Update: 專題可能的題目

這學期專題報告課程要求 : 強調「研究問題的形成及此研究問題的重要性，並提出初步之研究計畫（tentative proposal）」。

1. 常用之 ADL 評估量表簡介
2. ADL評量概念的探討並與ICF理念的結合
3. Barthel Index 日常生活評估工具的心理計量特性之文獻回顧

To be continued

99年度上學期功課表

	一	二	三	四	五
1.  8:10- 9:00
2.  9:10-10:00				系務	心理及教育統計學
3.   10:20-11:10				系務	心理及教育統計學
4.  11:20-12:10				系務	心理及教育統計學
@ 12:20-13:10		心理及教育統計學 Lab	英文寫作基礎
5.   13:20-14:10			英文寫作基礎
6.  14:20-15:10			英文寫作基礎
7.  15:30-16:20	流行病學方法論
8.  16:30-17:20	流行病學方法論
9.  17:30-18:20	進階OT專題討論	心理計量特性之概念與驗證		(進階科學論文評析與寫作)
A.  18:30-19:20	進階OT專題討論	心理計量特性之概念與驗證		(進階科學論文評析與寫作)

隨想

開學到現在已經邁入第三週了，每一科的小考，報告也接踵而來，自己現在也開始感受到學業的壓力了。記得剛開始選課時一直很擔心自己選了太少課，所以來回請教了佳苓與官琳。她們倆給我的建議是要選你有用的，而不是要選多。一次選太多課，到時準備功課時間及壓力會負擔不小。現在終於感受到了她們所說的建議，可見前輩的話是非常中肯的。

昨晚所學的時間管理，看來得好好來應用了。只是1週有幾次得往返公衛及校總區，雖然變換一下環境對學習效果有些提升，但花費在交通的時間卻覺淂有點浪費了。得想想要如何利用這段公車時間。

時間管理

一直覺得自己的時間管理有待加強及改善，所以在台大促進學習組網站上看到有開時間管理的 workshop 就馬上報名了。這堂課傳達了一個概念就是要將時間留給重要的事，不管這件事緊不緊急。這好像和我自己原本的觀念有些不同，對我來說決定事件的優先順序當然第一是給緊急及重要；第二是雖然不重要但很緊急；第三才是重要但不緊急。其實我覺得時間的優先順序是要看狀況或目的來訂，面臨不同的事情，會有不同的反應。而且更需要有彈性，這樣對於突如其來的變動，才不會有計劃永遠趕不上變化的感覺。

27092010討論紀錄

一、專題可能的題目 :
這學期專題報告課程要求 : 強調「研究問題的形成及此研究問題的重要性，並提出初步之研究計畫（tentative proposal）」。
1. 訂出來的主題要更明確一點 (例如是: ADL psychometrics or administration time or easy and convenient to administer)
2. 至少想出5個主題 (有廣度及階層性)

To be continued

待澄清的問題

1. 目前普遍臨床所使用並廣泛被接受的 BI，這麼短的評估工具- 10個 items (符合了施測簡便特性)，雖然沒有評估到 IADL 方面，但卻能測量到 3 個 ADL aspects ，那是否還有需要開發例如CAT ADL 的評估工具呢?

2. 對 CAT 概念了解，但如何做還真的是很模糊。好奇如果用CAT要如何驗證 例如test-retest reliability? validity? or outcome measure 最重要的反應性?

09242010 - 總結出來最相關的5篇 study

Title	Authors	Measure	Psychometrics	Aspects	Subjects
The development of an ICF-oriented, adaptive physician assessment instrument of mobility, self-care, and domestic life	Farin, E. et al. (2009)	A physician version of the Moses questionnaire (Moses-Physician)	The Rasch model, unidimensionality, reliability, responsiveness and differential item functioning (DIF).	ICF	Musculoskeletal diseases, patients with cardiac diseases, and neurology rehabilitation patients
Psychometric properties of an International Classification of Functioning, Disability and Health (ICF)-oriented, adaptive questionnaire for the assessment of mobility, self-care and domestic life	Farin, E. et al. (2007)	A patient version of the Moses questionnaire	Item response theory (IRT); adaptive testing	ICF	Musculoskeletal diseases, patients with cardiac diseases, and neurology rehabilitation patients
Activity Measure for Post Acute Care (AM-PAC) – Instruction Manual	Jette, A. et al. (2007)	AM-PAC Computerized Adaptive Testing (AM-PAC CAT™) Personal Computer Version		ICF - activity	Post acute care
Computerized Adaptive Testing for Follow-up after Discharge from Inpatient Rehabilitation: II. Participation Outcomes	Haley, S. M et al. (2007)	CAT version of the Participation Measure for Post-acute Care (PM-PAC-CAT) and a 53-item fixed-length survey (PM-PAC-53)	ICC; sensitivity; standardized response mean (SRM)	ICF- participation	Post acute care
Short-Form Activity Measure for Post-Acute Care	Haley, S. M. et al. (2004)	The Activity Measure for Post-Acute Care (AM-PAC).	IRT	ICF- activity	Post acute care

