Table 1 Instruments used for data collection, purpose, measurement aspect, cut-of score/clinically significant value and sequence of assessment
From: ASSIST: a reablement program for older adults in Sweden – a feasibility study
Assessment sequence | Instrument | Purpose | Measure | Cut-of/clinical significance | Feasibility evaluation | Baseline | 1st follow-up | 2nd follow-up |
|---|---|---|---|---|---|---|---|---|
Baseline 1st follow-up 2nd follow-up | Canadian Occupational Performance Measure (COPM)[42] | Perceived performance and satisfaction with activities related to self-care, productivity, and leisure | Scale ranging from 1 to 10 in two aspects, i) current performance, 1 = not able to perform the activity at all to 10 = able to do it extremely well, and ii) satisfaction with doing, 1 = not satisfied to 10 = extremely satisfied | A 2-point change between measure points = clinically significant change | Feasibility of the outcome measure | X | x | x |
Baseline 2nd follow-up | Barthel Index [48] | The psychical function of personal activities in daily life and instrumental activities in daily life | 0 = dependent, 5 = need of assistance and 10 = independent. Total sum ranging from 0–100 | Feasibility of the outcome measure | X | X | ||
Baseline 2nd follow up | KATZ – ADL [49] | The psychical function of personal activities in daily life and instrumental activities in daily life | 0 = dependent or 1 = independent. Total sum ranging from 0–10 | Feasibility of the outcome measure | X | X | ||
Baseline 2nd follow-up | Frenchay Activity Index (FAI) [50] | Frequency of conducting a variety of social and domestic activities during the last 3 or 6 months | Scale ranging from 0 to 3 for each question. The total sum ranges from 0 = inactive to 45 = very active | Feasibility of the outcome measure | X | X | ||
Baseline 2nd follow-up | Self-efficacy Scale (SES) [51] | Confidence in the ability to conduct activities | Each activity is rated: 1 = not confident to 10 = very confident Total sum ranging from 18–180 | A score of > 5 is considered to represent confidence in the ability to perform activities in daily life | Feasibility of the outcome measure | X | X | |
Baseline 2nd follow-up | Re-integration to normal living index (RLNI) [52] | Mobility, self-care, daily activity, recreational activity, and family roles | Each question is rated: 1 = does not describe my situation to 4 = describes my situation very well Total sum ranging from 11–44 | Feasibility of the outcome measure | X | X | ||
Baseline 2nd follow-up | Hospital Anxiety and Depression Scale (HADS) [53] | Perceived anxiety and depression | Two subscales: anxiety and depression. Responses are graded 0 to 3. Subscale scores range from 0–21 | 0–7 = no anxiety and depression, 8–10 = mild, or 10–21 = moderate to severe anxiety and depression | Feasibility of the outcome measure | X | X | |
Baseline 2nd follow-up | Life Satisfaction Scale 11 (LiSat-11) | Perceived satisfaction with life | Scale 1–6: 1 = not satisfied to 6 = very satisfied | Feasibility of the outcome measure | X | X | ||
Baseline 2nd follow-up | EQ-5D-3L [55] | General life quality. Perceived state of health in five aspects: mobility, hygiene, main activities, pain, and anxiety | Index scale from 0 to 1. 0 = death and 1 = full health | A change of more than 0.1 = clinically significant change | Feasibility of the outcome measure | X | X | |
Baseline 2nd follow-up | EQ-Visual Analogue Scale (EQ-VAS) [55] | Perceived state of health | Scale 0–100: 0 = worst possible health, 100 = best possible health | A change with more than 10 = clinically significant change | Feasibility of the outcome measure | X | X | |
Baseline 2nd follow-up | Perception of one´s existence/coherence in life | Each question is rated on a 7-point Likert scale. The total sum ranges from 13 to 91. A higher score = a greater sense of coherence | A mean of 61 is considered normal in Sweden | Feasibility of the outcome measure | X | X | ||
1st follow-up 2nd follow-up | WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) [59] | Identifies difficulties in daily life due to the state of health during the past 30 days | 12 questions with responses on a 5-point scale ranging from 1 = no problem to 5 = extreme problem/cannot perform. Total sum ranging from 12–64 | Feasibility of the outcome measure | X | X | ||
1st follow-up 2nd follow-up | The Darthmouth Functional Health Assessment Chart/WONKA (COOP/WONKA chart) [60] | Perceived functional capacity during the last two weeks | 5 questions responded on a 5-point scale ranging from 1 = no limitation/much better at all to 5 = severely limited/much worse. Total sum ranging from 5–25 | Feasibility of the outcome measure | X | X | ||
Before/during/ after the project. | Semi-structured interviews | Before projects start | After 6 months | After project ended | ||||
- SDHCS | To explore the staffs' perception and experiences of the project. | Evaluate the project process and the fidelity, adherence, and acceptability of the intervention | ||||||
- SCHCS Manager | To explore the managers' perception and experiences of the project. | After project ended | ||||||
Throughout the project | Logbooks by | |||||||
- Researchers/Occupational Therapist | Reflections and tracking of the project process | During the whole project | ||||||