Development and Initial Testing of the Electronic Activity Card Sort (ACS3) Among Community-Dwelling Adults

Am J Occup Ther. 2022 May 1;76(3):7603345030. doi: 10.5014/ajot.2022.047522.

Abstract

Importance: The Activity Card Sort is a valid, widely used measure of participation. There is a need for remotely delivered measures of participation to support the growing use of telehealth.

Objective: To develop and test the concurrent validity and acceptability of the electronic Activity Card Sort (ACS3).

Design: Cross-sectional.

Setting: Research laboratory.

Participants: Community-dwelling adults.

Outcomes and measures: The Activity Card Sort (ACS) and the ACS3 were administered in randomized order. Relationships between performance on the overlapping items of the ACS and ACS3 were evaluated using Spearman's ρ correlations. Additionally, acceptability of the ACS3 was evaluated using a survey with a 5-point Likert scale.

Results: High correlations were found between each of the four domains (rs ≥ .836) and total current activities score (rs = .863) between the ACS and ACS3. Ratings on the survey indicate high levels of acceptability and usability for the ACS3.

Conclusions and relevance: Findings suggest that performance on the ACS3 is consistent with performance on the ACS. This finding coupled with a high level of acceptability indicates that the ACS3 may be a clinically useful tool for evaluating daily life participation. What This Article Adds: The ACS3 provides an electronic, paperless option for measuring multiple domains of participation in adults.

MeSH terms

  • Activities of Daily Living*
  • Adult
  • Cross-Sectional Studies
  • Electronics
  • Humans
  • Independent Living*
  • Psychometrics