這五篇應該是最符合要找的主題 - ADL 相關 (使用 ICF 當其 study's framework) /評估工具/驗證，但還不是最最符合的，現就這5篇study及所找的結果討論如下:

一、 結果討論
1. 目前2000- currently : 沒有找到完全符合所要搜尋的criteria，大部分 ADL 只是佔所發展的評估工具的一部份，例如 self-care domain
思考原因: (1) 沒有找到符合 - 是不是搜尋策略有問題- -> 有將搜尋策略請教佳苓，所以錯誤率應該只有 10 %
(2) 是真的沒有完全針對ADL/IADL新開發的評估工具- (就我的印象，目前臨床常用的 ADL 評估工具好像都是1970-80左右所開發); 好事是我有工作了；擔心的事 : 是不是不太有人 care ADL /IADL

二、5 篇 studies 的討論 :
1. 這5篇其實只有兩組作者；[聽菀薈說過其中一個作者- Wendy Coster (大師級人物一個)]; 所以猜想評估工具加上 ICF 的觀念可能還有involve 的空間
2. 都是以 ICF 當其研究的 framework 並結合了 IRT/Rasch 的概念。
3. Farin 等的 study 只使用了 ICF --> activities and participation --> 3 chapters (mobility/self care/ domestic life)；而且是直接將 items 參照 3- digit ICF categories
4. Haely 等的 study 使用了 CAT，並附上了 instrunction manual
5. Haely 等的 study - personal care & instrumental 只是 domains 的其中1個 ，而且此 measure 並沒有限定為使用在何種疾病族群
6. Haely 等的量表是針對 postacut care clinical settings

總結上面六點:
目前想到暫定的研究主題/題目 (到目前只想到1個-我會再努力)
The development of an-ICF oriented stroke specific activities of daily living scale

09232010 - 有關ADL/IADL評估工具發展與驗證文獻整理進度

Title	Authors	Measure	Psychometrics	Aspects	Subjects
The IADL profile: development, content validity, intra- and interrater agreement	Bottari, C. L. et al. (2010)	The IADL Profile	Reliability- the intra- and interrater agreement	Performance (ecological assessment of executive functions)	Traumatic brain injury
Development of an activity of daily living scale for patients with COPD: the Activity of Daily Living Dyspnoea scale	Yoza, Y. et al. (2009)	The Activity of Daily Living Dyspnoea scale (ADL-D scale)	Validity and internal consistency		COPD
Developing linear ADL ability measures based on the ADL Taxonomy: a Rasch analysis	Waehrens, E. et al. (2009)	A revised version of the ADL Taxonomy - the possibility of developing linear measures of ADL ability	The Rasch rating scale model		Rheumatic disease or acquired brain injury (ABI).
The development of an ICF-oriented, adaptive physician assessment instrument of mobility, self-care, and domestic life	Farin, E. et al. (2009)	A physician version of the Moses questionnaire (Moses-Physician)	The Rasch model, unidimensionality, reliability, responsiveness and differential item functioning (DIF).	ICF	Musculoskeletal diseases, patients with cardiac diseases, and neurology rehabilitation patients
The Asthma Self-Care Scale: preliminary development and psychometric testing	Chen, Y.M. et al. (2009)	The Asthma Self-Care Scale (ASCS)	Corrected item-total correlations; construct validity; internal consistency reliability; stability		Asthma
Development of an instrument to test the middle-range theory for the self-care of home-dwelling elderly	Rasanen, P (2007)	The self-care of homed welling elderly (SCHDE)	Internal consistency; content validity		Elders
Development of a Chinese version of the Modified Barthel Index-- validity and reliability	Leung, S. et al. (2007)	The Chinese version of the Modified Barthel Index (MBI-C)	Structural validity; inter-rater reliability and internal consistency		Stroke
The development of a short questionnaire for screening of activity limitation and safety awareness (SALSA) in clients affected by leprosy or diabetes	Salsa Collaborative Study Group	Screening of activity limitation and safety awareness (SALSA) scale	Correlations; reliability	ICF	Leprosy - a chronic infectious disease
Psychometric properties of an International Classification of Functioning, Disability and Health (ICF)-oriented, adaptive questionnaire for the assessment of mobility, self-care and domestic life	Farin, E. et al.	A patient version of the Moses questionnaire	Item response theory (IRT); adaptive testing	ICF	Musculoskeletal diseases, patients with cardiac diseases, and neurology rehabilitation patients
Development of an ADL instrument targeting elderly persons with age-related macular degeneration	Dahlin-Ivanoff, S. et al. (2001)	The ADL instrument	Test-retest reliability; responsiveness		Aged-related macular degeneration
The Manchester Respiratory Activities of Daily Living questionnaire: development, reliability, validity, and responsiveness to pulmonary rehabilitation	Yohannes, A. M. et al. (2000)	The Manchester Respiratory Activities of Daily Living Quest	Sensitivity; specificity; internal consistency		COPD

Further clarification and explanation will be provided tomorrow.