Utility of the occupation-centered intervention assessment in pediatric occupational therapy practice

Emily Hinkley, C. Leach, Vanessa D. Jewell, Taylor L. Wienkes
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引用次数: 4

Abstract

ABSTRACT Best practice supports the use of occupation as a therapeutic agent of change for pediatric occupational therapy practice. However, limited tools to promote the development of and implementation of occupation-centered practice exist. This study explored the clinical utility of the Occupation Centered Intervention Assessment (OCIA) as a tool to facilitate occupation-centered practice in outpatient and school-based pediatric settings. The OCIA allows practitioners to reflect on their own practice by scoring interventions on personal, contextual, and occupational relevance. This qualitative, descriptive study utilized semi-structured interviews (n = 12) with practitioners in outpatient and school settings to glean information regarding tool utility. A six-step thematic analysis process guided the coding process. Four themes emerged from the data related to clinical utility of the OCIA: reflection on practice habits, practice settings influence therapy service delivery, translation of theoretical knowledge into practice technique, and the distinct value of occupation. Preliminary evidence supports the use of the OCIA in outpatient and school pediatric settings to promote reflection on occupation-centered practice for students and novice practitioners, although some setting are more conducive to use of an occupation-centered approach than others.
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以职业为中心的干预评估在儿童职业治疗实践中的应用
摘要:最佳实践支持使用职业作为儿科职业治疗实践的改变治疗剂。然而,促进以职业为中心的实践发展和实施的工具有限。本研究探讨以职业为中心的干预评估(OCIA)的临床应用,以促进门诊和校本儿科机构的职业为中心的实践。OCIA允许从业者通过对个人、环境和职业相关性的干预进行评分来反思自己的实践。本定性描述性研究利用半结构化访谈(n = 12)与门诊和学校的从业人员收集有关工具效用的信息。六步专题分析过程指导了编码过程。从与OCIA临床应用相关的数据中出现了四个主题:对实践习惯的反思,实践环境对治疗服务提供的影响,理论知识转化为实践技术,以及职业的独特价值。初步证据支持在门诊和学校儿科环境中使用OCIA,以促进学生和新手从业者对职业中心实践的反思,尽管一些环境比其他环境更有利于使用职业中心方法。
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