Mission:
1.Today i finished 3ADL& BIB.
2.Tomorrow i will go to Wan Fang hospital for figure out the situation at there,such as how many CVA p't(name list),environment(bed,a room for cognition),how i reach the p't,and the detail of our plan need to interpretation!
3.Tomorrow morning plan to have meeting with sir!
Responsiveness（反應性）
1.反應性決定一工具是否夠敏感及可以偵測出臨床重要的變化。指評估工具可偵測出具臨床意義之改變的能力。(Responsiveness determines whether an instrument is sensitive to and can detect clinically important change.) (Hobart, 1996)
2.反應性是指一測量工具能在改變確實發生的情況下所檢測出表現改變的能力。(Responsiveness is the ability of an assessment to measure change in performance over time in situations where change truly occurs.) (Deusen. & Brunt, 1997)
【〝Assessment in Occupational Therapy and Physical Therapy〞by J.V. Deusen. & D. Brunt. (1997) p.432 、 Hobart, J.C. (1996). J. Neurol Neurosurg & Psychiatry, 60, 127-130. 】
3.指此量表偵測欲測量特質些微變化的能力。一個良好的量表，應能適當地反應病患或治療師所感受到或觀察到之功能變化。
effect size（效應值）
Effect size(ES)效應值：效應值是一群能測量治療成效大小的指標，而它們與樣本大小並不相關。效應值普遍使用在 "變化分析"的研究上，並從一特定的研究範圍內歸納出結果。例如Lipsey and Wilson(1993)中寫到，用於心理、教育和行為治療上。Effect size (ES) is a name given to a family of indices that measure the magnitude of a treatment effect. Unlike significance tests, these indices are independent of sample size. ES measures are the common currency of meta-analysis studies that summarize the findings from a specific area of research. See, for example, the influential meta-analysis of psychological, educational, and behavioral treatments by Lipsey and Wilson (1993).d = M1 - M2 / swheres = Ö[å(X - M)² / N] (X為原始分數；M表平均)(Ö表開根號；å表sigma加總)Cohen(1988)定義d為兩次測量平均差/兩者測量中任一個的標準差。(前提是兩者的變異數的數值相近)Cohen (1988) defined d as the difference between the means, M1 - M2, divided by standard deviation, s, of either group. Cohen argued that the standard deviation of either group could be used when the variances of the two groups are homogeneous. 若兩次測量的標準差數值相差很大，則用 s pooled = Ö[(s1²+ s2²) / 2] 代替。M1 - M2的值若為正，則表個案經過治療後有進步；M1 - M2若為負，則表退步。By convention the subtraction, M1 - M2, is done so that the difference is positive if it is in the direction of improvement or in the predicted direction and negative if in the direction of deterioration or opposite to the predicted direction.effect size d Percentage of Overlap ----------------------------------------------------- Small 0.20 85Medium 0.50 67Large 0.80 53David C. Howell (2001) Statistical methods for psychology 效應值可被解釋為兩次樣本分佈中(有接受治療和沒接受治療的個案族群)未重疊的部分。所以ES等於0就表示兩者全完重疊。(即治療前後沒有改變)Effect sizes can also be interpreted in terms of the percent of nonoverlap of the treated group's scores with those of the untreated group, see Cohen (1988, pp. 21-23) . An ES of 0.0 indicates that the distribution of scores for the treated group overlaps completely with the distribution of scores for the untreated group, there is 0% of nonoverlap.
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