The Reliability of the Progression of Autonomies Scale Applied on Acquired Brain Injured Patients

This study is aimed at testing the reliability of the PAS, by means of evaluation of the inter-rater and intra-rater agreement analysis performed in a different cohort of ABI patients with respect to our previous study (8). As above reported (see Table 1), high level of reliability of the PAS was revealed, with data ranging from substantial to almost perfect agreement for the inter-rater agreement and almost perfect agreement for the intra-rater agreement. This evidence confirms (8) that this tool is useful to assess the levels of autonomy in personal ADL, domestic activities and in the external environment. As the purpose is to measure the autonomy level in patients with residual disability (motor, cognitive), the PAS takes into account the contextual (environmental and personal) factors as defined by the ICF figuring out how to modulate the domestic environment in order to better regulate the activities and participation restrictions. Despite the PAS is able to better characterize the autonomy levels in different kind of patients, to date its application was limited to ABI patients. Future directions should be the application to different healthcare settings and additional investigations about the relationship between score profiles, as defined by the questionnaire submitted to patients with respect to caregivers. Author Contributions FA conceived and designed the study. FA, MC, and FR collected, analyzed, and interpreted the data. FA drafted the manuscript. AC and PT re...
Source: Frontiers in Neurology - Category: Neurology Source Type: research