Occupational Therapy Observation Tool–Adjustment Support Details for autistic children: Investigation of content validity and clinical utility

IF 1.6 4区医学 Q2 REHABILITATION Australian Occupational Therapy Journal Pub Date : 2023-12-26 DOI:10.1111/1440-1630.12924

WingKwan Michelle Kwok, Helen Bourke-Taylor, Stuart Carey, Maria McKenzie

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Abstract

Introduction

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.

Method

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.

Results

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.

Conclusion

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.

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自闭症儿童作业疗法观察工具--调整支持细节：内容有效性和临床实用性调查。

导言：标准化测试对于自闭症儿童获得适当的干预措施、必要的服务和资金至关重要。与自闭症有关的行为会妨碍儿童的测试表现和参与。18 个项目、两页纸的职业治疗观察工具--调整支持细节（OTOT-ASD）可与标准化评估结合使用。OTOT-ASD 能够记录与自闭症有关的行为以及为支持参与测试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 的内容有效性和临床实用性：方法：我们在维多利亚州范围内向具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。问卷的设计符合基于共识的健康测量工具选择标准（COSMIN），包括相关性、全面性和可理解性，并对项目的内容效度进行了评估。此外，还对适用性和临床实用性进行了调查。采用描述性统计对定量数据进行了分析：71名职业治疗师对问卷做出了回复，其中46人提供了完整的数据集。超过 96% 的受访者认为记录行为和测试适应情况很重要，但只有不到 45% 的受访者表示有资源记录这些信息。95%的受访者认为 OTOT-ASD 在临床实践中很有用。超过 70% 的受访者认为 OTOT-ASD 的项目与临床实践密切相关，而且内容全面。为提高可理解性，根据反馈意见对已确定的项目进行了修改：研究结果表明，OTOT-ASD 具有临床实用性，内容效度良好。建议进一步研究 OTOT-ASD 的其他心理测量特性以及用户在使用该工具过程中的定性体验。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.