Evidence-Based Performance and Outcome Measures for Diabetes Care

1997 ◽  
Vol 2 (3) ◽  
pp. 124-133 ◽  
Author(s):  
Mayer B. Davidson
Keyword(s):  
Outcome Measures ◽  
Diabetes Care ◽  
Evidence Based

scholarly journals Renal recipients’ knowledge and self-efficacy during first year after implementing an evidence based educational intervention as routine care at the transplantation clinic

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kristin Hjorthaug Urstad ◽  
Astrid Klopstad Wahl ◽  
Torbjørn Moum ◽  
Eivind Engebretsen ◽  
Marit Helen Andersen
Keyword(s):  
Outcome Measures ◽  
Educational Intervention ◽  
Education Program ◽  
Self Efficacy ◽  
Longitudinal Design ◽  
Routine Care ◽  
First Year ◽  
Evidence Based ◽  
Post Transplantation ◽  
Post Transplant

Abstract Background Following an implementation plan based on dynamic dialogue between researchers and clinicians, this study implemented an evidence-based patient education program (tested in an RCT) into routine care at a clinical transplant center. The aim of this study was to investigate renal recipients’ knowledge and self-efficacy during first year the after the intervention was provided in an everyday life setting. Methods The study has a longitudinal design. The sample consisted of 196 renal recipients. Measurement points were 5 days (baseline), 2 months (T1), 6 months (T2), and one-year post transplantation (T3). Outcome measures were post-transplant knowledge, self-efficacy, and self-perceived general health. Results No statistically significant changes were found from baseline to T1, T2, and T3. Participants’ levels of knowledge and self-efficacy were high prior to the education program and did not change throughout the first year post transplantation. Conclusion Renal recipients self-efficacy and insight in post-transplant aspects seem to be more robust when admitted to the hospital for transplantation compared to baseline observations in the RCT study. This may explain why the implemented educational intervention did not lead to the same positive increase in outcome measures as in the RCT. This study supports that replicating clinical interventions in real-life settings may provide different results compared to results from RCT’s. In order to gain a complete picture of the impacts of an implemented intervention, it is vital also to evaluate results after implementing findings from RCT-studies into everyday practice.

Practice-Based Evidence: Therapist as Researcher, Using Outcome Measures

Dramatherapy ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 4-15 ◽  
Author(s):  
Caroline Miller
Keyword(s):  
Outcome Measures ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
The Arts ◽  
Gathering Data

This article examines the nature of evidence in the arts therapies, and the benefits to clients and therapists of taking a practice-based evidence (PBE) approach to our work. PBE keeps the client at the centre of the work. It involves using assessment and outcome processes which are person-centred, and which can be designed around the client. It challenges the privileging of evidence-based practice (EBP) as providing the only standards for determining which treatments/therapies should be used with clients. It provides ways of gathering data which, cumulatively and singly, demonstrate the effectiveness of the arts therapies.

scholarly journals A Narrative Review of Diabetes Intervention Studies to Explore Diabetes Care Opportunities for Pharmacists

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Shamala Ayadurai ◽  
H. Laetitia Hattingh ◽  
Lisa B. G. Tee ◽  
Siti Norlina Md Said
Keyword(s):  
Diabetes Care ◽  
Intervention Studies ◽  
Diabetes Management ◽  
Intervention Strategy ◽  
Pressure Control ◽  
Evidence Based ◽  
Diabetes Intervention ◽  
Randomised Controlled ◽  
Evidence Based Care

Background. We conducted a review of current diabetes intervention studies in type 2 diabetes and identified opportunities for pharmacists to deliver quality diabetes care.Methods. A search on randomised controlled trials (RCT) on diabetes management by healthcare professionals including pharmacists published between 2010 and 2015 was conducted.Results and Discussion. Diabetes management includes multifactorial intervention which includes seven factors as outlined in diabetes guidelines, namely, glycaemic, cholesterol and blood pressure control, medication, lifestyle, education, and cardiovascular risk factors. Most studies do not provide evidence that the intervention methods used included all seven factors with exception of three RCT which indicated HbA1c (glycated hemoglobin) reduction range of 0.5% to 1.8%. The varied HbA1C reduction suggests a lack of standardised and consistent approach to diabetes care. Furthermore, the duration of most studies was from one month to two years; therefore long term outcomes could not be established.Conclusion. Although pharmacists’ contribution towards improving clinical outcomes of diabetes patients was well documented, the methods used to deliver structured, consistent evidence-based care were not clearly stipulated. Therefore, approaches to achieving long term continuity of care are uncertain. An intervention strategy that encompass all seven evidence-based factors will be useful.

