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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 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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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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