LDB Assessment: Critical Review and Goal Setting for Healthcare

This assignment presents a critical review of the Leisure Diagnostic Battery (LDB) assessment, involving the administration of the Leisure Interest Measure (LIM), Leisure Motivation Scale (LMS), and Leisure Satisfaction Measure (LSM) to a 30-year-old female client diagnosed with Prader Willi syndrome and mild mental retardation. The write-up details the process of administering and scoring the instruments, challenges encountered, and observations made during the assessment. It includes an evaluation of each instrument's ease of use, value as an assessment tool, and limitations, along with goals and objectives developed based on the assessment results. The review reflects on the practical application of the LDB in a healthcare setting, considering factors such as patient condition, medication effects, and cognitive abilities.

RUNNING HEAD: Leisure Diagnostic Battery 1
Leisure Diagnostic Battery
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1

Leisure Diagnostic Battery 2
Leisure Diagnostic Battery (LDB) is a tool composed of collective instruments designed
to assess leisure activities in a wide range of individuals with its constituents grouped as scales.
LDB is comprised of 4 assessments which are; Leisure Satisfaction Measure, Leisure Motivation
Scale, Leisure Interest Measure and Leisure Attitude Measurement (Ellis and Witt, 1986). In a
health care setting administration is done at any time to capture the baseline interest
measurement or to determine changes over time. However if the patient in an acute care setting
of has been transferred to a more restrictive setting, assessment is done between the fourth and
seventh day because if done before the recommended date the results maybe undesirably affected
by transitional depression and if done after, two changes are faced: the need to start treatment
without knowing what the patient finds satisfying and secondly the patient may have developed
an institutionalized mentality. Psychotropic medication may however change a client’s
satisfaction thereby medication is done prior to treatment of when the medicine is settled on the
client’s system ( Dunn, and Kennon,1987). This write-up therefore compiles in description the
scores of the first three listed tools as per the results acquired from an assessment carried out on a
friend (client).
Leisure Interest Measure
This tool measures a person’s interest in the seven domains of leisure. It is easy to use
requiring a maximum of thirty minutes to administer and as low as five minutes in scoring for
professionals and has a high alpha reliability of 8.7 ( Ellis, Witt, and Peter 1987). In a situation
where the therapists needs to expand a patient’s the tool is used because at times a change in
ability or environment requires him to learn new skills. However, the manual is available I
English and Spanish therefore, it does not cater for patients with no knowledge of either English
or Spanish, it is not used to measure outcomes and does not cater for individuals with cognitive

Leisure Diagnostic Battery 3
impairment since assessment requires the client to possess an inherent cognition for the one
assessing to arrive at judgement ( Mounir, Ragheb and Jacob, 1992).
Leisure Motivation Scale
This is a valid and reliable tool used to measure a person’s motivations to engage in
leisure activities taking a maximum of 27 minutes to administer and five to score. As opposed to
LSM, it is not used to measure outcomes. In a situation where the client does not understand the
definition of “Leisure,” the therapist gives him/her the definition on the score sheet because an
extensive discussion on the prior to administering assessment may affect the validity of the
results. Additionally, if the patient does not understand some words used in the sheet, the
therapist aids with necessary definition while limiting the details and each time redirecting the
patient to the statements.
Leisure Satisfaction Measure
This is a valid and reliable tool is used to measure the degree to which a client perceives
his needs are being met through leisure and is administered within 20 minutes with scoring
taking about ten minutes. This makes it useful in ascertaining that the client’s needs are met as
well as in developing ways of maximizing satisfaction levels.
Results
The LIM, LMS and LSM questionnaires were administered to Faith Joseph, a 30 year old
female primary diagnosed with Prader Willi syndrome and mild mental retardation on 9/2/18.

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The patient answered each of the questionnaires in less than 30minutes. Owing to her diagnosis,
Faith is under hormonal medication that affects mood which entitled me to wait until she settled
before administering assessment and the mGluR5- blocking drugs she is under causes fatigue I
therefore had to wait for to take enough rest first. I administered LIM in 15 minutes and scoring
took 5 minutes, LMS in 20 minutes and scoring took 5 minutes and LSM in 25 minutes and
scored for 5 minutes. The client appeared dressed modernly with no cultural attachment, ironed
clothes, with even undented skin, unkempt hair, no make-up, mild perfume and good dental
hygiene. She was able to attend to the activity with no inattention witnessed for up to 20 minutes
each time exhibiting an indifferent attitude by changing facial expression with variant tones.
Throughout the assessment, she sat in a rounded shoulder position with her head occasionally
facing down after a response. The client had problems understanding three terms: unstructured,
stimulation and competent. She scored at 10 years or above in all areas of the general
recreational screening tool of the leisurescope which showed preference for activities that
emphasized mental stimulation and a strong avoidance of social activities in turn matching her
participation patterns. She therefore scored as follows on the Vineland adaptive behavior scale:
socialization=14years, coping skills=15years, interpersonal=16 years and play and leisure
9.7years and her quick test IQ was 78
Goals and Objectives
Assessing faith encouraged me to envision objectives as follows: To determine why there
are problems with individuals’ leisure, To find more interesting leisure for variant groups, To
assess why there are problems with a client’s leisure and finally To find possible leisure that
motivates clients with problems with leisure.

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References
Dunn, Julia Kennon. (1987). Generalizability of the Leisure Diagnostic Battery. From:
https://www.ideals.illinois.edu/handle/2142/70945 .
Ellis, G. D. and Witt, Peter. (1986). The Leisure Diagnostic Battery: Past, Present and Future.
From:
https://www.researchgate.net/publication/280386249_The_Leisure_Diagnostic_Battery_
Past_Present_and_Future
Mounir G. Ragheb & Jacob G. Beard. (1992). From: Measuring Leisure Interests
https://js.sagamorepub.com/jpra/article/view/1816/1777
.Peter, A.Witt . (1987). The Leisure Diagnostic Battery and users’ Manual. From:
https://myungshelleybibl.files.wordpress.com/2017/05/the-leisure-diagnostic-battery-and-
users-manual-by-peter-a-witt.pdf