Assessment Tools and Outcome Measures:

1. Assessment Tools and Outcome Measures: Evidence-based Pearls for Rehabilitation Practice William Poluha & Emily Etcheverry University of Manitoba Canadian Health Libraries Association/ Association des bibliothèques de la santé du Canada Conference 2006 Vancouver, BC May 15, 2006

2. Scenario #1

5. Google Search Barthel Index online

6. Scenario #2

10. Outline • Background • Therapist Practice Issues • Collection • Building • Accessing • Using • Evaluation

11. School of Medical Rehabilitation • Faculty liaison • Curriculum integrated information literacy • Emphasis on evidence-based practice • Student/Faculty requests for tools Assessment Tool Collection Needed

12. Therapist Practice Issues • Evidence-based practice • Assessment tools needed for patient baselines and outcomes (Unsworth, 2000; Law, Baum & Dunn, 2005) • Need for tools in rehabilitation has increased over last 10 years (Finch, et al, 2002)

13. Therapist Practice Issues • Barriers to using tools identified by therapists: (Kay, Myers & Huijbregts, 2001; Pollock et al., 2000; von Zweck, 1999) • Lack of knowledge about tools • Difficulty finding a suitable tool • Limited access to tools to determine suitability • Limited access to tools for “hands-on” demos • Lack of time Could really use an assessment tool collection!

14. Your Library

15. Funding • Increased enrollment in School of Medical Rehabilitation (SMR) 2002 - 2004 • Council of Post Secondary Education (Manitoba) • SMR submission included library funding • $5,000.00/year allocated for building the collection • Community Therapy Services support We’re getting that assessment tool collection!

16. The Collection • 50 “toolkits” and growing • Assessments for Rehabilitation • Occupational Therapy • Physical Therapy • Original assessment tools/instruments • Manuals/books on development and use

19. Building the Collection • Reviews • Consultations • Vendor Agreements

20. Building the Collection Reviews • Books on measuring health • Annotated lists of tools and outcome measures • Journal literature for tools on specific outcomes or disorders • Websites that index and annotate tools • Vendor websites

21. Building the Collection Consultations • Faculty: • list of tools used in teaching and research • Practicing therapists: • Tools they use with clients • Tools to evaluate prior to purchase • Students: • Research Methods course • Thesis research • Independent Study • Clinical/fieldwork setting

22. Building the Collection Vendor Agreements • PhD or equivalent registrant to acquire some tools • Copyright protection • For education and reference use only • Not for use with clients in clinical or research settings • Secured storage

24. Preparing Tools for Circulation • Toolkits packaged in media bags • Inventory of components (numbered) • NLM call numbers with “ATOOLS” location • Copyright labels • Catalogued

29. Using the Collection • Loan policy tries to balance vendor requirements with client needs • Unavailable for document delivery • Signed loan agreement • Condition / inventory report (loan out / return) • Copyright • Education or reference use • Not for use with clients in clinical or research settings

30. Using the Collection In-library use • UM affiliates • Winnipeg Regional Health Authority employees Non-affiliated therapists • In-library use only • Proof of professional credentials • Driver’s license in lieu of library card

31. Using the Collection Outside use for SMR faculty / students only: • Faculty: up to one week • Students: up to 24 hrs. with faculty co-signing

36. Accessing the Collection • Library Catalogue • Website

37. Accessing the Collection Library Catalogue • NLM Medical Subject Headings • Additional index terms • Assessment, Tools, Outcomes, Measures, Instruments • Entire collection retrieved: • Two or more index terms keyword searched • Limit to Health Sciences Library

38. Accessing the Collection Library Catalogue • Enhanced record • Tool summary • Equipment list • Link to tool record on website • Conditions of use • Tool acronym searchable

40. Accessing the Collection Website • Facilitates access to: • Tool collection • Resources on tools

41. Accessing the Collection Website components • Introduction to the collection • Use policy • Annotated tool index • Searching for tools (tips) • Resources on tools (print & electronic) • Recommend a tool • Survey (feedback on using website)

47. Evaluation Toolkit Survey (preliminary) • Sample n= 16 • Primary role (faculty, student, therapist/professional) • 1 faculty • 1 therapist • 14 students • Professional affiliation (OT, PT, nurse, etc.) • 16 Occupational Therapist

49. Toolkit Evaluation Comments: • “Excellent concept for a collection” (student) • “Appreciate having this access” (therapist) • “It would be helpful to take out of library” (student) • “…signing it out on a longer term basis” (faculty) • “…know whether scoring sheets can actually be used…” (faculty)

50. Future Evaluations Client • Website survey • Poster presentation survey at Canadian Association of Occupational Therapists Conference Circulation staff