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University Rehabilitation Institute RS, Ljubljana (IRLJ)
  • Pomen ocenjevanja v rehabilitacijski medicini
    Burger, Helena
    For more than 30 years, the field of rehabilitation has taken the lead in developing functional measures. WHO's ICIDH serves as the foundation for functional status measures and measurement in ... rehabilitation medicine. Different measures were developed for all three levels of ICIDH (impairment, disability and handicap) and also for quality of life, life satisfaction and for assessing assistive technology. Measurement is simply the quantification of an observation against a standard, whereas assessment also includes the process of interpreting the measurement. The commonest reasons for undertaking measurement are to establish diagnosis, especially the functional, prognosis, severity, outcome, to plan the therapy, rehabilitation network and accessibility. In rehabilitation medicine, many issues cannot be measured in standard units. The results of a measure are often simple categories which may have an ordinal or interval character. The standard statistical methods are not always appropriate, more and more authors use Rasch model. The choice of the measure depends on what we would like to quantify. The measures should be reliable, valid, sensitive, easy to use and translated into different languages. Reliability is concerned with the degree to which a measure is consistent and can be replicated. The validity of a measure is the extent to which it measures what it was intended to measure. There are three major types of validity: content, criterion and construct validity. Sensitivity refers to the ability to be responsive to changes. Measures can quantify performance or capacity and disability or dependence. Testers should be properly trained to decrease mistakes. The measurement should be done at all three levels of ICIDH or ICF and should continue also after discharge at follow-ups.
    Type of material - conference contribution
    Publish date - 2003
    Language - slovenian
    COBISS.SI-ID - 437353