A systematic review of the psychometric properties of the Action Research Arm Test in neurorehabilitation.

Abstract:

BACKGROUND/AIM:The Action Research Arm Test (ARAT) measures upper limb activity limitations in people with acquired brain injuries. Evidence relating to the use of this test in neurorehabilitation is scattered. This review identifies, rates and synthesises evidence on the original 1981 ARAT use within neurorehabilitation. Psychometric properties are reviewed, including specific examination of participants with upper limb spasticity. METHODS:Systematic review of published articles describing psychometric properties and/or use of the original version of the ARAT in neurorehabilitation. COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) search strategy, reporting and methodological checklist with criterion-based appraisal of quality criteria for good measurement properties were applied. A best evidence synthesis for each psychometric property was completed. RESULTS:In 28 included studies, participants had suffered a stroke or traumatic brain injury, with 46% >6 months post-injury. Six studies identified participants with upper limb spasticity. Methodological quality of psychometric properties ranged from poor to excellent. Best evidence synthesis determined moderate positive evidence for using the ARAT with people without limb spasticity: intra-rater reliability (ICC 0.71 (95% CI 0.53-0.89) to 0.99 (95% CI 0.98, 0.99)); responsiveness (ROC curve 0.72-0.88, SRM 0.89); and regarding construct validity, it is a valid measure of activity limitation. Limited evidence for psychometric properties of the ARAT were found when used with people with upper limb spasticity for construct validity and responsiveness (ES 0.55-0.78). Gaps in evidence were found for inter and test-retest reliability, measurement error, content validity, structural validity, floor and ceiling effects. CONCLUSIONS:The ARAT is an appropriate measure of activity limitation post-stroke and should be considered for use with people with TBI; evidence for people with upper limb spasticity is limited. Gaps and mixed limited to moderate evidence for psychometric properties in neurorehabilitation mean further research is required.

journal_name

Aust Occup Ther J

authors

Pike S,Lannin NA,Wales K,Cusick A

doi

10.1111/1440-1630.12527

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

449-471

issue

5

eissn

0045-0766

issn

1440-1630

journal_volume

65

pub_type

杂志文章
  • Reliability and validity of indices of hand-grip strength and endurance.

    abstract:BACKGROUND/AIM:Grip strength is useful in clinical practice for the assessment of disease and/or rehabilitation progression. Brief maximal gripping is seldom required in everyday occupations, with repeated or sustained gripping at sub-maximal power more commonly involved. It has been proposed that assessment of both ma...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2010.00888.x

    authors: Reuter SE,Massy-Westropp N,Evans AM

    更新日期:2011-04-01 00:00:00

  • Open-source 3D printed sensors for hand strength assessment: Validation of low-cost load cell and fabric sensor-based systems.

    abstract:BACKGROUND/AIM:Pinch and grip strength assessment is commonly performed in occupational therapy practice. However, the typically utilised methods are limited to pinch or grip dynamometers and do not readily translate to handling everyday objects. With the advent of consumer-grade 3D printing and low-cost sensor systems...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12494

    authors: Cutler CR,Hamilton AL,Hough E,Baines CM,Clark RA

    更新日期:2018-10-01 00:00:00

  • How occupational therapists are perceived within inpatient mental health settings: the perceptions of seven Australian nurses.

    abstract:BACKGROUND/AIM:Australian mental health services are transitioning from inpatient to community settings. The role of occupational therapy within the inpatient context is undergoing change, and uncertainties about the role may exist for other health professionals. This study aimed to explore the perceptions of Australia...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2011.00944.x

    authors: Smith E,Mackenzie L

    更新日期:2011-08-01 00:00:00

  • What is the impact of dementia on occupational competence, occupational participation and occupational identity for people who experience onset of symptoms while in paid employment? A scoping review.

    abstract:BACKGROUND/AIM:Engagement in meaningful occupation, including paid work is considered an important determinant of health, impacted by injury or illness. Dementia is one neurodegenerative syndrome with potential to compromise capacity for remaining engaged in paid employment. In response to 'ageing' populations globally...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12535

    authors: Andrew C,Phillipson L,Sheridan L

    更新日期:2019-04-01 00:00:00

  • Movement difficulties in children with ADHD: Comparing the long- and short-form Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2).

