Validation of the Klein-Bell Activities of Daily Living Scale for Children

Abstract

French

Occupational therapists require reliable and valid activities of daily living assessments to describe patient performance and to aid in treatment evaluation and planning. A recently developed instrument, the Klein-Bell ADL Scale has been shown to have acceptable reliability and validity for use with adults. This paper reports the results of an initial study designed to evaluate the utility of the Klein-Bell ADL Scale for use with children. Developmental ages reported in the literature were used to adapt the scale for use with children ages six months to adulthood. Its reliability, construct validity and responsiveness were tested in a total sample of 10 normal and 10 cerebral palsied children. Results indicate that the scale is reliable, is able to differentiate normal from handicapped children and demonstrates acceptable agreement with parental ratings of change in ADL skills. The Klein-Bell ADL Scale was also found to be an effective communication tool between therapists and parents of disabled children.

Keywords

Activities of daily living Reliability Tests by title Klein-Bell ADL Scale Validity

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References

Carey

R.G.

Posavac

E.J.

(1982). Rehabilitation program evaluation using a revised level of rehabilitation scale (LORS-II). Archives of Physical Medicine and Rehabilitation, 63, 367–375.

Coley

I.L.

(1978). Pediatric assessment of self care activities. St. Louis: Mosby Ltd.

Denhoff

(1967). Cerebral palsy — The preschool years. Springfield: Thomas Publishing Company.

Donaldson

S.W.

Wagner

Gresham

G.E.

(1973). Unified ADL evaluation form. Archives of Physical Medicine and Rehabilitation, 54, 175–179.

Feigenson

Polkow

Meikle

Ferguson

(1979). Burke stroke time-oriented profile (BUSTOP): An overview of patient function. Archives of Physical Medicine and Rehabilitation, 60, 508–511.

Gesell

A.L.

(1940). The first five years of life: A guide to the study of the preschool child. New York: Harper and Row.

Granger

C.V.

Albrecht

G.L.

Hamilton

B.B.

(1979). Outcome of comprehensive medical rehabilitation outcomes. Archives of Physical Medicine and Rehabilitation, 60, 145–154.

Halstead

Hartley

R.B.

(1975). Time care profile: An evaluation of a new method of assessing ADL dependence. Archives of Physical Medicine and Rehabilitation, 56, 110–115.

Health & Welfare Canada and the Canadian Association of Occupational Therapists. (1983). Guidelines for the client-centered practice of occupational therapy. Ottawa. Ontario: Department of National Health and Welfare H39-33/1983E.

10.

Illingworth

R.S.

(1983). The development of the infant and young child. New York: Churchill and Livingstone.

11.

Jette

A.M.

(1980). Functional capacity evaluation: An empirical approach. Archives of Physical Medicine and Rehabilitation, 61, 85–89.

12.

Katz

Ford

A.B.

Moskowitz

R.W.

Jackson

B.A.

Jaffe

M.W.

(1963). Studies of illness in the aged. Journal of American Medical Association, 185(1), 914–919.

13.

Keith

R.A.

(1984). Functional assessment measures in medical rehabilitation: Current status. Archives of Physical Medicine and Rehabilitation, 65, 74–78.

14.

Kirshner

Guyatt

(1985). A methodological framework for assessing health and disease. Journal of Chronic Disease, 38, 27–36.

15.

Klein

R.M.

Bell

(1979). The Klein-Bell ADL Scale Manual. Seattle, Washington: University of Washington Medical School, Health Sciences Resource Center/SB-56.

16.

Klein

R.M.

Bell

(1982). Self-care skills: Behavioural measurement with the Klein-Bell ADL Scale. Archives of Physical Medicine and Rehabilitation, 63, 335–338.

17.

Law

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

18.

Mahoney

F.I.

Barthel

D.W.

(1967). Functional evaluation: Barthel Index. Maryland State Medical Journal, 14, 61–65.

19.

Nunnally

J.C.

(1978). Psychometric theory, (2nd edition). Toronto: McGraw-Hill.

20.

Ostrow

P.C.

Williamson

J.W.

Joe

B.E.

(1983). Quality assurance primer. Rockville, MD: American Occupational Therapy Association.

21.

Reed

K.L.

(1984). Models of practice in occupational therapy. Baltimore: Williams and Wilkins.

22.

Schoening

H.A.

Iversen

I.A.

(1968). Numerical scoring of self-care status: A study of the Kenny self-care evaluation. Archives of Physical Medicine and Rehabilitation, 49, 221–229.

23.

Shillam

L.L.

Beeman

Loshin

P.M.

(1983). Effect of occupational therapy intervention on bathing independence of disabled persons. American Journal of Occupational Therapy, 37, 744–748.

24.

Smith

R.O.

Morrow

M.E.

Heitmen

J.K.

Rardin

W.J.

Powelson

J.L.

Von

(1986). The effects of introducing the Klein-Bell ADL Scale in a rehabilitation service. American Journal of Occupational Therapy, 40, 420–424.

25.

Whiting

Lincoln

(1980). An ADL assessment for stroke patients. British Journal of Occupational Therapy, 43(2), 44–46.