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Discriminant Validity of the Electronic Activity Card Sort (ACS3) Among Adults With Traumatic Brain Injury and
Amanda Gahlot1, Yael Goverover2
1Amanda Gahlot, PhD, OTR/L, BCPR, is Assistant Professor, Department of Occupational Therapy, Thomas Jefferson University, Philadelphia, PA. At the time this article was written, Gahlot was PhD Candidate, Department of Occupational Therapy, New York University, New York; alg8344@nyu.edu.
The Electronic Activity Card Sort (ACS3) effectively differentiates participation levels between individuals with multiple sclerosis (MS) and traumatic brain injury (TBI). This validated online tool aids in tailoring rehabilitation for neurological conditions.
Area of Science:
- Occupational Therapy
- Rehabilitation Medicine
- Neurology
Background:
- The Electronic Activity Card Sort (ACS3) is a validated online tool for assessing life participation.
- Assessing participation is crucial for rehabilitation outcomes, impacting quality of life and well-being.
- Clinical validation of the ACS3 in diverse neurological populations is necessary.
Purpose of the Study:
- To evaluate the discriminant validity of the ACS3 in distinguishing between individuals with multiple sclerosis (MS) and traumatic brain injury (TBI).
- To assess the utility of the ACS3 as a telehealth tool for measuring participation in clinical settings.
Main Methods:
- A cross-sectional telehealth study involving community-dwelling adults with MS (n=11) or TBI (n=11).
- The ACS3 was administered via virtual interview, comparing current and pre-injury/illness activity levels.
- Statistical analyses included t-tests and correlations to compare groups and demographic factors.
Main Results:
- All participants showed significant reductions in activity participation from pre- to post-injury/illness.
- Individuals with MS retained fewer activities compared to those with TBI, as indicated by ACS3 total scores.
Conclusions:
- The ACS3 demonstrates preliminary discriminant validity for differentiating participation patterns between MS and TBI populations.
- The ACS3 is a potentially valuable clinical tool for occupational therapists to guide personalized rehabilitation strategies in chronic neurological conditions.
