Activity Measure for Post-Acute Care (AM-PAC)

The AM-PAC assess activity limitations based on World Health Organization’s International Classification of Functioning, Disability and Health. The AM-PAC Generic Basic Mobility subscale (13 items) assesses an individual’s ability to perform tasks such as walking, transfers, standing, carrying, and climbing stairs. Scores represent a range of function from difficulty with bed mobility to limited participation in strenuous activity and sports. The AM-PAC Generic Daily Activity (21 items) assesses basic self-care such as feeding, grooming, and personal care. Questions ask patients to consider how much difficulty they have performing specific functions or how much help they need. Four response options are possible: “unable” (or “total”), “a lot,” “a little,” and “none.”

There were 25 AM-PAC questions, including 19 questions from the Generic Applied Cognitive Outpatient Short Form (AM-PAC Generic Cognitive) and 13 questions from the Medicare Outpatient Applied Cognitive Short Form (AM-PAC Medicare Cognitive). Seven of the questions were on both forms. AM-PAC Cognition items ask individuals to identify difficulty with daily tasks such as conversation, recall, time management, and sequencing. There are 4 possible responses for AM-PAC questions: “unable,” “a lot,” “a little,” or “none.” Raw scores for the AM-PAC Generic Cognitive short-from range from 19-76 if anchoring “unable” at 1 and from 0-57 if anchoring at 0. The AM-PAC Medicare version includes a broader range of items at the lower end of cognitive ability to improve use in an aging population.20,21 Raw scores range from 13-52 (or from 0-39 depending on the anchor).