Post on 26-Mar-2015
Assessment Tools and Outcome Measures:
William Poluha & Emily EtcheverryUniversity of Manitoba
Canadian Health Libraries Association/ Association des bibliothèques de la santé du Canada
Conference 2006Vancouver, BC May 15, 2006
Evidence-based Pearls for Rehabilitation Practice
Scenario #1
Scenario #2
Outline
• Background• Therapist Practice Issues• Collection
Building Accessing Using
• Evaluation
School of Medical Rehabilitation
• Faculty liaison
• Curriculum integrated information literacy
• Emphasis on evidence-based practice
• Student/Faculty requests for tools
Assessment Tool Collection Needed
Therapist Practice Issues
• Evidence-based practice Assessment tools needed for patient baselines
and outcomes (Unsworth, 2000; Law, Baum & Dunn, 2005)
Need for tools in rehabilitation has increased
over last 10 years (Finch, et al, 2002)
Therapist Practice Issues
• Barriers to using tools identified by therapists: (Kay, Myers & Huijbregts, 2001; Pollock et al., 2000; von Zweck, 1999)
Lack of knowledge about tools
Difficulty finding a suitable tool
Limited access to tools to determine suitability
Limited access to tools for “hands-on” demos
Lack of time
Could really use an assessment tool collection!
Your Library
Funding
• Increased enrollment in School of Medical
Rehabilitation (SMR) 2002 - 2004 Council of Post Secondary Education (Manitoba)
SMR submission included library funding
• $5,000.00/year allocated for building the collection
• Community Therapy Services support
We’re getting that assessment tool collection!
The Collection
• 50 “toolkits” and growing
• Assessments for RehabilitationOccupational TherapyPhysical Therapy
• Original assessment tools/instruments
• Manuals/books on development and use
Building the Collection
• Reviews
• Consultations
• Vendor Agreements
Building the Collection
Reviews• Books on measuring health• Annotated lists of tools and outcome
measures• Journal literature for tools on specific
outcomes or disorders• Websites that index and annotate tools• Vendor websites
Building the Collection
Consultations• Faculty:
list of tools used in teaching and research
• Practicing therapists:
Tools they use with clients
Tools to evaluate prior to purchase
• Students:
Research Methods course
Thesis research
Independent Study
Clinical/fieldwork setting
Building the Collection
Vendor Agreements• PhD or equivalent registrant to acquire some tools• Copyright protection• For education and reference use only• Not for use with clients in clinical or research
settings• Secured storage
Preparing Tools for Circulation
• Toolkits packaged in media bags
• Inventory of components (numbered)
• NLM call numbers with “ATOOLS” location
• Copyright labels
• Catalogued
Using the Collection
• Loan policy tries to balance vendor requirements with client needs
• Unavailable for document delivery
• Signed loan agreement Condition / inventory report (loan out / return)
Copyright
Education or reference use
Not for use with clients in clinical or research settings
Using the Collection
In-library use UM affiliates
Winnipeg Regional Health Authority employees
Non-affiliated therapists In-library use only
Proof of professional credentials
Driver’s license in lieu of library card
Using the Collection
Outside use for SMR faculty / students only: Faculty: up to one week
Students: up to 24 hrs. with faculty co-signing
Accessing the Collection
• Library Catalogue
• Website
Accessing the Collection
Library Catalogue NLM Medical Subject Headings Additional index terms
• Assessment, Tools, Outcomes, Measures, Instruments
• Entire collection retrieved:– Two or more index terms keyword searched– Limit to Health Sciences Library
Accessing the Collection
Library Catalogue• Enhanced record
Tool summary
Equipment list
Link to tool record on website
Conditions of use
Tool acronym searchable
Accessing the Collection
Website
• Facilitates access to: Tool collection Resources on tools
Accessing the Collection
Website components• Introduction to the collection• Use policy• Annotated tool index• Searching for tools (tips)• Resources on tools (print & electronic)• Recommend a tool• Survey (feedback on using website)
Evaluation
Toolkit Survey (preliminary)• Sample n= 16
• Primary role (faculty, student, therapist/professional) 1 faculty 1 therapist 14 students
• Professional affiliation (OT, PT, nurse, etc.) 16 Occupational Therapist
0%
20%
40%
60%
80%
Stronglyagree
Agree Disagree StronglyDisagree
NotApplicable
Tool Usefulness
Save time Increased Knowledge
Suitability Teaching Opportunity
Toolkit Evaluation
Comments: “Excellent concept for a collection” (student)
“Appreciate having this access” (therapist)
“It would be helpful to take out of library” (student)
“…signing it out on a longer term basis” (faculty)
“…know whether scoring sheets can actually be used…”
(faculty)
Future Evaluations
Client
• Website survey
• Poster presentation survey at Canadian
Association of Occupational Therapists
Conference
Circulation staff
Future Development
Website
• Search for a tool by outcome
Acknowledgements
• Ada Ducas, Head, Health Sciences Libraries
• Carol Cooke, Librarian & Web Goddess
• Pam Green, Cataloguer
• Lucilla Leung, Circulation Supervisor
• Neil John Maclean Health Sciences Library Staff
• Faculty and Students, School of Medical
Rehabilitation
Medical Rehabilitation Assessment Tool Website
http://www.umanitoba.ca/libraries/health/medrehab/measures/
Bill_Poluha@umanitoba.ca
ReferencesFinch, E., Brooks, D., Stratford, P.W. & Mayo, N. (2002). Physical
rehabilitation outcome measures: A guide to enhanced clinical decision making (2nd ed.). Hamilton, Ontario: BC Decker.
Kay, T.M., Myers, A.M., & Huijbregts, M.P.J. (2001). How far have we come since 1992? A comparative survey of physiotherapists’ use of outcome measures. Physiotherapy Canada, 54(4), 268-75, 281.
Law, M.C., Baum, C.M. & Dunn, W. (2005). Measuring Occupational Performance: Supporting best practice in occupational therapy (2nd ed.). Thorofare, NJ: Slack.
Pollock, A.S., Legg, L., Langhorne, P. & Sellars, C. (2000). Barriers to achieving evidence-based stroke rehabilitation. Clinical Rehabilitation, 14(6), 611-617.
Unsworth, C. (2000). Measuring the outcome of occupational therapy: Tools and resources. Australian Occupational Therapy Journal, 47(4), 147-158.
von Zweck, C. (1999). The promotion of evidence-based occupational therapy practice in Canada. Canadian Journal of Occupational Therapy, 66(5), 208-213.
The Price is Right!
The Price Is:
$13,583.54