Standardized Multidomain Assessment of Rehabilitation Treatment for Prosthetics and Orthotics (SMART-P&O)
Abstract
This proposal develops an innovative approach for assessing multiple domains of patient outcomes such as function and performance, community integration, pain, achievement of goals, and satisfaction that has not previously been implemented in clinical prosthetic/orthotic care. The proposed work provides a standardized approach to quantitatively assessing outcomes in the clinic, at home, and in the community. The Orthotics and Prosthetics Outcomes Research Program Strategic Goal addressed is: • Support standardized assessment of patient outcomes related to prosthetics and orthotics. • This mechanism supports impactful orthotics and prosthetics outcomes research, including the development and employment of new approaches and tools for measuring outcomes. The objective of this study is to develop and employ a new software tool, called SMART-P&O, that supports standardized assessment of patient-specific outcomes across multiple domains of prosthesis/orthosis function and performance, community integration, pain, achievement of goals, and satisfaction. Patient outcomes are assessed using outcome measures, which are instruments or methods that evaluate the impact of a treatment and typically result in a quantitative score. It is important to consider the outcomes most important to each patient. SMART-P&O does not require a standard set of the same outcome measures to be completed across all patients, but rather, standardizes how outcome measures are completed so that they are completed the same way each time. Use of outcome measures in the prosthetics and orthotics field is inconsistent and has barriers due to time burden. SMART-P&O provides the automation needed to overcome the time barriers and facilitate assessments becoming standard practice. SMART-P&O is a software platform in the form of a mobile application that will be used to collect data on multiple domains of patient outcomes and automatically analyze and graph the data to assist clinicians in interpreting the results. Patients can rank the outcomes domains most important to them, so this receives more weight in the calculations. Advancements in smartphone and tablet technology enable the use of sensors and surveys in combination with a mobile application to collect, analyze, and report each patient’s outcomes over time and when at home outside of the clinic. Specific Aim 1: Conduct stakeholder roundtable meetings. Specific Aim 2: Develop the software to automatically calculate and report outcome measurement results. Specific Aim 3: Develop mobile app software platform and user interface. Specific Aim 4: Perform testing of outcomes measurement tool software platform. Developing SMART-P&O will assist providers in holistically evaluating multiple domains of prosthesis/orthosis user function and performance, community integration, pain, achievement of goals, and satisfaction. This project focuses on developing the software tool and receiving feedback from stakeholders to improve ease of use and clinical relevancy. This project will result in a sensitive and easy-to-use mobile application that assesses patient outcomes in multiple domains in a standardized approach and automatically analyzes outcome measurements. Prosthesis/Orthosis users will be able to engage with providers in their clinical care with this mobile application and better understand their own rehabilitation progress or regress. By empowering patients and providers with quantitative evidence, we can support rehabilitation progress that restores the highest levels of performance and quality of life for individuals who use prosthetic or orthotic devices. Making it easier to assess patient outcomes and clearly communicating the results can help providers proactively and holistically determine actionable treatment steps that allow patients to lead fuller and more active lives.
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Jan 04, 2024
- Source ID
- HT94252310090
Entities
People
- Sarah Chang
Organizations
- Orthocare Innovations (United States)
- United States Army