Research Article  |   May 2016
Assessing Therapeutic Communication During Rehabilitation: The Clinical Assessment of Modes
Author Affiliations
  • Chia-Wei Fan, PhD, is Departmental Research Affiliate, Department of Occupational Therapy, University of Illinois at Chicago
  • Renée R. Taylor, PhD, is Professor, Department of Occupational Therapy, University of Illinois at Chicago; rtaylor@uic.edu
Article Information
Assessment Development and Testing / Rehabilitation, Participation, and Disability / Professional Issues
Research Article   |   May 2016
Assessing Therapeutic Communication During Rehabilitation: The Clinical Assessment of Modes
American Journal of Occupational Therapy, May 2016, Vol. 70, 7004280010p1-7004280010p10. doi:10.5014/ajot.2016.018846
American Journal of Occupational Therapy, May 2016, Vol. 70, 7004280010p1-7004280010p10. doi:10.5014/ajot.2016.018846
Abstract

OBJECTIVE. This study applied Rasch analysis to test four versions of the Clinical Assessment of Modes (CAM), an assessment based on Taylor’s Intentional Relationship Model: CAM–P, which assesses clients’ pretreatment preferences; CAM–E, clients’ treatment experience; CAM–T, therapists’ self-reported perspective; and CAM–O, an observer rating scale.

METHOD. The CAM–P was administered to 63 inpatients. The CAM–E was administered to 110 inpatients and outpatients. Trained raters rated therapists’ modes with 59 inpatients and outpatients on the CAM–O. The CAM–T was administered to 38 therapists. Analyses of reliability and validity were conducted.

RESULTS. The CAM demonstrated adequate construct validity. All versions showed acceptable internal consistency and unidimensionality within each of the subscales. Disorder between the 5 points on the ordinal rating scale was found for the client measures (CAM–P, CAM–E) and was resolved by modifying the ratings to encompass a 4-point scale.

CONCLUSION. The four CAM versions are reliable and valid measures of therapeutic communication in rehabilitation.