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Development of a Language-Independent Functional Evaluation

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dc.contributor.author Haig, A.J.
dc.contributor.author Jayarajan, S.
dc.contributor.author Maslowski, E.
dc.contributor.author Yamakawa, K.S.
dc.contributor.author Tinney, M.
dc.contributor.author Beier, K.P.
dc.contributor.author Juang, D.
dc.contributor.author Chan, L.
dc.contributor.author Boggess, T.
dc.contributor.author Loar, J.
dc.contributor.author Owusu-Ansah, B.
dc.contributor.author Kalpakjian, C.
dc.date.accessioned 2019-04-23T12:24:40Z
dc.date.available 2019-04-23T12:24:40Z
dc.date.issued 2009-12
dc.identifier.other Vol.90(12): pp 2074-80
dc.identifier.other DOI: 10.1016/j.apmr.2009.05.025
dc.identifier.uri http://ugspace.ug.edu.gh/handle/123456789/29481
dc.description.abstract Haig AJ, Jayarajan S, Maslowski E, Yamakawa KS, Tinney M, Beier KP, Juang D, Chan L, Boggess T, Loar J, Owusu-Ansah B, Kalpakjian C. Development of a language-independent functional evaluation. Objective: To design, validate, and critique a tool for self-report of physical functioning that is independent of language and literacy. Design: Software design and 2 prospective trials followed by redesign. Setting: United States and African university hospitals. Participants: Outpatient and inpatient competent adults with diverse physical impairments. Interventions: (1) Software design process leading to a Preliminary Language-Independent Functional Evaluation (Pre-L.I.F.E.); (2) patient surveys using a printed Pre-L.I.F.E. and a computer-animated Pre-L.I.F.E. tested in random order, followed by a questionnaire version of the standard Barthel Index; and (3) software redesign based on objective and qualitative experiences with Pre-L.I.F.E. Main Outcome Measures: Validation of the general concept that written and spoken language can be eliminated in assessment of function. Development of a refined Language-Independent Functional Evaluation (L.I.F.E.). Results: A viable Pre-L.I.F.E. software was built based on design parameters of the clinical team. Fifty Americans and 51 Africans demonstrated excellent (Cronbach α>0.8 Americans) and good (α>.425 Africans) reliability. In general, the relations between Pre-L.I.F.E. and Barthel scores were excellent in the United States (interclass correlation coefficient for stair climbing, .959) but somewhat less good in Africa, with elimination functions very poorly related. The computer-animated Pre-L.I.F.E. was faster and trended to be more reliable than the printed Pre-L.I.F.E. in both the United States and Africa. Redesign meetings corrected statistical and qualitative challenges, resulting in a new tool, the L.I.F.E. Conclusions: Literacy and language translation can be eliminated from some aspects of functional assessment. The new L.I.F.E., based on solid empirical evidence and design principles, may be a practical solution to assessment of function in the global culture. © 2009 American Congress of Rehabilitation Medicine. en_US
dc.language.iso en en_US
dc.publisher Archives of Physical Medicine and Rehabilitation en_US
dc.subject Africa en_US
dc.subject Disability evaluation en_US
dc.subject Educational status en_US
dc.subject Epidemiology en_US
dc.subject Language en_US
dc.subject Outcome assessment (health care) Rehabilitation en_US
dc.title Development of a Language-Independent Functional Evaluation en_US
dc.type Article en_US


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