    abstract:AIMS:Up to 50% of children with attention deficit hyperactivity disorder (ADHD) also present with difficulties with motor proficiency. Several assessments of motor proficiency are available for occupational therapists, though the validity of these measures in an ADHD population requires further exploration. The aim of ...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12641

    authors: Mancini V,Rudaizky D,Howlett S,Elizabeth-Price J,Chen W

    更新日期:2020-04-01 00:00:00

  • Retirement: What will you do? A narrative inquiry of occupation-based planning for retirement: Implications for practice.

    abstract:AIM:To examine, using a retrospective narrative study, the factors influencing four older people's decision to plan for the activities they would undertake once retired, the planning process undertaken and their subsequent experience of retirement. METHOD:Semi-structured interviews were conducted to examine the factor...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2009.00820.x

    authors: Hewitt A,Howie L,Feldman S

    更新日期:2010-02-01 00:00:00

  • Occupational therapists' perception of their practice: A phenomenological study.

    abstract:BACKGROUND:International literature seems consistent in reporting that occupational therapists value their methods. However, little empirical evidence has been generated supporting the basic system of belief for occupational therapy. Few studies have explored the nature of the occupational therapists' experiences and t...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2007.00714.x

    authors: Kinn LG,Aas RW

    更新日期:2009-04-01 00:00:00

  • From student to therapist: follow up of a first cohort of Bachelor of Occupational Therapy students.

    abstract:AIM:This study aimed to investigate the perception of graduate students on their preparation for practice, at 7 months post graduation. METHOD:Using an anonymous postal questionnaire, 18 respondents (58% response rate) provided data on the nature of current employment, the experience as a graduate therapist, and perce...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2008.00751.x

    authors: Doherty G,Stagnitti K,Schoo AM

    更新日期:2009-10-01 00:00:00

  • Prospective study of the participation patterns of Grade 6 and Year 8 students in Victoria, Australia in activities outside of school.

    abstract:BACKGROUND:Positive participation outcomes are deemed the ultimate goal of health care and specifically of occupational therapy. Knowledge of the typical participation patterns of children in Australia will provide essential information to support our understanding of participation and the goal of maximising children's...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2012.01013.x

    authors: McMullan S,Chin R,Froude E,Imms C

    更新日期:2012-06-01 00:00:00

  • The role of occupational therapy in the recovery stage of disaster relief: a report from earthquake stricken areas in China.

    abstract::Earthquakes and their destructive forces are unpredictable and difficult to prepare for. Unfortunately, another powerful earthquake of magnitude 7.2 had struck when this report was being prepared. The disabling events have long-term negative impacts on occupational performance of the individuals and communities being ...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12106

    authors: Lee HC

    更新日期:2014-02-01 00:00:00

  • A review of occupational therapy's contribution to and involvement in the work-to-retirement transition process: An Australian perspective.

    abstract:BACKGROUND:Retirement from paid work is an occupational transition, which can have a profound impact on a person's life. This review explored occupational therapy's contribution to and involvement in the work-to-retirement transition process in Australia. METHODS:An integrative literature review was undertaken using s...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章,评审

    doi:10.1111/1440-1630.12300

    authors: Eagers J,Franklin RC,Broome K,Yau MK

    更新日期:2016-08-01 00:00:00

  • Organisational support for evidence-based practice: occupational therapists perceptions.

    abstract:BACKGROUND:Barriers to the use of evidence-based practice extend beyond the individual clinician and often include organisational barriers. Adoption of systematic organisational support for evidence-based practice in health care is integral to its use. This study aimed to explore the perceptions of occupational therapy...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12260

    authors: Bennett S,Allen S,Caldwell E,Whitehead M,Turpin M,Fleming J,Cox R

    更新日期:2016-02-01 00:00:00

  • Occupational therapists perspectives of factors influencing chronic pain management.

    abstract:AIM:This article explores factors that contribute to clients' chronic pain management from an occupational therapy perspective. METHOD:Nine occupational therapists from Australia and New Zealand who worked in this practice area were interviewed. Qualitative method of narrative inquiry was used to analyse the therapist...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12011

    authors: van Huet H,Innes E,Stancliffe R

    更新日期:2013-02-01 00:00:00

  • Structural validity and internal consistency of an ecological observation-based assessment, the Activities of Daily Living Profile.