scholarly journals Evolution of Service Metrics and Utilisation of Evidence-Based Outcome Measures in Anterior Cruciate Ligament Reconstruction Rehabilitation: An Observational Review of Two Cohorts in a Public Hospital Physiotherapy Department

2020 ◽  
Author(s):  
Kirby Tuckerman ◽  
Wendy Potts ◽  
Milad Ebrahimi ◽  
Corey Scholes ◽  
Mark Nelson
Keyword(s):  
Acl Reconstruction ◽  
Outcome Measures ◽  
Public Hospital ◽  
Knee Function ◽  
Evidence Based ◽  
Activity Levels ◽  
Completion Rates ◽  
Model Of Care ◽  
Strength Assessment ◽  
New Model

AbstractObjectiveDetermine in patients undergoing supervised rehabilitation post ACL reconstruction in a public hospital, whether a new model of care incorporating a phase-based program, compared to standard care, increased physiotherapist utilisation of outcome measures, improved service metrics such as attendance and rehabilitation completion rates, as well as increased self-reported knee function and activity levels.MethodsPatients attending outpatient physiotherapy after ACL reconstruction at a metropolitan public hospital (N = 132) were included in retrospective chart review to assess utilisation of outcomes such as quadriceps and hamstrings strength assessment, patient attendance and rehabilitation completion. Phone followup (minimum one year) was conducted to retrieve patient-reported measures of knee function (IKDC) and activity (Tegner Activity Scale). Patients were categorised by rehabilitation model of care (contemporary - time based [N = 93] vs new - phase based [N = 39]) and logistic regression used to assess the influence of patient factors and model of care on outcomes.ResultsPatients included for analysis were aged 25 years at surgery (IQR 20.3 - 30.8), with 42.4% of non-Australia country of origin. Compliance was equivalent between models of care and completion rates (formally discharged by therapist) were low (30-38%). The probability of a patient receiving strength assessment was significantly associated with model of care, sex, BMI and the number of sessions attended. The probability of a patient being recorded as discharged from the program was significantly associated with the model of care, as well as the duration and number of sessions.ConclusionThe transition to a new model of care incorporating a phase-based rehabilitation program increased physiotherapist utilisation of certain evidence-based outcome measures, increased total duration of rehabilitation and increased the total number of sessions attended. Despite this, rehabilitation completion rates remained low, and no change was demonstrated with respect to self-reported knee function and activity levels.Level of evidenceIII, retrospective case-control study

scholarly journals Problems in Clinical Trial Design in Multiple Sclerosis

2002 ◽  
Vol 4 (3) ◽  
pp. 125-138 ◽  
Author(s):  
Jeffrey I. Greenstein
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Trials ◽  
Outcome Measures ◽  
Trial Design ◽  
Clinical Trial Design ◽  
Evidence Based ◽  
Controlled Clinical Trials ◽  
Cognitive Components ◽  
Basic Understanding ◽  
Clinical Measures

Historically, it has been difficult to demonstrate the effectiveness of treatments for multiple sclerosis (MS) because of the variability in the course of the disease, the lack of well-defined, reliable clinical measures, and the pervasiveness of poorly controlled clinical trials. Hence, to interpret the results of clinical trials in MS and make evidence-based decisions regarding treatment for their patients, neurologists should have a basic understanding of appropriate outcome measures and the necessary controls of a well-designed study. This paper reviews the controls required to test the efficacy of agents for the treatment of MS and offers examples of poorly controlled clinical trials to illustrate the problems in interpreting data without such controls. In addition, the outcome measures that should be used to assess the efficacy of treatments on the physical, inflammatory, and cognitive components of the disease are discussed. (Int J MS Care. 2002; 4: 125–131, 136–137)

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