HowRthey is intended for regular use by those who know the patient best. These may include family members, care workers and others, who are may not be professionally qualified. HowRthey is generic and applies to all people who need care irrespective of age.  It is useful for people with dementia or others who cannot compete patient-reported measures themselves.

HowRthey has similarities to howRu. The four items are:

  1. Physical care needs ¬ the help needed for activities of daily living (ADLs). Options are none, a little (simple supervision), a lot (physical assistance needed from one person), and extreme (complete dependence needing two or more carers)
  2. Pain and/or distress – physical and emotional suffering. Options are none, a little (some support as needed), a lot (needing planned, regular therapy and support), and extreme (needing 24/7 support and care)
  3. Unpredictable needs – the extent that needs are not predictable. Options are none, a little (easily provided in planned care), a lot (unpredictable), and extreme (unpredictable and urgent needing 24/7 cover)
  4. Behaviour problems –  behaviour which could lead to harm to self or others. Options are none, a little (occasional support needed), a lot (planned and structured support), and extreme (24/7 support needed)