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The Performance Assessment of Self-Care Skills (PASS) is a test designed to evaluate a client's ability to perform daily living tasks, taking 1.5 to 3 hours to administer. It is suitable for adults of all abilities and can be conducted in both home and clinic settings, with clear scoring and administration guidelines. While the assessment has strengths such as well-defined procedures and low costs for kit creation, it is still in the Beta version and may require a lengthy administration time.

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3 views2 pages

pass

The Performance Assessment of Self-Care Skills (PASS) is a test designed to evaluate a client's ability to perform daily living tasks, taking 1.5 to 3 hours to administer. It is suitable for adults of all abilities and can be conducted in both home and clinic settings, with clear scoring and administration guidelines. While the assessment has strengths such as well-defined procedures and low costs for kit creation, it is still in the Beta version and may require a lengthy administration time.

Uploaded by

v2rpytkw8b
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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*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 Self-Care Skills (PASS)

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 26-task related assessment focuses on ADL, IADL, and functional
mobility skills that a client may have. This assessment may be utilized at baseline and discharge to determine amount of
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:
__ 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,
PASS-Clinic and PASS-Home, that provide materials appropriate for the settings, but have identical tasks. A categorical list
of assistance provided by the assessment makes it easier to understand how to rate the amount of assistance required to
complete the task. Also the chart for scoring is clear and easy to follow.

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 0-3. Scoring must not be completed while the
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 pre-defined ordinal scale are provided for each of the summary scores
(independence, safety, and outcome), and a corresponding number is written in the box.

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

Standardization: __ Norms X Criterion Referenced __ Other __________________

Reliability: X Test-retest X Inter-rater


Test-retest: PASS-Clinic Independence, r = 0.92, Safety, r = 0.89, and Adequacy, r = 0.82
PASS-Home Independence, r = 0.96, Safety, r = 0.90, and Adequacy, r = 0.97
Inter-rater: PASS-Clinic Independence, 92%, Safety, 93%, and Adequacy, 90%
PASS-Home Independence, 96%, Safety, 97%, and Adequacy, 88%

Validity: X Content X Construct

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

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