{"id":179,"date":"2017-09-12T09:46:26","date_gmt":"2017-09-11T23:46:26","guid":{"rendered":"http:\/\/homebaserehab.net\/?page_id=179"},"modified":"2020-03-31T12:37:51","modified_gmt":"2020-03-31T01:37:51","slug":"other-measures","status":"publish","type":"page","link":"https:\/\/homebaserehab.net\/setting-up-a-program\/outcome-measures\/other-measures\/","title":{"rendered":"Other measures"},"content":{"rendered":"\t\t
Anxiety and depression are common issues for people with chronic respiratory disease.<\/p>
Prior to commencing a rehabilitation program it is recommended for patients to be screened for the existence of clinically significant symptoms of anxiety and depression so that these issues can be addressed.<\/p>
Assessment tools include:<\/p>
Hospital Anxiety and Depression Scale (HADS)<\/strong> – licence required. This questionnaire is designed to detect and measure the severity of anxiety and depression. It consists of a series of 14 statements, with responses based on a 4-point Likert scale. A higher score is indicative of greater anxiety or depression. The HADS is self administered and is responsive to pulmonary rehabilitation.<\/p>
The DASS 21<\/a><\/strong> screening tool is a publicly available, self-administered tool with 21 questions.<\/p><\/blockquote>
A referral to a mental health clinician should be implemented as required.<\/p>
Self-Efficacy<\/strong><\/em><\/h4>
Self-efficacy can be measured using the Pulmonary Rehabilitation Adapted Index of Self-Efficacy – PRAISE (Chest 2012<\/a>)<\/p>
This tool is composed of 15 statements, each of which is scored from 1 to 4, with a higher score indicating greater levels of self-efficacy.<\/p>
PRAISE is reproducible and sensitive to change following pulmonary rehabilitation in people with COPD.<\/p>
Patient Feedback<\/strong><\/em><\/h4>
For comprehensive evaluation of a rehabilitation program, patient feedback is desirable.<\/p>
When asking for feedback:<\/p>
De-identify the patient responses where possible<\/p>
Reflect the content of the home based program in the survey<\/p>
Providing a space for comments<\/p><\/blockquote>