title: The Self-Assessment of Role-Performance and Activities of Daily Living Abilities (SARA™): Development and Clinical Utility of a Client-Centered Screening Tool and Outcome Measure.
abstract: This article describes the development and use of the Self-Assessment of Role-performance and activities of daily living Abilities (SARA™), a standardized client-centered index of functional abilities. Developed in four phases, this article describes the initial development, pilot testing and revision, examination of psychometric properties, and finalization. Pilot studies found the SARA™ to be reliable, valid, and responsive to change. The use of the SARA™ in clinical practice and for outcome monitoring promotes client-centered goal setting and client-valued rehabilitation. It is a viable alternative to deficit-focused measures. The SARA™ is a promising new tool that warrants increased utilization and further research.
authors.affiliation: a 1 Physical Therapy, Regional Therapy Center of Saratoga Hospital , Saratoga Springs, NY, USA.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Watkins
authors.affiliation: b 2 Occupational Therapy, Regional Therapy Center of Saratoga Hospital , Saratoga Springs, NY, USA.
authors.forename: Peggy A
authors.initials: PA
authors.lastname: Lounsbury
authors.affiliation: c 3 Occupational Therapy, University of Scranton , Scranton, PA, USA.
authors.forename: Rita P
authors.initials: RP
authors.lastname: Fleming-Castaldy
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D059026:Diagnostic Self Evaluation; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009788:Occupational Therapy; D010865:Pilot Projects; D011594:Psychometrics / Q000379:methods*; D015203:Reproducibility of Results; D057566:Self Report; D016896:Treatment Outcome; D055815:Young Adult
keywords: Documentation; Goals; Instrument development; Outcome assessment; Patient centered; Patient expectations