Reliability and Validity of COOP/WONCA Functional Health Status Charts for Stroke Patients in Primary Care

Lennon, Olive; Carey, A. R. Edwin; Creed, Aisling; Durcan, Sarah; Blake, Catherine

doi:10.1016/j.jstrokecerebrovasdis.2010.02.020

Cited by 22 publications

(16 citation statements)

References 39 publications

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“…Recent studies of the validity and reliability of the COOP/ WONCA have shown good internal and discriminative validity, internal consistency and test-retest reliability. 34,35 The reason for the high proportion of missing data on physical fitness among those who dropped out of the program is that several people only met at the clinic for the first consultation with the physiotherapist.…”

Section: Strengths and Weaknessesmentioning

confidence: 99%

Prescribed Exercise: A Prospective Study of Health-Related Quality of Life and Physical Fitness Among Participants in an Officially Sponsored Municipal Physical Training Program

Lerdal

Celius²,

Pedersen³

2013

Journal of Physical Activity and Health

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Section: Strengths and Weaknessesmentioning

confidence: 99%

Prescribed Exercise: A Prospective Study of Health-Related Quality of Life and Physical Fitness Among Participants in an Officially Sponsored Municipal Physical Training Program

Lerdal

Celius²,

Pedersen³

2013

Journal of Physical Activity and Health

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“…The COOP/WONCA charts are generic instruments that consist of six charts in the domains of physical fitness, feelings, daily activities, social activities, changes in health and overall health [22]. …”

Section: Health Profilesmentioning

confidence: 99%

Determining quality of life in stroke survivors

Carod-Artal¹

2012

Expert Review of Pharmacoeconomics & Outcomes Research

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Post-stroke health-related quality of life (HRQoL) reflects a comprehensive view of subjective health and a measure of a person's perceived physical, mental and social health following stroke. Generic scales may enable comparisons between groups of patients with a diverse range of conditions, although they may underestimate the effect of stroke owing to its limited content validity. Stroke-specific HRQoL measures were designed to assess relevant domains that are important to stroke patients. The Stroke Impact Scale, the Stroke Specific Quality of Life scale and The Burden of Stroke Scale are specific HRQoL instruments developed in the last decade. Demographic factors, comorbidity, stroke severity, disability and psychosocial factors (e.g., post-stroke depression and social support) are significant predictors of HRQoL in stroke survivors. Stroke caregiver burden and HRQoL are inversely correlated. HRQoL measures are increasingly used to evaluate the effect of some therapeutic interventions in stroke survivors.

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“…The IAU Comprehensive Assessment Project was designed to examine the relationship between the rates of use of the health services to which the clients were referred (processes), the rates of goal achievement self-reported, and health-related quality of life (outcomes). Outcomes were measured using the Dartmouth COOP charts, which are a series of pictorial charts that have been validated for use with a wide range of populations 29. They were chosen by the staff as the most appropriate outcome tool in this setting.…”

Section: Resultsmentioning

confidence: 99%

Barriers to the routine collection of health outcome data in an Australian community care organization

Nancarrow¹

2013

JMDH

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For over a decade, organizations have attempted to include the measurement and reporting of health outcome data in contractual agreements between funders and health service providers, but few have succeeded. This research explores the utility of collecting health outcomes data that could be included in funding contracts for an Australian Community Care Organisation (CCO). An action-research methodology was used to trial the implementation of outcome measurement in six diverse projects within the CCO using a taxonomy of interventions based on the International Classification of Function. The findings from the six projects are presented as vignettes to illustrate the issues around the routine collection of health outcomes in each case. Data collection and analyses were structured around Donabedian’s structure–process–outcome triad. Health outcomes are commonly defined as a change in health status that is attributable to an intervention. This definition assumes that a change in health status can be defined and measured objectively; the intervention can be defined; the change in health status is attributable to the intervention; and that the health outcomes data are accessible. This study found flaws with all of these assumptions that seriously undermine the ability of community-based organizations to introduce routine health outcome measurement. Challenges were identified across all stages of the Donabedian triad, including poor adherence to minimum dataset requirements; difficulties standardizing processes or defining interventions; low rates of use of outcome tools; lack of value of the tools to the service provider; difficulties defining or identifying the end point of an intervention; technical and ethical barriers to accessing data; a lack of standardized processes; and time lags for the collection of data. In no case was the use of outcome measures sustained by any of the teams, although some quality-assurance measures were introduced as a result of the project.

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Reliability and Validity of COOP/WONCA Functional Health Status Charts for Stroke Patients in Primary Care

Cited by 22 publications

References 39 publications

Prescribed Exercise: A Prospective Study of Health-Related Quality of Life and Physical Fitness Among Participants in an Officially Sponsored Municipal Physical Training Program

Prescribed Exercise: A Prospective Study of Health-Related Quality of Life and Physical Fitness Among Participants in an Officially Sponsored Municipal Physical Training Program

Determining quality of life in stroke survivors

Barriers to the routine collection of health outcome data in an Australian community care organization

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