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Activity-based assessment (BIA) - inter-rater reliability and staff experiences

Kjellin, Lars; Cizinsky Sjödahl, Rosemarie and Eklund, Mona LU (2008) In Scandinavian Journal of Occupational Therapy 15(2). p.75-81
Abstract
The BIA method, based on assessment of patients in activities, was developed to enable reliable assessment of clients' occupational functioning. The method evaluates the patient's ego functions and capacity for activity and participation. The aims of this study were to examine inter-rater reliability for the BIA method and to compare the experiences of staff working with the BIA with those of staff using standard assessment (SA). In SA, the patient's activity problems and capacities were assessed without using any structured protocol. Four staff members worked according to the BIA method and eight according to SA. The estimation of reliability was based on data from 14 patients who went trough the BIA and were assessed by five staff... (More)
The BIA method, based on assessment of patients in activities, was developed to enable reliable assessment of clients' occupational functioning. The method evaluates the patient's ego functions and capacity for activity and participation. The aims of this study were to examine inter-rater reliability for the BIA method and to compare the experiences of staff working with the BIA with those of staff using standard assessment (SA). In SA, the patient's activity problems and capacities were assessed without using any structured protocol. Four staff members worked according to the BIA method and eight according to SA. The estimation of reliability was based on data from 14 patients who went trough the BIA and were assessed by five staff members. These assessments resulted in all in about 400 statements, which were classified and compared for agreement between raters. In order to address the aim concerning staff experiences, a questionnaire was filled out anonymously by the staff. The inter-rater reliability of the nine ego functions varied from 0.76 to 1.00. The scale was deemed appropriate by the BIA staff and they had significantly higher median ratings on work satisfaction and appropriateness than the SA staff. In conclusion, the inter-rater reliability of the BIA was found to be good. The BIA method also seems to have a high degree of appropriateness, constituting a promising assessment tool when occupational functioning is addressed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
psychiatric care, qualitative methods, occupational functioning, occupational therapy, Evaluation
in
Scandinavian Journal of Occupational Therapy
volume
15
issue
2
pages
75 - 81
publisher
Taylor & Francis
external identifiers
  • pmid:17852959
  • wos:000258363100003
  • scopus:46949094931
ISSN
1651-2014
DOI
10.1080/11038120701526518
language
English
LU publication?
yes
id
ec1177c6-9a84-4e7d-bd03-2f1559271c8a (old id 1139333)
date added to LUP
2008-08-20 12:59:38
date last changed
2017-01-01 05:20:31
@article{ec1177c6-9a84-4e7d-bd03-2f1559271c8a,
  abstract     = {The BIA method, based on assessment of patients in activities, was developed to enable reliable assessment of clients' occupational functioning. The method evaluates the patient's ego functions and capacity for activity and participation. The aims of this study were to examine inter-rater reliability for the BIA method and to compare the experiences of staff working with the BIA with those of staff using standard assessment (SA). In SA, the patient's activity problems and capacities were assessed without using any structured protocol. Four staff members worked according to the BIA method and eight according to SA. The estimation of reliability was based on data from 14 patients who went trough the BIA and were assessed by five staff members. These assessments resulted in all in about 400 statements, which were classified and compared for agreement between raters. In order to address the aim concerning staff experiences, a questionnaire was filled out anonymously by the staff. The inter-rater reliability of the nine ego functions varied from 0.76 to 1.00. The scale was deemed appropriate by the BIA staff and they had significantly higher median ratings on work satisfaction and appropriateness than the SA staff. In conclusion, the inter-rater reliability of the BIA was found to be good. The BIA method also seems to have a high degree of appropriateness, constituting a promising assessment tool when occupational functioning is addressed.},
  author       = {Kjellin, Lars and Cizinsky Sjödahl, Rosemarie and Eklund, Mona},
  issn         = {1651-2014},
  keyword      = {psychiatric care,qualitative methods,occupational functioning,occupational therapy,Evaluation},
  language     = {eng},
  number       = {2},
  pages        = {75--81},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Occupational Therapy},
  title        = {Activity-based assessment (BIA) - inter-rater reliability and staff experiences},
  url          = {http://dx.doi.org/10.1080/11038120701526518},
  volume       = {15},
  year         = {2008},
}