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Research Article  |   April 1986
The Assessment of Occupational Functioning: A Screening Tool for Use in Long-Term Care
Author Affiliations
  • Janet Hawkins Watts, MS, OTR, is Assistant Professor, Department of Occupational Therapy, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA 23298-0001
  • Gary Kielhofner, DrPH, OTR, FAOTA, is Associate Professor, Department of Occupational Therapy, Sargent College of Allied Health Professions, Boston University, Boston, MA 02215
  • David F. Bauer, PhD, is Associate Professor, Department of Mathematical Sciences, Virginia Commonwealth University, Richmond, VA 23284
  • Lieutenant Mark D. Gregory, MS, OTR, is an occupational therapist, Biomedical Science Corps, U.S. Air Force Regional Hospital, March Air Force Base, CA 92518
  • Diane B. Valentine, OTR, is an occupational therapist, The Virginia Home, Richmond, VA 23220
Article Information
Geriatrics/Productive Aging / Long-Term Care/Skilled Nursing Facilities / Features
Research Article   |   April 1986
The Assessment of Occupational Functioning: A Screening Tool for Use in Long-Term Care
American Journal of Occupational Therapy, April 1986, Vol. 40, 231-240. doi:10.5014/ajot.40.4.231
American Journal of Occupational Therapy, April 1986, Vol. 40, 231-240. doi:10.5014/ajot.40.4.231
Abstract

This paper describes the development of the Assessment of Occupational Functioning (AOF), a screening tool designed to assess the functional capacity of residents in long-term treatment settings who have physical and/or psychiatric problems. The assessment is based on six variables of the Model of Human Occupation. A study of 83 community and institutionalized elderly subjects was conducted to examine the AOF’s dimensionality, test-retest reliability, interrater reliability, concurrent validity, and ability to discriminate between healthy and institutionalized adults. Item analysis suggests that ratings tend to correspond with components of the theoretical model. Both test-retest reliability and interrater reliability correlations for total test scores were above accepted minimum levels. Correlations of the screening tool with scores on the Life Satisfaction Index-Z, a concurrent validity measure, yielded positive correlations. Correlations of the screening tool score with another concurrent validity measure, the Geriatric Rating Scale score, yielded mixed results. Discrimination results indicated that the instrument can distinguish between the adaptive performance of normal and institutionalized populations.