REAL DEAI Handouts

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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

melinda.cooper@pearson.com
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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