Reduced version of the Activity Measure for Post-Acute Care (AM-PAC) for inpatients, “6-clicks”: Brazilian-Portuguese cross-cultural adaptation and measurement properties

Borges, Pollyana Ruggio Tristão; Sampaio, Rosana Ferreira; Kirkwood, Renata Noce; Souza, Mariana Angélica Peixoto de; Mancini, Marisa Cotta; Furtado, Sheyla Rossana Cavalcanti

doi:10.1016/j.bjpt.2019.02.008

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…9 10 The tools have also been successfully translated into other languages. [16][17][18] OBJECTIVE AND AIMS As part of a quality improvement initiative to standardise functional assessment and enhance discharge planning, an integrated healthcare system implemented the AM-PAC 6-Clicks daily activity and basic mobility (V.2) short forms for hospitalised patients receiving inpatient rehabilitation within five healthcare system hospitals. Occupational therapists collect daily activity data, while physical therapists collect basic mobility data to inform discharge planning and discharge recommendations.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Predictive utility of the Activity Measure for Post-Acute Care ‘6-Clicks’ short forms on discharge disposition and effect on readmissions: a retrospective observational cohort study

et al. 2021

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ObjectivesTo evaluate the predictive utility of the Activity Measure for Post-Acute Care ‘6-Clicks’ daily activity and basic mobility functional assessment short forms on inpatient discharge to home compared with skilled nursing facilities, including by diagnostic group (trauma injury, major lower joint replacement/reattachment, spinal fusion excluding cervical), as well as assess the effect of the short forms on 30-day inpatient readmissions.DesignRetrospective, observational cohort study of electronic health record data.SettingFive hospitals in a multistate, integrated healthcare system serving a large, rural US population.ParticipantsThe population-based adult (age ≥18) sample of acute care hospitalised patients receiving rehabilitation services included 10 316 patients with 12 314 hospital admissions from the year prior to 6-Clicks implementation (1 June 2015–31 May 2016) (pre-6-Clicks cohort) and 10 931 patients with 13 241 admissions from the year after 6-Clicks implementation (1 January 2017–31 December 2017) (post-6-Clicks cohort). Patients were admitted for major lower joint replacement/reattachment, spinal fusion excluding cervical, trauma injury or another reason.InterventionOccupational and physical therapist use of 6-Clicks daily activity and basic mobility short forms in the post-6-Clicks cohort.Primary and secondary outcomesDischarge disposition (home, including to assisted living, or skilled nursing facility, including swing beds) and 30-day inpatient readmissions.ResultsAreas under the receiver operating characteristic curve were 0.82–0.92 (daily activity) and 0.87–0.94 (basic mobility) for discharge to home or skilled nursing facilities, with trauma and spinal fusion patients having the highest values. Daily activity and basic mobility standardised positive and negative predictive values were highest for the three diagnostic groups compared with the full study sample. Few significant differences in 30-day readmissions were seen between pre- and post-6-Clicks cohorts.Conclusions6-Clicks performed well when distinguishing between discharge home or skilled nursing facilities, especially by diagnostic group, supporting use by occupational and physical therapists in discharge planning. Future research could assess where additional intervention or training may reduce 30-day readmissions.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%