Wen-Hsuan Hou, Hung-Yi Chiou, Feng-Hang Chang; Validation of the Mandarin Version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” Among Patients in Acute Rehabilitation. Am J Occup Ther 2020;74(3):7403205070. https://doi.org/10.5014/ajot.2019.035725
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© 2020 American Occupational Therapy Association
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.
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