Functional Assessment in Rehabilitation

Wallace, Charles J.

doi:10.1093/schbul/12.4.604

Cited by 161 publications

(80 citation statements)

References 70 publications

(85 reference statements)

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“…No Brasil, os tensionamentos quanto a essa perspectiva levaram à validação de uma escala que fosse capaz de identificar as habilidades de vida independente dos usuários de serviços de saúde mental. Trata-se do instrumento Independent Living Skills Survey (ILSS), elaborado por Wallace 9 . Embora seja considerado um instrumento potente de avaliação, sua aplicação ainda é escassa, havendo poucos registros na literatura quanto à sua utilização.…”

Section: ▄ Introduçãounclassified

Estudo de avaliação das habilidades de vida independente entre usuários da rede de atenção psicossocial do Rio Grande do Sul

et al. 2016

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Resumo Introdução Este estudo objetivou descrever as habilidades de vida independente de uma amostra de usuários da rede de atenção psicossocial do Rio Grande do Sul, identificando as áreas com menores e maiores desempenhos. Métodos A amostra foi de 390 usuários. A fim de determinar o grau de habilidades da vida cotidiana de pacientes psiquiátricos, foi utilizada a escala Independent Living Skills Survey (ILSS), que avalia o desempenho dos sujeitos em nove áreas de atividade da vida cotidiana. As análises foram conduzidas no pacote estatístico Stata 11, e utilizou-se a estatística descritiva para apresentação dos resultados. Resultados O escore global encontrado para habilidades de vida independente foi de 2,44, com desvio-padrão (DP) de 0,90. Os itens de maior escore foram aqueles relacionados à alimentação, cuidados pessoais e transporte. Os itens com menores escores foram emprego, lazer e administração de dinheiro. Conclusão As habilidades de vida independente entre os indivíduos incluídos neste estudo foram maiores do que em outras pesquisas realizadas anteriormente acerca do tema.

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Estudo de avaliação das habilidades de vida independente entre usuários da rede de atenção psicossocial do Rio Grande do Sul

et al. 2016

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“…The Independent Living Skills Survey (ILSS), 20 adapted to the Portuguese language and validated by Lima et al 10 (2003) (ILSS-BR), was applied to assess the frequency patients carried out daily activities necessary to their independent functioning in the community in the previous month. Based on a Likert scale of five points (0=never, 1=sometimes, 2=often, 3=usually, 4=always), lower scores means more severe impairment of autonomy.…”

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confidence: 99%

Autonomy of long-stay psychiatric inpatients

et al. 2006

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Autonomia de pacientes em internação prolongada em hospital psiquiátrico ABSTRACT OBJECTIVE:To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS:A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS:Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS:In-patients studied showed serious impairment of autonomy. While planning these patients' discharge their deficits should be taken into consideration. Assessment of patients' ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion. KEYWORDS

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“…Au fil des années, plusieurs instruments de mesure du fonctionnement psychosocial et des habiletés fonctionnelles ont été dévelop-pés. Les qualités psychométriques de ces instruments de même que leurs faiblesses ont fait l'objet de plusieurs articles effectuant une recension des instruments disponibles (Wallace, 1986;Weissman, 1975;Weissman et Bothwell, 1976;Weissman et al, 1981). Parmi ces outils, !…”

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Évaluation des habiletés de vie autonome chez les personnes psychotiques

Cyr¹,

Toupin²,

Lesage³

2007

smq

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Ce texte détaille les caractéristiques métrologiques de l'Échelle des habiletés de Vie Autonome (EHVA) mesurant les habiletés requises chez des personnes psychotiques, pour fonctionner de façon autonome au sein de la communauté. Ce questionnaire, qui comprend 65 items répartis en dix échelles d'habiletés, a été administré à 276 personnes psychotiques. Les résultats indiquent que, dans l'ensemble, la fidélité de cet instrument est bonne, mesurée par l'accord interjuges et les coefficients alpha. Trois des 10 échelles, soit les échelles Déplacement, Recherche d'emploi et Maintien de l'emploi, n'ont pu être conservées dans la version finale. Les quatre aspects de la validité examinés dans cette étude se révèlent très satisfaisants; il s'agit du degré de convergence entre l'évaluation faite par les participants eux-mêmes et par un membre du personnel soignant, des analyses discriminantes, des corrélations convergentes-divergentes avec d'autres instruments de mesure du fonctionnement psychosocial et de l'analyse factorielle exploratoire. Après ces analyses, la version finale de l'EHVA comprend 48 items répartis sous sept échelles. La discussion fait ressortir les qualités psychométriques d'un tel instrument en langue française et suggère des pistes de recherche pour poursuivre le développement de l'EHVA.This article studies in detail the metrological characteristics of the "Autonomous Life Skills Test" ("Echelle des Habiletés de Vie Autonome" or "EHVA") which measures the skills required of psychotic patients to function on their own in the community. The questionnaire, distributed to 276 psychotic patients, made use of 10 parameters of skills broken down into 65 items. Results show that, overall, this instrument is quite reliable, as measured by the inter-rater reliability and alpha coefficients. Three of the ten parameters, namely Mobility, Employment Search and Employment Holding, were not retained in the final version. The four validity aspects were found to be very satisfactory, namely the degree of convergence between the participant's self-evaluation and the evaluation provided by healthcare personnel, (discriminating analysis), convergent-divergent correlations with other instruments measuring psychosocial functioning and the exploratory factorial analysis. Following these analysis, the final version of the "EHVA" includes 48 items covering seven parameters. A discussion of results underscores the psychometric qualities of such a French-language instrument and suggests avenues to pursue the development of the "EHVA"

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Functional Assessment in Rehabilitation

Cited by 161 publications

References 70 publications

Estudo de avaliação das habilidades de vida independente entre usuários da rede de atenção psicossocial do Rio Grande do Sul

Estudo de avaliação das habilidades de vida independente entre usuários da rede de atenção psicossocial do Rio Grande do Sul

Autonomy of long-stay psychiatric inpatients

Évaluation des habiletés de vie autonome chez les personnes psychotiques

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