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REAL: Assessing Child Daily Living Skills

The document introduces the REAL (Rehabilitation Evaluation of Activities of Life), an assessment tool for evaluating children's ability to care for themselves independently at home, school, and in the community. It is a parent/caregiver questionnaire for children ages 2 to 18 years old that yields scores in personal activities of daily living (PADL) and instrumental activities of daily living (IADL). The REAL administration takes approximately 15-20 minutes to complete and involves rating the child's level of ability for various self-care tasks on a scale from unable to perform to frequently performs. Results are used to identify strengths and weaknesses, inform goal setting and interventions, and demonstrate progress.

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María Martinez
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240 views11 pages

REAL: Assessing Child Daily Living Skills

The document introduces the REAL (Rehabilitation Evaluation of Activities of Life), an assessment tool for evaluating children's ability to care for themselves independently at home, school, and in the community. It is a parent/caregiver questionnaire for children ages 2 to 18 years old that yields scores in personal activities of daily living (PADL) and instrumental activities of daily living (IADL). The REAL administration takes approximately 15-20 minutes to complete and involves rating the child's level of ability for various self-care tasks on a scale from unable to perform to frequently performs. Results are used to identify strengths and weaknesses, inform goal setting and interventions, and demonstrate progress.

Uploaded by

María Martinez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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I

The Roll
Evaluation of Image placeholder

Activities of Life
(REAL)
Kristen and William Roll, 2013

Melinda Cooper
Occupational Therapy Consultant
Pearson Clinical Assessment

[email protected]
1
What is the REAL?
• Assesses children’s ability to care for
themselves at home, school and in the
community
• For ages 2:0 – 18:11
• Parent/caregiver questionnaire
• Yields scores for
• Personal ADL
• Instrumental ADL

2 Introducing the REAL


What is the REAL?

• User guide
• Rating form
• Additional
questionnaires to
identify caregiver
concerns
• Additional functional
mobility questionnaire
• Age-based parent
handouts
3 Introducing the REAL
Administering the REAL
• Administration time approximately 15-20 mins
• Parent/caregiver completes rating form
according to child’s level of ability
• Unable to perform – 0%
• Seldom performs – 25%
• Occasionally performs - 50%
• Frequently performs - 75%

4 Introducing the REAL


ADL Self-Care Domain
• Dressing skills
• Hygiene and Grooming skills
• Feeding skills
• Toileting skills
• Functional mobility
• Personal care devices e.g. use/care of
hearing aids, glasses (does not contribute
to overall score)

5 Introducing the REAL


6 Introducing the REAL
IADL Home and Community Domain
• Housework/chores e.g. cleans up, sets table,
loads dishwasher/washes dishes
• Managing money and shopping e.g.
identifies value of coins, makes simple
purchases
• Meal preparation e.g. makes a snack
• Personal safety e.g. knows emergency
number, awareness of stranger/fire danger and
responses
• Travelling e.g. travels to nearby familiar place
• School-related skills e.g. brings needed
materials, completes homework on time, relays
messages from parent/teacher

7 Introducing the REAL


8 Introducing the REAL
Interpreting the REAL
• Standard scores have a mean of 100 and
standard deviation of 10 (no scaled scores)
• Compare PADL and IADL scores
• User guide mentions combined composite
score but this is not available in this edition of
the test

9 Introducing the REAL


Clinical utility of the REAL
● Screening / monitoring
● Identify strengths and weaknesses in daily
living skills
● Informs top down goal setting and
intervention
● Evidence-based tool for demonstrating
progress
● Useful for children with developmental delays
● Useful for placement decisions e.g. supported
living, respite care
10 Introducing the REAL
There’s so much
more to learn
Find out more about us at
www.pearsonclinical.com.au

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