ERIC ED428499: RESNA Resource Guide for Assistive Technology Outcomes: Assessment Instruments, Tools, & Checklists from the Field. Volume II.

385 Pages·1998·7.8 MB·English

by  ERIC

DOCUMENT RESUME
EC 307 104
ED 428 499
RESNA Resource Guide for Assistive Technology Outcomes:
TITLE
Field.
Assessment Instruments, Tools, & Checklists from the
Volume II.
Rehabilitation
RESNA: Association for the Advancement of
INSTITUTION
Technology, Arlington, VA.
National Inst. on Disability and Rehabilitation Research
SPONS AGENCY
(ED/OSERS), Washington, DC.
1998-00-00
PUB DATE
103 and
405p.; For related documents in series, see EC 307
NOTE
EC 307 105.
VA
RESNA, 1700 North Moore Street, Suite 1540, Arlington,
AVAILABLE FROM
22209; Tel: [phone].
Tests/Questionnaires (160)
Guides - Non-Classroom (055)
PUB TYPE
MF01/PC17 Plus Postage.
EDRS PRICE
Accountability; Adults; *Assistive Devices (for Disabled);
DESCRIPTORS
Check Lists; Children; Clinical Diagnosis; *Disabilities;
*Evaluation Criteria; *Evaluation Methods; Measurement
Techniques; Performance Factors; Program Evaluation; *Test
Reliability; *Test Validity; Testing
ABSTRACT
is
This resource guide, second in a series of three volumes,
tools, or checklists. These
a compilation of assessment instruments,
field of assistive
instruments were submitted by active professionals in the
in use today. Each
technology and demonstrate the range of instrumentation
that includes
item submitted is reviewed according to a standard format
setting of
format of instrument, domains, purpose, population,
of data, cost,
administration, materials and tools required, method, types
reported
sample questions, accommodations, interpretation of data,
accommodations,
reliability and validity, advantages, disadvantages, special
Following the
recommendations for future use, and contact information.
instrument in its
review, selected pages from the actual instrument or the
following areas:
(1)
entirety is provided. Instruments are divided into the
gathering);
(2)
general clinical (pre, post assessment and information
(3) clinical for
clinical for augmentative and alternative communication;
(4) special education, including Assessment for
wheeled seating and mobility;
Evaluation
Assistive Technology System Selection Guide, Assistive Technology
(5) computer access;
Questionnaires, and the Assistive Technology Screener;
(6) cognitive functioning; and (7) consumer satisfaction.
(CR)
********************************************************************************
Reproductions supplied by EDRS are the best that can be made
from the original document.
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44
VOLUME II:
RESNA RESOURCE GUIDE
FOR
ASSISTIVE TECHNOLOGY OUTCOMES:
ASSESSMENT INSTRUMENTS, TOOLS,
& CHECKLISTS FROM THE FIELD
RESNA
1700 North Moore Street, Suite 1540
Arlington, VA 22209
703 524 6686
U.S. DEPARTMENT OF EDUCATION
Office of Educational Research and Improvement
EDU ATIONAL RESOURCES INFORMATION
CENTER (ERIC)
Copyright 1998 RESNA
This document has been reproduced as
received from the person or organization
originating it.
0 Minor changes have been made to
improve reproduction quality.
MOLE
Points of view or opinions stated in this
document do not necessarily represent
BEST COPY
official OERI position or policy.
