Outcomes
REMINDER! The focus of this scoping review is to determine what changes, if any, impacted the FUNCTIONAL outcomes only which includes both patient reported (a survey) and performance based (such as 6MWT) Therefore please report only the functional The primary outcome of your article, might not be functional, but the secondary may be functional.
We have tried below to provide options where you can delineate whether the primary outcome was a functional outcome or not, and to limit your reporting to the functional outcomes only.
There are options to list the other outcomes that were included, please put the other outcomes that were not functional there but they are not used for analysis.
We would like to only collect the critical information about the FUNCTION OUTCOMES.
We have tried to compile a list of as many functional outcomes as possible that may be used in these articles, however we may not have captured them all.
If there is any question, and you are not sure whether it is or not, please email me kutinak@duq.edu because it is not always obvious.
Adherence measure
In healthcare and medical research, adherence measures assess individuals' adherence to prescribed treatments or recommendations, aiding in monitoring and identifying factors influencing patient adherence. These may be provided in percentages, rates of drop out, days completed etc.
Implementation Ouctomes Definitions and Understanding:
Effectiveness (Does it work… in the real world?)
Process of delivery (How does it work?)
Acceptability (Will people be willing to use it?)
Cost (How much does it cost to implement?)
Appropriateness (Is this the right intervention?)
Reach (How many people are exposed and benefit?)
Intensity (What is the expected strength of the intervention?)
Satisfaction (Are stakeholders satisfied and to what degree?)
Sustainability (Can it be continued over time?)
Effectiveness
The PROMIS Physical Function portion is scored on a 0-point to 100-point scale, with a population mean of 50 and SD of 10.
Intervention Componentry
Frequency, Dosage, Intensity
Frequency-
How often was the intervention provide on a cyclicle basis, if it was once, then it was a singular session, however that is not typically what is ideal. Frequency is usally 2x per week for 4 weeks.
Intensity
Intensity has been referred to as the “frequency of repetitions of the desired movement”, “amount of external work” , or “amount of time that is dedicated to practice”
We define intensity as: the amount of physical or mental work put forth by the patient during a particular movement or series of movements, exercise, or activity during a therapy session.
Dosage -
How many of what type of exercise (weights, biking for time, exercise band for 2 sets of 10, etc)
The Timed Up and Go Test (TUG) assesses mobility, balance, walking ability, and fall risk in older adults. It is an objective measure with the patient starting seated in a chair, and they rise and walk, turn, and walk back to chair. Certain scores on this are associated with a meaningful change. These may be defined in the article they may not, but if you report the score, we can determine that information.
The 6 minute walk test (6MWT) assesses distance walked over 6 minutes as a sub-maximal test of aerobic capacity/endurance.
Functional Outcome:
These can be measured by performance based tests, with objective measures such as walking speed and endurance and can also be patient reported measures of function found in surveys or questionnaires. Functional outcomes measure a patient's physical, psychological, or social functioning resulting from a medical intervention. These outcomes reveal the impact on a patient's well-being and help professionals understand treatment effects on daily life.
Health-Related Quality of Life (HRQOL): HRQOL are typically surveys with measures that encompass a broader assessment of a patient's well-being, considering physical, emotional, social, and mental aspects of life.
Prehabiliation:
In terms of prehabilitation, we are looking for rehabilitation, activity, exercise - monitored, or independent -, as well as other modalities provided to the patient PRIOR to their neoAdjuvant chemotherapy, primarily, however most of the literature is prior to surgery.
Control Group:
A control condition serves as a reference point to measure the effects of an experimental treatment, providing a baseline for outcome assessment. Typically is the usual standard of care provided and then compared to the intervention.
Remote support:
Remote support involves providing healthcare services, guidance, and monitoring from a distance using telecommunication technologies. We re interested in if this was provided to determine if it should be included in our intervention to provide the patients support between visits or during their activity prior to treatment.
Statistically significant:
A statistically significant outcome indicates a meaningful and reliable difference or relationship between groups or variables. This may be defined by whatever level of significance is set and then p is < or .05, or it may be an F score, or a T score, in the outcomes table, asking which outcome were the results in favor of, there is a place to put this value.
Clinically Significant Differences:
Effectiveness
The PROMIS Physical Function portion is scored on a 0-point to 100-point scale, with a population mean of 50 and SD of 10.
Minimal Clinical Impportant Difference (MCID)
MCID in the context of a 6-Minute Walk Test (6MWT) means "Minimal Clinically Important Difference." It signifies the slightest significant change in 6MWT distance, This aids healthcare professionals, researchers, and patients determine whether a post-intervention distance change is clinically meaningful.
Cohen’s D ( if the paper reports an effect size, this would be helpful to jot down in the "other" section or with the outcome measure in results. Somes this is reported as its own number, or it can be an F value.
Cohen's d quantifies effect size (how much actualy clinical improvement or decline there was pre and post intervention that is meaningful clinically) in medical research, precisely: The standardized difference between two compared groups or conditions, helping assess clinical significance using standard deviation units. It aids in evaluating treatment effects or medical outcome differences.
MDC (Minimal Detectable Change) - the slightest reliably detectable change in a variable with a specified confidence level. This outcome is frequently used to see if there was any significant clinical improvement that can be inferred by how well the patient did on the outcome measure or test.