Comparing the Responsiveness of the Assessment of Motor and Process Skills and the Functional Independence Measure

Background. Selecting and utilizing appropriate assessments to evaluate outcomes is an important aspect of evidence-based occupational therapy practice. The Functional Independence Measure (FIM), to which occupational therapists contribute motor and cognitive scores, is currently the only required a...

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Veröffentlicht in:Canadian journal of occupational therapy (1939) 2012-06, Vol.79 (3), p.167-174
Hauptverfasser: Fioravanti, Andrea M., Bordignon, Candace M., Pettit, Susan M., Woodhouse, Linda J., Ansley, Barbara J.
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container_end_page 174
container_issue 3
container_start_page 167
container_title Canadian journal of occupational therapy (1939)
container_volume 79
creator Fioravanti, Andrea M.
Bordignon, Candace M.
Pettit, Susan M.
Woodhouse, Linda J.
Ansley, Barbara J.
description Background. Selecting and utilizing appropriate assessments to evaluate outcomes is an important aspect of evidence-based occupational therapy practice. The Functional Independence Measure (FIM), to which occupational therapists contribute motor and cognitive scores, is currently the only required assessment for evaluating change from admission to discharge on an inpatient rehabilitation unit. However, occupational therapists are also using the motor and process scales from the Assessment of Motor and Process Skills (AMPS) to assess clients and evaluate change. Purpose. To compare responsiveness of the AMPS and the FIM on an inpatient rehabilitation unit. Methods. A retrospective chart review of AMPS measures and FIM scores at admission and discharge was undertaken. Standardized response means and effect sizes were calculated to estimate responsiveness. Findings. No significant difference was found in the ability of the AMPS motor and FIM motor scales to detect change. The AMPS process scale was more responsive to change than the FIM cognitive scale. Implications. Using the AMPS as an assessment to evaluate outcomes allows practitioners to detect changes that may not be detected through the exclusive use of the FIM.
doi_str_mv 10.2182/cjot.2012.79.3.6
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Selecting and utilizing appropriate assessments to evaluate outcomes is an important aspect of evidence-based occupational therapy practice. The Functional Independence Measure (FIM), to which occupational therapists contribute motor and cognitive scores, is currently the only required assessment for evaluating change from admission to discharge on an inpatient rehabilitation unit. However, occupational therapists are also using the motor and process scales from the Assessment of Motor and Process Skills (AMPS) to assess clients and evaluate change. Purpose. To compare responsiveness of the AMPS and the FIM on an inpatient rehabilitation unit. Methods. A retrospective chart review of AMPS measures and FIM scores at admission and discharge was undertaken. Standardized response means and effect sizes were calculated to estimate responsiveness. Findings. No significant difference was found in the ability of the AMPS motor and FIM motor scales to detect change. 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Selecting and utilizing appropriate assessments to evaluate outcomes is an important aspect of evidence-based occupational therapy practice. The Functional Independence Measure (FIM), to which occupational therapists contribute motor and cognitive scores, is currently the only required assessment for evaluating change from admission to discharge on an inpatient rehabilitation unit. However, occupational therapists are also using the motor and process scales from the Assessment of Motor and Process Skills (AMPS) to assess clients and evaluate change. Purpose. To compare responsiveness of the AMPS and the FIM on an inpatient rehabilitation unit. Methods. A retrospective chart review of AMPS measures and FIM scores at admission and discharge was undertaken. Standardized response means and effect sizes were calculated to estimate responsiveness. Findings. No significant difference was found in the ability of the AMPS motor and FIM motor scales to detect change. 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Selecting and utilizing appropriate assessments to evaluate outcomes is an important aspect of evidence-based occupational therapy practice. The Functional Independence Measure (FIM), to which occupational therapists contribute motor and cognitive scores, is currently the only required assessment for evaluating change from admission to discharge on an inpatient rehabilitation unit. However, occupational therapists are also using the motor and process scales from the Assessment of Motor and Process Skills (AMPS) to assess clients and evaluate change. Purpose. To compare responsiveness of the AMPS and the FIM on an inpatient rehabilitation unit. Methods. A retrospective chart review of AMPS measures and FIM scores at admission and discharge was undertaken. Standardized response means and effect sizes were calculated to estimate responsiveness. Findings. No significant difference was found in the ability of the AMPS motor and FIM motor scales to detect change. 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subjects Aged
Aged, 80 and over
Aging (Individuals)
Change detection
Cognitive ability
Disability Evaluation
Discharge
Effect Size
Hospitalization
Humans
Intervention
Motor skill
Occupational Therapy
Older people
Outcomes of Treatment
Patients
Program Evaluation
Psychometrics
Rehabilitation
Rehabilitation Centers
Rehabilitation Programs
Resistance (Psychology)
Retrospective Studies
Skills
Studies
Therapists
Validity
title Comparing the Responsiveness of the Assessment of Motor and Process Skills and the Functional Independence Measure
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