Document Detail

HIV and disability: a pilot study exploring the use of the Assessment of Motor and Process Skills to measure daily life performance.
MedLine Citation:
PMID:  23336724     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Limitations in performing activities of daily living (ADL) are important indicators of health and overall wellness, yet relatively few studies specifically identify the ADL abilities of people living with HIV/AIDS (PHAs). Given the wide range of abilities and ages of PHAs, there is an urgent need to utilize an assessment of ADL ability that can validly evaluate those who are very able, as well as those who are very disabled, without the presence of ceiling or floor effects, to provide sensitive measures to detect change.
PURPOSE: The purpose of this study was to gather preliminary evidence of the validity of using the Assessment of Motor and Process Skills (AMPS) with PHAs.
METHODS: By utilizing existing data records of PHAs from the international AMPS database, we explored (a) demographic factors; (b) person response validity by examining person and individual item goodness-of-fit to the AMPS measurement model; and (c) trends in ADL abilities of PHAs.
FINDINGS: There were 137 data records in the international AMPS database (0.08% of the database). Goodness-of-fit analyses revealed that >90% of the individuals in the sample fit AMPS measurement model and >99% of the individual item ratings fit the model. More than 80% of the data record had ADL motor abilities that were significantly lower than age expectations, and 67% had ADL process ability measures that were significantly lower than age expectations.
CONCLUSIONS: The findings indicate that the AMPS is a valid measure of ADL ability for PHAs. Coupled with the lower than expected number of AMPS data records for PHAs and the significant ADL ability challenges that were encountered by this sample, this pilot study may indicate that PHAs encounter barriers to accessing rehabilitation services and/or may not receive referrals until significant ADL challenges are encountered.
Brenda Merritt; Jacqueline Gahagan; Anders Kottorp
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2013-01-21
Journal Detail:
Title:  Journal of the International AIDS Society     Volume:  16     ISSN:  1758-2652     ISO Abbreviation:  J Int AIDS Soc     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-07-03     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  101478566     Medline TA:  J Int AIDS Soc     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  17339     Citation Subset:  IM; X    
School of Occupational Therapy, Dalhousie University, Halifax, Canada.
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MeSH Terms
Child, Preschool
Disability Evaluation*
Disabled Persons*
HIV Infections / complications*
Middle Aged
Pilot Projects
Psychomotor Disorders / diagnosis*,  pathology
Retrospective Studies
Young Adult

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