Measurement in Occupational Therapy Practice Mandy Miller

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References American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. doi:10.5014/ajot.2014682006 Law, M. C., Baum, C. M., & Dunn, W. (2017). Measuring occupational performance : Supporting best practice in occupational therapy. Thorofare, NJ: SLACK Inc.

Measurement in Occupational Therapy Practice Mandy Miller

Measurement for formative assessment versus outcome measurement -Formative or processes measurements are focused on the client and allows the practitioner to "evaluate in action"(Law, Baum, & Dunn, p 18, 2017) -Outcome measurements look at the how the client is progressing in relation to the plan/process

Individual assessment versus population-based assessment -Individual assessments evaluate the individual skills and performance of a client (Law, Baum, & Dunn, p 21, 2017) -Population-based assessments offer ways to compare individuals to specific groups

The six (6) steps of Planning Measurement Strategies

1. Identification of Occupational Performance Issues -Determine performance barriers and consider needs and interests of client -Client centered -Must consider context and environment

2. Summarizing Measurement Data -What are the clients strengths and barriers to performance in all or specific environments -Goals develop from this area

3. Developing Priorities -Client centered with clinical input to determine most important goals and needs

4. Designing Intervention Plans -Collaborative process involving creativity, clinical reasoning, and strategies needed to meet goals of the client

5. Implementing Intervention Plans -Execute plan while continually measuring progress towards goals

6. Planning Ongoing Measurement Strategies -"Generating evidence for practice decisions" by continually measuring progress (Law, Baum, & Dunn, 2017)

What is measurement in occupational therapy (OT)? -A systematic way of gathering objective information -Information can gathered in a variety of ways

Connections of Measurement to the Occupational Therapy Practice Framework (OTPF) -Analysis of occupational performance (evaluation process) -Selecting and administering relevant assessments based on clients functional deficits and personal goals -Selecting outcome measures to determine effectiveness of OT intervention -Context and environment (American Occupational Therapy Association (AOTA), 2014,p s13-s16)

What is the focus of measurement in OT? -Occupational performance -Person, place and environment -Evaluation of self-care, work, leisure and play (Law, Baum, & Dunn 2017).

Why do we use measurement in OT? -To understand the impairments of where a client is objectively from a functional, physical, or cognitive standpoint -To gain an understanding of "change over time" of these objective measurements to solidify the effectiveness of OT interventions (Law, Baum, & Dunn, 2017) -Reimbursement -For research and improved interventions for the most optimum outcomes -Evidence-based practice