Use of and confidence in administering outcome measures among clinical prosthetists: Results from a national survey and mixed-methods training program

被引：37
作者：
Gaunaurd, Ignacio [1 ,2 ]
Spaulding, Susan E. [3 ]
Amtmann, Dagmar [3 ]
Salem, Rana [3 ]
Gailey, Robert [1 ,2 ]
Morgan, Sara J. [3 ]
Hafner, Brian J. [3 ]
机构：
[1] Miami Vet Affairs Healthcare Syst, Res Serv, Miami, FL USA
[2] Univ Miami, Dept Phys Therapy, Coral Gables, FL 33124 USA
[3] Univ Washington, Rehabil Med, Seattle, WA 98195 USA
来源：
PROSTHETICS AND ORTHOTICS INTERNATIONAL | 2015年 / 39卷 / 04期
基金：
美国国家卫生研究院;
关键词：
Standardized outcome measures; prosthetist; training; confidence;
D O I：
10.1177/0309364614532865
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Background: Outcome measures can be used in prosthetic practices to evaluate interventions, inform decision making, monitor progress, document outcomes, and justify services. Strategies to enhance prosthetists' ability to use outcome measures are needed to facilitate their adoption in routine practice. Objective: To assess prosthetists' use of outcome measures and evaluate the effects of training on their confidence in administering performance-based measures. Study design: Cross-sectional and single-group pretest-posttest survey. Methods: Seventy-nine certified prosthetists (mean of 16.0 years of clinical experience) were surveyed about their experiences with 20 standardized outcome measures. Prosthetists were formally trained by the investigators to administer the Timed Up and Go and Amputee Mobility Predictor. Prosthetists' confidence in administering the Timed Up and Go and Amputee Mobility Predictor was measured before and after training. Results: The majority of prosthetists (62%) were classified as non-routine outcome measure users. Confidence administering the Timed Up and Go and Amputee Mobility Predictor prior to training was low-to-moderate across the study sample. Training significantly (p < 0.0001) improved prosthetists' confidence in administering both instruments. Conclusion: Prosthetists in this study reported limited use of and confidence with standardized outcome measures. Interactive training resulted in a statistically significant increase of prosthetists' confidence in administering the Timed Up and Go and Amputee Mobility Predictor and may facilitate use of outcome measures in clinical practice.
引用
收藏
页码：314 / 321
页数：8
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