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The predictive validity of the functional capacities evaluation.

S L Smith, S Cunningham, R Weinberg

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |August 1, 1986
    PubMed
    Summary
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    This study found that the Functional Capacities Evaluation (FCE) accurately predicts a client's ability to return to work. Trained occupational therapists can effectively use the FCE for return-to-work assessments.

    Area of Science:

    • Occupational therapy
    • Vocational rehabilitation
    • Workplace safety

    Background:

    • The Functional Capacities Evaluation (FCE) is a tool used to assess an individual's physical ability to perform job-related tasks.
    • It is often employed in vocational rehabilitation and occupational therapy settings to guide return-to-work decisions.
    • The predictive validity of the FCE, particularly the SMITH-PCE component, needed further investigation.

    Purpose of the Study:

    • To evaluate the predictive validity of the Functional Capacities Evaluation (FCE) in determining a client's ability to return to work.
    • To assess the accuracy of FCE predictions when used by trained occupational therapists.

    Main Methods:

    • A random sample of 52 subjects was evaluated using a three-component FCE: Medical History Review, Client Activity Interview, and the Smith Physical Capacities Evaluation (SMITH-PCE).

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  • The FCE was administered in conjunction with U.S. Department of Labor Physical Demands and Environmental Conditions.
  • Predictive validity was measured against an employment questionnaire, with data analyzed using a lambdab test.

    • Main Results:

    • The study indicated that trained registered occupational therapists could accurately predict a client's return-to-work capability using the FCE.
    • The SMITH-PCE component demonstrated potential as a reliable performance measure within the FCE.

    Conclusions:

    • The Functional Capacities Evaluation (FCE) shows promise as a valid tool for predicting return-to-work outcomes.
    • Further research with larger, diverse samples is recommended to confirm these findings, given the study's limitations.