Development of the assessment of awareness of disability.

It is common for clients with stroke to lack awareness of their disabilities, which is an obstacle in the rehabilitation process. The aim of this article is to describe how Rasch measurement methods were used to develop a new Assessment of Awareness of Disability (AAD) and to present a preliminary e...

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Publicado en:Scandinavian Journal of Occupational Therapy Vol. 6; no. 4; pp. 184 - 191
Autores principales: Tham K, Bernspang B, Fisher AG
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec99
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec99
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      pub: Springer Nature
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          Tham K
          Bernspang B
          Fisher AG
        affil: Karolinska Institutet, Neurotec Division for Occupational Therapy, Retzius väg 13A, SE-171 77 Stockholm, Sweden. E-mail: Kerstin.Tham@neurotec.ki.se
      sug:
        subj:
          Stroke Complications
          Self Assessment
          Persons with Disabilities
          Functional Status
          Neuropsychological Tests
          Instrument Construction
          Instrument Validation
          Funding Source
          Activities of Daily Living
          Occupational Therapy
          Validation Studies
          Functional Assessment
          Interviews
          Reliability and Validity
          Models, Statistical
          Data Analysis, Statistical
          Goodness of Fit Chi Square Test
          Data Analysis Software
          Age Factors
          Sex Factors
          Male
          Female
          Middle Age
          Aged
          Rehabilitation Centers
          Sweden
          Human
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: It is common for clients with stroke to lack awareness of their disabilities, which is an obstacle in the rehabilitation process. The aim of this article is to describe how Rasch measurement methods were used to develop a new Assessment of Awareness of Disability (AAD) and to present a preliminary evaluation of the instrument. Awareness of disability was defined as no discrepancy between the client's actual disability (measured by the Assessment of Motor and Process Skills, AMPS) and the client's perceived and verbally described disability in a specific ADL task. AAD consists of an interview guide that includes seven questions (items) that are asked directly after the performance of the AMPS task. The AAD was administered to a target sample of 12 clients with stroke. Four clients were each tested 10 times and 8 clients were each tested once. A Rasch measurement model was used to analyse the AAD data from 48 test sessions. The results indicated that AAD measures a single construct and that it discriminates among clients with different levels of awareness of disability. While the results of this pilot study are promising, the validity and reliability of the AAD need to be further examined on a larger and more varied group of clients.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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