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

autism spectrum disorder consumer and community involvement occupational therapists reasonable assessment accommodations standardised testing

Journal

Australian occupational therapy journal
ISSN: 1440-1630
Titre abrégé: Aust Occup Ther J
Pays: Australia
ID NLM: 15420200R

Informations de publication

Date de publication:
26 Dec 2023
Historique:
revised: 29 11 2023
received: 18 06 2023
accepted: 05 12 2023
medline: 27 12 2023
pubmed: 27 12 2023
entrez: 27 12 2023
Statut: aheadofprint

Résumé

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. 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. 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. 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.

Identifiants

pubmed: 38148581
doi: 10.1111/1440-1630.12924
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 The Authors. Australian Occupational Therapy Journal published by John Wiley & Sons Australia, Ltd on behalf of Occupational Therapy Australia.

Références

American Occupational Therapy Association. (2018). Occupational therapy's role with autism [fact sheet]. American Occpational Therapy Association Press. https://www.aota.org/-/media/corporate/files/aboutot/professionals/whatisot/cy/fact-sheets/autismfactsheet.pdf
American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596
Arutiunian, V., Lopukhina, A., Minnigulova, A., Shlyakhova, A., Davydova, E., Pereverzeva, D., Sorokin, A., Tyushkevich, S., Mamokhina, U., Danilina, K., & Dragoy, O. (2021). Expressive and receptive language in Russian primary-school-aged children with autism spectrum disorder. Research in Developmental Disabilities, 117, 104042. https://doi.org/10.1016/j.ridd.2021.104042
Ashburner, J., Ziviani, J., & Rodger, S. (2008). Sensory processing and classroom emotional, behavioral, and educational outcomes in children with autism spectrum disorder. American Journal of Occupational Therapy, 62(5), 564-573. https://doi.org/10.5014/ajot.62.5.564
Beery, K. E., & Beery, N. A. (2010). Overview of the Beery VMI and its supplemental tests. In N. A. Buktenica & N. A. Beery (Eds.), Beery VMI with supplemental developmental tests of visual perception and motor coordination and stepping stones age norms from birth to age six: Administration, scoring and teaching manual (6th ed.) (pp. 15-25). Pearson.
Brown, T. (2011). Assessment, evaluation, and measurement. In S. J. Lane & A. C. Bundy (Eds.), Kids can be kids: A childhood occupations approach (pp. 320-348). F. A. Davis Company.
Brown, T., & Bourke-Taylor, H. M. (2014). Accommodating diversity issues in assessment and evaluation. In J. Hinojosa & P. Kramer (Eds.), Evaluation in occupational therapy: Obtaining and interpreting data (4th ed.) (pp. 221-240). AOTA Press.
Carey, S., McKenzie, M., Knightbridge, L., & Bourke-Taylor, H. M. (2023). Visual motor assessment of children with autism spectrum disorder: Comparing performance and considerations for assessment. Journal of Occupational Therapy, Schools, & Early Intervention, 1-19. https://doi.org/10.1080/19411243.2023.2262754
Cerezuela, G., Fernández-Andrés, M.-I., Sanz-Cervera, P., & Marín-Suelves, D. (2020). The impact of sensory processing on executive and cognitive functions in children with autism spectrum disorder in the school context. Research in Developmental Disabilities, 96(1), 103540. https://doi.org/10.1016/j.ridd.2019.103540
Chan, A. S., Cheung, J., Leung, W. W., Cheung, R., & Cheung, M. (2005). Verbal expression and comprehension deficits in young children with autism. Focus on Autism and Other Developmental Disabilities, 20(2), 117-124. https://doi.org/10.1177/10883576050200020201
Courchesne, V., Meilleur, A. A., Poulin-Lord, M. P., Dawson, M., & Soulières, I. (2015). Autistic children at risk of being underestimated: School-based pilot study of a strength-informed assessment. Molecular Autism, 6(12), 1-10, 12. https://doi.org/10.1186/s13229-015-0006-3
Downs, S. J., Boddy, L. M., McGrane, B., Rudd, J. R., Melville, C. A., & Foweather, L. (2020). Motor competence assessments for children with intellectual disabilities and/or autism: A systematic review. BMJ Open Sport & Exercise Medicine, 6(1), e000902. https://bmjopensem.bmj.com/content/bmjosem/6/1/e000902.full.pdf, https://doi.org/10.1136/bmjsem-2020-000902
Dunn, W. (2014). Child sensory profile-2 user's manual. Bloomington, MN: Pearson.
