Abstract
Study Design
Prospective cohort study.
Introduction
Some third-party payers require hand therapists to rate patient's functional disability
based on patient self-rating using patient-reported outcome measures (PROMs), objective
measurements of impairment, and observation of functional tasks—hand therapist–rated
function (HTRF).
Purpose of the Study
To test the correlation between HTRF and PROMs (upper limb functional index [ULFI]
and Patient-Reported Outcomes Measurement Information System upper extremity [PROMIS
UE]) and its association with psychological factors.
Methods
In 2014, 100 new patients with upper extremity illness presenting to hand therapists
were asked to participate in an observational cross-sectional study. Demographic-,
condition-related, and psychological factors were obtained in addition to PROMs and
HTRF.
Results
HTRF correlated moderately with PROMIS UE (r = −0.49, P < .001) and ULFI (r = −0.56, P < .001). Correlation between PROMIS UE and ULFI was strong (r = 0.78, P < .001). Psychological factors explained most of the variations in both HTRF and
PROMs.
Conclusions
Hand therapists' ratings of patient function correlate less strongly with PROMs than
PROMs correlate with one other. The discrepancy between HTRF and PROMs may offer an
opportunity to address stress, distress, or ineffective coping strategies that can
interfere with recovery—an opportunity for therapists and patients to collaborate
and develop goals and for future research to develop effective and feasible strategies
for hand therapists.
Level of Evidence
Level II, diagnostic study.
Keywords
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JHT Read for Credit
Quiz: #513
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.The demand for PRO measures has increasingly been driven by
- a.institutional peer review committees
- b.hand therapists
- c.hand surgeons
- d.third party payers
- a.
- #2.The study's primary purpose was to determine the
- a.relationship between perceived patient results by therapists and surgeons
- b.optimal number of post op therapy visits for specific surgical procedures
- c.correlation between therapists' opinions regarding patients' results and patients' opinions of their results
- d.correlation between PROs and standardized functional tests
- a.
- #3.The study design is
- a.prospective cohort
- b.RCTs
- c.a case series
- d.qualitative
- a.
- #4.The authors suggest their results provide evidence for an opportunity for
- a.surgeons, therapists, and patients to set treatment goals together
- b.therapists and patients to do a better job of collaborating in crafting goals for therapy
- c.third party payer reps to play an active role in setting pre-treatment goals
- d.home care givers to consult with therapists in establishing treatment plans
- a.
- #5.The study consistently demonstrated a strong agreement between patients and therapists when evaluating outcomes
- a.true
- b.false
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: November 29, 2016
Accepted:
February 18,
2016
Received in revised form:
December 12,
2015
Received:
September 21,
2015
Identification
Copyright
© 2016 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
