Can J Occup Ther. 2021 Mar;88(1):59-70. doi: 10.1177/0008417421994365. Epub 2021 Mar 8.
BACKGROUND.: Occupational therapists are generally positive towards use of measuring tools. However, such use may be problematic.
PURPOSE.: To illuminate hidden and adverse effects of using measuring tools in occupational therapy.
METHOD.: A Foucauldian inspired thematic analysis of the use of measuring tools in 13 reports of practice development projects in Denmark.
FINDINGS.: Three themes were constructed: "Categorisation of loss", "Conduct of conduct: Self-tracking and competition", and "Conforming to expected forms of everyday living". Measuring tools tended to produce generalised truths about older adults and were used to predict outcome of or access to reablement programs. The measurements guided both older people and professionals, and measurements created both motivation and resistance. The tools served as an extension of the healthcare professionals' authority.
IMPLICATIONS.: When appropriately situated, measuring tools have the potential to empower and enhance older adults' lives and should be the focus of greater clinical attention.
职业治疗师通常对使用测量工具持积极态度。然而，这种使用可能存在问题。
阐明在职业治疗中使用测量工具的隐藏和不利影响。
对丹麦 13 个实践发展项目报告中使用测量工具的情况进行了福柯启发式的主题分析。
构建了三个主题：“损失的分类”、“行为的引导：自我跟踪和竞争”以及“符合预期的日常生活形式”。测量工具往往会产生关于老年人的普遍真理，并用于预测康复计划的结果或获得康复计划的机会。这些测量结果指导着老年人和专业人士，同时也激发了他们的积极性和抵触情绪。这些工具是医疗保健专业人员权威的延伸。
当适当地应用时，测量工具有可能增强老年人的生活，并应成为更广泛临床关注的焦点。
