Influence of Instrumental Activities of Daily Living Assessment Method on Judgments of Independence.

Objective: Occupational therapists frequently evaluate instrumental activities of daily living (IADL) performance with interviews and observation of simidated tasks. This study examined the congruence of judgments of independence when comparing task performance assessed by interview and simulation w...

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Publicado en:American Journal of Occupational Therapy Vol. 50; no. 3; pp. 202 - 207
Autores principales: Brown, Catana, Moore, William P., Hemman, Darcee, Yunek, Amy
Formato: research Journal Article
Publicado: American Occupational Therapy Association Mar1996
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar1996
      vid: 50
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Influence of Instrumental Activities of Daily Living Assessment Method on Judgments of Independence.
      aug:
        au:
          Brown, Catana
          Moore, William P.
          Hemman, Darcee
          Yunek, Amy
        affil: Assistant Professor, Department of Occupational Therapy Education, University of Kansas Medical Center, 3033 Robinson, 3901 Rainbow Boulevard, Kansas City, Kansas 66160
      sug:
        subj:
          Activities of Daily Living
          Task Performance and Analysis
          Occupational Therapy Assessment
          Functional Assessment
          Clinical Assessment Tools
          Interrater Reliability
          Chi Square Test
          Directly Observed Therapy
          Cross Sectional Studies
          Funding Source
          Male
          Female
          Human
          Male
          Female
      ab: Objective: Occupational therapists frequently evaluate instrumental activities of daily living (IADL) performance with interviews and observation of simidated tasks. This study examined the congruence of judgments of independence when comparing task performance assessed by interview and simulation with task performance assessed by observation in the natural environment. Method: Twenty persons with severe mental illness were selected through convenience sampling and evaluated on two IADL tasks (making a purchase in a store and using the bus). The participants were evaluated on each task with two methods of assessment: interview and simulation and observation in the natural environment. Results. Results indicated inconsistent performance across assessment approaches and tasks and supported the importance of considering contextual features in understanding the complexity of performance in the natural environment. A trend toward false positives was found in which several participants were judged independent on the IADL assessment but could not perform the same tasks in the natural environment. Conclusion. Occupational therapists should be cautious when making judgments of independence on the basis of interview and observation of simulated tasks. Evaluating IADL performance in the persons' natural environment may provide more accurate information.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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