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Reliabilities and Validities of Scale of Activities of Daily Living developed based on ICF
International Classification of Functioning
disability and Health (ICF)
activities of daily living (ADL)
People with Disabilities Rights Protection Act revised in 2007 has adopted ICF as a framework to determinate the eligibility of persons with disabilities in Taiwan. In order to assure a standardized process for eligibility, several scalses were developed to fulfill the pourpose. The “Scale of Activities of Daily Living” was developed as one of scales for disability eligibility. It was developed from the chapter 5 (self-care) and chapter 6 (domestic life) of the part of activities and participate from ICF. The aims of this study are to establish the inter-rater reliability, test-retest reliability and concurrent validity of the “Scale of Activities of Daily Living”. The inter-rater reliability was established from 2 occupational therapists to evaluate the clients at the same time and the test-retest reliability was established to assess the same client twice 2 weeks apart. In addition, the concurrent validity was established to compare the test results of the “Scale of Activities of Daily Living” to that of the “Barthel Index” and “Instrumental Activity of Daily Living”. 50 stroke patients age between 33 and 90 years from out-patient rehabilitation clinics participated in this study. All the participants were eligible as physical disabilities. Data was analyzed by SPSS 18.0. The results indicated the followings: 1.The inter-rater reliability of the “Scale of Activities of Daily Living” indicated by the consistence rates of 2 raters were between 0.7-1.00(Kappa=0.449-1). 2.The test-retest reliability of the “Scale of Activities of Daily Living” indicated by the consistence rates of the first and the second assessments were between 0.73-1.00(Kappa=0.571-1). 3.The spearman correlation of the “Scale of Activities of Daily Living” and “Barthel Index” were between 0.44-0.835. 4.The spearman correlation of the “Scale of Activities of Daily Living” and “Instrumental Activity of Daily Living” were 0.312. The results explicated the “Scale of Activities of Daily Living” possesses satisfactory inter-rater reliability and test-retest reliability, yet the concurrent validity of domestic life were not good. Further studies should recruit more clients from different diagnosis and disabilities to enhance the usabilities of the “Scale of Activities of Daily Living”.
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