OT Evaluation and Assessment:
❖ WHO Disability Assessment Schedule (WHODAS
2.0)
❖ Mini Mental Status Examination (MMSE)
❖ Pittsburgh Sleep Quality Index (PSQI)
❖ Beck’s Depression Inventory
❖ Allen’s Cognitive Level Screen
WHODAS
- Generic assessment instrument for health and
disability.
- Short simple and easy to administer (5-20mins)
- Applicable in both clinical and general population
settings
- Tool to produce standardized disability levels and
profiles
- Applicable across cultures, in all adult populations
- Directly linked at the level of the concepts to the
International Classification of Functioning,
Disability and Health
6 Domains of Functioning: (Candy Mommy Sugar Get
Lucky Please)
- Cognitive – understanding and communicating
- Memory – moving and getting alone
- Self-care – hygiene, dressing, eating and staying
alone
- Getting along – interacting with other people
- Life activities – domestic responsibilities, leisure
and work, school
- Participation – joining in community activities
Mini Mental Status Examination
- Offers a quick and simple way to quantify
cognitive function and screen for cognitive loss
- Tests the individual’s orientation, attention,
calculation, recall, language and motor skills
- Each section of test involves a related series of
questions and command
- To give the examination, seat the individual in a
quiet, well-lit room. Ask him/her listen carefully
and to answer each question as accurately as
he/she can.
Pittsburgh Sleep Quality Index
- Assesses sleep quality over a 1-month time
interval
- Measure consists of individual items, creating 7
components that produce one global score, and
takes 5-10 minutes to complete
- Intended to be standardized sleep questionnaire
for clinician and researches to use with ease and is
used for multiple populations.
Beck’s Depression Inventory
- Created by Aaron Beck
- 21-question multiple choice self report inventory
- One of the most widely used psychometric tests
for measuring severity of depression
- Depression described in psychodynamic term as
“inverted hostility against self”
- By contrast, the BDI was developed in a novel way
for its time; by collating px’s verbatim descriptions
of their symptoms and then using these to
structure a scale which could reflect the intensity
or severity of a given symptom.
Allen’s Cognitive Level Screen
- Evidence-based, standardized screening
assessment of functional cognition developed
within the framework of the cognitive disabilities
model.
- Provides quick estimate of an individual’s learning
and problem solving abilities during performance
of 3 visual motor tasks of increasing complexity.
THE LPM
- Tool for successful professional and personal
development
The Lifestyle Performance Model
- Developed by Fidler and Velde
- Used clinically and to measure outcomes by
Wittman and Velde
Basic Constructs:
• The LPM describes and examines the interacting,
multiple dimensions of doing and living from an
organized, holistic framework
• Based on a philosophy of social construction (a
person’s perceptions of his/her occupational
performance and satisfaction)
• Related to Object Relations and Wellness theories
• Performance and quality of life are essential
constructs
• Useful for Occupational Science and Occupational
Therapy
• A Top-Down Approach
• Meets the four criteria for successful practice
(client-centered, occupation-based, evidence-
incorporated, and outcomes-oriented)
Lifestyle
- A configuration of activity patterns
- Patterns of doing, of being engaged, emerge
through the interplay of a person’s intrinsic needs,
desires, and capacities and unique expectation of
the environmental contest of the person’s living
Quality of Life
- Integrally relate to LPM as a phenomenological
construct
- Can be evaluated within each domain and overall
The Assessment Process
• The Lifestyle Performance Inventory (LPI) is used
to gather data from the client or significant
other(s)
• A semi-structured interview (questions with
probes)
• Combined with other information (from chart,
other evaluations: ROM, Sensory Profile, Burns,
Depression Scale, etc.) to form a Lifestyle
• Performance Profile (LPP)
Importance of the Environment
• Physical – personal space, natural and man-made
• Societal – legal, political, economic
• Interpersonal – self and significant others,
objects, home
• Temporal – personal or inner time, mechanical
time, natural and social time
• Virtual – digitally created world (space and time)
Four Domains:

Intrinsic Gratification
- Personally referenced pleasure, engagement for
the joy of it, activity repertoire regarding fun,
personal interests

Reciprocal Interpersonal Relatedness

- Developing reciprocal relationships, sustaining
reciprocal relationships, mutually satisfying, all
aspects of living, friendships, intimacy, peer
affiliations, family

Societal Contribution
- Contributing to the fulfillment and welfare of
others, productive member of society, filling
societal roles, reciprocity is not expected

Self-care/Self Maintenance
- Expression of self, self-reliance, dressing,
grooming, maintenance of living spaces, eating,
cooking, etc. (ADLs and IADLs)