The development and validation of a screening instrument to identify hospitalized medical patients in need of early functional rehabilitation assessment

Carla Boutin Foster, Delia Gorga, Carolyn Padial, Ann Marie Feretti, Debra Berenson, Robin Kline, Rhonda Belue, Mary E. Charlson

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The purpose of this study was to develop a scale that identifies hospitalized patients in need of physical therapy (PT) and/or occupational therapy (OT) assessments. Preliminary scale items were tested for reliability among 52 patients and remaining items were then administered to 299 patients and items that were associated with the concept of 'need for an assessment' on multivariate analyses were selected as final scale items. The concept of need was based on the clinical judgment of physical and occupational therapists. Receiver operator characteristic (ROC) curves were constructed to determine a cut-off score and the predictive ability of this score in determining length of stay and utilization of services was evaluated among 200 patients. The final scale contains two components. The PT component addresses ambulation, falls, breathing, and activities of daily living (ADL). The OT component addresses swallowing, ADL and instrumental activities of daily living (IADL). The area under the ROC curves of the PT and OT components were 0.71 and 0.72, respectively. Both components predicted length of stay and utilization (p < 0.05). In summary, this scale provides a mechanism for targeting patients for early PT and OT assessment and provides a basis for testing the effectiveness of early PT and OT interventions.

Original languageEnglish (US)
Pages (from-to)1099-1108
Number of pages10
JournalQuality of Life Research
Volume13
Issue number6
DOIs
StatePublished - Aug 1 2004

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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