Developing linear ADL ability measures based on the ADL Taxonomy: a Rasch analysis.

Purpose. The aim of this pilot study was to explore the possibility of developing linear measures of ADL ability based on the ADL Taxonomy and a three-category rating scale. Method. Data were obtained from medical records of adults with moderate to severe brain injury. The participants were rated on...

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Publicado en:Scandinavian Journal of Occupational Therapy Vol. 16; no. 3; pp. 159 - 172
Autores principales: Wæhrens EE, Fisher AG
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Developing linear ADL ability measures based on the ADL Taxonomy: a Rasch analysis.
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          Wæhrens EE
          Fisher AG
        affil: Parker Institute, Frederiksberg Hospital, Denmark
      sug:
        subj:
          Activities of Daily Living
          Brain Injuries Rehabilitation
          Clinical Assessment Tools
          Functional Assessment
          Instrument Validation
          Occupational Therapy Assessment
          Adolescence
          Adult
          Aged
          Analysis of Variance
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Exploratory Research
          Factor Analysis
          Female
          Instrument Construction
          Male
          Middle Age
          P-Value
          Paired T-Tests
          Pearson's Correlation Coefficient
          Pilot Studies
          Rasch Analysis
          Record Review
          Rehabilitation Centers
          Rehabilitation Patients
          Retrospective Design
          Scales
          Summated Rating Scaling
          Task Performance and Analysis
          Validation Studies
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose. The aim of this pilot study was to explore the possibility of developing linear measures of ADL ability based on the ADL Taxonomy and a three-category rating scale. Method. Data were obtained from medical records of adults with moderate to severe brain injury. The participants were rated on the ADL taxonomy, and recorded on the ADL Taxonomy Circle, based on direct observations. By applying the Rasch rating scale model, we examined the possibility of converting the raw ordinal scores into equal-interval estimates of the participants' ADL ability. Results. The data analysis indicated that the rating scale used in this study displays sound psychometric properties. Items from the ADL taxonomy defined one construct after 10 actions were removed, but retention of all items did not disrupt the measurement system. Except for one item in each of five different activity domains, the item difficulty hierarchy was the same as in the hierarchy originally published, supporting reliability of the item difficulty estimates. The ADL taxonomy discriminated well between different levels of ability in this sample of persons with brain injury. Conclusion. This preliminary study indicates that the ADL taxonomy has potential to become a linear measure of a person's ability to perform ADL tasks.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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