title: Measurement properties of the occupational therapy discharge needs screen.
abstract: BACKGROUND
  Pre-discharge home assessments are integral to discharge planning; however, there is no screening tool identifying clients with complex needs.
  
  
  OBJECTIVE
  To determine the inter- and intrarater reliability and predictive and concurrent validity of the Occupational Therapy Discharge Needs Screen (OTDNS), a screening tool that identifies clients with more complex discharge needs.
  
  
  METHODS
  The OTDNS Functional Independence Measure (FIM) and Functional Autonomy Measurement System (SMAF) were administered to 89 participants.
  
  
  RESULTS
  Intrarater reliability was ICC = 0.93 (95% CI 0.90 - 0.96) (n = 89). Interrater reliability was ICC = 0.53 (95% CI 0.27- 0.70) (n = 89) with the initial OTDNS instructions, and ICC = 0.91 (95% CI 0.62 - 0.96) (n = 10) with revised OTDNS instructions. The OTDNS had an inverse relationship with the FIM (r = -0.51; p < 0.001) and a positive relationship with the SMAF (r = 0.64; p < 0.001). A score of > 7/28 had a sensitivity = 75% and specificity = 40% when predicting occupational therapy home assessment post-discharge.
  
  
  CONCLUSIONS
  The OTDNS has potential to contribute to continuity and efficiency of the discharge-planning process.
authors.affiliation: GF Strong Rehabilitation Centre, Vancouver Coastal Health, 4255 Laurel St., Vancouver BC, V5Z 2G9. Linda.Boronowski@vch.ca
authors.forename: Linda E
authors.initials: LE
authors.lastname: Boronowski
authors.forename: Cara M
authors.initials: CM
authors.lastname: Shorter
authors.forename: William C
authors.initials: WC
authors.lastname: Miller
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care; D004777:Environment; D005260:Female; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D015588:Observer Variation; D009788:Occupational Therapy / Q000379:methods*; D010351:Patient Discharge; D015203:Reproducibility of Results; D012944:Social Support