Evaluation of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) as a Measure of Treatment Effectiveness With Psychiatric Inpatients

Kinnaman, Joanna E. Strong; Farrell, Albert D.; Bisconer, Sarah W.

doi:10.1177/1073191105285952

Cited by 6 publications

(5 citation statements)

References 38 publications

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“…Traditional rating systems assessing the outcome after joint arthroplasty frequently focus on objective parameters such as range of motion and strength or on clinician ratings on function and pain. However, patients’ concerns after arthroplasty may differ significantly from those of their clinicians and they often underappreciate patients’ needs and views [ 4 , 5 ]. Consequently, there has been a growing recognition that the evaluation of surgical procedures should include patient-reported outcome (PRO) instruments.…”

Section: Introductionmentioning

confidence: 99%

What makes patients aware of their artificial knee joint?

Loth

Liebensteiner

Giesinger

et al. 2018

BMC Musculoskelet Disord

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BackgroundJoint awareness was recently introduced as a new concept for outcome assessment after total knee arthroplasty (TKA). Findings from qualitative and psychometric studies suggest that joint awareness is a distinct concept especially relevant to patients with good surgical outcome and patients at late follow-up time points. The aim of this study was to improve the understanding of the concept of joint awareness by identifying situations in which patients are aware of their artificial knee joint and to investigate what bodily sensations and psychological factors raise a patient’s awareness of her/his knee. In addition, we evaluated the relative importance of patient-reported outcome parameters that are commonly assessed in orthopaedics.MethodsQualitative interviews were conducted with patients being at least 12 months after TKA. The interviews focused on when, where and for what reasons patients were aware of their artificial knee joint. To evaluate the relative importance of ‘joint awareness’ after TKA among nine commonly assessed outcome parameters (e.g. pain or stiffness), we collected importance ratings (‘0’ indicating no importance at all and ‘10’ indicating high importance).ResultsWe conducted interviews with 40 TKA patients (mean age 69.0 years; 65.0% female). Joint awareness was found to be frequently triggered by kneeling on the floor (30%), climbing stairs (25%), and starting up after resting (25%). Patients reported joint awareness to be related to activities of daily living (68%), specific movements (60%), or meteoropathy (18%). Sensations causing joint awareness included pain (45%) or stiffness (15%). Psychological factors raising a patient’s awareness of his/her knee comprised for example feelings of insecurity (15%), and fears related to revision surgeries, inflammations or recurring pain (8%). Patients’ importance ratings of outcome parameters were generally high and did not allow differentiating clearly among them.ConclusionsWe have identified a wide range of situations, activities, movements and psychological factors contributing to patients’ awareness of their artificial knee joints. This improves the understanding of the concept of joint awareness and of a patient’s perception of his/her artificial knee joint. The diversity of sensations and factors raising patient’s awareness of their joint encourages taking a broader perspective on outcome after TKA.

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Section: Introductionmentioning

confidence: 99%

What makes patients aware of their artificial knee joint?

Loth

Liebensteiner

Giesinger

et al. 2018

BMC Musculoskelet Disord

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“…For example, Crane et al [20] showed feasibility of touch-screen based PRO data collection in HIV patients. Kinnaman et al [21] developed the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) for use in psychiatric patients. Earlier, Stern et al [22] evaluated the computer-driven patient self-rated questionnaire (COSAPSQ) for the same patient group.…”

Section: Introductionmentioning

confidence: 99%

The Computer-based Health Evaluation Software (CHES): a software for electronic patient-reported outcome monitoring

Holzner

Giesinger

Pinggera

et al. 2012

BMC Med Inform Decis Mak

150

124

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BackgroundPatient-reported Outcomes (PROs) capturing e.g., quality of life, fatigue, depression, medication side-effects or disease symptoms, have become important outcome parameters in medical research and daily clinical practice. Electronic PRO data capture (ePRO) with software packages to administer questionnaires, storing data, and presenting results has facilitated PRO assessment in hospital settings. Compared to conventional paper-pencil versions of PRO instruments, ePRO is more economical with regard to staff resources and time, and allows immediate presentation of results to the medical staff.The objective of our project was to develop software (CHES – Computer-based Health Evaluation System) for ePRO in hospital settings and at home with a special focus on the presentation of individual patient’s results.MethodsFollowing the Extreme Programming development approach architecture was not fixed up-front, but was done in close, continuous collaboration with software end users (medical staff, researchers and patients) to meet their specific demands. Developed features include sophisticated, longitudinal charts linking patients’ PRO data to clinical characteristics and to PRO scores from reference populations, a web-interface for questionnaire administration, and a tool for convenient creating and editing of questionnaires.ResultsBy 2012 CHES has been implemented at various institutions in Austria, Germany, Switzerland, and the UK and about 5000 patients participated in ePRO (with around 15000 assessments in total). Data entry is done by the patients themselves via tablet PCs with a study nurse or an intern approaching patients and supervising questionnaire completion.DiscussionDuring the last decade several software packages for ePRO have emerged for different purposes. Whereas commercial products are available primarily for ePRO in clinical trials, academic projects have focused on data collection and presentation in daily clinical practice and on extending cancer registries with PRO data. CHES includes several features facilitating the use of PRO data for individualized medical decision making. With its web-interface it allows ePRO also when patients are home. Thus, it provides complete monitoring of patients‘physical and psychosocial symptom burden.

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“…However, the patient's perceptions after arthroplasty may differ significantly from those of their clinician. Moreover, surgeons often underappreciate the needs and views of their patients [8]. There is, therefore, increasing awareness of the need to include patient-reported outcome (PRO) instruments in the evaluation of surgical procedures.…”

Section: Designers To Customize the Position Of The Tibial-femoral Tumentioning

confidence: 99%

The Knee Proprioception as Patient-Dependent Outcome Measures within Surgical and Non-Surgical Interventions

Kim¹

2021

Proprioception

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Proprioception considered as the obtaining of information about one’s own action does not necessarily depend on proprioceptors. At the knee joint, perceptual systems are active sets of organs designed to reach equilibrium through synergies. Many surgical procedures, such as ACL reconstruction in personalized medicine, are often based on native anatomy, which may not accurately reflect the proprioception between native musculoskeletal tissues and biomechanical artifacts. Taking an affordance-based approach to this type of “design” brings valuable new insights to bear in advancing the area of “evidence-based medicine (EBM).” EBM has become incorporated into many health care disciplines, including occupational therapy, physiotherapy, nursing, dentistry, and complementary medicine, among many others. The design process can be viewed in terms of action possibilities provided by the (biological) environment. In anterior crucial ligament (ACL) reconstruction, the design goal is to avoid ligament impingement while optimizing the placement of the tibial tunnel. Although in the current rationale for tibial tunnel placement, roof impingement is minimized to avoid a negative affordance, we show that tibial tunnel placement can rather aim to constrain the target bounds with respect to a positive affordance. We describe the steps for identifying the measurable invariants in the knee proprioception system and provide a mathematical framework for the outcome measure within the knee.

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Evaluation of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) as a Measure of Treatment Effectiveness With Psychiatric Inpatients

Cited by 6 publications

References 38 publications

What makes patients aware of their artificial knee joint?

What makes patients aware of their artificial knee joint?

The Computer-based Health Evaluation Software (CHES): a software for electronic patient-reported outcome monitoring

The Knee Proprioception as Patient-Dependent Outcome Measures within Surgical and Non-Surgical Interventions

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