Reliability and internal consistency of Thai activity card sort for stroke survivors in Occupational Therapy Units

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Peeradech Thichanpiang
Anuchart Kaunnil
Veerawat Sansri
Surachart Thongchoomsin
Kannika Permpoonputtana

Abstract

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 activities of daily living to resume work or family tasks.


Objective: This study aims to develop a culturally appropriate Activity Card Sort (ACS) for stroke clients in Thailand.


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 survivor 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). The tasks applied to the needs of stroke survivors and activities were created that would apply the skills needed for everyday life. This final Thai-ACS 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 aspirations.

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How to Cite
Thichanpiang, P., Kaunnil, A., Sansri, V., Thongchoomsin, S., & Permpoonputtana, K. (2020). Reliability and internal consistency of Thai activity card sort for stroke survivors in Occupational Therapy Units. Journal of Associated Medical Sciences, 53(3), 24-33. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/241386
Section
Occupational Therapy

References

[1] McKenna K, Liddle J, Brown A, Lee K, Gustafsson L. Comparison of time use, role participation and life satisfaction of older people after stroke with a sample without stroke. Australian occupational therapy journal. 2009; 56(3): 177-88.

[2] Suwanwela NC. Stroke epidemiology in Thailand. Journal of stroke. 2014; 16(1): 1.

[3] American Occupational Therapy Association. The reference manual of the official documents of the American Occupational Therapy Association, Inc. Bethesda, MD: American Occupational Therapy Association; 2006. p. volumes.

[4] Kielhofner G. A model of human occupation: Theory and application: Lippincott Williams & Wilkins; 2002.

[5] Malkawi SH, Hamed RT, Abu-Dahab SM, AlHeresh RA, Holm MB. Development of the Arabic Version of the Preschool Activity Card Sort (A-PACS). Child Care Health Dev. 2015; 41(4): 559-68.

[6] Gustafsson L, de Jonge D, Lai Y, Muuse J, Naude N, Hoyle M. Development of an Activity Card Sort for Australian adults aged 18-64 years. Aust Occup Ther J. 2014; 61(6): 403-14.

[7] Baum CM, Edwards D, American Occupational Therapy Association. ACS : activity card sort. 2nd ed. Bethesda, Md.: AOTA Press, American Occupational Therapy Association; 2008. vii, 23 p. p.

[8] Velde BP. A Review of:“Occupational Therapy: Performance, Participation, and Well-being (2005)” Edited by Charles H. Christiansen, Carolyn Baum, Contributing Editor Julie Bass-Haugen, 647 pp., Slack Inc, 6900 Grove Road, Thorofare, NJ 08086, 856-848-1000, Cost: $77.95. Taylor & Francis; 2009.

[9] Laver-Fawcett AJ, Mallinson SH. Development of the activity card sort—United Kingdom version (ACS-UK). OTJR: Occupation, Participation and Health. 2013; 33(3): 134-45.

[10] Hamed R, AlHeresh R, Dahab SA, Collins B, Fryer J, Holm MB. Development of the Arab heritage activity card sort. International Journal of Rehabilitation Research. 2011; 34(4): 299-306.

[11] Packer TL, Boshoff K, DeJonge D. Development of the activity card sort--Australia. Aust Occup Ther J. 2008; 55(3): 199-206.

[12] Laver-Fawcett AJ, Mallinson SH. Development of the Activity Card Sort-United Kingdom Version (ACS-UK). OTJR (Thorofare N J). 2013; 33(3): 134-45.

[13] Linstone HA, Turoff M. The Delphi method : techniques and applications. Reading, Mass.: Addison-Wesley Pub. Co., Advanced Book Program; 1975. xx, 620 p. p.

[14] Romesburg HC, Marshall K. Users manual for CLUSTAR/CLUSTID computer programs for hierarchical cluster analysis. Belmont, Calif.: Lifetime Learning Publications; 1984. v, 89 p. p.

[15] Santos JRA. Cronbach’s alpha: A tool for assessing the reliability of scales. Journal of extension. 1999; 37(2): 1-5.

[16] Katz N, Karpin H, Lak A, Furman T, Hartman-Maeir A. Participation in occupational performance: Reliability and validity of the Activity Card Sort. OTJR: Occupation, Participation and Health. 2003; 23(1): 10-7.

[17] Fisher WP, Jr. Physical disability construct convergence across instruments: towards a universal metric. J Outcome Meas. 1997; 1(2): 87-113.

[18] Christiansen C, Abreu B, Ottenbacher K, Huffman K, Masel B, Culpepper R. Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury. Arch Phys Med Rehabil. 1998; 79(8): 888-92.

[19] Wottrich AW, von Koch L, Tham K. The meaning of rehabilitation in the home environment after acute stroke from the perspective of a multiprofessional team. Phys Ther. 2007; 87(6): 778-88.

[20] Guidetti S, Tham K. Therapeutic strategies used by occupational therapists in self-care training: a qualitative study. Occup Ther Int. 2002; 9(4): 257-76.

[21] Kielhofner G. Conceptual foundations of occupational therapy practice: FA Davis; 2009.

[22] Legg L, Drummond A, Langhorne P. Occupational therapy for patients with problems in activities of daily living after stroke. Cochrane Database of Systematic Reviews. 2006(4).

[23] Salter K, Jutai J, Teasell R, Foley N, Bitensky J, Bayley M. Issues for selection of outcome measures in stroke rehabilitation: ICF activity. Disability and rehabilitation. 2005; 27(6): 315-40.