Pilot study of the inpatient rehabilitation – scales of therapeutic occupation

✍ Scribed by Pamela L. Sass; Professor David L. Nelson

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 83 KB
• Volume: 5
• Category: Article
• ISSN: 0966-7903
• DOI: 10.1002/oti.68

✦ Synopsis

Abstract

The IR – SOTO is a self‐help instrument that assists the occupational therapist in evaluating the adherence of an inpatient rehabilitation facility to an occupational approach to therapy. The IR – SOTO focuses on individualization of therapy, holism, naturalistic occupations, documentation of occupation and communication of occupational therapy principles. A series of practitioner panels provided feedback on the content validity of early versions of the instrument. Pilot testing of the revised instrument (a 62‐item survey using seven‐point Likert scales) was carried out using a mailed survey (n = 138) to nine inpatient rehabilitation facilities in different areas of the United States. The pilot version of the IR–SOTO was internally consistent, with alpha = 0.91. The overall mean score across items and across subjects of 5.48 on a seven‐point scale (sd = 0.52) indicates some adherence to an occupational approach to therapy. The scores of one facility were significantly lower than five of the other facilities. Continued revision of the instrument to enhance reliability and validity is recommended, with testing of test–retest reliability as a priority. The IR–SOTO holds promise for measuring a facility's approach to the use of occupation as therapy in inpatient rehabilitation. Copyright © 1998 Whurr Publishers Ltd.