RESULTS

despite its seemingly – “too coarse”appearance, the EQ5D-5L appears to be a clinically useful tool with potential for future work with health economists to help us elucidatecost effectiveness of community rehab

EQ-5D measurement of health related quality of life is recommended by many and is includedin the NHS PROMs programme. This part of the research was conducted to develop a short report illustrating findings from a sample of patients seen in community rehabilitation.

OBJECTIVE

• Assesments completed by therapists and nurses• Findings entered into electronic patient record• Data retrieved by analysis team• Descriptive statistics using SPSS• Differences in PROMS in various patient groups• Item response characteristics using RUMM2030

METHODS

A Bateman PhD MCSPOliver Zangwill Centre for Neuropsychological Rehabilitation, Ely, Cambridgeshire UK

www.ozc.nhs.uk

Euroquol EQ5D-5L in Community Rehabilitation

CONCLUSIONS

Analyses provides information:o To evaluate the relative frequency of difficultieso To examine how patients use the response categorieso To start a dialogue about how findings may influence clinical worko To examine potential change in scores related to therapy

No clear analysis strategy provided by DoH or CSP

Community rehab ptsn =1906

% severe probsMobility 24.6% Self-care 12.2%

Usual activities 38.8%Pain 17.0%

Anx/Dep 7.8%

Do we spend 6-6 - 8% of our

time/resources supporting anx/dep?

Some q’sshow

disordered thresholds

DiabetesN= 582

% severe probsMobility 18.4

Self-care 6.7%Usual

activities15.1%Pain 14.7%

Anx/Dep 6.1%15

A nuanced analysis is needed for repeated measures. Note that some people in rehab deteriorate: (change values <0)This is expected because of e.g., increased insight, or because they have a Health condition that is indeed fluctuating

Change scores in Health Utility Index after rehab

Keep in touch: twitter @ozcboss

frequencies of problems in different patient groups help indicate face validity