The outcomes instruments utilized by the EMR include both generic and region specific outcomes instruments. For each patient’s injury, a generic and (if appropriate) region specific outcomes instrument will be generated for the patient to complete.
Generic outcomes instruments are generated based on the patient’s age, while region specific outcomes instruments are generated based on the body part selected in the Injury Demographic form.
All multi-question outcomes instruments are administered on a specific timeline, with initial completion at the time of injury, first follow up 10 days post injury, and final follow up 30 days post injury and at discharge.
The EMR system is designed to notify both the athletic trainer and the patient when outcomes instruments need to be completed. Athletic trainers receive notification at the completion of the injury evaluation, and can also monitor the status of outcomes forms from the Injury Menu (Patient View) and on the Daily Treatment form.
Patients will receive email notification when outcomes forms are due, and an additional email notification 2 days after forms become overdue.
To view completed patient outcomes instruments, select the injury from the Injury Menu.
Click on the “Patient” button to enter Patient View.
Highlight the selected outcomes instrument, and click on the “View Form” button to the right.
The PedsQLTM is a 23-item generic measure of health related quality of life (HRQOL) designed for the pediatric population and has established reliability, validity and feasibility. The PedsQLTM has four subscales including physical functioning (8 items), emotional functioning (5 items), social functioning (5 items), and school functioning (5 items), as well as two summary scores (psychosocial health summary and physical health summary) and one total score. Each question is scored on a 5-point response scale, and total scores range from 0-100, with higher scores indicating better HRQOL. The PedsQLTM is generated automatically for those patients between the ages of 12-18.
The SF-12® is a well-validated measure of general health status consisting of twelve items measuring eight concepts of both physical and mental health. The SF-12®, version 2, contains 12 items from the SF-36® Health Survey. It includes one or two items that measure each of the eight domains of health included in the SF-36®: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. The SF-12® and SF-36® have been used in a variety of different patient populations, including the cognitively impaired, those with traumatic brain injury, patients with low back pain, and sufferers of achilles injuries. The SF-12 is generated automatically for those patients over the age of 18. It can also be added manually on the Injury Demographic form.
The PHQ-9 is a validated 9-question mental health screening. It was derived from the longer 67-item patient health questionnaire to only 9 questions focusing on a patient's mental health.
A 7-item anxiety scale using a response set similar to the PHQ-9 was initially developed to diagnose generalized anxiety disorder (hence its name, the GAD-7) and validated in 2740 primary care patients. Though originally developed to diagnose generalized anxiety disorder, the GAD-7 also proved to have good sensitivity and specificity as a screener for panic, social anxiety, and posttraumatic stress disorder. The GAD-7 consists of Seven items, each is scored 0 to 3, providing a 0 to 21 severity score.
(direct quotes from the Instructions for Patient Health Questionnaire (PHQ) and GAD-7 Measures manual)
The fear-avoidance questionnaire is a 10-item questionnaire in which patients rate their agreement with the statements from one to five. One being not at all, three being to a moderate degree, and five being completely agree.
In its original form, the TSK is a 17 item assessment checklist. [1] It uses a 4-point Likert scale (Strongly Disagree-Disagree-Agree-Strongly Agree) with statements that have been later linked to the model of fear-avoidance, fear of work-related activities, fear of movement, and fear of re-injury. (Physiopedia)