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Results for “DISABILITY EVALUATION”

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PubMed2004

Reliability of the Pediatric Evaluation of Disability Inventory (PEDI).

Pediatric Evaluation of Disability Inventory (PEDI) is an instrument for evaluating function in children with disabilities aged 6 months to 7.5 years. The PEDI measures both functional performance and capability in three domains: (1) self-care, (2) mobility, and (3) social function. The PEDI has recently been translated into Norwegian. The purpose of this study was to investigate the inter-rater, inter-respondent and intra-rater reliability of the Norwegian version of the PEDI. Reliability was investigated in a sample of 30 Norwegian children without disabilities between 1.0 and 5.0 years. Interviews with parents were conducted twice by the same occupational therapist, and once by a physiotherapist. Kindergarten teachers were also interviewed by the occupational therapist. Using children without disabilities allows us to set up a standard for functional ability. Deviation from the point may indicate improvement or worsening of the state. The inter-rater and intra-rater part of the study showed excellent agreement of the observations, indicated both by small differences and high Intraclass Correlation Coefficients (ICC) (0.95-0.99). The discrepancy between the different interviews was highest between the reports from the parents and the kindergarten teachers (inter-respondent reliability), indicated by ICC from 0.64-0.74. Results of this study indicate that improved reliability is secured when the same interviewer interviews the same respondent, as well as when two trained interviewers interview the same respondent. The consistency of scores should be reviewed when different respondents are interviewed. Professionals administering the PEDI needs to be trained following a required procedure in order to secure consistency in their rating.

Activities of Daily Living↗
PubMed2004

The contribution of social disability to the evaluation of mental disability among PTSD veterans.

BACKGROUND: Israeli veterans who claim for recognition of their mental disability and compensation undergo multi-professional assessments including a detailed psychosocial evaluation. OBJECTIVES: To conduct a systematic evaluation of the social disabilities of veterans with PTSD; to examine the relationships between the various aspects of their social disability and their PTSD symptom severity, on the one hand, and the ratings they receive from psychiatrists determining their overall disability, on the other hand. METHOD: The study was conducted on 120 veterans with PTSD, all filing for compensation. Data was collected by means of semi-structured interviews that were carried out by social workers in ajoint meeting with the veterans and their spouses and that covered marital, parental and social functioning; from the self-report PTSD questionnaire that the veterans filled out; and from the final disability ratings in the veterans' files. RESULTS: Findings showed a disturbing picture of impaired marital, parental and social functioning of veterans with PTSD. In addition, they indicate that both PTSD severity and the psychiatrists' disability ratings were correlated with only a quarter or so of the veterans' specific social disabilities in the areas studied. DISCUSSION: Several explanations for the pattern of correlations between these two assessments are offered. In addition, we highlight the importance of a sensitive and detailed evaluation of social disability as well as recommending the development of practical guidelines for the determination of disability.

Adaptation, Psychological↗
PubMedDate not supplied

Evaluation of disability in Parkinson's disease. Clinical evaluation and instrumental tests.

To investigate the relationship between instrumental and clinical tests and their validity for the evaluation of disability in Parkinson's disease, we studied 33 patients using three neuropsychological tests for speed and motor evaluation, as well as Yahr's Clinical and the Northwestern University Disability Scales for clinical purposes. Multiple regression analysis revealed that clinical measures explain 30% of disability variance and instrumental tests 34%, although without statistical significance. However, used simultaneously they may account for 98% (p less than 0.02). These results suggest that clinical and instrumental measures are complementary and should be used together in the evaluation of Parkinson's disease.

Adult↗