Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, July 11, 2020

Face and content validity and clinical utility of the Structured Observational Test of Function (SOTOF) from the perspective of patients with a neurological diagnosis and a stroke rehabilitation multi-disciplinary team

No clue.

Face and content validity and clinical utility of the Structured Observational Test of Function (SOTOF) from the perspective of patients with a neurological diagnosis and a stroke rehabilitation multi-disciplinary team

Text (MSc by Research Thesis)
MARRISON EDEN THESIS.pdf - Published Version
Restricted to Repository staff only until 31 December 2021.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Introduction
The Structured Observational Test of Function (SOTOF) is a standardised, valid and reliable test for older people with neurological conditions (Laver and Powell 1995), assessing occupational performance in four activties of daily living and associated neuropsychological deficits. The 2nd edition enhanced the dynamic element and introduced a scored graduated mediation protocol (Laver-Fawcett and Marrison 2016). This study aimed to explore the face validity, and aspects of content validity and clinical utility of the 2nd edition.
Method
Two sample groups were recruited: in-patient participants (≥ 60 years) with neurological diagnoses; and members of a stroke rehabilitation multi-disciplinary team (MDT). Patient participants undertook a semi-structured interview after completing SOTOF. MDT participants either participated in a semi-structured focus group or an online survey. Interviews and the focus group were audio-recorded, transcribed verbatim and analysed through thematic analysis. Survey data was analysed using descriptive statistics and thematic analysis.
Results
Patients (N = 10) agreed with more positive than negative rated statements related to their feelings about SOTOF. The majority recognised the purpose of the test. Themes were the: impact of the assessor on test experience; importance of the appropriateness of assessment level of difficulty; value for patients learning about their abilities / disabilities; and the realisation that patients may not absorb as much information as thought. MDT participants (N = 19) took part in the focus group (n = 11) or survey (n = 8). Themes were the: reliance on verbal handover; usefulness of scores to communicate results; lack of MDT’s awareness of SOTOF; and the usefulness of SOTOF to inform practice.
Conclusion
This study has contributed to the evidence base for the 2nd edition of SOTOF, establishing good face validity from patients’ perspectives and potential for clinical utility with the MDT. Content validity could not be established from the MDT perspective.
Item Type: Thesis (Masters)
Status: Published
Subjects: R Medicine > RM Therapeutics. Pharmacology > RM695 Physical therapy. Occupational therapy
School/Department: School of Health Sciences
URI:http://ray.yorksj.ac.uk/id/eprint/4623

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