title: Client-Oriented Role Evaluation (CORE): the development of a clinical rehabilitation instrument to assess role change associated with disability.
abstract: This paper describes the development of an instrument, the Client-Oriented Role Evaluation (CORE), to help meet the needs of rehabilitation clients and clinicians in their joint efforts to define realistic and meaningful therapeutic goals. The CORE is based on a model that captures the relationship among identity, roles, constituent occupations, and personal and environmental determinants. The model encourages a comprehensive approach to examining role change and role loss that occurs with disability. The instrument consists of a series of steps in which role changes are identified, role values are assigned, and satisfaction with role performance is rated at different points in time across the rehabilitation process. A description of the CORE development is presented along with preliminary data from clients involved in a chronic pain rehabilitation program.
authors.affiliation: Canadian Association of Occupational Therapists, CTTC Building, Suite 3400, 1125 Colonel by Drive, Ottawa, Ontario K1S 5R1, Canada. dtoalsullivan@caot.ca
authors.forename: Darene
authors.initials: D
authors.lastname: Toal-Sullivan
authors.forename: Peter R
authors.initials: PR
authors.lastname: Henderson
mesh_terms: D000328:Adult; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D009790:Occupations; D017060:Patient Satisfaction; D012380:Role