Measuring the Way Forward
The National Brain Injury Centre, part of St Andrew’s Healthcare, proudly brought together today some of the leading figures in neurorehabilitation to share their vision of how the latest developments in outcome measurement may be used to evidence the benefits of brain injury rehabilitation.
Please see below for the presentations made throughout the day.
There is increasing evidence that neurorehabilitation services yield positive outcomes in reducing the effect of cognitive, functional, psychosocial, emotional and behavioural problems amongst people with brain injury. However, measuring outcome remains a complex challenge to which there is no single solution.
There is not a definitive measure suitable for all services; instead services pick and chose a ‘basket’ of outcome measures. The basket is then used to answer a range of different questions regarding outcome asked by service users, their families, clinicians and commissioners.
Traditionally, change on measures reflecting good quality clinical outcomes and improved quality of life as a consequence of neurorehabilitation has been the focus of attention. However, as we move into a period of economic uncertainty, interest in financial outcomes has been increasingly thrown into the spotlight. There is therefore an absolute need to employ the best quality measures possible in order to demonstrate both positive clinical outcome and that services themselves deliver ‘best value for money’.
Measuring needs, inputs and outcomes – the UKROC Dataset
Professor Lynne Turner-Stokes, Herbert Dunhill Chair of Rehabilitation, King’s College London, and Director Regional Rehabilitation Unit, Northwick Park Hospital
Measuring quality of life after acquired brain impairment:A review of instruments and their
application in clinical practice and research
Professor Robyn Tate, University of Sydney, Australia
Achieving cost-effective outcomesDr Andrew Worthington, Consultant in Neuropsychology and Rehabilitation, Director Headwise Ltd
Outcome measures in Brain Injury – A Case Manager’s Perspective
Jane Jackson, Brain Injury Case Manager, Executive Director Independent Case Management Ltd
Measuring violence:Lessons from the MacArthur Violence Risk Assessment Study and implications for ABI
Professor Paul Rogers, Professor of Forensic Nursing, University of Glamorgan
HoNOS-ABI and FIM+FAM- sensitivity to change in cognitive behavioural brain injury rehabilitation services
Ana Bajo, Research Psychologist, BIRU Edgware Community Hospital and Institute of Psychiatry, London
Cognitive behavioural therapy for persistent postconcussional symptoms:Results from a randomised control trial
Dr Seb Potter, Consultant Clinical Neuropsychologist, Lishman Brain Injury Unit, The Maudsley Hospital London
Effective measurement of resource dependency in activities of daily living: Can this be reliably measured in brain injury
Sarah Hayes, Senior Occupational Therapist, National Brain Injury Centre, St Andrew’s Healthcare Northampton and Dr Louise Birkett-Swan, Senior Clinical Psychologist, National Brain Injury Centre, St Andrew’s Healthcare Northampton
The St Andrew’s – Swansea Neurobehavioural Outcome Scale:Validity and reliability of a new measure of neurobehavioural disability and social handicap
Professor Nick Alderman, Associate Director and Consultant Clinical Neuropsychologist
National Brain Injury Centre, St Andrew’s Healthcare Northampton