Digital Toolkit for Outcome Measurement in Orthotics

在假肢和矫形器中使用结构化、有效和可靠的结局指标在临床环境中差异很大。这意味着很难评价临床干预措施，引起用户的健康行为变化，最重要的是使患者能够参与其护理。结果指标可用于多种目的，从设定患者关注的目标到评估生活质量，量化器械/治疗性能以及评价患者对临床服务的满意度。为了有效，在制定这些准则时应考虑到用户和持照人的意见，以确保准则既相关又易懂，而且易于使用。目前，应用了一系列经过验证和定制的纸质问卷（包括客观和患者报告的结局指标）或特定功能评估（包括定时步行测试和舒适度/适合度评分）。这种大量的独立评分与临床观察数据相结合，通常会导致每个患者的一组复杂的指标，随着时间的推移，这些指标不容易解释。尝试通过推荐的工具集（BAPO，ISPO：AMPROM）来改进实践，但整合到常规临床实践中仍然存在挑战存在机会，可以使用通用数字平台整合在多个结局指标中收集的数据，使患者和临床医生更容易在最相关时访问并随时间推移监测进展。为患者提供这种访问可促进参与，并可用于告知和支持行为改变（如果适当确定患者需求）

The use of structured, valid and reliable outcome measures within prosthetics and orthotics is considerably varied across clinical settings. This means it is difficult to evaluate clinical interventions, elicit health behaviour change in users, and most importantly enable patients to engage in their care Outcome measures can be applied for multiple purposes, from setting patient focused goals to assessing quality of life, quantifying device/treatment performance and evaluating patient satisfaction with a clinical service. To be effective, they should be developed with user and stake-holder input to ensure they are both relevant, understandable and easy to use. Currently a range of validated and bespoke paper questionnaires (including objective and patient reported outcome measures) or specific functional assessments (including timed walk tests and comfort/fit scores) are applied. This multitude of independent scores combined with clinical observation data can often lead to a complex set of metrics for each patient which are not easy to interpret over time. Attempts to standardise the practice exist through recommended tool sets (BAPO, ISPO:AMPROM) yet challenges remain to integration into routine clinical practiceOpportunities exist to integrate the data collected across multiple outcome measures using a common digital platform, making it easier for patients and clinicians to access when it is most relevant and monitor progress over time. Giving patients this access promotes engagement and can be used to inform and support a change in behaviour (if patients needs are appropriately identified)