Clinical utility of the Chedoke Arm and Hand Activity Inventory for stroke rehabilitation.
BACKGROUND
The Chedoke Arm and Hand Activity Inventory (CAHAI) is an outcome measure that assesses upper limb ability after stroke.


OBJECTIVE
To explore the clinical utility of the CAHAI when used by occupational therapists in stroke rehabilitation.


METHODS
A qualitative study consisting of two focus groups was conducted with occupational therapists (Group A: n = 8; Group B: n = 5). Data were analysed inductively to identify themes.


RESULTS
A range of perspectives on the clinical utility of the CAHAI were described. Themes that emerged were "instructions ambiguous and scoring unclear," "how we use it," "whole task versus motor components," "knowing when to use it," "detecting other impairments," and "changing the way clients do tasks."


CONCLUSIONS
The clinical application of the CAHAI may be influenced by occupational therapy values, differences in training procedures, and organisational barriers. Training and strategies to address these issues may be beneficial.
Gustafsson
Louise A
LA
Division of Occupational Therapy, The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, Queensland, Australia 4072. l.gustafsson@uq.edu.au
Turpin
Merrill J
MJ
Dorman
Caitlin M
CM
D000328:Adult; D001291:Attitude of Health Personnel; D004185:Disability Evaluation; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D034941:Upper Extremity / Q000502:physiology*