Humphries T W, Snider L, McDougall B
Department of Paediatrics, Ontario Institute for Studies in Education, University of Toronto, Canada.
Am J Occup Ther. 1997 Feb;51(2):104-12. doi: 10.5014/ajot.51.2.104.
Treatment integrity is concerned with whether treatment conditions as provided are consistent with specifications for the treatment. Therapists' consistency in following their treatment plans that called for the use of sensory integrative and perceptual-motor techniques was evaluated.
Three occupational therapists were rated on their consistency in 46 sessions each of sensory integrative and perceptual-motor therapy. Ratings were made both earlier (1 month) and later (4 months) in treatment. Consistency was rated with a five-point scale for 10 categories of the treatment plans.
Overall consistency did not differ significantly (86% for sensory integrative techniques and 79% for perceptual-motor techniques). Perceptual-motor activities showed less consistency early in treatment but approached the level for sensory integrative techniques by later treatment sessions. Consistency differed significantly among therapists for sensory integrative activities that addressed tactile defensiveness and perceptual-motor activities associated with fine coordination and dexterity.
Despite the less structured, more child-centered nature of sensory integrative techniques, consistency in using these techniques was as high as that found for more scripted, program-centered, perceptual-motor techniques. Therapists reported that gaining the interest and attention of some children with the more structured perceptual-motor activities was more difficult early in treatment but could be achieved with time. Differences in consistency among therapists require verification with a larger sample.
治疗完整性关注所提供的治疗条件是否与治疗规范一致。对治疗师在遵循要求使用感觉统合和感知运动技术的治疗计划方面的一致性进行了评估。
对三名职业治疗师在感觉统合和感知运动治疗的46节课程中的一致性进行评分。在治疗的早期（1个月）和后期（4个月）都进行了评分。使用五点量表对治疗计划的10个类别进行一致性评分。
总体一致性没有显著差异（感觉统合技术为86%，感知运动技术为79%）。感知运动活动在治疗早期的一致性较低，但在后期治疗阶段接近感觉统合技术的水平。在处理触觉防御的感觉统合活动以及与精细协调和灵巧性相关的感知运动活动方面，治疗师之间的一致性存在显著差异。
尽管感觉统合技术的结构较松散、更以儿童为中心，但使用这些技术的一致性与更具脚本化、以程序为中心的感知运动技术一样高。治疗师报告说，在治疗早期，通过更具结构化的感知运动活动来吸引一些儿童的兴趣和注意力更困难，但随着时间的推移是可以实现的。治疗师之间一致性的差异需要用更大的样本进行验证。
