Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and...
Transcript of Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and...
![Page 1: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/1.jpg)
The Roll Evaluation of Activities of Life(REAL)Kristen and William Roll, 2013
Melinda CooperOccupational Therapy ConsultantPearson Clinical Assessment
Image placeholder
1
I
![Page 2: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/2.jpg)
Introducing the REAL2
What is the REAL?• Assesses children’s ability to care for
themselves at home, school and in the community
• For ages 2:0 – 18:11• Parent/caregiver questionnaire• Yields scores for
• Personal ADL• Instrumental ADL
![Page 3: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/3.jpg)
What is the REAL?
• User guide• Rating form• Additional
questionnaires to identify caregiver concerns
• Additional functional mobility questionnaire
• Age-based parent handouts
Introducing the REAL3
![Page 4: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/4.jpg)
Introducing the REAL4
Administering the REAL•Administration time approximately 15-20 mins
•Parent/caregiver completes rating form
according to child’s level of ability
• Unable to perform – 0%
• Seldom performs – 25%
• Occasionally performs - 50%
• Frequently performs - 75%
![Page 5: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/5.jpg)
Introducing the REAL5
ADL Self-Care Domain• Dressing skills• Hygiene and Grooming skills• Feeding skills• Toileting skills• Functional mobility• Personal care devices e.g. use/care of
hearing aids, glasses (does not contribute to overall score)
![Page 6: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/6.jpg)
Introducing the REAL6
![Page 7: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/7.jpg)
Introducing the REAL7
IADL Home and Community Domain• Housework/chores e.g. cleans up, sets table,
loads dishwasher/washes dishes• Managing money and shopping e.g.
identifies value of coins, makes simple purchases
• Meal preparation e.g. makes a snack• Personal safety e.g. knows emergency
number, awareness of stranger/fire danger and responses
• Travelling e.g. travels to nearby familiar place• School-related skills e.g. brings needed
materials, completes homework on time, relays messages from parent/teacher
![Page 8: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/8.jpg)
Introducing the REAL8
![Page 9: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/9.jpg)
Introducing the REAL9
Interpreting the REAL
• Standard scores have a mean of 100 and standard deviation of 10 (no scaled scores)
• Compare PADL and IADL scores• User guide mentions combined composite score but this is not available in this edition of the test
![Page 10: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/10.jpg)
Introducing the REAL10
Clinical utility of the REAL
● Screening / monitoring
● Identify strengths and weaknesses in daily living skills
● Informs top down goal setting and intervention
● Evidence-based tool for demonstrating progress
● Useful for children with developmental delays● Useful for placement decisions e.g. supported living, respite care
![Page 11: Evaluation of The Roll Activities of Life (REAL) I€¦ · 7 Introducing the REAL IADL Home and Community Domain • Housework/chores e.g. cleans up, sets table, loads dishwasher/washes](https://reader034.fdocuments.us/reader034/viewer/2022052009/601e880ee73e4e31db1fbba5/html5/thumbnails/11.jpg)
There’s so much more to learn
Find out more about us at www.pearsonclinical.com.au