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Evaluating ADL measures from an occupational therapy perspective.

Sheryl Klein1, Ingrid Barlow, Vivien Hollis

  • 1Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada. Sheryl.Klein@capitalhealth.ca

Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
|May 31, 2008
PubMed
Summary

Six performance-based activities of daily living (ADL) measures align with occupational therapy principles. These findings help therapists select assessments that highlight the profession's unique healthcare contributions.

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Area of Science:

  • Occupational therapy practice
  • Evidence-based healthcare assessment

Background:

  • Occupational therapy's conceptualization of occupational performance is crucial for evidence-based practice and accountability.
  • Standardized measures are needed to reflect the profession's unique contributions to healthcare.

Purpose of the Study:

  • To compare performance-based activities of daily living (ADL) measures with core occupational therapy principles.
  • To identify ADL assessments that align with the intended outcomes of occupational therapy practice.

Main Methods:

  • An action research design involved 13 occupational therapists and researchers.
  • A nominal group technique identified key occupational therapy principles for assessing daily living activities.
  • These principles were used to develop a questionnaire to evaluate 18 standardized ADL measures.

Main Results:

  • Six measures were identified as most congruent with occupational therapy principles.
  • These included: ADL Profile, Assessment of Motor and Process Skills, Functional Performance Measure, Rivermead ADL Assessment, Edmans ADL Index, and Melville-Nelson Self-Care Assessment.

Conclusions:

  • The identified measures effectively demonstrate occupational therapy's distinct healthcare contribution.
  • Findings provide guidance for occupational therapists in selecting and utilizing appropriate performance-based ADL measures.