MEASURING THE OUTCOME OF CBR INTERVENTIONS
Measures of CBR outcome rest on the ability to measure the reduction in 'handicap' in a disabled person after interventions. Handicap is defined contextually as a deficiency in carrying out what the person could normally do before his disability, and hence, developing a tool to measure outcome, requires the knowledge of the baseline pre-morbid functioning. Any improvement with interventions needs to be graded as the extent of gain attained by the disabled person to reach the pre-morbid state of functioning.
Questions to be asked before developing a measuring tool
1. What do I want to know? 2. Will the measurement tool I design answer my questions (validity)? 3. Is the measurement tool reliable and avoid large errors? 4. Is the measurement tool sensitive enough to pick up the differences that I am searching for? 5. Is it simple enough to use with ease?
Examples of measuring tools
Activities of daily life |
||||
ADL | 0 | 1 | 2 | 3 |
Grooming | Needs help | Independent | . | . |
Bathing | Dependant | Independent | . | . |
Dressing | Dependant | Needs help | Independent | . |
Mobility | Immobile | Wheel chair dependent | Walks with help | Independent |
Climbling stairs | Unable to climb | Needs help | Independent | . |
With the scoring key designed above, scores can be assigned to observations on different dates, when a person is monitored during the period of intervention.
Progress in mobility with intervention |
|||
Day |
. | . | . |
Month |
. | . | . |
Year |
. | . | . |
Sitting with balance Can he sit on the edge of the bed without support for 30 seconds? |
. | . | . |
Standing without support Can he stand without support for 30 seconds? |
. | . | . |
Walking with an aid |
. | . | . |
Walking without any aid |
. | . | . |
Walking on uneven surface without an aid |
. | . | . |
Maya Thomas and M.J Thomas
J-124, Usha's Apts, 16th Main, 4th Block, Jayanagar,
Bangalore - 560 011, India.
Tel & Fax: 91-80-6633762,
Email: thomasmaya@hotmail.com
Friday Meeting Transactions
Associate Publication of Asia Pacific Disability Rehabilitation Journal
Vol.1 No.2 1999
Editor:
Dr. Maya Thomas
J-124, Ushas Apts, 16th Main, 4th Block, Jayanagar, Bangalore - 560 011, India
Tel and fax: 91-80-6633762
Email: thomasmaya@hotmail.com
Printed at:
National Printing Press
580, K.R. Garden, Koramangala, Bangalore - 560 095
Tel: 080-5710658