ADL Profile

 

ADL Profile Evaluation Summary

  What does the tool measure? The ADL Profile measures independence in everyday activities in consideration of executive function deficits related to goal setting, planning and execution.
  What types of clients can the tool be used for? Clients with traumatic brain injury and stroke.
  Is this a screening or assessment tool? Assessment tool
Time to administer Time to administer the ADL Profile will depend on the client’s stage of recovery and the number of tasks the clinician needs to administer. In acute care, it may take between 30 and 60 minutes as the clinician may decide to only administer self care tasks and one or two tasks from the community or home domains. When administered in preparation for discharge from a rehabilitation hospital or to community based participants to whom all tasks may be pertinent to administer, up to 7 hours may be required.
  Versions ADL Profile
Other Languages French
Measurement Properties
  Reliability

Internal consistency:
No studies have examined the internal consistency of the ADL Profile when used with an adult stroke population.

Inter-rater:
One study reported adequate inter-rater reliability for 3 tasks: preparing a hot meal; eating; obtaining information.

Intra-rater reliability:
No studies have examined the intra-rater reliability of the ADL Profile when used with an adult stroke population.

Test-retest:
No studies have examined the test-retest reliability of the ADL Profile when used with an adult stroke population.

  Validity

Content
The ADL Profile was established through literature reviews & consultation with expert researchers and clinicians.

Construct
Convergent Validity:
One study reported significant correlations between 5 ADL Profile tasks related to personal care and corresponding tasks of the FIM [Standing up, Toilet, Bathtub, Walking, Stair climbing].

Criterion
No studies have reported on the criterion validity of the ADL Profile when used with an adult stroke population.

  Floor/Ceiling Effects No studies have examined ceiling effects of the ADL Profile when used with an adult stroke population.
  Sensitivity / Specificity No studies have examined the sensitivity/specificity of the ADL Profile when used with an adult stroke population.
  Does the tool detect change in patients? No studies have reported on responsiveness of the ADL Profile when used with an adult stroke population.
  Acceptability The administration time is acceptable when only components of the tool are administered, but administration in full may take up to seven hours over several sessions. However, the wealth of information obtained from observing the person complete various activities in her home and community environment cannot be underestimated in terms of its contribution to treatment planning.
Feasibility The ADL Profile can be administered by an occupational therapist. It requires completion of a three-day training course.
How to obtain the tool? Available at the Canadian Association of Occupational Therapists: www.caot.ca or Les Éditions Émersion http://www.leseditionsemersion.com/articles.php?lng=fr&pg=6.

* Initially developed for a traumatic-brain injured population, the psychometric properties of the tool with this population are described in the administration guide of the too