Keller Jessica, Kafkes Ana, Kielhofner Gary
Department of Occupational Therapy, University of Illinois at Chicago, USA.
Scand J Occup Ther. 2005;12(3):118-27. doi: 10.1080/11038120510031752.
Pediatric occupational therapists have a unique opportunity to foster self-determination by involving young clients in assessment and intervention planning. Self-assessment is an appropriate way to support client-centered practice and self-determination. This study is the first in a series of two studies that examined the psychometric properties of the Child Occupational Self Assessment (COSA), a self-report tool based on the Model of Human Occupation. The COSA comprises 24 statements, which the child rates in terms of personal competence and importance. The Rasch Rating Scale Model was used to evaluate the measurement properties of the Competence and Values scales that result from these self-ratings. Analysis indicated that the items worked well together to constitute measures of occupational competence and values. However, the instrument was not sufficiently sensitive to discriminate among respondents. Future recommendations are made to expand the rating scales in order to increase client discrimination so that the COSA can also be used as an outcome assessment. The results provide initial evidence that the COSA can be used as meaningful and reliable client directed assessment tool.
儿科职业治疗师有一个独特的机会，通过让年轻客户参与评估和干预计划来培养自我决定能力。自我评估是支持以客户为中心的实践和自我决定能力的一种恰当方式。本研究是两项系列研究中的第一项，该系列研究考察了儿童职业自我评估（COSA）的心理测量特性，COSA是一种基于人类职业模型的自我报告工具。COSA由24条陈述组成，儿童根据个人能力和重要性对这些陈述进行评分。使用拉施评分量表模型来评估这些自我评分所产生的能力和价值观量表的测量特性。分析表明，这些项目共同作用良好，构成了职业能力和价值观的测量指标。然而，该工具对区分受访者的敏感性不足。未来建议扩大评分量表，以增加客户区分度，以便COSA也可作为结果评估工具。研究结果提供了初步证据，表明COSA可作为一种有意义且可靠的以客户为导向的评估工具。
