{"title":"Occupational Therapy Acute Care Self-Efficacy Scale (OTACSES): Development, Test-Retest Reliability, and Precision.","authors":"Corey McGee, Hannah Oldenburg","doi":"10.1155/oti/8848379","DOIUrl":null,"url":null,"abstract":"<p><p><b>Introduction:</b> Delivering occupational therapy services in the acute care setting requires certain skills and abilities to ensure safety and effectiveness among a variety of medically complex populations. Presently, no standardized tool exists to assess OT students' self-efficacy in this context. In this study, we developed the O<i>ccupational Therapy Acute Care Self-Efficacy Scale</i> (<i>OTACSES</i>) to assess OT student self-efficacy in acute care contexts and tested its test-retest reliability and precision in first-year OT students. <b>Materials and Methods:</b> Researchers developed the scale items based on literature, expert interviews, and a student population. The OTACSES was then administered to 47 OT students to assess the internal consistency of \"abilities\" and \"knowledge\" subscales. Following the process of item reduction, the scale was readministered a week later after a no \"intervention\" control period. Student test and retest data were analyzed to assess reliability and precision. <b>Results:</b> The finalized knowledge and abilities subscales demonstrated excellent internal consistency. Further, the total and subscale scores demonstrated excellent test-retest reliability and acceptable precision. Finally, changes of five, three, and seven points in the abilities, knowledge, and total scores, respectively, can be assumed to be \"meaningful.\" <b>Discussion:</b> The OTACSES is a reliable and precise tool for measuring students' self-efficacy in the acute care setting. We present preliminary data on clinically meaningful change. Further research focusing on the tool as an outcome measure of the efficacy of acute care-relevant OT education and its appropriateness for use among practitioners is needed.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"8848379"},"PeriodicalIF":0.9000,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271710/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Occupational Therapy International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/oti/8848379","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Delivering occupational therapy services in the acute care setting requires certain skills and abilities to ensure safety and effectiveness among a variety of medically complex populations. Presently, no standardized tool exists to assess OT students' self-efficacy in this context. In this study, we developed the Occupational Therapy Acute Care Self-Efficacy Scale (OTACSES) to assess OT student self-efficacy in acute care contexts and tested its test-retest reliability and precision in first-year OT students. Materials and Methods: Researchers developed the scale items based on literature, expert interviews, and a student population. The OTACSES was then administered to 47 OT students to assess the internal consistency of "abilities" and "knowledge" subscales. Following the process of item reduction, the scale was readministered a week later after a no "intervention" control period. Student test and retest data were analyzed to assess reliability and precision. Results: The finalized knowledge and abilities subscales demonstrated excellent internal consistency. Further, the total and subscale scores demonstrated excellent test-retest reliability and acceptable precision. Finally, changes of five, three, and seven points in the abilities, knowledge, and total scores, respectively, can be assumed to be "meaningful." Discussion: The OTACSES is a reliable and precise tool for measuring students' self-efficacy in the acute care setting. We present preliminary data on clinically meaningful change. Further research focusing on the tool as an outcome measure of the efficacy of acute care-relevant OT education and its appropriateness for use among practitioners is needed.
期刊介绍:
Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.