Development and Initial Testing of the Electronic Activity Card Sort (ACS3) Among Community-Dwelling Adults

Area of Science:

• Occupational therapy
• Rehabilitation sciences
• Health informatics

Background:

• The Activity Card Sort (ACS) is a validated measure of participation.
• Telehealth necessitates remotely deliverable participation measures.
• The electronic Activity Card Sort (ACS3) was developed to meet this need.

Purpose of the Study:

• To develop and validate the electronic Activity Card Sort (ACS3).
• To assess the concurrent validity and acceptability of the ACS3.

Main Methods:

• A cross-sectional study design was employed.
• Community-dwelling adults participated in a research laboratory setting.
• Concurrent validity was assessed by comparing the ACS and ACS3 using Spearman's ρ correlations; acceptability was measured via a Likert scale survey.

Main Results:

• High correlations (rs ≥ .836) were observed between the ACS and ACS3 across all domains and the total score.
• The ACS3 received high ratings for acceptability and usability in surveys.

Conclusions:

• The ACS3 shows consistent performance with the original ACS.
• The ACS3 is a potentially valuable clinical tool for assessing daily life participation.
• This electronic, paperless tool enhances participation measurement in adults, particularly within telehealth contexts.