Participation, Activity, And FX Flashcards
Definition of activity based on ICF
Execution of a task or action by an individual
— essential to support physical, social, and pscyhological well being
— essential to create a personal sense of meaningful life
What are basic activities of daily living
BADL
- routine activities that people typically do without assistance
Ex: bathing, dressing, feeding, toileting, in home mobility, transfers
What are instrumental activities of daily living
IADL
- activities that allow an individual to live independent in a community
Ex: cooking/cleaning, shopping, driving, taking public trans, community mobility, social activities/recreation
What is the ICF definition of participation
Involvement in a life situation
- participation reflects the extent of engagement in the full range of activities that accomplish a larger goal
What are the 2 key elements of participation
Attendance — being there
Involvement — being in the moment
What are the benefits of participation
- Improving physical health and fitness
- Increased psychosocial and emotional wellbeing
- Enchanted academic achievement and attainment
- Reduced risk taking and problem behaviors
Does participation differ between children with and without disabilities?
Heck yes
What are the factors affecting participation
Gross motor función
Cognition and communication skills
Age
Gender
Enviornment
What are the quantifiable methods to document activity?
Nominal: yes vs no
Original: rank order
FIM levels: WeeFIM from 1-7
Interval: points are equidistant from one another
Ratio: endpoint zero, scores equidistant
What are other methods of quantifying activity
Event recording — tally the occurrence of a sit to stand
Duration recording — how long do they take to do the task
Rate recording — frequency of task/time
Time sample recording — how often within time interval
Functional consequence — presence of pain during activity
What is the gross motor function measure? GMFM
Clinical measure developed to evaluate change in gross motor function in children with CP
- evidence that the GMFM is also valid with children with DS
- used for children from 5 months to 16 years of age with a disability
- responsive to therapeutic intervention because measures change in performance and clinical relevance
What activities are examined in the GMFM
Lying and rolling
Sitting
Crawling and kneeling
Standing
Walking, running, jumping
How does scoring work for the GMFM
Scoring is based on a 4 point scale using a key
0 = does not initiate. The child is requested to attempt an item but is unable to commence any part of the activity
1= initiates but less than 10% of the task is completed
2 = partially completes but 10% to less than 100% of the task is completed
3 = completes 100% of task
NT = not tested. Either not administered or child refuses but you think they might be able to do all or part of it
How to measure the ability to cross a busy street at a light?
Walk 100 feet unassisted
Time test — walks across street in 30 seconds
Event recording — number of times have loss of balance when descending curb
What are additional factors to consider with participation
Diversity
Intensity
Enjoyment of activities
With whom and where do they participate in these activities
Preference for individual activities
- choice
- control
- meaning
- satisfaction
- desire to change
- belonging
What is the Canadian occupational performance measure (COPM)
Designed to capture a client’s self perception of performance in everyday living, over time
- broad focus on occupational performance in self care, leisure, and productivity
- takes into account development throughout the lifespan and personal life circumstances
What is the children’s assessment of participation and enjoyment AND for activities in children? (CAPE/PAC)
An evaluation of recreational and leisure activities outside of mandated school activities
- looks at the perspective of the child and amount of parental assistance
- 5 domains: recreational, active physical, social, skill based, and self improvement
- looks at formal and informal activities
What does the CAPE specifically include?
Diversity and frequency of activities
Who does CAPE/PAC target and how is it measured?
Targeted for individuals with and without disabilities from 6-21 years old
Both measures contain 55 items
It is self administer or interviewer assisted
CAPE = 30-45 minutes
PAC = 15-20 minutes
What is the participation and enviornment measure for children and youth? (PEM-CY)
Measurement tool designed to help parents, service providers, and researchers better understand the participation of children and youth from ages 5-17
- parent report measure asking about participation in home, school, and community
considers enviornmental factors affecting participation in each setting
How are the three environments assessed in the PEM-CY graded?
Home = looks at 10 activities.
School = looks at 5 activities
Community = looks at 10 activities
*all scale frequency, involvement, desire for change, and environmental supports/barriers.
What is the patient reported outcomes measurement information system (PROMIS)?
A new paradigm for how clinical research information is collected, used, and reported. It uses recent advances in information technology, psychometric, and qualitative, cognitive, and health survey research to measure patient reported outcomes like: pain, fatigue, physical functioning, emotion distress, and social role participation
What is included in PROMIS?
- over 300 measures (26 are peds specific)
- paper versions, item banks, short form
- electronic
- computer adaptive tests.
translations available in many languages
