Project Title

Client and Healthcare Factors Influencing Hand Therapy Outcomes: Determined by GROC and QuickDASH Scores

Department

Occupational Science and Occupational Therapy

Abstract

The purpose of this study was to examine the effects of client and healthcare factors on Upper extremity (UE) outcomes using Global Rating of Change Score (GROC) and Quick Disability of the Arm Shoulder and Hand (QuickDASH) scores. The GROC and Quick DASH are common self-report measures used in hand therapy clinics.

The objectives of the research were to determine if UE therapy improved clients’ functional outcomes and what client factors (age, gender, diagnosis, and upper limb affected) and healthcare factors (surgery, type of therapist, type of insurance, discharge status, and referral type) affected outcomes. This quantitative study was a retrospective cohort design with 209 participants with UE conditions. Data was collected over an 8-month period, de-identified, then coded and analyzed. SPSS Version 26 and Microsoft Excel Version 2019 were used to obtain descriptive statistics, independent & paired t-tests, and repeated one-way ANOVA's.

Overall, the findings were that therapy for UE conditions improved clients’ perceptions of progress (GROC) and decreased functional limitations (QuickDASH) scores. Factors statistically significant for total visits were age (>41), gender (F), having surgery, type of insurance, and discharge status. The only factors statistically significant for GROC score changes were type of discharge status and total visits in intervals. Factors statistically significant for QuickDASH score changes were health care factors of having surgery, physician referral source, and discharge status. Hand therapy improves clients' functional use and both client and healthcare factors affected progress. Dr. Hayden’s OTS 896 2018 and 2019 inquiry teams assisted with data analysis.

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Client and Healthcare Factors Influencing Hand Therapy Outcomes: Determined by GROC and QuickDASH Scores

The purpose of this study was to examine the effects of client and healthcare factors on Upper extremity (UE) outcomes using Global Rating of Change Score (GROC) and Quick Disability of the Arm Shoulder and Hand (QuickDASH) scores. The GROC and Quick DASH are common self-report measures used in hand therapy clinics.

The objectives of the research were to determine if UE therapy improved clients’ functional outcomes and what client factors (age, gender, diagnosis, and upper limb affected) and healthcare factors (surgery, type of therapist, type of insurance, discharge status, and referral type) affected outcomes. This quantitative study was a retrospective cohort design with 209 participants with UE conditions. Data was collected over an 8-month period, de-identified, then coded and analyzed. SPSS Version 26 and Microsoft Excel Version 2019 were used to obtain descriptive statistics, independent & paired t-tests, and repeated one-way ANOVA's.

Overall, the findings were that therapy for UE conditions improved clients’ perceptions of progress (GROC) and decreased functional limitations (QuickDASH) scores. Factors statistically significant for total visits were age (>41), gender (F), having surgery, type of insurance, and discharge status. The only factors statistically significant for GROC score changes were type of discharge status and total visits in intervals. Factors statistically significant for QuickDASH score changes were health care factors of having surgery, physician referral source, and discharge status. Hand therapy improves clients' functional use and both client and healthcare factors affected progress. Dr. Hayden’s OTS 896 2018 and 2019 inquiry teams assisted with data analysis.