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Validity of using the assessment of motor and process skills to determine the need for assistance

MERRITT BK
AM J OCCUP THER , 2011, vol. 65, n° 6, p. 643-650
Doc n°: 154680
Localisation : Documentation IRR
Descripteurs : JD - AUTONOMIE - HANDICAP, KB3 - ACTIVITES DE LA VIE QUOTIDIENNE

This study evaluated the validity of using Assessment of Motor and
Process Skills (AMPS) measures as evidence of the need for assistance in the
community. METHOD: In a retrospective analysis of existing data (N = 64,466),
receiver operating characteristic (ROC) curves were generated, and a split-sample
method was used to validate the predictions. RESULTS: When identifying people who
need assistance versus those who do not need assistance in the community,
activity of daily living (ADL) motor and ADL process measures have fair and good
discriminating value, respectively (areas under the ROC curves were .78 and .84).
Evidence supports placing ADL motor and ADL process independence cutoff measures
at 1.50 logits (sensitivity = .67, specificity = .72) and 1.00 logit (sensitivity
= .81, specificity = .70), respectively. Accuracy was highest when matched motor
and process decisions occurred (sensitivity = .85, specificity = .83).
CONCLUSION: Evidence supports using ADL ability measures from the AMPS to provide
evidence of a client's need for assistance in the community.

Langue : ANGLAIS

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