Rehabilitation outcome measures
The rehabilitation research lead by Professor Lynne Turner-Stokes aims to gather evidence to inform effective, cost efficient health services provision in rehabilitation for patients with long term neurological conditions.
Areas of interest include:
1) Development and evaluation of outcome measures for patients with complex neurological disability
2) Case-mix development which encompasses the evaluation of rehabilitation needs, and interventions offered in relation to those needs, in order to identify gaps in service provision
3) Development of techniques for application of patient level costing and evaluation of cost efficiency in complex disability
The following outcome measures are being developed/evaluated further:
The UK FIM+FAM
The UK FIM+FAM is the principal outcome measure of specialist rehabilitation services in the UK. FIM+FAM data are collated alongside other measures of needs and inputs in the UK Rehabilitation Outcomes Collaborative (UK ROC) national clinical database. It is being actively developed and maintained through collaborative work by the CSI and UK ROC.
NPDS / NPCNA
The Northwick Park Nursing Dependency tool provides an assessment of patient care needs. It is an ordinal scale incorporating activities of daily living, safety awareness, behavioural management and communication. It is designed to measure change for highly dependent patients, and has been used to demonstrate the cost-efficiency of rehabilitation for this group.
ArmA - Arm Activity Measure
The ArmA is a measure of difficulty in passive and active function for application following focal therapy intervention and in particular for spasticity interventions, both physical and with botulinum toxin injection.