    abstract:INTRODUCTION:Direct observation of everyday task performance is considered the most accurate measure of independence for individuals with executive function impairments. However, few observation-based measures have been shown to have sound psychometric qualities and be clinically applicable. The objective of this study...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12654

    authors: Bottari C,Dutil É,Auger C,Lamoureux J

    更新日期:2020-10-01 00:00:00

  • Using the Work Behaviour Inventory and Work Environment Impact Scale to measure employment sustainability for people with severe mental illness in a vocational rehabilitation program.

    abstract:OBJECTIVE:People with severe mental illness often have difficulty sustaining employment. Work Behaviour Inventory and Work Environment Impact Scale are vocational assessments used by occupational therapists to evaluate the facilitators and barriers of work performance and work environment respectively. These factors ma...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12718

    authors: Soo Wei Qing D,Kwan Minh K,Chia Kai Xin K,Chai YanLin E,Chern A,Budihardjo V,Tan BL

    更新日期:2021-01-17 00:00:00

  • Listening to the client voice - A constructivist grounded theory study of the experiences of client-centred practice after stroke.

    abstract:INTRODUCTION:Collaboration, choice and power-sharing are cornerstones of practice as occupational therapists support individuals to re-establish an occupational identity and reintegrate into the community following stroke. Yet evidence of unmet client needs suggests client-centred care is not optimal, and little is kno...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12627

    authors: Walder K,Molineux M

    更新日期:2020-04-01 00:00:00

  • Occupational therapy practice in Australia with people with dementia: a profile in need of change.

    abstract:BACKGROUND/AIM:Dementia significantly impacts on the individual's and caregiver's quality of life. The aim of this study was to describe Australian occupational therapy practice with people with dementia. METHODS:A questionnaire was piloted and sent to occupational therapists in Australia working with people with deme...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2011.00930.x

    authors: Bennett S,Shand S,Liddle J

    更新日期:2011-06-01 00:00:00

  • Unveiling the complexities of mild stroke: An interpretative phenomenological analysis of the mild stroke experience.

    abstract:INTRODUCTION:Limited research has been conducted from a longitudinal and qualitative perspective on the experience of life after mild stroke. This restricts the knowledge held in this area. This study aimed to answer the question: How do people with mild stroke understand their experiences in the first 6 months after h...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12607

    authors: Hodson T,Gustafsson L,Cornwell P

    更新日期:2019-10-01 00:00:00

  • An evaluation of the construct validity of the Developmental Test of Visual-Motor Integration using the Rasch Measurement Model.

    abstract:BACKGROUND:One method of evaluating the construct validity of instruments is the Rasch Measurement Model (RMM), an increasingly popular method used for test construction and validation. AIM:The aim was to examine the construct validity of the Developmental Test of Visual-Motor Integration 5th Edition (VMI) by applying...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2009.00811.x

    authors: Brown T,Unsworth C,Lyons C

    更新日期:2009-12-01 00:00:00

  • Predicting driving ability using DriveSafe and DriveAware in people with cognitive impairments: a replication study.

    abstract:BACKGROUND/AIM:Previously developed cut-off scores for off-road assessments, DriveSafe and DriveAware, were applied to data from a new sample. Our aim was to determine whether results from previous research are replicable in a different population, to further investigate the psychometric properties of the tools. METHO...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章,多中心研究

    doi:10.1111/1440-1630.12112

    authors: Hines A,Bundy AC

    更新日期:2014-08-01 00:00:00

  • Occupational therapy and dementia care: a survey of practice in the Republic of Ireland.

    abstract:BACKGROUND/AIM:There is a growing body of research to support the role of occupational therapy in dementia care. However, little is known about the extent to which this research is translated into occupational therapy practice. This study addresses this gap by considering current occupational therapy practice in the fi...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12081

    authors: McGrath M,O'Callaghan C

    更新日期:2014-04-01 00:00:00

  • Sustainable enhancement in clients who perceive the Tree Theme Method(®) as a positive intervention in psychosocial occupational therapy.

