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Evaluation of Service Delivery Effectiveness through Patient Reported Outcome Measures

Faieta, Julie MOT, OTR/L1; Schmeler, Mark R. PhD, OTR/L, ATP2; Schiappa, Vince MS2; Hand, Brittany N. PhD, OTR/L1; Schein, Richard M. PhD, MPH2; Saptono, Andi PhD2; Berner, Theresa MOT, OTR/L, ATP3,4; DiGiovine, Carmen PhD, ATP/SMS, RET1,3,4,5

American Journal of Physical Medicine & Rehabilitation: June 13, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001245
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Objective To report the demographic characteristics and functional mobility for individuals accessing an academic medical center mobility device clinic, and to compare functional mobility data across demographic characteristics and mobility device type.

Design This study utilized a retrospective, cross-sectional design. Demographic, mobility type and patient reported outcome measure data for 833 clients was analyzed. The Functional Mobility Assessment (FMA) was utilized as the patient reported outcome measure to determine satisfaction.

Results The average baseline FMA score was .59 (SD .25) on a 0-1 scale. Significant differences with the FMA scores were found across the mobility device types, with scooter and power wheelchair (PWC) groups reporting higher satisfaction scores than those in the cane/crutch/walker (CCW) or manual wheelchair (MWC) groups. Device type, gender, and age were each found to be significant predictors of satisfaction scores, p=<0.01.

Conclusion Mobility device type is associated with satisfaction level. Mobility devices that offer higher levels of assistance are associated with increased satisfaction. The FMA, mobility device type, and demographic data provide baseline information for evaluating the effectiveness of an academic medical center mobility device clinic.

1School of Health and Rehabilitation Sciences, The Ohio State University;

2 Department of Rehabilitation Science & Technology, University of Pittsburgh;

3Assistive Technology Center, The Ohio State University Wexner Medical Center;

4Occupational Therapy Division, The Ohio State University;

5Biomedical Engineering Department, The Ohio State University

Corresponding Author: Carmen P. DiGiovine, PhD, ATP/SMS RET, The Ohio State University, 453 W. 10th Avenue, Suite 406, Columbus OH 43210, carmen.digiovine@osumc.edu, Phone: 614-293-7876

Author Disclosures: Mark Schmeler receives royalties on the Functional Mobility Assessment (FMA) which was licensed to the Van G. Miller Group.

Funding: The authors did not receive funding for this study.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.