Activity-based assessment (BIA)-inter-rater reliability and staff experiences

Kjellin, LarsÖrebro universitet,Hälsoakademin,Psychiatric Research Centre and Department of Clinical Medicine, Örebro University, Sweden (författare)

The BIA method, based on assessment of patients in activities, was developed to enable reliable assessment of clients' occupational functioning. The method evaluates the patient's ego functions and capacity for activity and participation. The aims of this study were to examine inter-rater reliability for the BIA method and to compare the experiences of staff working with the BIA with those of staff using standard assessment (SA). In SA, the patient's activity problems and capacities were assessed without using any structured protocol. Four staff members worked according to the BIA method and eight according to SA. The estimation of reliability was based on data from 14 patients who went trough the BIA and were assessed by five staff members. These assessments resulted in all in about 400 statements, which were classified and compared for agreement between raters. In order to address the aim concerning staff experiences, a questionnaire was filled out anonymously by the staff. The inter-rater reliability of the nine ego functions varied from 0.76 to 1.00. The scale was deemed appropriate by the BIA staff and they had significantly higher median ratings on work satisfaction and appropriateness than the SA staff. In conclusion, the inter-rater reliability of the BIA was found to be good. The BIA method also seems to have a high degree of appropriateness, constituting a promising assessment tool when occupational functioning is addressed.

SAMHÄLLSVETENSKAP Annan samhällsvetenskap Tvärvetenskapliga studier inom samhällsvetenskap hsv//swe
SOCIAL SCIENCES Other Social Sciences Social Sciences Interdisciplinary hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsterapi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Therapy hsv//eng
INTERDISCIPLINARY RESEARCH AREAS
TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN
Caring sciences
Vårdvetenskap
Occupational therapy
Arbetsterapi
Vårdvetenskap med inriktning arbetsterapi
Nursing Science w. Occupational Therapy Focus
psychiatric care
qualitative methods
occupational functioning
occupational therapy
Evaluation

Cizinsky Sjödahl, RosmariePsychiatric Clinic, Köping, Sweden (författare)
Eklund, MonaMalmö högskola,Lund University,Lunds universitet,Hållbar vardag och hälsa i ett livsperspektiv,Forskargrupper vid Lunds universitet,Sustainable occupations and health in a life course perspective,Lund University Research Groups,Fakulteten för hälsa och samhälle (HS),Department of Clinical Neuroscience, Division of Occupational Therapy, Lund University, Sweden(Swepub:lu)arb-mek (författare)
Örebro universitetHälsoakademin (creator_code:org_t)

Ingår i:Scandinavian Journal of Occupational TherapyLondon : Taylor & Francis15:2, s. 75-811103-81281651-2014

Om ämnet

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Annan samhällsve ...; och Tvärvetenskaplig ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsterapi

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