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Table 3 Expected and observed change scores for quality indicators

From: A quality indicator set for rehabilitation services for people with rheumatic and musculoskeletal diseases demonstrates adequate responsiveness in a pre–post evaluation

a. Changes in median total pass rates
  Hypo-theses Confirmed direction1 of change Expected magnitude of change Observed magnitude of change Confirmed hypothesis
Structural QIs (center-reported, n = 8) Htotal 1 yes moderate to high high 1/1
Process and outcome QIs (patient-reported, n = 132–161) Htotal 2 yes small to moderate small 1/1
Process QIs in subgroups (subgroup1 = inflammatory rheumatic disease, n = 74–114) (subgroup2 = fibromyalgia or chronic widespread pain, n = 14–40) Htotal 3 yes small to moderate (both groups) small (both groups) 1/1
Outcome QIs in subgroups (subgroup1 = inflammatory rheumatic disease, n = 74–114) (subgroup2 = fibromyalgia or chronic widespread pain, n = 14–40) Htotal 4 yes zero to small zero (subgroup1)
moderate (subgroup2)
0/1
IN TOTAL (changes in median total pass rates) 3/4 confirmed
b. Changes in single items pass rates
Structural QIs (center-reported, marked C)
Process QIs (patient-reported, marked P)
Hypo-theses Confirmed direction1 of change Expected magnitude of change Observed magnitude of change Confirmed hypothesis
Patient participation in goal setting and rehabilitation process
C01. P shall participate in setting rehab goals. Hsingle 1 yes All (100%) All (100%)  
Hsingle 2 yes small to moderate moderate 2/2
P04. Were you actively involved in setting goals for the rehab period? Hsingle 3 Yes Similar or small small 1/1
C02. P shall participate in planning his/her own rehab process. Hsingle 4 yes All (100%) All (100%)  
Hsingle 6 yes small to moderate moderate 2/2
C03. A template is used to prepare an individual rehab plan for P. Hsingle 5 yes All (100%) All (100%)  
Hsingle 7 yes small to moderate high 1/2
P03. Was a written plan developed for the rehab period (comprising your rehab goals, what you should practice, etc.)? Hsingle 8 Yes moderate small 0/1
P05. Were you actively involved in preparing the written rehab plan? Hsingle 9 Yes moderate small 0/1
C04. P shall participate in evaluating his/her ongoing process. Hsingle 13 yes All (100%) All (100%)  
Hsingle 14 yes small to moderate high 1/2
C05. There are at least two meetings between P and the teama. Hsingle 10 yes All (100%) All (100%)  
Hsingle 11 yes small to moderate small 2/2
P06. Did you participate in at least two meetings with the teama at which your goal(s) and goal attainment so far were discussed? Hsingle 12 Yes moderate small 0/1
Follow-up plan and continuity across levels of care
C09. P shall participate in preparing a specific written follow-up plan (aside from the epicrisis) for the follow-up process after the rehab period. This plan shall also include P’s own efforts to maintain or improve function/health. Hsingle 15 yes All (100%) All (100%)  
Hsingle 16 yes small to moderate high 1/2
C10. If there is a need for health care support after the rehab period, the relevant personnel are to be informed about the plan or participate in the development of the follow-up plan. Hsingle 17 yes All (100%) All (100%)  
Hsingle 18 yes moderate to high high 2/2
P09. Was a written plan developed for the period after rehab, including what you were expected to work on yourself? Hsingle 19 Yes small to moderate moderate 1/1
P10. (if “yes” to q. 7): Did you participate in developing the plan (in q. 7)? Hsingle 20 Yes small to moderate small 1/1
P11. As part of this plan, were you consulted about whether you needed follow-up from external personnel after the rehab period? Hsingle 21 Yes small to moderate moderate 1/1
C06. P is asked before meetings if he/she wants his/her next of kin to attend any of the meetings. Hsingle 22 yes All (100%) All (100%)  
Hsingle 23 yes zero to small zero 2/2
P07. Were you asked if you wanted your next of kin to attend any of the meetings? Hsingle 24 Yes zero to small small 1/1
C07. P is asked before meetings if he/she wants some of the professionalsb he/she will relate to after the rehab to attend any of the meetings. Hsingle 25 n.a. All (100%) n.a. n.a.
