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Summary Principles of Assessment

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Highly detailed summary of the content for all the Principles of Assessment lectures. Includes work from lecture slides, textbook/reading annotations and external research where further explanation was needed.

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  • May 5, 2024
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  • 2022/2023
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PRINCIPALS OF ASSESSMENT
What do we measure in OT?
 Objectives for OT services:
o Improving Health
o Through addressing Function
o By enabling Activity & participation
 Therefore, we measure
o Occupational enablers
o Activity & participation / occupational performance
→ Essential in evidence-based practice

Why do OTs assess?
 Identify and define limitations for the client
 Baseline for measuring effect of treatment (effective or not)
 Plan and prioritise intervention
 Provide outcome data – toward Evidence-Based Practice

What are the types of measures based on intended purpose?
 Evaluate change over time
o Outcome measure
 Discriminate between different groups/individuals
o E.g., Movement ABC
 Predict future status
o E.g., Barthel index, ACLS

What are the different outcome measures?
 Clinician Based Outcomes (CBOs)?
o Observer based
o Performance test – given to client and clinician scores/observes/interprets

 Patient Based Outcomes (PROs)?
o Self-reported
o Questionnaire – individualistic

What are the types of measures based on scope?

 Generic instruments
→ Quality of Life or General Health
o WHODAS – World Health Organization Disability Assessment Schedule
(Health & Disability measurement)
o Barthel Index


 Disease or symptom specific measures
→ Carpel Tunnel Syndrome (disease) or Stroke/Pain (symptom)
o Boston Carpal Tunnel Questionnaire
o Patient Rated Wrist Evaluation

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