Yerxa E J, Locker S B
Department of Occupational Therapy, University of Southern California, Los Angeles.
Am J Occup Ther. 1990 Apr;44(4):318-26. doi: 10.5014/ajot.44.4.318.
The self-perceived quality of time use of 15 community-based adults with spinal cord injuries was compared with that of 12 age- and sex-matched nondisabled adults through the use of the Activity Configuration Log (modified from an unpublished clinical assessment developed by Claudia Allen). Differences in how subjects classified their daily occupations were found between and within groups, especially for the categories of Work, Self-Maintenance, and Other. The results suggest that the subjects' classifications of occupations and interpretations of their meanings are important sources of information for both the science of occupation and occupational therapy practice. The subjects with spinal cord injuries had a high rate of unemployment (67%) and much more daily free time than did their nondisabled counterparts. The affective quality of particular occupations was found to be related to the affective quality of the entire day. Occupational therapists agreed more with each other than with the subjects with disabilities when classifying occupations. Implications for practice and research are provided.
通过使用活动配置日志（改编自克劳迪娅·艾伦开发的一份未发表的临床评估），将15名社区成年脊髓损伤患者自我感知的时间利用质量与12名年龄和性别匹配的非残疾成年人进行了比较。在组间和组内发现了受试者对日常活动分类的差异，尤其是在工作、自我维持和其他类别方面。结果表明，受试者对活动的分类及其意义的解释是职业科学和职业治疗实践的重要信息来源。脊髓损伤患者的失业率很高（67%），且比非残疾同龄人有更多的日常空闲时间。发现特定活动的情感质量与一整天的情感质量相关。在对活动进行分类时，职业治疗师之间的意见比与残疾受试者之间的意见更为一致。文中还提供了对实践和研究的启示。
