Scott Patricia J, Cacich Danielle, Fulk Morgan, Michel Karen, Whiffen Katie
Indiana University, Indianapolis, IN, USA.
Franciscan Health, Indianapolis, IN, USA.
Occup Ther Int. 2017 Jan 22;2017:6493472. doi: 10.1155/2017/6493472. eCollection 2017.
Persons experiencing problems with adaptation following disease, disability, or overwhelming life circumstances are often referred by their physicians to occupational therapists. Given time constraints, therapists may skip administration of a client-centered participation focused assessment and instead use an impairment or limitation focused assessment. This approach assumes that skill remediation will naturally lead to return of participation in valued occupational roles because most participation measures take 30 minutes or longer. In response to the need for an efficient measure of desired role participation, this study establishes concurrent validity of the 10-15-minute Role Checklist Version 2 (RCV2: QP) with the 50 minute Occupational Circumstances Assessment And Rating Scale (OCAIRS) in measuring occupational participation in individuals recovering from surgery following liver transplantation. 20 subjects (mean age of 55 and a mean time-since-transplant of 5.2 months) completed both instruments. The hypothesis was supported ( = .63), showing concurrent validity between the OCAIRS and the RCV2: QP. This provides therapists with an efficient, client-centered measure of occupational participation for a client-centered treatment plan. Using the RCV2: QP in place of the OCAIRS provides a more efficient assessment tool for occupational therapists to set treatment goals and monitor client progress over time.
在疾病、残疾或难以承受的生活状况后出现适应问题的人,通常会被他们的医生转介给职业治疗师。由于时间限制,治疗师可能会跳过以客户为中心的参与度重点评估,转而使用以损伤或限制为重点的评估。这种方法假定技能补救将自然导致恢复对有价值的职业角色的参与,因为大多数参与度测量需要30分钟或更长时间。为了满足对期望的角色参与进行有效测量的需求,本研究确立了10 - 15分钟的角色清单第二版(RCV2: QP)与50分钟的职业环境评估与评分量表(OCAIRS)在测量肝移植手术后康复个体的职业参与度方面的同时效度。20名受试者(平均年龄55岁,移植后平均时间为5.2个月)完成了这两种工具的测试。该假设得到了支持( = .63),表明OCAIRS和RCV2: QP之间具有同时效度。这为治疗师提供了一种高效的、以客户为中心的职业参与度测量方法,用于制定以客户为中心的治疗计划。使用RCV2: QP代替OCAIRS为职业治疗师提供了一种更有效的评估工具,以设定治疗目标并长期监测客户进展。