Purpose The purpose of this study was to calibrate the items for the Communicative Participation Item Bank (CPIB; Baylor, Yorkston, Eadie, Miller, & Amtmann, 2009; Yorkston et al., 2008) using item response theory (IRT). One overriding objective was to examine whether the IRT item parameters would be consistent across different diagnostic groups, thereby allowing creation of a disorder-generic instrument. The intended outcomes were the final item bank and a short form ready for clinical and research applications. Method Self-report data were collected from 701 individuals representing 4 diagnoses: multiple sclerosis, Parkinson's disease, amyotrophic lateral sclerosis, and head and neck cancer. Participants completed the CPIB and additional self-report questionnaires. CPIB data were analyzed using the IRT graded response model. Results The initial set of 94 candidate CPIB items were reduced to an item bank of 46 items demonstrating unidimensionality, local independence, good item fit, and good measurement ...

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The Communicative Participation Item Bank (CPIB): Item Bank Calibration and Development of a Disorder-Generic Short Form

Activity models play a critical role for activity recognition and assistance in ambient assisted living. Existing approaches to activity modeling suffer from a number of problems, e.g., cold-start, model reusability, and incompleteness. In an effort to address these problems, we introduce an ontology-based hybrid approach to activity modeling that combines domain knowledge based model specification and data-driven model learning. Central to the approach is an iterative process that begins with “seed” activity models created by ontological engineering. The “seed” models are deployed, and subsequently evolved through incremental activity discovery and model update. While our previous work has detailed ontological activity modeling and activity recognition, this paper focuses on the systematic hybrid approach and associated methods and inference rules for learning new activities and user activity profiles. The approach has been implemented in a feature-rich assistive living system. Analysis of the experiments conducted has been undertaken in an effort to test and evaluate the activity learning algorithms and associated mechanisms.

An Ontology-Based Hybrid Approach to Activity Modeling for Smart Homes

Toward a National Initiative in Cancer Rehabilitation: Recommendations From a Subject Matter Expert Group

Background. Developmental coordination disorder (DCD) is a common, chronic health condition that is poorly recognized and understood in school settings. Without appropriate support, children with DCD are at increased risk of depression, decreased fitness, and obesity. Evidence shows that occupational therapy intervention needs to shift from remediation of impairment to chronic disease management.Purpose. This paper describes Partnering for Change (P4C), an innovative, empirically derived school health service delivery model for children with DCD.Key Issues. The model emphasizes the partnership of the occupational therapist with educators and parents to change the life and daily environment of a child. The P4C partnership focuses on capacity building through collaboration and coaching in context. The model uses a tiered approach which includes whole class instruction, dynamic performance analysis, and monitoring response to intervention.Implications. P4C is a model that responds to the needs of this popula...

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Partnering for change: an innovative school-based occupational therapy service delivery model for children with developmental coordination disorder.

Purpose of the study Social and scientific discourses on healthy ageing and on health equity are increasingly available, yet from a global perspective limited conceptual and analytical work connecting both has been published. This review was done to inform the WHO World Report on Ageing and Health and to inform and encourage further work addressing both healthy aging and equity. Design and methods We conducted an extensive literature review on the overlap between both topics, privileging publications from 2005 onward, from low-, middle-, and high-income countries. We also reviewed evidence generated around the WHO Commission on Social Determinants of Health, applicable to ageing and health across the life course. Results Based on data from 194 countries, we highlight differences in older adults' health and consider three issues: First, multilevel factors that contribute to differences in healthy ageing, across contexts; second, policies or potential entry points for action that could serve to reduce unfair differences (health inequities); and third, new research areas to address the cause of persistent inequities and gaps in evidence on what can be done to increase healthy ageing and health equity. Implications Each of these areas warrant in depth analysis and synthesis, whereas this article presents an overview for further consideration and action.

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劉燦宏

Papers

國際身心障礙功能與健康分類（International Classification of Functioning, Disability and Health, ICF）簡介