Quality of Activities (A-QOA) is an observational tool to evaluate the quality of a person’s activities.
“Quality of activity” refers to the “strength of a person’s engagement in an activity” and is evaluated by observing the actions of the person, expression of emotions and communication with others, including social interaction during an activity.
Through the use of A-QOA, quality of therapy and care can be improved. Moreover, through this unique software, the scores of the quality of each person’s activity can be calculated.
What is A-QOA
What is A-QOA
A-QOA (Assessment of Quality of Activities) is an observational assessment tool to evaluate quality of activities (QOA) when a person is involved in ongoing activities in a natural context.
What is Quality of Activities (QOA)
QOA refers to “the strength of a person’s engagement in an activity”, and this is the concept applied to evaluate the impact of an activity on the person, through observation of verbal and emotional expression as well as social interaction.
Features of A-QOA
A-QOA is a client-centered assessment tool that evaluates the effectiveness and meaningfulness of activities and tasks from the person's perspective.
If the evaluator can observe the activity from beginning to end, he/she can make an assessment regardless of the duration of observation.
An observation consists of 21 items. Each item is assessed on a scale of 1 to 4 based on the frequency and intensity of each observed item.
A-QOA uses the Rasch model to validate the adequacy of the construct as an assessment of A-QOA. It demonstrates that the 21 items can be assessed as one scale.
Background to the development of the A-QOA tool
People with dementia or cognitive impairment may have difficulty in expressing their intentions and feelings, which makes it difficult to gauge whether or not an activity is meaningful and worthwhile for the person. This tool has been developed to address problems in evaluating the qualitative and quantitative effects of these activities.
Benefits of A-QOA
- A-QOA assists and facilitates the selection of activities that are meaningful to the person.
- By knowing these observational items which demonstrate effectiveness of activities and tasks, the evaluator can observe the person within the framework of A-QOA, which allows for a more analytical assessment.
- The AqoaPro, an analysis tool that uses the Rasch model, can quantify how effective each activity and task is for the person.
Observational Items and Rating Criteria
The 21 observational items consist of: performance of the activity; results of the activity; expression of emotions during the activity; interaction with others; and verbal expression.
4: Observed very strongly/exceptionally strongly
3: Subject item is observed
2: Subject item observed but to a limited degree/questionable level
1: Subject item is not observed
Initiating the activity
Directing one’s gaze at the activity
Positioning one’s body toward the activity
Continuing the activity
Concentrating on the activity
Demonstrating activity-related knowledge and techniques
Making selections /showing preferences during the activity
Working out a way to make the activity progress smoothly
Expressing satisfaction as a result of the activity
Expressing a sense of capability
Showing willingness toward the next activity
Showing a smile
Interacting with others through the activity
Cooperating with others in the activity
Sharing activity-related knowledge and techniques with others
Conveying one’s intention to others
Considering to others
Sharing activity-induced emotions with others
AqoaPro quantifies the quality of activity, which contributes to evidence-based practice.
AqoaPro is a computer application specifically developed to analyze A-QOA data for the assessment we conduct here. AqoaPro can convert results obtained from the ordinal variables into continuous variables called probit values. Probit values can be used to achieve the following effects:
Probit values enable evaluators to quantitatively analyze the degree of difference between two activities; the degree of difference in activities caused by different support methods; and so on. As a result, it can provide an assessment of the effectiveness of activities and intervention methods, thereby supporting evidence-based practice and improving the quality of support.
Probit values set their average to 2.5 and standard deviation to 1.0, and are adjusted to normal distribution. Ninety-nine percent or more of the evaluation results give a score that falls between 0.0 and 5.0. In other words, those scores enable evaluators to determine how good or bad the quality of the observed activity is with clear criteria.