Personal Care Participation Assessment and Resource Tool: Clinical utility for inpatient rehabilitation

Abstract

French

Background.

Evidence supports validity of the Personal Care Participation Assessment and Resource Tool (PC-PART), but clinical utility remains unverified.

Purpose.

This study aimed to investigate occupational therapists’ perceptions about the PC-PART’s clinical utility for inpatient rehabilitation.

Method.

Using mixed methods, occupational therapists who had used the PC-PART as part of a research study in an inpatient rehabilitation setting completed a questionnaire (n = 9) and participated in a focus group (n = 6) to explore their perspectives about its clinical utility. Quantitative data were summarized and qualitative data analyzed using inductive thematic analysis.

Findings.

Quantitative data highlighted both positive and negative aspects of the PC-PART’s clinical utility. Five themes emerged from the qualitative data: nature of information gathered; familiarity with the instrument; perceived time and effort; item phrasing, interpretation, and presentation; and external influences on clinical use.

Implications.

The PC-PART was perceived to support gathering of clinically useful information, helpful to intervention and discharge planning. Recommendations for improving some item phrasing, operational definitions, and instructions were identified. Although standardized assessments were valued, use in routine practice was challenging, requiring a knowledge translation strategy.

Keywords

Activities of daily living International Classifications of Functioning Disability and Health (ICF)Needs assessment Outcome assessment (health care)Participation restriction (ICF)activités de la vie quotidienne Classification internationale du fonctionnement du handicap et de la santé (CIF)évaluation des besoins évaluation des résultats (soins de santé)restriction de la participation (CIF)

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References

Australian Institute of Health and Welfare. (2015). Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2014-2015. Retrieved from http://meteor.aihw.gov.au/content/index.phtml/itemId/556874

Barbara

Whiteford

(2005). Clinical utility of the Handicap Assessment and Resource Tool: An investigation of its use with the aged people in hospital. Australian Occupational Therapy Journal, 52, 17–25. doi:10.1111/j.1440-1630.2005.00476.x

Beckhard

Harris

(1987). Organizational transitions. Reading, MA: Addison-Wesley.

Bowman

(2006). Challenges to measuring outcomes in occupational therapy: A qualitative focus group study. British Journal of Occupational Therapy, 69, 464–471. doi:10.1177/030802260606901005

Bowman

Llewellyn

(2002). Clinical outcomes research from the occupational therapist’s perspective. Occupational Therapy International, 9, 145–166.

Cameron

Leslie

Teplicky

Pollock

Stewart

Toal

Gaik

(2001). The clinical utility of the test of playfulness. Canadian Journal of Occupational Therapy, 68, 104–111. doi:10.1177/000841740106800206

Colquhoun

H. L.

Letts

Law

MacDermid

J. C.

Missiuna

C. A.

(2012). Administration of the Canadian Occupational Performance Measure: Effect on practice. Canadian Journal of Occupational Therapy, 79, 120–128. doi:10.2182/cjot.2012.79.2.7

Cook

McCluskey

Bowman

(2007). Occupational therapists report increased use of outcome measures after participation in an education programme. British Journal of Occupational Therapy, 70, 487–492. doi:10.1177/030802260707001107

Creswell

Plano Clark

(2011). Designing and conducting mixed methods research (2nd ed.). Thousand Oaks, CA: Sage.

10.

Dannemiller

Jacobs

(1992). Changing the way organisations change: A revolution of common sense. Journal of Applied Behavioural Science, 28, 480–498. doi:10.1177/0021886392284003

11.

Darzins

(2004). PC-PART: Personal Care Participation Assessment and Resource Tool user’s manual. Melbourne, Australia: PART Group.

12.

Darzins

Bremner

Smith

(2002). Outcome measures in rehabilitation: Phase 2 project. Retrieved April 15, 2014, from http://www.health.vic.gov.au/subacute/outcomefinal.pdf

13.

