Darene Toal-Sullivan, Peter R. Henderson; Client-Oriented Role Evaluation (CORE): The Development of a Clinical Rehabilitation Instrument to Assess Role Change Associated With Disability. Am J Occup Ther 2004;58(2):211–220. https://doi.org/10.5014/ajot.58.2.211
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© 2020 American Occupational Therapy Association
This paper describes the development of an instrument, the Client-Oriented Role Evaluation (CORE), to help meet the needs of rehabilitation clients and clinicians in their joint efforts to define realistic and meaningful therapeutic goals. The CORE is based on a model that captures the relationship among identity, roles, constituent occupations, and personal and environmental determinants. The model encourages a comprehensive approach to examining role change and role loss that occurs with disability. The instrument consists of a series of steps in which role changes are identified, role values are assigned, and satisfaction with role performance is rated at different points in time across the rehabilitation process. A description of the CORE development is presented along with preliminary data from clients involved in a chronic pain rehabilitation program.
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