Validation of the Clinical Assessment of Modes-Therapist Version (CAM-T) in Acute Rehabilitation Settings

Am J Occup Ther. 2020 Jul/Aug;74(4):7404345030p1-7404345030p8. doi: 10.5014/ajot.2020.038448.

Abstract

Importance: Assessments that evaluate health care providers' communication in acute rehabilitation settings remain scarce; this article contributes to the knowledge base.

Objective: To assess the reliability and validity of the Clinical Assessment of Modes-Therapist version (CAM-T) from the provider's perspective.

Design: Cross-sectional, psychometric study.

Setting: Acute care and acute inpatient rehabilitation.

Participants: Ninety-six clients and 32 providers (occupational therapy, physical therapy, and nursing).

Measures: The CAM-T was psychometrically evaluated using classical test theory and Rasch analytic approaches.

Results: The findings offer strong evidence for the CAM-T's reliability and validity for evaluating overall communication and adequate evidence for evaluating individual communication modes.

Conclusion and relevance: The CAM-T may be used by providers as a self-assessment of communication in occupational therapy and in associated rehabilitation professions.

What this article adds: This article offers evidence in support of the CAM-T's reliability and validity for evaluating health care providers' communication with clients in acute rehabilitation settings. The CAM-T may be used to evaluate providers' overall communication and individual mode use as described in the Intentional Relationship Model.

MeSH terms

  • Cross-Sectional Studies
  • Humans
  • Occupational Therapy*
  • Psychometrics
  • Reproducibility of Results
  • Self-Assessment