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Background: In Thailand, it is estimated that there are 250,000 new cases of stroke each year. About 50,000 patients lose their lives and around 30% of patients become paralyzed. Occupational Therapy (OT) has a key role in rehabilitation for stroke. In particular, it enables survivors to reengage in their occupations. The Activity Card Sort (ACS) is a useful tool for assisting clients to select therapeutic activities and occupations that are relevant to their needs and contexts.
Objectives: This study aims to create, test of reliability and internal consistency of Thai-ACS for stroke survivors in occupational therapy units.
Materials and methods: The development of the Thai-ACS for stroke rehabilitation was based on a survey of stroke survivors and occupational therapists (OTs) from OT clinics in 6 regions of Thailand. Cluster analyses were used to identify group and patterns of activities.
Results: The survey was completed by 120 clients and 60 OTs who then engaged with ACS in therapy. Thai-ACS was comprised of 100 activity items obtained from OTs and stroke survivors’ input. Three clusters emerged for domain areas, consisting of Basic rehabilitation skills and ADL (18 items); IADL, household and education (60 items); and Leisure and socio-cultural participation (22 items). All activities were created by the need of stroke survivors and related to their occupations. This final Thai-ACS also showed a Cronbach alpha coefficient of 0.832, which reflected high reliability and inter-correlations among test activity items.
Conclusion: Thai-ACS for stroke clients is a comprehensive instrument to engage collaboratively with stroke survivors in activities based on their cultural lifestyle. It will facilitate rigorous clinical and population-based research and will direct appropriate therapeutic engagement relevant to the client’s needs and contexts.
Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
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