Jones, E. K., Hanley, M., & Riby, D. M. (2020). Distraction, distress and diversity: Exploring the impact of sensory processing differences on learning and school life for pupils with autism spectrum disorders. Research in Autism Spectrum Disorders, 72, 101515. https://doi.org/10.1016/j.rasd.2020.101515
Joosten, A. V., & Bundy, A. C. (2010). Sensory processing and stereotypical and repetitive behaviour in children with autism and intellectual disability. Australian Occupational Therapy Journal, 57(6), 366-372. https://doi.org/10.1111/j.1440-1630.2009.00835.x
Koegel, L. K., Koegel, R. L., & Smith, A. (1997). Variables related to differences in standardized test outcomes for children with autism. Journal of Autism and Developmental Disorders, 27(3), 233-243. https://doi.org/10.1023/A:1025894213424.pdf
Koegel, L. K., Singh, A. K., & Koegel, R. L. (2010). Improving motivation for academics in children with autism. Journal of Autism and Developmental Disorders, 40(9), 1057-1066. https://doi.org/10.1007/s10803-010-0962-6
Kuipers, K., & Grice, J. W. (2009). The structure of novice and expert occupational therapists' clinical reasoning before and after exposure to a domain-specific protocol. Australian Occupational Therapy Journal, 56(6), 418-427. https://doi.org/10.1111/j.1440-1630.2009.00793.x
Loftin, R. (2003). Standardized tests and students with an autism spectrum disorder. The Reporter, 8(2), 11-13. https://scholarworks.iu.edu/dspace/bitstream/handle/2022/9102/03.pdf?sequence=1&isAll%20owed=y
Polatajko, H. J., Davis, J., & Townsend, E. A. (2013). Canadian practice process framework. In E. A. Townsend & H. J. Polatajko (Eds.), Enabling occupation II: Advancing an occupational therapy vision for health, well-being & justice through occupation (2nd ed.) (p. 233). CAOT Publications ACE.
Richardson, P. K. (2014). Use of standardised tests in pediatric practice. In J. Case-Smith & J. C. O'Brien (Eds.), Occupational therapy for children and adolescents (7th ed.) (pp. 163-192). Elsevier.
Robinson, S., Goddard, L., Dritschel, B., Wisley, M., & Howlin, P. (2009). Executive functions in children with autism spectrum disorder. Brain and Cognition, 71(3), 362-368. https://www.sciencedirect.com/science/article/pii/S0278262609001043?via%3Dihub#bib19, https://doi.org/10.1016/j.bandc.2009.06.007
Romli, M. H., Wan Yunus, F., & Mackenzie, L. (2019). Overview of reviews of standardised occupation-based instruments for use in occupational therapy practice. Australian Occupational Therapy Journal, 66(4), 428-445. https://doi.org/10.1111/1440-1630.12572
Semrud-Clikeman, M., Fine, J. G., & Bledsoe, J. (2013). Comparison among children with children with autism spectrum disorder, nonverbal learning disorder and neurotypical children on measures of executive functioning. Journal of Autism and Developmental Disorders, 44(2), 331-342. https://doi.org/10.1007/s10803-013-1871-2
Soto-Chodiman, R., Pooley, J. A., Cohen, L., & Taylor, M. F. (2012). Students with ASD in mainstream primary education settings: Teachers' experiences in Western Australian classrooms. Australasian Journal of Special Education, 36(2), 97-111. https://doi.org/10.1017/jse.2012.10
Terwee, C. B., Prinsen, C. A., Chiarotto, A., Westerman, M. J., Patrick, D. L., Alonso, J., Bouter, L. M., De Vet, H. C., & Mokkink, L. B. (2018). COSMIN methodology for evaluating the content 24 validity of patient-reported outcome measures: A Delphi study. Quality of Life Research, 27(5), 1159-1170. https://doi.org/10.1007/s11136-018-1829-0
Vlcek, S., Somerton, M., & Rayner, C. (2020). Collaborative teams: Teachers, parents, and allied health professionals supporting students with autism spectrum disorder in mainstream Australian schools. Australasian Journal of Special and Inclusive Education, 44(2), 1-14. https://doi.org/10.1017/jsi.2020.11
Whalon, K. J., & Hart, J. E. (2010). Children with autism spectrum disorder and literacy instruction: An exploratory study of elementary inclusive settings. Remedial and Special Education, 32(3), 243-255. https://doi.org/10.1177/0741932510362174
Wilson, R. B., McCracken, J. T., Rinehart, N. J., & Jeste, S. S. (2018). What's missing in autism spectrum disorder motor assessments? Journal of Neurodevelopmental Disorders, 10(33), 1-13. https://doi.org/10.1186/s11689-018-9257-6

Auteurs

WingKwan Michelle Kwok (WM)

Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.

Helen Bourke-Taylor (H)

Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.

Stuart Carey (S)

Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.

Maria McKenzie (M)

Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.

Classifications MeSH