Deficits in awareness caused by brain Injury can be divided into three types: deficits intellectual awareness, emergent and anticipatory awareness. The presence or absence of an deficit the type will determine kinds compensations that patients use postacute rehabilitation. Compensations four types based upon how they are triggered: anticipatory, recognition, situational, external compensations. Types deficits, categories compensation, relationships between compensation discussed.

Purpose Valid, reliable, and efficient patient-reported outcome measures are needed to quantify quality of life (QOL) outcomes after cochlear implantation supplement information obtained from performance-based outcomes. We previously developed the Cochlear Implant Quality Life (CIQOL) item bank serve as source items for subsequent instruments. This study reports development psychometric properties 2 these new instruments, CIQOL-35 Profile CIQOL-10 Global. Method implant (CI) users referred...

In this study, we compared classical test theory (CTT) and item response (IRT) approaches in analyzing the Center for Epidemiological Studies Depression (CES-D) Scale (Radloff, 1977). Standard analyses, as well Rasch (1960) both revealed departures from unidimensionality a sample of 2,455 older persons responding to CES-D. Positive affect items scale performed poorly overall, their removal reducing scale's bandwidth only slightly. Modeling depression scores derived measures raw totals showed...

Abstract OBJECTIVE. This study examined the relationship between childhood obesity and overweight functional activity its enjoyment. METHOD. A cross-sectional design was used to analyze data from 2012 National Health Nutrition Examination Survey Youth Fitness Survey. Multivariate logistic regression models were used. RESULTS. Data for 1,640 children ages 3–15 yr retrieved. Physical negatively associated with risk of (odds ratio [OR] = 0.93; 95% confidence interval [CI] [0.87, 0.98])....

Objective: Validated and reliable patient-reported outcome measures (PROMs) may provide a comprehensive accurate assessment of the real-world experiences cochlear implant (CI) users complement information obtained from speech recognition outcomes. To address this unmet clinical need, Cochlear Implant Quality Life (CIQOL)-35 Profile instrument CIQOL-10 Global measure were developed according to Patient-Reported Outcomes Information System (PROMIS) COnsensus-based Standards for Selection...

Short-form outcomes measures are becoming common in response to demands for increased efficiency health care. This study examines Rasch measurement as an aid selecting items short form tests. The focus of this paper is on maintaining test quality while reducing items. separation ratio (SR) aids item reduction by indicating how removing impacts precision. Results the SR and coefficient alpha compared.To demonstrate use shorten clinical compare evaluating when improved without sacrificing...

Innovative applications of Rasch analysis can lead to solutions for traditional measurement problems and produce new assessment in occupational therapy health care practice. First, is a mechanism that translates scores across similar functional ability assessments, thus enabling the comparison outcomes measured by different instruments. This will allow meaningful tracking continuum care. Second, once item-difficulty order an instrument or item bank established analysis, computerized adaptive...

The objective of this study is to demonstrate how a Rasch analytic approach can be used create fear falling measures that remain connected the meaningful descriptions provided by instrument items.The University Illinois at Chicago Fear Falling Measure was developed using focus groups and consists 19 common activities designed represent an increasing level concern about among older adults.Rasch analysis responses from 106 community dwelling elderly revealed two middle rating scale categories...

Abstract Objectives. The study described in this article examined the effect of home versus clinic settings on instrumental activities daily living (IADL) performance older adults. Method. Twenty adults community were evaluated their homes and an occupational therapy with Assessment Motor Process Skills (AMPS). motor process ability measures compared between two many-faceted Rasch analysis. Results. subjects’ tended to remain stable from settings. not Clinic settings, because 10 20 subjects...

Many driving rehabilitation specialists and researchers have emphasized the "on-road" assessment as most appropriate method to determine performance. Difficulty arises with consensus surrounding standardization of clinical on-road protocols. This research was designed evaluate psychometric properties utility a standardized for behind-the-wheel (BTW) older adults. Ninety-five adults from Gainesville, Fla, area were assessed BTW performance by specialists. A global rating (criterion) overall...

Standardized assessments are critical for advancing clinical rehabilitation, yet assessment scores often provide little information rehabilitation treatment planning. A keyform recovery map is an innovative way a therapist to record patient responses standardized items. The form enables view the specific items that can or cannot perform. This assist in tailoring treatments patient's individual ability level. We demonstrate how be used inform planning individuals with stroke-related...

Background: The Berg Balance Scale (BBS) and the Dynamic Gait Index (DGI) are often central components of physical therapy evaluation to identify older adults at risk falling. Purpose: purpose this study was use standard error measurement investigate minimal detectable change associated with these clinical instruments. Methods: A sample 42 community dwellers (older than 65 years) a history falls or near evaluated BBS DGI. Evaluations were videotaped later rescored by 2 experienced...

Purpose: We aimed to evaluate the construct validity of Eating Assessment Tool (EAT-10) by determining its dimensionality, rating scale integrity, item-person match, precision and relationship with degree airway invasion functional oral intake.Methods: conducted a retrospective analysis patients' EAT-10 scores. used Rasch model. investigated correlations between scores on Penetration-Aspiration Scale (PAS) Functional Oral Intake (FOIS).Results: The median score from 127 patients was 16 40...

<h3>Importance</h3> Only limited evidence is available describing the contribution of patient-related factors to quality life in adults with cochlear implants. <h3>Objective</h3> Assess association between demographic, hearing-related, and implant–related by using a new Cochlear Implant Quality Life (CIQOL) item bank, which was developed meet rigorous psychometric standards. <h3>Design, Setting, Participants</h3> Multicenter cross-sectional study 18 89 years age who had at least 1 year...

A standardized activities of daily living evaluation that has acceptable psychometric qualities, can relate discrete component skills to functional performance, includes culture-relevant test items, is on culture-specific samples, and free cultural bias needed evaluate diverse populations. The Assessment Motor Process Skills (AMPS) (Fisher, 1990a) offers a unique solution. AMPS consists 35 motor process skill items assumed represent two universal taxonomies are bias. study described in this...

Abstract Background and Purpose. The Dynamic Gait Index (DGI) is a standardized clinical assessment that aids in evaluating subject’s ability to modify gait response changing demands. purpose of this study was use Rasch measurement theory examine whether the DGI rating scale meets suggested psychometric guidelines, hierarchical order tasks consistent with clinically logical testing procedure, represents unidimensional construct. Subjects. Subjects were 84 community-dwelling male veterans...

Purpose The purpose of this study was to develop a short form the Boston Naming Test (BNT; Kaplan, Goodglass, &amp; Weintraub, 2001) for individuals with aphasia and compare it 2 existing forms originally analyzed responses from people dementia neurologically healthy adults. Method Development new BNT–Aphasia Short Form analysis other were completed archival data 100 aphasia. authors developed using items original 60-item instrument based on item response theory. Rasch computed by Graves,...

We report on item development and validity testing of a self-report older adult safe driving behaviors measure (SDBM).