Use of Therapy Outcome Measures (TOMs) and Australian Therapy Outcome Measures (AusTOMs) in community physiotherapy and community occupational therapy services: a scoping review

Disabil Rehabil. 2024 Nov 30:1-9. doi: 10.1080/09638288.2024.2433638. Online ahead of print.

Abstract

Purpose: Outcome measures enable benchmarking within and between services, which is essential for ensuring best practice standards. There is limited consensus regarding which outcome measures should be utilised within the community. Therefore, the aim of this scoping review is to provide an overview on the Therapy Outcome Measures (TOMs) and Australian Therapy Outcome Measures (AusTOMs) in community physiotherapy and occupational therapy services.

Methods: A Scoping review was conducted as per PRISMA guidance. CINAHL, MEDLINE, EMBASE, EMCARE and PubMed were searched and articles were screened based on pre-defined criteria. The results were themed for reporting.

Results: Thirteen studies were included. Article themes were sensitivity, validity and reliability of the outcome measures and the use of the TOMs/AusTOMs in community settings.

Conclusion: Both the TOMs and the AusTOMs have been shown to be potentially valid and reliable for use within community therapy services. There have been varying degrees of improvement reported using either outcome measure in different services. Future research should further investigate the specific floor and ceiling effects of both measures within the community population. In addition, comparison of TOMs data with AusTOMs data would be beneficial to determine whether one measure is more advantageous than the other in specific circumstances.

Keywords: AusTOMs; Therapy Outcome Measures (TOMs); community occupational therapy; community physiotherapy; scoping review.

Plain language summary

Outcome measures are essential for monitoring patient improvement during rehabilitation.Use of an appropriate outcome measure will encourage patient participation and demonstrate to healthcare funders that interventions are cost effective.Both the Therapy Outcome Measures and Australian have been reported to be valid and reliable in community therapy servicesThe Therapy Outcome Measures and Australian Therapy Outcome Measures are two easy to use outcome measures that could be utilised within community settings to establish levels of patent improvement.

Publication types

  • Review