life. I have a masters degree in sports medicine and a handful of other certifications in strength and conditioning (CSCS and USAW to name a few). I have a love for sports, played football for 4 years in college and currently spend most of my spare time doing CrossFit and Olympic style weightlifting. I try to bring the knowledge and experience I have from years of lifting and working out with me in the clinic when treating patients and finding the best path for them on their road to a better lifestyle.” Contact him at sethmyersdc@gmail.com Website: https://sethmyersdc.wordpress.com Videos: Squat video: https://www.youtube.com/watch?v=PkQb2LJtLgo&t=175s (low res) http://www.backfitpro.com/documents/Spine-flexion-myths-truths-and-issues.pdf Pigs https://www.ncbi.nlm.nih.gov/pubmed/11114441 Sebastian’s Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. You can access the show notes at https://www.p2sportscare.com/podcast/ Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don’t get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.
Dr. Kyle Rideway - Measuring Outcomes, Outcome Measures, & Treatment Effects -------------------- If you like what you hear, consider Joining the Senior Rehab Project to get access to: Monthly Mastermind Meetup Newsletter Private FB Group *For links & the other podcasts in the Senior Rehab Project, go to http://SeniorRehabProject.com
Interview with Mats Lundström, MD, PhD, author of A Proposed Minimum Standard Set of Outcome Measures for Cataract Surgery
Margaret Parker, MD, FCCM, speaks with Murray M. Pollack, MD.
Margaret Parker, MD, FCCM, speaks with Murray M. Pollack, MD.
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine
A PTJ podcast titled, "Outcome Measures for People With Parkinson Disease."
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 10/19
Electromyogram-Biofeedback in Patients with Fibromyalgia: A Randomized Controlled Trial Objective: To evaluate the effectiveness of EMG-biofeedback in patients with Fibromyalgia. Design: The study design was a randomized controlled pilot trial with blinded assessors and three points of assessment: before intervention (baseline, T0), at the end of treatment (T1) and a 3-months follow-up (T2). Setting: Outpatient clinic. Patients: Patients from the waiting list of the Fibromyalgia day hospital program fulfilling the inclusion criteria. Intervention: During eight weeks, 14 sessions of EMG-biofeedback training versus usual care only. Outcome Measures and Analysis: For primary outcome, the disease specific health status was followed using the Fibromyalgia Impact Questionnaire (FIQ). Secondary outcome measures comprise assessment of pain (Tender Point Score), tenderness (Tender Point Count = number of Tender Points, Pain Pressure Threshold), generic health status (SF-36), Patients’ Global Clinical Impression of Change and psychic impact (Beck depression Inventory, Symptom Checklist 90-Revised). Effects were analyzed with sensitivity statistics (effect size, ES), parametric and nonparametric tests. Results: The data of 36 patients with complete follow-up data could be analyzed. EMG-EMG-biofeedback did not improve health status of patients with Fibromyalgia (FIQ, T1: ES = 0.02, p = 0.95, T2: ES = 0.26, p = 0.43). Also, the secondary outcome measures, with the exception of the pressure pain threshold (T1: ES = 0.26, p = 0.014), showed no superiority of EMG-biofeedback in addition to usual care compared to usual care alone. Conclusion: In the treatment of patients with Fibromyalgia, EMG-biofeedback training in addition to usual medical care is not superior to usual medical care alone.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 06/19
The objective of this doctoral thesis was to examine the use of concepts contained in outcome measures of randomized controlled obesity trials (RCTs) between 1992 und 2001, using the ICF as a reference tool.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 03/19
Objectives: To systematically identify and compare the concepts contained in outcome measures of clinical trials on chronic ischemic heart disease, diabetes mellitus, obesity and obstructive pulmonary disease, including asthma using the International Classification of Functioning, Disability and Health (ICF) as a reference. Methods: Randomized controlled trials between 1993 and 2003 were located in MEDLINE and selected according predefined criteria. The outcome measures were extracted and the concepts contained in the outcome measures were linked by so called “linking rules” to the ICF. Results: 166 trials on chronic ischemic heart disease, 227 trials on diabetes mellitus, 428 trials on obesity and 253 trials on obstructive pulmonary disease were included. 10 different health status questionnaires were extracted in chronic ischemic heart disease, 19 in diabetes mellitus, 47 in obesity, 39 in obstructive pulmonary disease. Across conditions at least 75% (range: 75-92%) of the extracted concepts could be linked to the ICF. In diabetes mellitus and obesity the most used ICF- categories were ‘general metabolic functions’ (b540), in obstructive pulmonary disease ‘respiratory functions’ (b440) and in chronic ischemic heart disease ‘heart functions’ (b410). Conclusions: In all four health conditions the majority of studies were drug trials focusing on clinically relevant parameters and not on functioning. The ICF provides a useful reference to identify and quantify the concepts contained in outcome measures used in clinical trials.