The Performance Assessment of Self-Care Skills (PASS), developed by Joan C. Rogers & Margo B. Holm and accessible through the authors, embodies a comprehensive tool for evaluating an individual's ability to perform daily living activities across various environments. Designed for a diverse adult population, including those with health conditions, the PASS assesses abilities in personal care, functional mobility, and instrumental activities of daily living (IADL) through a 26-task framework. Its utilization spans from initial assessment to discharge, offering insights into the needed level of assistance and pinpointing areas where functional breakdowns may occur. The assessment, which takes between 1.5 to 3 hours to administer and incurs nominal costs related to materials, is both practical and straightforward in its application. The two versions, PASS-Clinic and PASS-Home, cater to different settings for administration while maintaining task consistency. Directions for each task are clear, with detailed instructions for setup, execution, and scoring, which includes noting the assistive devices employed. With a clear scoring procedure that emphasizes independence, safety, and outcome adequacy, the PASS stands out for its rigor and depth. It requires examiners, preferably occupational therapists familiar with activity analysis and safety assessment, to be meticulous in observation during task execution, with scoring to follow promptly after. Moreover, the assessment's reliability and validity are backed by data, ensuring it is a credible tool for clinicians aiming to understand and enhance their clients' self-care skills. Despite being in a Beta version with limited research utilization in a clinical setting, its strengths, including the well-defined testing procedures and the flexibility of task selection, affirm its value in both home and clinic environments.
| Question | Answer |
|---|---|
| Form Name | Performance Assessment Self Care Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | performance assessment of self care skills pass pdf, pass assessment, skills on daycare, pperformance assessment of self care skills clinic pdf |
*This assessment review was compiled by our students and is intended to be used as a guide in assisting clinicians. We encourage you to review the evaluations and assessments for yourself to guarantee the most accurate and updated information.
I. General Information
Title of the test: Performance Assessment of
Author: Joan C. Rogers & Margo B. Holm
Publisher: Available through author.
Time required to administer: 1.5 to 3 hours
Cost of the Test: Nominal (copying costs and funds to purchase clinic or home kit items, which is put together by the therapist)
II. Description of Test
Type/Purpose of Test: This assessment provides information about a client’s skills in completing daily living tasks, which may be administered in a clinic or home setting. This
change and the amount of assistance that they may require. In addition, this assessment helps the administrator understand where the “breakdown” occurs in ability to complete daily living tasks.
Population: All abilities of adults (well population and those diagnosed with a condition)
Focus of measurement: |
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__ Organic systems X Abilities |
__ Participation/life habits __ Environmental Factors |
III. Practical Administration
Ease of Administration: Test is in a simple in format, which is easy to administer. However, the administrator must have a kit for home or clinic, depending upon setting, prepared with items listed in the manual. Two versions of the test exists,
Clarity of Directions: There are 3 ADL tasks (personal care), 5 functional mobility tasks, and 18 IADL tasks. Each of these tasks has specific directions for setup and instruction provided to the client. In addition, each task is broken down into subtasks, which are further broken down into processes or observed behaviors that are critical to the subtask (double underlined) and qualities of outcome that relate to safety or adequacy (single outline). There is a chart to be filled out that includes each subtask of the task and scoring area for each of the subtasks. There is also room provided to notate the assistive equipment that was used while the client performed the task. Each of the tasks has 2 pages, which include information on setup, instruction, and scoring of the tasks.
Scoring Procedures: All subsections of a task are marked each time a level of assistance is provided, unsafe behavior is observed, and prompts are provided improve the outcome. The outcome data is subdivided into quality and process, which indicates if the single and double underlined items, respectively, within the subtask were accomplished. Within the level of assistance only 4 cues of each level may be provided without having to move to a higher level. Also, if client accomplishes a subtask independently, then the assistance boxes for that subtask are left blank. After completion of the entire assessment, summary scores are rated on a predefined ordinal scale from
client is present, but done as soon as possible thereafter. These summary scores include :independence, safety, and adequacy of the outcomes. Summary scores are attained from the information gathered from the marks and/or notes given during each subtask. Qualifications for the
Examiner Qualification & Training: The exam is designed to be used by occupational therapists, which understand activity analysis and level of assistance. In addition, the person should be able to notice safety concerns.
IV. Technical Considerations |
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Standardization: __ Norms |
X Criterion Referenced |
__ Other __________________ |
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Reliability: X |
X |
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Independence, r = 0.92, Safety, r = 0.89, and Adequacy, r = 0.82 |
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Independence, r = 0.96, Safety, r = 0.90, and Adequacy, r = 0.97 |
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Independence, 92%, Safety, 93%, and Adequacy, 90% |
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Independence, 96%, Safety, 97%, and Adequacy, 88% |
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Validity: X Content X Construct |
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Manual: |
X Excellent |
____ Adequate |
____ Poor |
What is (are) the setting/s that you would anticipate using this assessment? Home of the client or clinic where the client comes for therapy
Summary of strengths and weaknesses:
Weakness:
Assessment is in the Beta version, with minimal use in research in clinic setting
Time required to administer the entire assessment may be too lengthy
Strength:
Testing procedures are well defined and easy to follow
List provided that specifically defines assistance level for coding
May be utilized in home or clinic environment
Specific tasks may be selected for administration
Kit creation is not too costly