Hsingle 26 yes zero to small small 1/1
P08. Were you asked if you wanted external personnelb to attend any of the meetings? Hsingle 27 Yes zero to small small 1/1
Structural QIs (center-reported, marked C)
Process QIs (patient-reported, marked P)
Hypo-theses Confirmed direction1 of change Expected magnitude of change Observed magnitude of change Confirmed
hypothesis
Assessment, outcomes, and time-points of evaluation
P01. Were your health condition and life situation assessed during the first days of your rehab period? Hsingle 28 Yes zero to small small 1/1
P02. (if “yes” to q. 1): Did the assessments (in q. 1) include both a physical examination, and q.about mental, and social conditions, network, home situation and – if relevant – your work situation? Hsingle 29 Yes zero to small small 1/1
C08. The rehab unit uses reliablec questionnaires and/or functional tests to assess physical, mental, and/or social conditions. Hsingle 30 yes All (100%) All (100%) 1/1
Hsingle 34 n.a. All (100%) n.a. n.a.
Hsingle 38 n.a. small to moderate n.a. n.a.
P’s goal/goal attainment is to be assessed …
C11. … with a reliable instrument Hsingle 31 yes All (100%) All (100%)  
Hsingle 35 yes All (100%) All (100%)  
Hsingle 39 yes moderate to high high 3/3
C12. … at the beginning and the end of the rehab period Hsingle 42 yes All (100%) All (100%)  
Hsingle 45 yes All (100%) All (100%)  
Hsingle 48 yes moderate to high small 2/3
C13. … 3–6 months after the rehab period Hsingle 51 yes All (100%) All (100%)  
Hsingle 54 yes All (100%) All (100%)  
Hsingle 57 yes moderate to high high 3/3
P’s function is to be registered …
C14. … using a reliable instrument Hsingle 32 yes All (100%) All (100%) 1/1
Hsingle 36 n.a. All (100%) n.a. n.a.
Hsingle 40 n.a. small n.a. n.a.
C15. … at the beginning and the end of the rehab period Hsingle 43 yes All (100%) All (100%) 1/1
  n.a.    
Hsingle 46 n.a. All (100%) n.a. n.a.
Hsingle 49   small n.a. n.a.
C16. … 3–6 months after the rehab period Hsingle 52 n.a. All (100%) n.a. n.a.
Hsingle 55 yes All (100%) All (100%)  
Hsingle 58 yes moderate to high 2/2
P’s health-related quality of life is to be assessed …
C17. … using a reliable instrument Hsingle 33 yes All (100%) All (100%)  
Hsingle 37 yes All (100%) All (100%) 3/3
Hsingle 41 yes moderate to high high  
C18. … at the beginning and the end of the rehab period Hsingle 44 yes All (100%) All (100%)  
Hsingle 47 yes All (100%) All (100%)  
Hsingle 50 yes moderate to high high 3/3
C19. … 3–6 months after the rehabperiod Hsingle 53 n.a. All (100%) n.a. n.a.
Hsingle 56 yes All (100%) All (100%)  
Hsingle 59 yes moderate to high high 2/2
As a result of the rehab
P12. … have you achieved one or several goals that are important to you? Hsingle 60 No zero to small small 0/1
P13. … have you achieved an improvement in your physical, mental, and/or social functioning that is important to you? Hsingle 61 Yes zero to small small 1/1
P14. … do you think your quality of life has improved? Hsingle 62 No zero to small small 0/1
IN TOTAL (changes in single item scores) 44/53 confirmed
  1. 1 expected direction is positive or stable for all the hypotheses , QI quality indicator, Htotalxx hypotheses concerning change in total pass rates, followed by hypothesis number,  Hsinglexx hypotheses concerning change in single indicator pass rates, followed by hypothesis number, rehab rehabilitation, q question; athe team = the interdisciplinary team or a professional representing the team; bexternal personnel, such as a physiotherapist, general practitioner, or – if relevant – the labor and welfare administration or a person from work; cquality-assured/validated questionnaires or tests, n.a. Not applicable