The objectives of this study were to describe the psychometric properties of the Functional Assessment Inventory in a sample of vocational service clients who had sustained strokes. Using rating scale analysis, we found that a 4-point rating scale was not useful in distinguishing performance on four items; rescoring these items enhanced the reliability of the measure. Four strata of clients could be distinguished: high, above average, below average, and low. The Inventory shows evidence of concurrent validity because it distinguishes stroke subtypes. It also has predictive validity—it distinguishes clients with different vocational outcomes. With only minor modifications, the instrument is useful in describing the vocational potential of clients following stroke. erebrovascular accidents (strokes) affect substant tial numbers of adults. In the United States, half a million new cases and 150,000 deaths from strokes each year bring substantial suffering, reduced quality of life, and monetary losses; 60% of the survivors experience some degree of long-term disability (Glanz et al., 1995).
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