Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Care Transitions Measure-15 Score 7 Days After Skilled Nursing Facility Discharge |
The patient's preparedness for discharge will be measured by the Care Transitions Measure-15 (CTM-15), which includes 5 items on a 4-point scale. The CTM-15 measures self-reported knowledge and skills for continuing care at home. Summary score range 0-100, with higher scores associated with less acute care use after discharge. |
7 Days After SNF Discharge |
|
Primary |
Preparedness for Caregiving Scale Score 7 Days After Patient's Skill Nursing Facility Discharge |
The caregiver's preparedness for caregiving will be measured by the Preparedness for Caregiving Scale (PCS), which includes 8 items on a five-point Likert scale (0-4). The PCS measures self-reported readiness for caregiving. Range = 0-32, with higher scores associated with less anxiety. |
7 Days After Patient SNF Discharge |
|
Secondary |
McGill Quality of Life Questionnaire-Revised Score 30 Days After Skilled Nursing Facility Discharge |
The patient's quality of life will be measured using the McGill Quality of Life Questionnaire-Revised (MQoL-R), which includes 14 items on a ten-point Likert scale. The scale is recommended for studies of palliative care and measures quality of life across disease trajectories. Range = 0-10, with higher score indicating better quality of life. There are 4 MQOL-R subscales. Each subscale score is the mean of its items that range from 0-10. The Total Score, also ranging from 0-10, is the mean of the subscale score means. |
30 Days After SNF Discharge |
|
Secondary |
McGill Quality of Life Questionnaire-Revised Score 60 Days After Skilled Nursing Facility Discharge |
The patient's quality of life will be measured using the McGill Quality of Life Questionnaire-Revised (MQoL-R), which includes 14 items on a ten-point Likert scale. The scale is recommended for studies of palliative care and measures quality of life across disease trajectories. Range = 0-10, with higher score indicating better quality of life. There are 4 MQOL-R subscales. Each subscale score is the mean of its items that range from 0-10. The Total Score, also ranging from 0-10, is the mean of the subscale score means. |
60 Days After SNF Discharge |
|
Secondary |
Life Space Assessment 30 Days After Skilled Nursing Facility Discharge |
Patient's function will be measured using the Life Space Assessment, which includes 5 Likert scales corresponding to a hierarchy of levels of mobility (each scored from 0-4) where weights are the product of the "Life-space level" (range 1-5) and the "independence" score (range 1-2). The range is 1-120. Lower scores are associated with falls and hospitalization. |
30 Days After SNF Discharge |
|
Secondary |
Life Space Assessment 60 Days After Skilled Nursing Facility Discharge |
Patient's function will be measured using the Life Space Assessment, which includes 5 Likert scales corresponding to a hierarchy of levels of mobility (each scored from 0-4) where weights are the product of the "Life-space level" (range 1-5) and the "independence" score (range 1-2). The range is 1-120. Lower scores are associated with falls and hospitalization. |
60 Days After SNF Discharge |
|
Secondary |
Zarit Caregiver Burden Scale 30 Days After Skilled Nursing Facility Discharge |
Caregiver burden will be measured using the Zarit Caregiver Burden Scale, which includes 12 items on a five-point scale, measuring caregiver perceptions that "caregiving has an adverse effect on their emotional, social, financial, physical and spiritual functioning." Scores range 0-48; higher scores are associated with depression and social isolation. |
30 Days After Patient's SNF Discharge |
|
Secondary |
Zarit Caregiver Burden Scale 60 Days After Skilled Nursing Facility Discharge |
Caregiver burden will be measured using the Zarit Caregiver Burden Scale, which includes 12 items on a five-point scale, measuring caregiver perceptions that "caregiving has an adverse effect on their emotional, social, financial, physical and spiritual functioning." Scores range 0-48; higher scores are associated with depression and social isolation. |
60 Days After Patient's SNF Discharge |
|
Secondary |
Distress Thermometer 30 Days After Skilled Nursing Facility Discharge |
Caregiver distress will be measured using the Distress Thermometer, which includes 1 item on an 11-point scale, measuring negative affect (e.g., sadness and fear) related to caregiving for a severely ill person. Score ranges 0-10, with scores >4 associated with poor coping and depression. |
30 Days After Patient's SNF Discharge |
|
Secondary |
Distress Thermometer 60 Days After Skilled Nursing Facility Discharge |
Caregiver distress will be measured using the Distress Thermometer, which includes 1 item on an 11-point scale, measuring negative affect (e.g., sadness and fear) related to caregiving for a severely ill person. Score ranges 0-10, with scores >4 associated with poor coping and depression. |
60 Days After Patient's SNF Discharge |
|
Secondary |
Self-Reported Days of ED or Hospital Use 30 Days After Skilled Nursing Facility Discharge |
Patient's days of acute care use will be measured using the self-reported number of combined number of days the patient spends in the Emergency Department (ED) or hospital in 30 days after SNF discharge. |
30 Days After SNF Discharge |
|
Secondary |
Self-Reported Days of ED or Hospital Use 60 Days After Skilled Nursing Facility Discharge |
Patient's days of acute care use will be measured using the self-reported number of combined number of days the patient spends in the ED or hospital in 60 days after SNF discharge. |
60 Days After SNF Discharge |
|