Research Article
Issue Date: May/June 2020
Published Online: April 09, 2020
Updated: April 30, 2020
Validation of the Mandarin Version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” Among Patients in Acute Rehabilitation
Wen-Hsuan Hou; Hung-Yi Chiou; Feng-Hang Chang
Author Affiliations
  • Wen-Hsuan Hou, MD, PhD, is Professor, Master Program in Long-Term Care/School of Gerontology and Health Management, College of Nursing, Taipei Medical University, Taipei City, Taiwan; Professor, Department of Physical Medicine and Rehabilitation, School of Medicine, Taipei Medical University, Taipei City, Taiwan; and Physician, Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei City, Taiwan.
  • Hung-Yi Chiou, PhD, is Professor, School of Public Health, College of Public Health, Taipei Medical University, Taipei City, Taiwan.
  • Feng-Hang Chang, ScD, OTR/L, is Associate Professor, Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei City, Taiwan, and Associate Professor, Department of Physical Medicine and Rehabilitation, School of Medicine, Taipei Medical University, Taipei City, Taiwan; fhchang@tmu.edu.tw
Article Information
Assessment Development and Testing / Neurologic Conditions / Rehabilitation, Participation, and Disability / Research Articles
Research Article   |   April 09, 2020
Validation of the Mandarin Version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” Among Patients in Acute Rehabilitation
American Journal of Occupational Therapy, April 2020, Vol. 74, 7403205070. https://doi.org/10.5014/ajot.2019.035725
American Journal of Occupational Therapy, April 2020, Vol. 74, 7403205070. https://doi.org/10.5014/ajot.2019.035725
Abstract

Importance: A standardized functional measure that can be used across rehabilitation care settings in Taiwan is urgently needed.

Objective: To generate a Mandarin version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” for patients in acute care.

Design: Mixed-methods study with a cross-sectional design.

Setting: Acute care wards of three teaching hospitals in Taiwan.

Participants: A sample of 231 neurological patients in acute care (62.3% female; mean age = 63.2 yr, standard deviation = 14.6).

Outcomes and Measures: The 6-Clicks consist of three subscales: Basic Mobility, Daily Activity, and Applied Cognition. They were translated into Mandarin, and their internal consistency, test–retest reliability, interrater reliability, and convergent validity were tested.

Results: All subscales of the Mandarin version of the 6-Clicks showed good internal consistency (α = .97–.98). Test–retest and interrater reliabilities were excellent for all subscales (intraclass correlation coefficients >.8). Convergent validity was supported by strong correlations of the Basic Mobility and Daily Activity subscales with the Barthel Index (r = .73 and .72, respectively) and between the Applied Cognition subscale and the Montreal Cognitive Assessment (r = .82).

Conclusion: Our results provide psychometric evidence supporting the use of the Mandarin version of the 6-Clicks in acute care settings in Taiwan.

What This Article Adds: This study confirms the appropriateness of the use of the Mandarin version of the AM–PAC “6-Clicks” with patients in acute rehabilitation, making it a valuable addition to validated measures available for use by occupational therapists in Taiwan.