Darzins

Imms

Di Stefano

(2013). Measurement properties of the personal care participation assessment and resource tool: A systematic review. Disability and Rehabilitation, 35, 265–281. doi:10.3109/09638288.2012.690819

14.

Darzins

Imms

Di Stefano

Taylor

Pallant

(2014). Evaluation of the internal construct validity of the Personal Care Participation Assessment and Resource Tool (PC-PART) using Rasch analysis. BMC Health Services Research, 14, Article 543. doi:10.1186/s12913-014-0543-z

15.

Graham

Logan

Harrison

Straus

S. E.

Tetroe

Caswell

Robinson

(2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 26, 13–24. doi:10.1002/chp.47

16.

Grimshaw

J. M.

Eccles

M. P.

Lavis

J. N.

Hill

S. J.

Squires

J. E.

(2012). Knowledge translation of research findings. Implementation Science, 7, Article 50. doi:10.1186/1748-5908-7-50

17.

Gustafsson

L. A.

Mitchell

Fleming

Price

(2012). Clinical utility of the Canadian Occupational Performance Measure in spinal cord injury rehabilitation. British Journal of Occupational Therapy, 75, 337–342. doi:10.4276/030802212X13418284515910

18.

Gustafsson

L. A.

Turpin

M. J.

Dorman

C. M.

(2010). Clinical utility of the Chedoke Arm and Hand Activity Inventory for stroke rehabilitation. Canadian Journal of Occupational Therapy, 77, 167–173. doi:10.2182/cjot.2010.77.3.6

19.

Kitsos

Harris

Pollack

Hubbard

(2011). Assessments in Australian stroke rehabilitation units: A systematic review of the post-stroke validity of the most frequently used. Disability and Rehabilitation, 33, 2620–2632. doi:10.3109/09638288.2011.575526

20.

Koh

C.-L.

Hoffmann

Bennett

McKenna

K. T.

(2009). Management of patients with cognitive impairment after stroke: A survey of Australian occupational therapists. Australian Occupational Therapy Journal, 56, 324–331. doi:10.1111/j.1440-1630.2008.00764.x

21.

Laver-Fawcett

(2007). Principles of assessment and outcome measurement for occupational therapists and physiotherapists: Theory, skills and application. Chichester, UK: Wiley.

22.

Law

(1987). Measurement in occupational therapy: scientific criteria for evaluation. Canadian Journal of Occupational Therapy, 54, 133–138. doi:10.1177/000841748705400308

23.

Law

(2004). Outcome measures rating form guidelines. Retrieved February 24, 2015, from http://www.canchild.ca/en/canchildresources/resources/measrate.pdf

24.

Law

King

Russell

(2005). Guiding therapist decisions about measuring outcomes in occupational therapy. In Law

Baum

Dunn

(Eds.), Measuring occupational performance: supporting best practice in occupational therapy (2nd ed., pp. 33–44). Thorofare, NJ: Slack.

25.

Liamputtong

(2011). Focus group methodology: Principles and practice. London, UK: Sage.

26.

Madden

Fortune

Cheeseman

Mpofu

Bundy

(2013). Fundamental questions before recording or measuring functioning and disability. Disability and Rehabilitation, 35, 1092–1096. doi:10.3109/09638288.2012.720350

27.

Moats

(2007). Discharge decision-making, enabling occupations, and client-centred practice. Canadian Journal of Occupational Therapy, 74, 91–101. doi:10.1177/000841740707400203

28.

New

Cameron

P. A.

Olver

J. H.

Stoelwinder

J. U.

(2013). Defining barriers to discharge from inpatient rehabilitation, classifying their causes, and proposed performance indicators for rehabilitation patient flow. Archives of Physical Medicine and Rehabilitation, 94, 201–208. doi:10.1016/j.apmr.2012.07.026

29.

