Testing feasibility of relevant outcome measures in an inpatient setting to demonstrate the value of occupational therapy

Journal article


Tse, Tamara, Skorik, Stefani, Fraser, Ruby, Munro, Adrienne and Darzins, Susan Wendy. (2024). Testing feasibility of relevant outcome measures in an inpatient setting to demonstrate the value of occupational therapy. Australian Occupational Therapy Journal. 71(2), pp. 226-239. https://doi.org/10.1111/1440-1630.12920
AuthorsTse, Tamara, Skorik, Stefani, Fraser, Ruby, Munro, Adrienne and Darzins, Susan Wendy
Abstract

Introduction
Measures of participation restrictions in daily life occupations are not typically used and may aid discharge planning and demonstrate the impact of occupational therapy services in inpatient settings. The overall aim of this mixed-methods study was to test the feasibility of relevant outcome measures by (1) investigating which of the three identified measures—the Home Support Needs Assessment, the Personal Care Participation Assessment and Resource Tool, and the Functional Autonomy Measurement System—best identifies meaningful changes in participation restrictions in daily life occupations required for community life; and (2) investigating the acceptability, usefulness, and feasibility of each measure to support inpatient practice.

Methods
Occupational therapists (n = 3) completed the three measures with patient participants (n = 12) at admission and discharge. Each occupational therapist participated in a semi-structured interview. Outcome measure responses were summarised statistically. Qualitative data were analysed using reflexive thematic analysis.

Findings
Total scores on all three measures changed significantly between admission and discharge (P < 0.002). Three themes reflected the occupational therapist participants' perceptions of the acceptability, usefulness, and feasibility of the outcome measures: ‘Clinically and Professionally Meaningful Tools’, ‘Becoming Familiar’, and ‘Fostering My Daily Work’.

Conclusion
Each measure demonstrated a meaningful change. Selection and successful implementation of an outcome measure depends on its local acceptability to occupational therapists and organisational practices. All three measures are promising tools to address a measurement gap in occupational therapy practice. Future research could embed one measure into practice using knowledge translation methods, with a large-scale evaluation of the value of occupational therapy.

Keywordsactivities of daily living; assessment; knowledge translation; outcome measure; participation restriction
Year01 Jan 2024
JournalAustralian Occupational Therapy Journal
Journal citation71 (2), pp. 226-239
PublisherJohn Wiley & Sons, Inc. (US)
ISSN0045-0766
Digital Object Identifier (DOI)https://doi.org/10.1111/1440-1630.12920
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1111/1440-1630.12920
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range226-239
Publisher's version
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File Access Level
Open
Output statusPublished
Publication dates
Online06 Dec 2023
Publication process dates
Accepted12 Nov 2023
Deposited26 Apr 2024
Supplemental file
License
File Access Level
Open
Additional information

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made

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

Open access publishing facilitated by Australian Catholic University, as part of the Wiley - Australian Catholic University agreement via the Council of Australian University Librarians.

Place of publicationAustralia
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