VOLUME II:
RESNA RESOURCE GUIDE
FOR
ASSISTIVE TECHNOLOGY OUTCOMES:
ASSESSMENT INSTRUMENTS, TOOLS,
& CHECKLISTS FROM THE FIELD
RESNA
1700 North Moore Street, Suite 1540
Arlington, VA 22209
703 524 6686
Copyright 1998 RESNA
3
VOLUME II:
RESNA RESOURCE GUIDE FOR
ASSISTWE TECHNOLOGY OUTCOMES:
ASSESSMENT INSTRUMENTS, TOOLS,
& CHECKLISTS FROM THE FIELD
ACKNOWLEDGEMENT
RESNA acknowledges the contributions of the many volunteer members of the workgroups that
participated in the development and review of materials for this document. They were tireless
in their efforts -- meeting on weekends, participating in teleconferences, email discussions, and
mail exchanges, and we thank them for their dedication: Marcia J. Scherer, Ph.D., Joy Hammel,
Ph.D., OTR, Roger 0. Smith, Ph.D., OT, FAOTA, Charlotte A. Bhasin, MOT, OTR/L, Gerry
Stemach, MS, CCC-SP, Marcy Roberts, K. O'Toole, Michelle S. K. Silverman, OTR, Pat
Ourand, M.S., CCC-SLP, Darrin Harrison, Julie Nesbit and LATAN, Cynthia Cress, Ph.D.,
Courtney Burke and the TRAID Project, Jamie Klund, MS, OTR, Jessica Pedersen, OTR, MBA,
ATP, Janice Hunt Herman, MS, PT, Steve Sprig le, Ph.D., Ma la Aaronson, OTR/L, ATS, Nigel
Shapcott, MS, ATP, Antje Hunt, MS, PT, ATP, Carol A. Sheredos, MA, P.T., Delia Freney, OT,
Mary Jo Wagner, OTR/L, Rebecca Taggart, MA, Kim Davis, MSPT, Carole Ramsey, OTR/L,
ATP, Larry Salyer, Burton Brennan, Adrienne Bergen, PT, ATP, ATS, CRTS, Elaine Woods,
Anita Perr, MA, OT, Laura Cohen, PT, Catherine George, Dave Edyburn, Ph.D., ATEN,
Michelle S. K. Silverman, OTR, David Grapka, ATP, Melanie Fried-Oken, Ph.D., CCC-Sp, Sue
Mistrett, MS, Jamie Judd-Wall, Ben Bergman, Rhoda Weiss-Lambrou, Ph.D., Laura Cushman,
Ph.D., Jan Galvin, Cynthia Flynn, Randy Lamkin, Roger McGrath, Terry Ward, Ph.D., ATP, Jim
Bohr, Tony Langton, MS, and Alexandra Enders, OTR.
Finally, RESNA wishes to acknowledge the National Institute on Disability and Rehabilitation
Research, NIDRR, for its support of this project and its recognition of the important role that
quality assurance measures play in assuring that individuals with disabilities receive quality
assistive technology services and products.
Lucy U. Vitaliti, Ph.D.
---
Project Director
RESNA
1700 North Moore Street, Suite 1540
Arlington, VA 22209
703 524 6686
Copyright 1998 RESNA
VOLUME II:
RESNA RESOURCE GUIDE FOR ASSISTIVE TECHNOLOGY OUTCOMES:
ASSESSMENT INSTRUMENTS, TOOLS, & CHECKLISTS FROM THE FIELD
Preface
This document is the second in the three volume set of the RESNA Guide for Assistive
Technology Outcomes. The volumes are as follows:
RESNA RESOURCE GUIDE FOR ASSISTIVE TECHNOLOGY
VOLUME I:
OUTCOMES: MEASUREMENT TOOLS
RESNA RESOURCE GUIDE FOR ASSISTIVE TECHNOLOGY
VOLUME II:
OUTCOMES: ASSESSMENT INSTRUMENTS, TOOLS, &
CHECKLISTS FROM THE FIELD
RESNA RESOURCE GUIDE FOR ASSISTIVE TECHNOLOGY
VOLUME III:
OUTCOMES: DEVELOPING DOMAINS OF NEED AND CRITERIA
OF SERVICES
While assistive technology devices show a clear and demonstrable impact on the lives
of the individuals who use them, quantifying this effect can seem daunting. For this reason,
we have assembled some examples of measures to help you as you begin the process of
selecting the measure(s) most appropriate for your purpose.
The instruments in this volume were collected from various professions, fields of
practice, and academic disciplines related to the provision of assistive technology devices and
services. A quick glance at the Table of Contents reveals that these instruments tend to be
very focused in a given practice area of assistive technology or are limited to a particular
functional domain. The examples included here (be they tools, checklists, guidelines, or
clinical assessments) are meant to illustrate only some of the measures being used, or
presently undergoing development/refmement, by persons working in the field of assistive
technology today. While we have endeavored to provide representative examples, we
certainly have not covered all available measures or even categories of measurement. The
inclusion of a measure in this volume cannot be interpreted as RESNA's endorsement of the
instrument, author, or originating institution; nor does the lack of inclusion mean that RESNA
does not recommend a particular measure.
