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Research Article  |   October 1993
Program Planning: The Clinical Utility of Three Activities of Daily Living Assessment Tools
Author Affiliations
  • Carla Settle, MOT, OTR/L, is a Staff Occupational Therapist, St. Luke’s Medical Center, Cleveland, Ohio
  • Margo B. Holm, PhD, OTR/L, FAOTA, is Professor, University of Puget Sound, 1500 North Warner, Tacoma, Washington 98416, and Adjunct Assistant Professor, Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
Article Information
Neurologic Conditions / Stroke / Research
Research Article   |   October 1993
Program Planning: The Clinical Utility of Three Activities of Daily Living Assessment Tools
American Journal of Occupational Therapy, October 1993, Vol. 47, 911-918. doi:10.5014/ajot.47.10.911
American Journal of Occupational Therapy, October 1993, Vol. 47, 911-918. doi:10.5014/ajot.47.10.911
Abstract

A jury of five occupational therapy experts was used to evaluate the clinical utility of three activities of daily living assessment tools that were originally designed for purposes other than individualized occupational therapy assessment or program planning. The three tools were the Index of Independence in Activities of Daily Living, PULSES Profile, and Physical Self-Maintenance Scale. Using the results from each tool, scored for a simulated patient with a right cerebrovascular accident, as well as medical information about the patient, the jury members were asked to plan a treatment program. The consensus of the jury was that the results from each tool did not provide enough information to help them identify the patient’s specific performance problems or the causes of those problems. Therefore, the three tools were considered to have low clinical utility for planning individualized occupational therapy treatment. For use in planning an individualized treatment program, an activities of daily living assessment tool should provide specific information about which component of a task the patient found difficult or was unable to do and the type and level of assistance required.