REHABILITATION ACTIVITIES PROFILE - THE ICIDH AS A FRAMEWORK FOR A PROBLEM-ORIENTED ASSESSMENT METHOD IN REHABILITATION-MEDICINE

The Rehabilitation Activities Profile (RAP) is an ICIDH-based assessme nt method that covers the domains of communication, mobility, personal care, occupation, and relationships. Disabilities and handicaps in th ese domains are assessed on four-point Likert scales for severity. Pro blems perceived by the patient associated with these disabilities or h andicaps are also assessed on four-point Likert scales for severity. H igh scores on perceived problems represent a patient's priorities. Inf ormation is gathered through a semi-structured interview with the pati ent; proxies and observations can be used as additional sources of inf ormation. Assessment can be performed at two levels. The first level i s a global one, serving as a screening device. If disabilities or hand icaps are identified, the second level provides for an in-depth assess ment of those specific disabilities and handicaps as well as the relat ed perceived problems. The method is designed to assist screening, goa l-setting, and outcome evaluation of individual patients.