Validation of the mandarin version of the activity measure for post-acute care (AM–PAC) “6-clicks” among patients in acute rehabilitation

• Wen-Hsuan Hou ^[2] ; Hung-Yi Chiou ^[1] ; Feng-Hang Chang ^[1]
  1. [1] Taipei Medical University

     Taipei Medical University

     Taiwán

     
  2. [2] School of Gerontology and Health Management, College of Nursing, Taipei Medical University; Department of Physical Medicine and Rehabilitation, School of Medicine, Taipei Medical University, Taipei City, Taiwan
• Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 74, Nº. 3, 2020
• Idioma: inglés
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• Resumen

  • Importance: A standardized functional measure that can be used across rehabilitation care settings in Taiwan is urgently needed.

    Objective: To generate a Mandarin version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” for patients in acute care.

    Design: Mixed-methods study with a cross-sectional design.

    Setting: Acute care wards of three teaching hospitals in Taiwan.

    Participants: A sample of 231 neurological patients in acute care (62.3% female; mean age = 63.2 yr, standard deviation = 14.6).

    Outcomes and Measures: The 6-Clicks consist of three subscales: Basic Mobility, Daily Activity, and Applied Cognition. They were translated into Mandarin, and their internal consistency, test–retest reliability, interrater reliability, and convergent validity were tested.

    Results: All subscales of the Mandarin version of the 6-Clicks showed good internal consistency (α = .97–.98). Test–retest and interrater reliabilities were excellent for all subscales (intraclass correlation coefficients >.8). Convergent validity was supported by strong correlations of the Basic Mobility and Daily Activity subscales with the Barthel Index (r = .73 and .72, respectively) and between the Applied Cognition subscale and the Montreal Cognitive Assessment (r = .82).

    Conclusion: Our results provide psychometric evidence supporting the use of the Mandarin version of the 6-Clicks in acute care settings in Taiwan.

    What This Article Adds: This study confirms the appropriateness of the use of the Mandarin version of the AM–PAC “6-Clicks” with patients in acute rehabilitation, making it a valuable addition to validated measures available for use by occupational therapists in Taiwan.