RT Journal Article
SR Electronic
T1 A comparative effectiveness review: Responsiveness of patient outcome measures (POMs) in outpatient-based cardiac and respiratory rehabilitation
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA3763
DO 10.1183/13993003.congress-2016.PA3763
VO 48
IS suppl 60
A1 Flora-Joan van Rotterdam
A1 Michael Hensley
A1 Michael Hazelton
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA3763.abstract
AB Background: Chronic cardiac (CR) and chronic pulmonary (PR) rehabilitation programs have been shown to reduce the symptoms of disease, as well as reducing health-care utilisation. To ensure the continuation of these programs Patient Outcome Measures (POMs) are essential to map treatment effectiveness.Aim: This is a quality review of the literature.Study design: This study is a comparative effectiveness literature review of all studies with a pre to post POM assessment of responsiveness and a quality assessment of POMs in this setting for responsiveness.Methods: This review not only included RCTs but also parallel studies as well as all observational and retrospective trials. It included a list of articles and their characteristics and a quality assessment of this literature. As well the review included a comprehensive list of POMs utilised in this setting and these were then assessed for responsiveness.Results: The most commonly used POM was the SF-36, however it was found that responsiveness decreased in the Mental Domain of this instrument pre to post program. The most responsive POM in this setting was the Global Mood Scale (GMS). POMs that measured simpler concepts and utilised Likert scales appeared to be the more responsive to change in health status pre to post rehabilitation.Conclusion: The surveyed literature found no “gold standard” POM for either CR or PR but there was some preference for the disease-specific POMs, however some of these instruments loose their discriminatory power at the end of the rehabilitation period.