當受試者經驗之心情紀錄

記得第一次當受試者是大一上心理課被課堂教授規定同學必須參與研究生的研究(其實就是當受試者，填問卷)，再來就是這次答應佳苓當她 pilot study的受試者。此處純粹紀錄自己的感覺，將不牽涉任何研究內容

12/8: 第一次造fMRI，我承認自己事前真的很緊張，讓我想到上上個月我父親在慈濟醫院也接受了此檢查，當我去看父親時，父親告訴我當時護士推他去做fMRI，但完全沒有說明程序或目的時自己躺在那，面對機器時內心是有點害怕的，當時聽了很心疼。現在自己也成為那位躺在機器下等待的人，也終於體會到父親當時的心情。這也讓我想到，生病的人，不管是誰都是最vulnerable，醫療人員如能多一點體諒，花一些些時間向病人解釋所做檢查內容 (尤其是一些高科技的檢查)，也許能減少一些不必要的恐懼。

雖然目前自己是使用紙本問卷方式收案，也會向個案說明相關之評估內容，但其實多少也感受到個案對於我們將如何使用她們的資料感到擔心，我想如何做到讓個案放心，也是很重要的功課，持續學習。

12/16 : 電刺激+手部局部麻醉: 這次右邊痛的感覺比上次明顯，電完後痛覺持續有40分鐘之久。聽說這是因為剛開始階受電刺激時前幾次會有的感覺，屬於正常現象
12/19: 今天左右兩邊都很痛，但左邊卻比右邊強烈。

進階論文寫作: 關於回覆評估地點內容之建議

1. 表格與內容同等重要，內容與表格之探討要一致

2. 表格之建議 :
2.1 歸類的問題 : 可分成2大類 (1) 只評估一個層面 (2) 評估包含2個或以上層面
2.2 記得加「行列名稱」
2.3 "not clearly stated"這欄應放至最後面
2.4 可考慮將層面名稱用簡寫，然後在欄位下再加註記
2.5 思考如何簡化欄位但又能清楚表達/呈現所找到的評估地點與各層面

3. 加為 limitation : 這些地點是從文獻總結而來，而不是寫信請問原研究者

困難

這1、2天為了寫多變量的作業，又熬夜了...
不是data 跑不出來，也不是不知語法如何寫，而是遇到和恩琦一樣的困擾，要如何解釋分析出來的結果.. 面對所有的資訊，如何去判斷哪些要留，哪些可以省略。
我想造成這樣的原因，一定是自己對於公式及原理還未融會貫通，以致於無法做正確判斷。有機會得再複習及請教別人。

Reviewer's comment 回覆: 評估地點

目前之進展:

We appreciate that the reviewer raised this issue and have tried to look into where the assessments took place in 36 replied trials. We found that 2 assessments were took place in nursing home and 3 assessments were in patients’ home. There were 4 trial authors reported that patients were assessed at hospital, patients’ home or/and community service centers. While 4 trial authors did not specify where the assessments took place, there were 23 assessments conducted in clinical settings. These 23 assessments were being used to assess one or more of the 4 constructs of ADL. However, it is not clear if all four constructs are appropriate to be used as outcome measures. Capability would be better to assess in an individual home environment. As each individual will be assessed in a different home context, with varying task demands and skills requirements, capability scores may not appropriate for between-person (group) comparisons which is the typical analysis used in an RCT. Ability represents a person’s performance of standardized ADL tasks in a clinical setting. While such information can be useful for identifying difficulties in performing ADL tasks and for ADL intervention planning, once an individual is discharged to the community, there are many factors that can influence ADL performance, such as motivation and living environment. Thus, ability that is assessed in clinical settings may not necessarily represent level of dependence (disability) in the community. In brief, neither capability nor ability fully reflects the level of disability or independence in patients with stroke

We have expanded our discussion to cover this topic and added a table to summarize our findings on page .

12/12-12/16 主要任務

任務	預定完成日
1. Reviewer comments 回覆 (1) 研究的地點與constructs之間關聯性 (2)Which are the constructs of different ADL measures included in this study	12/12-13
2. 寫多變量作業三 (due date: 12/14)	12/12-13
3. 進階心理計量論文寫作課程準備 (1) 欲討論之段落1-2段 (2) slides製作 (3) 心理計量名詞中英文解釋 (4) 討論意見之撰寫	12/13-15
4. 分析3-aspect BI’s data re:層面或變項之間的相關	12/13-14
5. 台大入出院評估	12/16