Arnadottir Occupational Therapy Neurobehavioral Evaluation

The A-ONE, now called the ADL-focused Occupation-based Neurobehavioral Evaluation, works out which thinking and perceptual problems are getting in the way of everyday self-care. A therapist watches the person dress, groom, transfer, and eat — 20 everyday tasks across five domains — rather than testing skills at a table.

Two scales run at once. The ADL scale rates how much help each task takes, from full assistance to independent. The neurobehavioral scale identifies what caused the trouble: motor or ideational apraxia, unilateral body or spatial neglect, spatial relations problems, organization and sequencing difficulty, perseveration, aphasia, and pervasive issues like attention or initiation. Because errors are scored by how much they interfere with the task, impairment and daily function are linked directly.

• Validity of the Árnadóttir OT-ADL Neurobehavioral Evaluation (A-ONE): Performance in Activities of Daily Living and Neurobehavioral Impairments of Persons With Left and Right Hemisphere Damage

Licensing Notes: The A-ONE is obtained through the textbook The Brain and Behavior: Assessing Cortical Dysfunction Through Activities of Daily Living (Árnadóttir, 1990, Mosby)

Learn More: Several versions of the neurobehavioral scale exist.