Each instrument included in this volume was reviewed from one of two perspectives:
One, a comprehensive academic perspective or two, a clinical, applications approach. The
reader must keep in mind the context in which the review is provided. In all cases, authors or
submitters were invited to respond to the review, but a response was not required. Each
review is presented in a similar format (see "Format of Review" on the next page). However,
every item in the format may not be addressed in each review as information may not have
been provided or is not applicable for that instrument.
Following the review and response, the reader will find selected pages from the actual
instrument or the instrument in its entirety depending upon the length and type of reprint
permission obtained from the authors.
Volume II: RESNA Resource Guide for Assistive Technology Assessment Instruments
Page i
t)
FORMAT of REVIEW
Name of Instrument:
Author(s):
Reviewer:
Format of instrument: e.g., paper, pencil, checklist, computerized entry, open ended questions,
diagrams, pictures for measurement.
Domain(s):
Purpose:
Population:
Setting of Administration: e.g., Homebound, Center based, inpatient, outpatient, home,
separate room
Materials and Tools Required:
Method: A summary of administration, methods to collect information using instrument, how
used, how standardized, e.g., in practice over the years, etc.)
Types of Data: (objective or subjective for each below)
Reporting (Self reported, reported by others)
a.
b. Performance data of device (engineering
User performance- Function (W.H.O. disability categories) e.g., 1) Impairment (organ
c.
level) 2) Disability (person function) 3) Social Participation and ADL in community
environment)
d. Environmental Resources
Accommodations
Interpretation of Data (process):
Reported Reliability and Validity:
Cost:
Sample Questions:
Advantages:
Disadvantages or Limitations
Special Accommodations:
Recommendations for Future Use:
Contact Information for Source of Instrument, Author/Submitter, and Reviewer(s)
Response to Review (if provided).
Volume II: RESNA Resource Guide for Assistive Technology Assessment Instruments
Page ii
Table of Contents: Reviewed Instruments By Category and Page Number
General Clinical (Pre, Post Assessment & Information Gathering) (3)
Section A
MYT - Matching Person and Technology
1
Developed by M. Scherer, 1991
Reviewer: Joy Hammel
Respondent: Marcia Scherer
OT FACT
22
Developed by Roger Smith, Ph.D, OTR, FAOTA
Reviewer: Charlotte Bhasin
LIFESPACE
32
by Gerry Stemach et al
Reviewed by Michelle S.K. Silverman, OTR and Roger Smith, Ph.D, OTR, FAOTA
Clinical --- AAC (4)
Section B
MRCI RTS AAC Assessment Protocol
42
By Marcy Roberts and K. O'Toole 6/97
Reviewed by Pat Ourand
Assistive Technology Compliance Check Off for Prior Approval of AAC Devices
47
by Julie Nesbit, LATAN, Developed for Medicaid
Reviewed by Pat Ourand
AAC CHECKLIST
51
by Cynthia Cress
Reviewed by Pat Ourand
NY State Guidelines for Medicaid/Medicare Payors of AAC
55
NY State Department of Health, Bureau of Standards Development
Reviewed by Jamie Klund
Clinical -- Wheeled Seating and Mobility (9)
Section C
Assessment, Justification, and Equipment Recommendation Forms)
75
by Elaine Woods and Adrienne Bergen, UCPA of Middlesex County, Edison, NY
Reviewed by Jessica Pedersen
Therapeutic Seating and Mobility Evaluation Form
88
By Janice Hunt Herman
Reviewed by Steve Sprig le
Volume II: RESNA Resource Guide for Assistive Technology Assessment Instruments
Page iii
Physical Therapy.Dept. Patient Information Forms
108
Measurement Checklist for Ordering A Seating System
High Tech Power Wheelchair Checklist
Wheelchair Requisition Form
By Antje K. Hunt, Rancho Los Amigos Medical Center
Reviewed by Nigel Shapcott
Wheelchair Evaluation and Justification Form
124
by Ma la Aaronson
Reviewed by Carol Sheredos
Respondent: Ma la Aaronson
Seating and Mobility Evaluation Form (SMEF)
131
By Delia Freney
Reviewed by Janice H. Herman
Client Seating Assessment
142
by Mary Jo Wagner
Reviewed by Janice H. Herman
Respondent: Mary Jo Wagner
Wheelchair/Seating Assessment Worksheets
150
by Rebecca Taggart
Reviewed by Kim Davis
Respondent: Rebecca Taggart
Wheelchair Positioning Evaluation Form
158
Physical Skills Assessment Forms: Switch/Access, AAC, Computer Access Mobility Base
Evaluation Form
Power Mobility Evaluation Form
by Carole Ramsey, OT Dept.
