Kwok WingKwan Michelle, Bourke-Taylor Helen, Carey Stuart, McKenzie Maria
Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.
Aust Occup Ther J. 2024 Apr;71(2):251-264. doi: 10.1111/1440-1630.12924. Epub 2023 Dec 26.
Standardised testing is crucial for autistic children to receive appropriate interventions, necessary services, and funding. Behaviours associated with autism can hinder children's test performance and participation. The 18-item, two-page Occupational Therapy Observation Tool-Adjustment Support Details (OTOT-ASD) is used in conjunction with standardised assessments. The OTOT-ASD enables the recording of autism-related behaviours and the reasonable assessment accommodations made to support participation in testing. The current study aims to investigate the content validity and clinical utility of the OTOT-ASD from occupational therapists' perspectives.
A specifically designed online questionnaire was distributed Victoria-wide to occupational therapists with clinical experience with autistic children. The questionnaire was designed in line with the COnsensus-based Standards for selection of health Measurement INstruments (COSMIN), including relevance, comprehensiveness, and comprehensibility of items evaluated for content validity. Applicability and clinical usefulness were also investigated. Quantitative data were analysed using descriptive statistics.
Seventy-one occupational therapists responded to the questionnaire and 46 provided a full dataset. Over 96% of the respondents considered documenting behaviours and testing accommodations as important, yet less than 45% reported having resources to record this information. Ninety-five percent of the respondents perceived the OTOT-ASD to be useful in clinical practice. Over 70% agreed that OTOT-ASD items were significantly relevant to practice and comprehensive. To improve comprehensibility, identified items were altered following feedback.
The findings suggest that the OTOT-ASD is clinically useful and content validity is sound. Further research on other psychometric properties of the OTOT-ASD and users' qualitative experiences in utilising the tool is recommended.
标准化测试对于自闭症儿童获得适当干预、必要服务和资金至关重要。与自闭症相关的行为可能会妨碍儿童的测试表现和参与度。18项、两页的职业治疗观察工具 - 调整支持详情（OTOT - ASD）与标准化评估结合使用。OTOT - ASD能够记录与自闭症相关的行为以及为支持测试参与而做出的合理评估调整。本研究旨在从职业治疗师的角度调查OTOT - ASD的内容效度和临床实用性。
在维多利亚州范围内向有自闭症儿童临床经验的职业治疗师发放了一份专门设计的在线问卷。该问卷是根据基于共识的健康测量工具选择标准（COSMIN）设计的，包括对内容效度评估项目的相关性、全面性和可理解性。还调查了适用性和临床实用性。使用描述性统计分析定量数据。
71名职业治疗师回复了问卷，46名提供了完整数据集。超过96%的受访者认为记录行为和测试调整很重要，但不到45%的人报告有资源记录这些信息。95%的受访者认为OTOT - ASD在临床实践中有用。超过70%的人同意OTOT - ASD项目与实践显著相关且全面。为了提高可理解性，根据反馈对确定的项目进行了修改。
研究结果表明OTOT - ASD在临床上有用且内容效度良好。建议对OTOT - ASD的其他心理测量特性以及用户使用该工具的定性体验进行进一步研究。
