Consistency between two subjective assessments of activities of daily living: Patient- and occupational therapist-reported judgments

Author:

Lien Hung-Pin1,Wang Yi-Ching2,Chen Yi-Miau3,Fan Shih-Chen45,Chen Mei-Hsiang56,Chiang Hsin-yu7ORCID,Hsieh Ching-Lin238

Affiliation:

1. Department of Rehabilitation, Chi-Mei Medical Center, Tiana, Taiwan

2. School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan

3. Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan

4. Department of Occupational Therapy, College of Medical Science and Technology, Chung Shan Medical University, Taichung, Taiwan

5. Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung, Taiwan

6. Department of Occupational Therapy, Chung Shan Medical University, Taichung, Taiwan

7. Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan

8. Department of Occupational Therapy, College of Medical and Health Sciences, Asia University, Taichung, Taiwan

Abstract

Purpose To examine the consistency between patient- and occupational therapist-reported judgments of patients’ ability and change in ADL abilities. Materials Patient- and therapist-reported ADL abilities were assessed using a Visual Analogue Scale, whilst the changes in patients’ ADL abilities were reported by patients and therapists using a 15-point Likert-type scale. Methods Repeated assessments at a 3-week interval were used. 88 inpatients with stroke and 16 occupational therapists were recruited from rehabilitation wards in a medical center. Results Moderate correlations ( rs = .53–.56) were found between the patient- and therapist-reported ADL abilities. The patient-reported scores were significantly lower ( ds = .45; ps < .001 at follow-up) than the therapist-reported scores. Only low correlation ( r = .33) was found for the change scores. Conclusions Our findings indicated that there was only a moderate to low correlation between the patients' reports and the therapists' judgments regarding the patients' ADL ability and its change. Because both patients’ reports and therapists’ judgments affect decisions on rehabilitation, frequent communication may be beneficial for reaching consensus and helpful in managing the interventions.

Funder

Chung Shan Medical University

Chi Mei Medical Center

Publisher

SAGE Publications

Subject

Occupational Therapy

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