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Research Article  |   June 1997
Evaluation of Daily Living Tasks: The Home Care Advantage
Author Affiliations
  • Joan C. Rogers, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, and Assistant Professor, Department of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O’Hara Street, WPIC-Geriatrics, Pittsburgh, Pennsylvania 15213
  • Margo B. Holm, PhD, OTR/L, FAOTA, is Professor, Occupational Therapy Program, College Misericordia, Dallas, Pennsylvania, and Adjunct Assistant Professor, Department of Psychiatry School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
  • Ronald G. Stone, MS, OTR/L, is Professor, Occupational Therapy Program, University of Puget Sound, Tacoma, Washington
Article Information
Work and Industry / Special Issue on Home Health Care / Ben Atchison, Michael Steinhauer, Guest Editors
Research Article   |   June 1997
Evaluation of Daily Living Tasks: The Home Care Advantage
American Journal of Occupational Therapy, June 1997, Vol. 51, 410-422. doi:10.5014/ajot.51.6.410
American Journal of Occupational Therapy, June 1997, Vol. 51, 410-422. doi:10.5014/ajot.51.6.410
Abstract

Occupational therapists working in home care have an advantage over those working in other settings because they can observe the influence of the naturalistic context on task performance. However, to use this advantage, therapists working in home care must use an evaluation approach that enables them to capture the client-task-context transaction. In this article, we discuss the ability of four “ evaluation approaches”—norm-referenced, criterion-referenced, dynamic, informal—to provide information about the client-task-context transaction that therapists need in order to plan effective intervention. The potential of each approach for identifying clients’ performance problems, suggesting etiologies, determining rehabilitation potential, and guiding intervention is analyzed, and the appropriateness of each approach for application in the home is appraised. This analysis highlights the utility of combining the criterion-referenced and dynamic assessment approaches for use in home care. A sequential process for integrating these two approaches is provided, and the proposed outcomes to be obtained from this process are identified.