Reviewed by Ma la Aaronson
Respondent: Carole Ramsey
Medicaid Guidelines for Seating/Positioning and Wheeled Mobility Equipment
170
March 27, 1996 edition
by NY State Department of Health, Bureau of Standards Development
Reviewed by Laura Cohen
Respondent: Anita Perr
b
Volume II: RESNA Resource Guide for Assistive Technology Assessment Instruments
Page iv
Special Education (4)
Section D
Assessment for Assistive Technology
197
System Selection Guide
System Trial
Switch Assessment Data Sheet
Sent in by Catherine George, Assistive Technology Education Network of Florida
Reviewed by Dave Edyburn, Ph.D. and Michelle S.K. Silverman, OTR
Technology Resources for Education Center for
Student Consultation Services (manual) (STC)
229
By David Grapka, TRE Center, Albany NY
Reviewed by Dave Edyburn, Ph.D. and Michelle S.K. Silverman, OTR
Assistive Technology Evaluation Questionnaires
250
By Dr. Melanie Fried-Oken
Reviewed by Sue Mistrett
Assistive Technology Screener
268
By Jamie Judd-Wall, Texas Technology Resource Center
Reviewed by Sue Mistrett
Computer Access (1)
Section E
MRCI RTS Computer Access Evaluation
278
Prepared by Darrin Harrison 6/96
Reviewed by Pat Ourand
Cognitive Functioning (1)
Section F
Essential STEPS
286
by Mastery Rehab Systems
Reviewers: Laura Cushman and Marcia Scherer
Consumer Satisfaction -- Client Follow Up (10)
Section G
QUEST
291
Developed by Rhoda Weiss Lambrou et al
Reviewed by Heidi Horstmann Koester
Assistive Technology Evaluation Team - One Month Follow Up Letter
300
Assistive Technology Follow-Up Survey
by Rebecca Taggart
Reviewed by Tony Langton
Volume II: RESNA Resource Guide for Assistive Technology Assessment Instruments
Page v
Consumer Satisfaction Questionnaire
305
By Jurgen Babirad
Rehabilitation Technology Associates
Reviewed by Steve Sprig le
Mobile Shop Service Evaluation- Counselor Feedback
310
Mobile Shop Service Evaluation- Client Feedback
Videotape Evaluation Form
314
Slides Evaluation Form
By Leonard Anderson, REC, Wichita, KS
Reviewed by Patti Bahr
Respondent: Leonard Anderson
How Did We Rate?
318
STAR Mobile Outreach Intake Form
320
ACCESS Data Base
322
By Patti Bahr, STAR Program
Reviewed by Jan Galvin
Guide to Assessing Rehabilitation Tech Program Quality
326
by CRTS- Tony Langton
Reviewed by Alexandra Enders
Consumer Follow Up
334
by Living and Learning Resource Centre, St. Johns, MI
Reviewed by Alexandra Enders
Measuring Quality and Performance in AT- Monitoring Program
341
By Jean Kohn, REC - Packard Children's Hospital @ Stanford
Reviewed by Tony Langton
Supplier Tools (2)
351
Monitoring Form of AT Orders
by La Plante Supply Co.
Consumer Satisfaction Survey
by Burton W. Brennan Inc.
Both Reviewed by Adrienne Bergen
INCLUDED FOR YOUR INFORMATION (not reviewed):
Equipment and Consumer Follow Up Forms
354
Adrienne Bergen
RETT Rehabilitation Technology Assessment
363
Florida Division of Vocational Rehabilitation
i '..
Volume II: RESNA Resource Guide for Assistive Technology Assessment Instruments
Page vi