Term
| The Role Change Assessment |
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Definition
client-centered, semi-structured interview tool developed by Jackoway Rogers and Snow in 1987.
Examines past and current role participation, changes in role participation and the relative value or importance of various social roles to a patient. |
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RCA was devised to provide insight into the number of roles occupaied by patients the way in which roles are enacted, the changes that occur in roles following injury or illness and with age and teh relative value that patients place on the various roles they enact.
This test provides critical info. about patients' perceptions of their social participation for planning interventions. |
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socially defined units of behavior enacted by individuals
Have a societal component that defines role expectations as well as personal component.
The number of roles individuals engage in and the intensity of engagement are markers of social participation. |
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| role change in later life |
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this change is more frequently of loss and decreased intensity than of replacement, gain, or increased involvement.
Over time role shifts can be quite difficult |
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| The specific occupations under each occupational area are aggregated and integrated into roles. |
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consists of 43 roles classified under 6 role categories
each role is named and descriptively defined.
1. relationship
2. self-care/home maintainer
3. productive roles
4.leisure roles
5. organizational roles
6. health and wellness
compares current with past role participation |
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member checking-interviewer obtains respondent verification that the data collected and the interpretation of data are accurate
test-retest reliability |
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| common to all role changes |
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| disrupts the present dynamic of roles and adaptive processes are needed to restore equilibrium |
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| has the potential for exerting wide-ranging effects on well-being and life satisfaction |
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| ot encompasses role function in seven occupational areas |
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adl
iadl
education
work
play
leisure
social participation |
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| the practitioner with critical information about patients' perceptions of their roles |
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patients rate or describe their role participation in several ways
1. using a 5-point ordinal scale, patients rate the frequency of their role participation. Present or current participation in a role item is rated as: 0=no contact/not appropriate, 1=at least 1 month, 2=at least 1/every 2 weeks, 3=at least 1/week, and 4=daily.
2. The frequency of past participation in a role item is rated on the same ordinal scale as present participation.
3. present participation is compared to past participation and rated as being stable or as having chnaged.
4. perceived role changes are recorded as having positive (+), Neutral(0), or negative value (-)
5. respondents also rank three role items in each category that 1. provide a focal point for time management (most time consuming). 2. are most valued. Taken together, these two rankings indicate the extent to which patients are investing their time in the roles that they most value. These data suggest roles and activities to be targeted for intervention
6. interviewer takes notes throughout the interview to record the respondent's perceptions. |
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| overall profile of role particpation at the end of RCA. This summarized role gains, losses, increases and decreases in each of the six role categories, the three roles that consume most of the respondent's time and the three roles that are most valued by the respondent. The summary facilitates an overall judgment of role participation in terms of stability, change, and value. |
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is different for every person. Some may be comparing roles to before/after and accident. Some may be comparing roles to before and after the death of a spouse, etc.
It is established at the beginning of the interview. |
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role categories are to be examined in the order presented.Relationship roles first and health and wellness last
1. examine first role listed in each category
2. examine present status in the first role-then frequency of contact scale is presented on a 5x8inch index card to help rate their particiation
3. proceed to the second role listed in each category or to other roles within the same category as directed by responses
4. examine present status in each role, until all roles within category are covered
5. define the past as it is to be interpreted during the interview
6. using the same order of roles followed for inquiry about present status, respondent and interviewer collaboratively relate present status to past status in a role; for identified role changes, ascertain respondent's perceptions of change as positive, neutral or negative.
7.before concluding a category, examine the relative value of roles n terms of time spent and meaning or importance
8. proceed to the next role category, until all role categories are covered
9. complete the summary table and verify impressions with the respondent. |
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| 1 hour-9 minutes for each of six role categories allowing 6 minutes for patients to summarize their perceptions. |
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