Pilegaard

Birn

Kristensen

(2014). Assesssment of occupational performance problems due to cognitive deficits in stroke rehabilitation: A survey. International Jounal of Therapy and Rehabilitation, 21, 280–288. doi:10.12968/ijtr.2014.21.6.280

30.

Pumpa

L. U.

Cahill

L. S.

Carey

L. M.

(2015). Somatosensory assessment and treatment after stroke: an evidence-practice gap. Australian Occupational Therapy Journal, 62, 93–104. doi:10.1111/1440-1630.12170

31.

Radia-George

Imms

Taylor

(2014). The inter-rater reliability and clinical utility of the Personal Care Participation Assessment and Resource Tool (PC-PART) in an inpatient rehabilitation setting. American Journal of Occupational Therapy, 68, 334–343. doi:10.5014/ajot.2014.009878

32.

Schofield

Knauss

(2010). Surveys and questionnaires in health research. In Liamputtong

(Ed.), Research methods in health: Foundations for evidence-based practice (pp. 213–236). South Melbourne, Australia: Oxford University Press.

33.

Shepperd

McClaran

Phillips

Lannin

Clemson

McCluskey

… Barras

(2010). Discharge planning from hospital to home. Cochrane Database of Systematic Reviews, 2010(1). doi:10.1002/14651858.CD000313.pub3

34.

Smart

(2006). A multi-dimensional model of clinical utility. International Journal for Quality in Health Care, 18, 377–382. doi:10.1093/intqhc/mzl034

35.

Smith

Darzins

Steel

Murray

Osborne

Gilsenan

(2001). Outcome Measures in Rehabilitation Project report. Retrieved April 15, 2014, from http://www.health.vic.gov.au/subacute/outcome_phase1.pdf

36.

Squires

Sullivan

Eccles

Worswick

Grimshaw

(2014). Are multifacted interventions more effective than single-component interventions in changing health-care professionals’ behaviours? An overview of systematic reviews. Implementation Science, 9, Article 152. doi:10.1186/s13012-014-0152-6

37.

Stapleton

McBrearty

(2009). Use of standardised assessments and outcome measures among a sample of Irish occupational therapists working with adults with physical disabilities. British Journal of Occupational Therapy, 72, 55–64. doi:10.1177/030802260907200203

38.

Taylor

N. F.

Brusco

N. K.

Watts

J. J.

Shields

Peiris

Sullivan

… Radia-George

(2010). A study protocol of a randomised controlled trial incorporating a health economic analysis to investigate if additional allied health services for rehabilitation reduce length of stay without compromising patient outcomes. BMC Health Services Research, 10, Article 308. doi:10.1186/1472-6963-10-308

39.

Toomey

Nicholson

Carswell

(1995). The clinical utility of the Canadian Occupational Performance Measure. Canadian Journal of Occupational Therapy, 62, 242–249. doi:10.1177/000841749506200503

40.

Uniform Data Systems for Medical Rehabilitation. (2014). Adult FIM workshop: Participant manual version 5.3 (Australia). Buffalo: State University of New York at Buffalo.

41.

Vertesi

Darzins

Lowe

McEvoy

Edwards

(2000). Development of the Handicap Assessment and Resource Tool (HART). Canadian Journal of Occupational Therapy, 67, 120–127. doi:10.1177/000841740006700305

42.

Walker

M. F.

Fisher

R. J.

Korner-Bitensky

McCluskey

Carey

L. M.

(2013). From what we know to what we do: Translating stroke rehabilitation research into practice. International Journal of Stroke, 8, 11–17. doi:10.1111/j.1747-4949.2012.00974.x

43.

World Health Organization. (2001). The International Classification of Functioning Disability and Health (ICF). Geneva, Switzerland: Author.

44.

Wressle

Marcusson

Henriksson

(2002). Clinical utility of the Canadian Occupational Performance Measure: Swedish version. Canadian Journal of Occupational Therapy, 69, 40–48. doi:10.1177/000841740206900104

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