Participation in Occupational Performance: Reliability and Validity of the Activity Card Sort

Abstract

The Activity Card Sort (ACS) is a comprehensive instrument for assessing participation in occupational performance of instrumental, social-cultural, and leisure activities. The purpose of the study was to determine the reliability and validity of the ACS within different adult and older adult groups. The study included 263 participants comprising 5 groups of 61 healthy adults, 61 healthy older adults, 40 spouses or caregivers of individuals with Alzheimer's, 45 individuals with multiple sclerosis, and 56 individuals 1 year after having a stroke. The ACS was adapted to the Israeli culture in a previous study with the author's permission. The final version that was used in this analysis included 88 picture cards of adults performing instrumental, social-cultural, and low and high physical leisure activities that the clients sort into five categories. The ACS provides a “retained activity level” score that is the percentage of activities in which a person is currently engaged divided by those with whom he or she was involved in the past. In addition, comparisons between all groups of current activity levels were analyzed. The ACS had high internal consistency (Cronbach alpha in each area) for instrumental activities of daily living (IADL) and social-cultural activities (.82, .80), and lower for low and high physical leisure activities (.66, .61). A one-way analysis of variance (ANOVA) that compared groups of participants on total retained activity level and individual activity areas showed a significant group effect on all comparisons (p<.000) that support construct validity. Post hoc Scheffe tests revealed significant differences between most groups. The same results were found for current activity level. The results support the reliability and validity of the ACS and provide a basis for its clinical use.

Keywords

activity level Alzheimer's disease multiple sclerosis stroke

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References

Baum

C.M.

(1995). The contribution of occupation to function in persons with Alzheimer's disease. Journal of Occupational Science: Australia, 2, 59–67.

Baum

C.M.

, & Edwards

(2001). Activity card sort. St. Louis, MO: Washington University at St. Louis.

Baum

C.M.

Perlmutter

, & Edwards

(2000). Measuring function in Alzheimer's disease. Alzheimer's Care Quarterly, 1, 44–61.

Christiansen

, & Baum

(1997). Person-environment occupational performance. In Christiansen

& Baum

(Eds.). Occupational therapy enabling function and well being. (2nd ed., pp. 46–70). Thorofare, NJ: Slack Inc.

Clark

Azen

S.P.

Zemke

Jackson

Carlson

Mandel

Hay

Josephson

Cherry

Hessel

Palmer

, & Lipson

(1997). Occupational therapy for independent living older adults. JAMA, 278, 1321–1326.

Connolly

, & Law

(2001). Measuring leisure performance. In Law

Baum

, & Dunn

(Eds.), Measuring occupational performance (pp. 183–193). Thorofare, NJ: Slack Inc.

Everard

K.M.

(1999). The relationship between reasons for activity and older adult well-being. Journal of Applied Gerontology, 18, 325–340.

Everard

K.M.

Lach

H.W.

Fisher

E.B.

, & Baum

M.C.

(2000). Relationship of activity and social support to the functional health of older adults. Journal of Gerontology: Social Sciences, 55B(4), S208–S212.

Fisher

A.G.

(1998). Uniting practice and theory in an occupational framework. American Journal of Occupational Therapy, 52, 509–521.

10.

Fisher

A.G.

(2001). The assessment of motor and process skills (4th ed.). Fort Collins, CO: Three Star Press.

11.

Furman

(2001). Evaluation of the present activity level of spouses of older adults with dementia who live at home. Unpublished master thesis, Hebrew University Jerusalem, Israel.

12.

Hartman-Maeir

Soroker

, & Katz

(2001). Anosognosia for hemiplegia in stroke rehabilitation. Neurorehabilitation and Neural Repair, 15, 213–222.

13.

Hartman-Maeir

Soroker

Ring

, & Katz

(2002). Awareness of deficits after stroke. Journal of Rehabilitation Medicine, 34, 158–164.

14.

Karpin

Hartman-Maeir

, & Katz

(2001). Activity level and pattern of healthy Israeli adults and older adults. Israel Journal of Occupational Therapy, 10, H3–22. (Hebrew).

15.

Katz

(1988). Interest checklist: A factor analytical study. Occupational Therapy in Mental Health, 8, 45–55.

16.

Katz

, & Hartman-Maeir

(2001). Activity card sort: Israeli version. Jerusalem: Hebrew University, Graduate Program in Occupational Therapy.

17.

Kohlman-Thomson

(1992). Kohlman evaluation of living skills. Bethesda, MD: The American Occupational Therapy Association.

18.

Lak

(2000). Activities level and activity patterns assessments of multiple sclerosis patients residing at home. Unpublished master thesis, Hebrew University Jerusalem, Israel.

19.

Law

Baum

, & Dunn

(Eds.). (2001). Measuring occupational performance. Thorofare, NJ: Slack Inc.

20.

Rogers

J.C.

Weinstein

J.M.

, & Figone

J.J.

(1978). The interest check list: An empirical assessment. American Journal of Occupational Therapy, 32, 628–630.

21.

Smith-Riopel

Kielhofner

, & Watts-Hawkins

(1986). The relationships between volition, activity pattern, and life satisfaction in older adults. American Journal of Occupational Therapy, 40, 278–283.

22.

Trombly

C.A.

(1995). Occupation: Purposefulness and meaning-fulness as therapeutic mechanisms. Eleanor Clark Slagle lecture. American Journal of Occupational Therapy, 49, 960–972.

23.

World Health Organization (2001). International classification of functioning, disability and health (ICF). Geneva, Switzerland: World Health Organization.

24.

Yerxa

E.J.

(2000). Occupational science: A renaissance of service to humankind through knowledge. Occupational Therapy International, 7, 87–98.