Validation of the Mandarin version of the activity measure for post-acute care (AM-PAC) “6-clicks” among patients in acute rehabilitation

Importance: A standardized functional measure that can be used across rehabilitation care settings in Taiwan is urgently needed. Objective: To generate a Mandarin version of the Activity Measure for Post-Acute Care (AM-PAC) “6-Clicks” for patients in acute care. Design: Mixed-methods study with a cross-sectional design. Setting: Acute care wards of three teaching hospitals in Taiwan. Participants: A sample of 231 neurological patients in acute care (62.3% female; mean age = 63.2 yr, standard deviation = 14.6). Outcomes and Measures: The 6-Clicks consist of three subscales: Basic Mobility, Daily Activity, and Applied Cognition. They were translated into Mandarin, and their internal consistency, test-retest reliability, interrater reliability, and convergent validity were tested. Results: All subscales of the Mandarin version of the 6-Clicks showed good internal consistency (a =.97-.98). Test-retest and interrater reliabilities were excellent for all subscales (intraclass correlation coefficients >.8). Convergent validity was supported by strong correlations of the Basic Mobility and Daily Activity subscales with the Barthel Index (r =.73 and.72, respectively) and between the Applied Cognition subscale and the Montreal Cognitive Assessment (r =.82). Conclusion: Our results provide psychometric evidence supporting the use of the Mandarin version of the 6-Clicks in acute care settings in Taiwan.