Psychosocial outcome assessments for use in cardiac rehabilitation service evaluation : a 10-year systematic review.
A variety of measures are currently used to assess psychosocial outcome (quality of life) in cardiac rehabilitation programmes.
However, there is no consensus on the most appropriate instruments to use.
Instruments that are not sufficiently responsive to change in cardiac populations are unsuitable as audit tools as they underrepresent the benefits of programme attendance.
To identify the most responsive instruments in cardiac rehabilitation populations a systematic overview of studies for the 10-year period 1986-1995 was conducted.
The following databases were searched :
Medline, Psychlit, Cinahl and Sociofile and 32 relevant studies were identified.
The effect size statistic (a comparison of the magnitude of change to the variability in baseline scores) was used to determine those instruments most responsive to change.
The following instruments were identified as being responsive in more than one study :
Beck Depression Inventory,
Global Mood Scale,
Health Complaints Checklist,
Heart Patients Psychological Questionnaire and Speilberger State Anxiety Inventory.
There is little consensus on psychosocial evaluation instrument use in the cardiac rehabilitation literature.
A number of measures show significant potential for routine outcome assessment.
Formal assessment of these instruments is recommended to inform final recommendations about instrument selection for audit and evaluation purposes in cardiac rehabilitation.
Mots-clés Pascal : Cardiopathie, Rééducation, Service santé, Pronostic, Aspect social, Bien être psychologique, Evaluation, Homme, Organisation santé, Royaume Uni, Europe, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Heart disease, Reeducation, Health service, Prognosis, Social aspect, Psychological well being, Evaluation, Human, Public health organization, United Kingdom, Europe, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0254654
Code Inist : 002B30A04D. Création : 16/11/1999.