    abstract:BACKGROUND/AIM:The Tree Theme Method(®) is an intervention based on creative activities and occupational storytelling. The Tree Theme Method(®) implies that the clients draw and paint trees symbolising various periods in their life. The pictures are then used as a starting point to tell their life story to enhance thei...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12034

    authors: Gunnarsson AB,Björklund A

    更新日期:2013-06-01 00:00:00

  • Recovery in the first six months after hand and upper limb burns: A prospective cohort study.

    abstract:BACKGROUND/AIM:Hands are commonly involved in burn trauma. Occupational therapy in the acute phase aims to reduce the risk of deformities and facilitate return to usual occupations. This study aimed to describe usual occupational therapy care at a major adult burns service, and measure recovery from hand burns in the f...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12538

    authors: Ghalayini G,O'Brien L,Bourke-Taylor HM

    更新日期:2019-04-01 00:00:00

  • Listening to teachers: Views on delivery of a classroom based sensory intervention for students with autism.

    abstract:BACKGROUND/AIM:Occupational therapists consider the impact of autism spectrum disorder on occupational performance at school. Occupational therapists work with teachers to support student participation. Atypical sensory processing is common in children with autism. Therefore, collaborating with teachers to enable stude...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12381

    authors: Mills C,Chapparo C

    更新日期:2018-02-01 00:00:00

  • Revisiting 1:1 and 2:1 clinical placement models: student and clinical educator perspectives.

    abstract:AIM:A recent systematic review suggests that more comparative research is required on the effectiveness of clinical placement models. This study explored perspectives of clinical educators and students who had participated in both the 1:1 (one student supervised by one clinical educator) and 2:1 (two students supervise...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2012.01025.x

    authors: O'Connor A,Cahill M,McKay EA

    更新日期:2012-08-01 00:00:00

  • Development of the Indigenous Child-Initiated Pretend Play Assessment: Selection of play materials and administration.

    abstract:BACKGROUND/AIM:There is a need for culturally appropriate assessments for Australian Indigenous children. This article reports the selection of culturally appropriate and gender-neutral play materials, and changes in administration identified to develop further the Indigenous Child-Initiated Pretend Play Assessment (I-...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2010.00905.x

    authors: Dender A,Stagnitti K

    更新日期:2011-02-01 00:00:00

  • Development of a standardised Occupational Therapy--Driver Off-Road Assessment Battery to assess older and/or functionally impaired drivers.

    abstract:INTRODUCTION:Research has been conducted over several years to develop a new off-road assessment battery referred to as the Occupational Therapy - Driver Off-Road Assessment Battery. This article documents the development of the Battery, and provides preliminary research evidence to support its content and predictive v...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2011.00979.x

    authors: Unsworth CA,Baker A,Taitz C,Chan SP,Pallant JF,Russell KJ,Odell M

    更新日期:2012-02-01 00:00:00

  • Conceptualisation and use of executive functions in paediatrics: A scoping review of occupational therapy literature.

    abstract:BACKGROUND/AIM:Knowledge and understanding of deficits in executive functions has expanded in recent years and its relevance to occupational therapy has been established. The purpose of this review was to identify, analyse, synthesise and describe the updated occupational therapy scientific literature that addresses th...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12525

    authors: Josman N,Meyer S

    更新日期:2019-02-01 00:00:00

  • Comparison of a traditional and non-traditional residential care facility for persons living with dementia and the impact of the environment on occupational engagement.

    abstract:BACKGROUND:Dementia residential facilities can be described as traditional or non-traditional facilities. Non-traditional facilities aim to utilise principles of environmental design to create a milieu that supports persons experiencing cognitive decline. This study aimed to compare these two environments in rural Aust...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12243

    authors: Richards K,D'Cruz R,Harman S,Stagnitti K

    更新日期:2015-12-01 00:00:00

  • Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia.

    abstract:BACKGROUND/AIM:Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). METHODS:Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using clinical observations...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12326

    authors: Doney R,Lucas BR,Jirikowic T,Tsang TW,Watkins RE,Sauer K,Howat P,Latimer J,Fitzpatrick JP,Oscar J,Carter M,Elliott EJ

    更新日期:2017-02-01 00:00:00