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• W20196083 abstract "Quality of measures have assumed increasing importance in the field of rehabilitation (Fabian, 1990) and in the medical literature (Gill & Feinstein, 1994) in the last decade. In the field of rehabilitation, of measures have been widely used for evaluating program outcomes (Fabian, 1991). Various aspects of medical outcomes (Borgel et al., 1992; Fletcher et al., 1992), have also been assessed using of measures, especially in respect to patients with chronic illnesses (O'Boyle, 1992). Reasons for increased attention on of measures include a growing awareness that improving of is an inherent goal for rehabilitation programs (Fabian, 1991) and that examination of of is an important attribute of patient care evaluation in medicine (Gill & Feinstein, 1994). emerging as an important research focus in both rehabilitation and medicine, problems related to the use of of assessment have been noted. In a discussion of the application of of theory, Fabian (1990) stressed the lack of clarity in the meaning of of life. Fabian described of as a useful term for measuring subjective well-being, but stated that definitions remain ambiguous. Fabian (1991) also reviewed assessment approaches to measuring of in rehabilitation program evaluation. She emphasized that one of the underlying constraints with using of measures in rehabilitation evaluation was that most of the methodology was based on unidimensional discrepancy models. These models examine the discrepancy between the current situation and the desired situation. Although multidimensional evaluation paradigms have been proposed, few evaluators incorporate subjective measures of client outcomes... (p. 345) in the evaluation of rehabilitation programs. Fabian concluded that although the examination of of is recognized as an essential aspect in the field of rehabilitation research, lack of a clear definition of of and measurement issues remain problematic. In a discussion by Whiteneck (1994) on measuring key rehabilitation outcomes, three themes appeared as central to her conceptualization of disablement and the rehabilitation process. One of these themes concerned increased emphasis on commitment to of measurement and greater recognition of the importance of subjective perceptions in assessing outcomes in rehabilitation. She emphasized that subjective perceptions afforded information not obtained by traditional objective measures and were needed to gain understanding concerning the meaning of of life. Whiteneck's view was in concert with Gill and Feinstein (1994) who stated that one of the most promising avenues for clarifying the meaning of of is to obtain direct responses from participants concerning their perceptions. As highlighted by Gill and Feinstein (1994), problems surrounding the measurement of of in the medical literature include definitional ambiguity and lack of a unified approach for the development of of assessment instruments. They used two data sources, the Spilker Quality of Life Bibliography (Spilker et al., 1990) and the National Library of Medicine Bibliographic Retrieval Services, Inc. (MEDLINE). Their review was limited to articles meeting the following criteria: (a) written in English, (b) included the term quality of life in their titles and (c) described or used a minimum of one questionnaire or instrument to measure of life. The Spilker Quality of Life Bibliography included 579 articles published through 1989. From this pool, 170 articles met the above criteria. Two MEDLINE searches were completed. The first search, conducted to identify articles published after the Spilker Bibliography, yielded 434 articles, of which only 200 met the eligibility criteria. The second MEDLINE search was restricted to 13 prominent medical journals and resulted in 96 eligible articles. …" @default.
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• W20196083 title "Quality of Life as Defined by Adults with Spinal Cord Injuries" @default.
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