Free
Poster Session
Issue Date: August 2016
Published Online: August 01, 2016
Updated: January 01, 2021
The Ohio Modified Arm Ability Test: Modification, Optimization, and Psychometric Evaluation
Stephen Page, PhD, OTR/L, FAHA, FACRM; Maria Eismann; Andrew Persch, PhD, OTR/L; P. Cristian Gugiu, PhD
Author Affiliations
  • The Ohio State University
  • The Ohio State University
  • The Ohio State University
Article Information
Assessment Development and Testing / Neurologic Conditions / Stroke / Assessment/Measurement
Poster Session   |   August 01, 2016
The Ohio Modified Arm Ability Test: Modification, Optimization, and Psychometric Evaluation
American Journal of Occupational Therapy, August 2016, Vol. 70, 7011500018. https://doi.org/10.5014/ajot.2016.70S1-PO1099
American Journal of Occupational Therapy, August 2016, Vol. 70, 7011500018. https://doi.org/10.5014/ajot.2016.70S1-PO1099
Abstract

Date Presented 4/72016

This study developed a reliable, valid, and cost-effective measure of upper-extremity (UE) motor ability: the Ohio Modified Arm Motor Ability Test (OMAAT). The OMAAT provides a time-efficient assessment of UE function among stroke survivors.

Primary Author and Speaker: Stephen Page

Additional Authors and Speakers: Maria Eismann, Andrew Persch

Contributing Author: P. Cristian Gugiu

PURPOSE: The purpose of this study was to develop a reliable, valid, and time-efficient functional measure of upper-extremity (UE) motor ability.
RATIONALE: Stroke is a leading cause of UE impairment in adults, and limitations in UE motor ability negatively affect individual performance in meaningful activities. Commonly used measures of UE impairment and function are often time intensive, resource intensive, and repetitive. As stroke survivor prevalence increases, the need for efficient, effective functional measurement to measure treatment efficacy and set goals will continue to be a pressing need.
DESIGN: Secondary psychometric analysis of data obtained from a multicenter randomized controlled trial to evaluate and standardize the Ohio Modified Arm Motor Ability Test (OMAAT).
PARTICIPANTS: Applying the aforementioned study criteria, 41 participants were enrolled into the ETMS group and are included in this secondary analysis (24 men; mean age = 65 yr, standard deviation [SD] = 12.0; mean time since stroke onset = 92 days, SD = 52.3; 31 ischemic survivors with ischemic stroke; 21 participants with right-sided lesions).
METHOD: Data were obtained from a multicenter randomized clinical trial in which the measure was administered.
ANALYSIS: OMAAT items were optimized prior to psychometric evaluation. OMAAT reliability and validity were examined using internal consistency (Cronbach’s α, ordinal α, Gugiu’s bootstrap), dimensionality (latent parallel analysis, ordinal exploratory factor analysis, and convergent validity (correlations, Bland-Altman plots) measures.
RESULTS: Three independent estimates of internal consistency revealed excellent reliability. Cronbach’s α = .97 (95% CI [.95, .99]); ordinal α = .98 (95% CI [.97, .99]); Gugiu’s bootstrap = .97 (95% CI [.95, .98]). Latent parallel analysis and ordinal exploratory factor analysis support a unidimensional factor structure. All items had strong, positive loadings with this single factor. OMAAT convergent validity with the ARAT was .895.
DISCUSSION: These findings confirm OMAAT standardization, optimization, and relevance as a stroke assessment with utility as a clinical functional measure.
IMPACT STATEMENT: OMAAT provides a much-needed efficient, evidence-based method for the assessment of UE function among stroke survivors.