This article defines some of the conceptual and methodological issues in creating outcome measures in vision rehabilitation. It proposes a model to describe rehabilitation outcomes in the context of organizational activities and discusses such methodological problems as the clarification and measurement of goals, aggregation of data, self-report and observational data, scaling, frequency of measurements, and causal events.
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References
1.
American Foundation for the Blind. (1994). Expanding access to vision-related rehabilitation services through the health care system.AFB News, 29, (2), 4.
2.
BlumH.L. (1974). Planning for health: Development and application of social change theory.New York: Human Services Press.
3.
CrewsJ.E. (1991). Measuring rehabilitation outcomes and the public policies of aging and blindness. In WeberN. (Ed.), Vision and aging: Issues in social work practice (pp. 137–151). New York: Haworth Press.
4.
CrewsJ.E. (1994). The social, demographic, and conceptual contexts of aging, and vision loss.Journal of the American Optometric Association, 65, 63–68.
5.
CrewsJ., ActonJ., ChaseJ., CorreaV., KirchnerC., & LessardK. (1992). The new demographics: Report of demographic work group A.Journal of Visual Impairment & Blindness, 86, 315–319.
6.
CrewsJ.E., & FreyW.D. (1993). Family concerns and older people who are blind.Journal of Visual Impairment & Blindness, 87, 6–11.
7.
DeJongG. (1979). Independent living: From social movement to analytic paradigm.Archives of Physical Medicine and Rehabilitation, 60, 435–446.
8.
DeJongG., & BranchL.G. (1982). Predicting the stroke patient's ability to live independently.Stroke, 13, 648–655.
9.
FarishJ., & WenS. (1994). Effectiveness of an independent living services program for older persons who are blind.Journal of Visual Impairment & Blindness, 88, 525–531.
10.
FeinsteinA.R., JosephyB.R., & WellsC. (1986). Scientific and clinical problems in indexes of functional disability.Annals of Internal Medicine, 105, 413–420.
11.
FrattaliC.M. (1993). Perspectives on functional assessment: Its use for policy making.Disability and Rehabilitation, 15(1), 1–9.
12.
FrenchW.L., & BellC.H. (1990). Organization development (4th ed.).Upper Saddle River, NJ: Prentice Hall.
13.
FreyW.D. (1984). Functional assessment in the ‘80s: A conceptual enigma, a technical challenge. In HalpernA., & FuhrerM. (Eds.), Functional assessment in rehabilitation (pp. 11–43). Baltimore: Paul H. Brookes.
14.
FuhrerM.J. (1987). Overview of outcome analysis in rehabilitation. In FuhrerM.J. (Ed.), Rehabilitation outcomes: Analysis and measurement (pp. 1–15). Baltimore: Paul H. Brookes.
15.
HamiltonB.B., GrangerC.V., SherwinF.S., ZielexnyM., & TashmanJ.S. (1987). A uniform national data system for medical rehabilitation. In FuhrerM.J. (Ed.), Rehabilitation outcomes: Analysis and measurement (pp. 137–147). Baltimore: Paul H. Brookes.
16.
HorowitzA., & ReinhardtJ.P. (1993). The adaptation to age-related vision loss (AVL) scale.New York: The Lighthouse Inc.
17.
HorowitzA. (1995). Aging, vision loss and depression: A review of the literature.Aging and Vision News, 7(1), 1, 6–7.
18.
KaneR.A., & KaneR.L. (1981). Assessing the elderly: A practical guide to measurement.Lexington, MA: Lexington Books.
19.
LambertR.W., BeckerS.W., CouringtonS.M., & WrightB.D. (1982). Evaluating the rehabilitative process: An example with the blind.International Journal of Rehabilitation Research, 5, 487–498.
20.
LongR.G., & CrewsJ.E. (1995). Final report: Functional independence measure for blind adults (Project N. C699-RA). Decatur, GA: Rehabilitation Research and Development Center, VA Medical Center-Atlanta.
21.
LongR.G., RieserJ.J., & HillE.W. (1990). Mobility in individuals with moderate visual impairments.Journal of Visual Impairment & Blindness, 84, 111–118.
22.
MyersA.M., HollidayP.J., HarveyK.A., & HutchinsonK.S. (1993). Functional performance measures: Are they superior to self-assessment?Journal of Gerontology, 48, M196–M206.
23.
NieuwenhuijsenE.R., FreyW.D., & CrewsJ.E. (1991). Measuring small gains using the ICIDH severity of disability scale: Assessment practice among older people who are blind.International Disability Studies, 13, 29–33.
24.
WoodP.H.N., & BadleyE.M. (1980). People with disabilities: Toward acquiring information which reflects more sensitively their problems and needs (World Rehabilitation Fund Monograph No. 12). New York: World Rehabilitation Fund.
25.
World Health Organization. (1980). International classification of impairments, disabilities, and handicaps: A manual of classification relating to consequences of disease.Geneva: Author.