Do Neglect Assessments Detect Neglect Differently? / Emily S. GRATTAN in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Titre : Do Neglect Assessments Detect Neglect Differently? Type de document : texte imprimé Auteurs : Emily S. GRATTAN, Auteur ; Michelle WOODBURY, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Diagnostic  Accident vasculaire cérébral  Evaluation Résumé : OBJECTIVE. We determined whether various assessment tools detect neglect differently by administering a battery of assessments to people with stroke. METHOD. We conducted a case series study and administered five neglect assessments (paper-and-pencil, functional, virtual reality) to participants poststroke. RESULTS. Twelve participants (6 men, 6 women) with stroke completed the assessment battery, which required approximately 2 hr to administer (over one to two sessions). All participants demonstrated neglect on three or more assessments. Functional assessments and the virtual reality assessment detected neglect more frequently than the paper-and-pencil assessments. Participants performed differently on the paper-and- pencil assessments and functional assessments. CONCLUSION. Because neglect is complex, detection may depend largely on the assessment administered. Permalink : ./index.php?lvl=notice_display&id=49288 [article] Do Neglect Assessments Detect Neglect Differently? [texte imprimé] / Emily S. GRATTAN, Auteur ; Michelle WOODBURY, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Mots-clés : Diagnostic  Accident vasculaire cérébral  Evaluation Résumé : OBJECTIVE. We determined whether various assessment tools detect neglect differently by administering a battery of assessments to people with stroke. METHOD. We conducted a case series study and administered five neglect assessments (paper-and-pencil, functional, virtual reality) to participants poststroke. RESULTS. Twelve participants (6 men, 6 women) with stroke completed the assessment battery, which required approximately 2 hr to administer (over one to two sessions). All participants demonstrated neglect on three or more assessments. Functional assessments and the virtual reality assessment detected neglect more frequently than the paper-and-pencil assessments. Participants performed differently on the paper-and- pencil assessments and functional assessments. CONCLUSION. Because neglect is complex, detection may depend largely on the assessment administered. Permalink : ./index.php?lvl=notice_display&id=49288

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Examination of the factor structure of the disabilities of the arm, shoulder, and hand questionnaire / Leigh A. LEHMAN in American Journal of Occupational Therapy, Vol. 65/2 (mars-avril 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 169-178 Titre : Examination of the factor structure of the disabilities of the arm, shoulder, and hand questionnaire Type de document : texte imprimé Auteurs : Leigh A. LEHMAN ; Michelle WOODBURY ; Craig A. VELOZO Année de publication : 2011 Article en page(s) : p. 169-178 Langues : Anglais (eng) Mots-clés : Evaluation  Handicap Résumé : OBJECTIVE. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a global scale evaluating the impact of upper-extremity disorders. We sought to validate or challenge the unidimensional factor structure of the DASH. METHOD. Secondary analysis was performed on data collected from outpatient clinics. Factor analysis was performed in two steps, exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA). To provide further support for unidimensionality, fit statistics were calculated using the Andrich Rasch rating-scale model. RESULTS. EFA revealed three potential factors (eigenvalues = 18.40, 1.56, and 1.54). CFA was performed fitting a three-factor model. Tucker-Lewis Index (.99) and standardized root mean square residual (.05) values indicated good fit. Comparative fit index (.89) and root mean square error of approximation (.13) did not. When divided into three constructs, only one item misfit. CONCLUSION. More research is needed to determine situations in which division of the DASH may enhance interpretability. Permalink : ./index.php?lvl=notice_display&id=14099 [article] Examination of the factor structure of the disabilities of the arm, shoulder, and hand questionnaire [texte imprimé] / Leigh A. LEHMAN ; Michelle WOODBURY ; Craig A. VELOZO . - 2011 . - p. 169-178. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 169-178 Mots-clés : Evaluation  Handicap Résumé : OBJECTIVE. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a global scale evaluating the impact of upper-extremity disorders. We sought to validate or challenge the unidimensional factor structure of the DASH. METHOD. Secondary analysis was performed on data collected from outpatient clinics. Factor analysis was performed in two steps, exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA). To provide further support for unidimensionality, fit statistics were calculated using the Andrich Rasch rating-scale model. RESULTS. EFA revealed three potential factors (eigenvalues = 18.40, 1.56, and 1.54). CFA was performed fitting a three-factor model. Tucker-Lewis Index (.99) and standardized root mean square residual (.05) values indicated good fit. Comparative fit index (.89) and root mean square error of approximation (.13) did not. When divided into three constructs, only one item misfit. CONCLUSION. More research is needed to determine situations in which division of the DASH may enhance interpretability. Permalink : ./index.php?lvl=notice_display&id=14099

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