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What are the 3 main aspects of occupational therapy service delivery?
- evaluation
- intervention
- outcomes
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What 3 terms describe the occupational therapy service delivery?
- client-centered
- interactive
- dynamic
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Validity
measures the assessment's accuracy to determine if the tool measures what it was intended to measure
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face validity
establishes how well the assessment instrument appears "on the face of it" to meet its stated purpose (e.g., an activity configuration looks like it measures time use)
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content validity
establishes that the content included in the evaluation is representative of the content that could be measured (e.g., does the content of a role checklist provide an adequate listing of roles?)
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criterion validity
- compares the assessment tool to another one with already established validity
- reported as a correlation. The higher the correlation, the better the criterion validity
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2 types of criterion validity
- concurrent validity
- predictive validity
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concurrent validity
- type of criterion validity
- compares the results of two instruments given at about the same time
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predictive validity
- type of criterion validity
- compares the degree to which an instrument can predict performance on a future criterion
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Reliability
- establishes the consistency and stability of the evaluation
- reliable if the measurements/scores are the same from time to time, place to place, and evaluation to evaluation
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inter-rater reliability
different raters using the same assessment tool will achieve the same results
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test-retest reliability
the same results will be obtained when the evaluation is administrated twice by the same administrator
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What considerations must be taken in determining appropriate assessments?
- individual's baseline functional level
- major concerns
- pressing needs determined through screening
- environmental context of assessment
- - LOS
- - focus of setting
- - legislative guidelines/restrictions
- - space, equipment, supplies
- environmental context of expected environment
- - sociocultural aspects (roles, values, norms, supports)
- - physical environment (home, steps, bathroom)
- temporal context
- - chronological/developmental age
- - anticipated duration of disability
- - recent occurrence of illness/exacerbation of chronic condition
- eval tool's compatibility w/ FOR
- ethical concerns and potential ethical conflicts
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Airborne precautions
- use for pts known/suspected to be infected w/ serious illness transmitted by airborne droplet nuclei
- i.e., tuberculosis, measles, chickenpox
- isolation room
- wear respiratory protection (mask)
- limit movement/transport of pt to essential purposes only
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Droplet precautions
- use for pts known/suspected to be infected with serious illness microorganisms transmitted by large particle droplets that can be generated by the patient during coughing, sneezing, talking, or the performance of prcedures
- i.e., mumps, rubella, pertussis, flu
- isolation room
- wear mask
- limit movement/transport of pt to essential purposes only
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contact precautions
use for specified pts known/suspected to be infected or colonized w/ serious illness transmitted by direct contact or contact w/ items in pt environment
- isolation room
- gloves, wash hands
- gown
- single-pt use equipment
- limit movement/transport of pt
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Goal Attainment Scaling (GAS)
uses interviews and rating scales during initial sessions to facilitate clients' participation in the goal-setting process by identifying intervention outcomes that are personally relevant to them; used during post-treatment sessions to assess client progress toward goals
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