Abstract
Background and Aim: To better document independence in activities of daily living (ADL), particularly with persons with traumatic brain injury, the influence of the context in which performance‐based assessments are administered must be considered. This paper examines the issue of context in ADL assessment according to specific criteria. Main Findings: Overall, the limited number of studies found to have investigated the influence of context (home, clinic) on performance‐based ADL assessments in persons with cerebral damage does not provide clear evidence to support the superiority of either environment. Conclusion: The issue of context in ADL assessments has been minimally documented and can be explained by the complexity of data collection. Occupational therapists will need to address this issue.
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