Document Detail


Empowerment in measurement: "muscle," "voice," and subjective quality of life as a gold standard.
MedLine Citation:
PMID:  15083418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Measurement and assessment, occurring within both research and clinical service contexts, typically involve an imbalance of power between professionals and persons with disabilities. Power is evidenced in who controls decisions about measurement and whose perspective--the subjective values of the measured person or the objective or normative values of the measurer--is given primacy. The consequences of this imbalance are discussed with respect to both sides of the power relationship. For clinicians, evaluators, and researchers, who typically hold most, if not all of the power in measurement, the process may produce data that meet the highest professional standards. However, the utility of such data is limited in addressing many purposes. For research participants and service recipients, who typically have little if any control of measurement, the measurement process may be disempowering, because measures focus on areas of life that may be of little relevance to what they see as important. In effect, both sides lose, to the degree that resulting data are less revealing than would be the case in a more balanced power relationship. Methods are discussed for reducing power imbalances to improve the utility and efficacy of measurement.
Authors:
Margaret Brown; Wayne A Gordon
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  85     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-05-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S13-20     Citation Subset:  AIM; IM    
Affiliation:
Mount Sinai Medical Center, New York, NY 10029, USA.
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MeSH Terms
Descriptor/Qualifier:
Disabled Persons*
Humans
Physician-Patient Relations*
Quality of Life*
Rehabilitation
Research* / standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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