American Journal of Occupational Therapy最新文献

{"title":"Eating and Sensory Features of Children With Autism Spectrum Disorder and Their Typically Developing Peers.","authors":"Simonetta Panerai, Valentina Catania, Sonia Ingoglia, Daniela Ruccella, Raffaele Ferri, Marinella Zingale, Daniela Fasciana, Maurizio Elia","doi":"10.5014/ajot.2023.050226","DOIUrl":"10.5014/ajot.2023.050226","url":null,"abstract":"<p><strong>Importance: </strong>Impaired sensory processing is associated with eating problems. There seem to be no previous studies that compare those who have autism spectrum disorder (ASD) with eating problems (ASD-W) and those with ASD without eating problems (ASD-WO) with typically developing (TD) groups. Comparisons are expected to provide further knowledge to guide the intervention programs.</p><p><strong>Objective: </strong>To investigate differences among ASD-W, ASD-WO, and TD groups in eating and sensory features; to detect associations between sensory and eating behaviors and any most involved sensory dimensions; and to search for age-related differences in sensory and eating features in ASD.</p><p><strong>Design: </strong>Nonrandomized comparison study.</p><p><strong>Setting: </strong>Questionnaires administered as parent interviews.</p><p><strong>Participants: </strong>A total of 165 children were recruited: 117 with ASD and 48 TD children.</p><p><strong>Outcomes and measures: </strong>Standardized questionnaires: the Brief Autism Mealtime Behaviors Inventory for eating problems; the Short Sensory Profile and the Sensory Experience Questionnaire for sensory problems.</p><p><strong>Results: </strong>The ASD-W group showed generalized, impaired eating behaviors and turned out to be the most impaired with regard to sensory responsiveness. No differences in feeding behaviors were found between the ASD-WO and TD groups. All children with ASD showed sensory hyper- or hyporesponsiveness. Four main sensory dimensions were found to be associated with eating behaviors in ASD. No age differences were found in the eating and sensory behaviors of children with ASD.</p><p><strong>Conclusions and relevance: </strong>Differing eating and sensory profiles were found between the ASD and TD groups, especially in children with ASD-W. Early eating interventions using sensory stimulations are strongly recommended. What This Article Adds: This study reports novel information derived from the comparisons of children with ASD with eating problems and those with ASD without eating problems with typically developing groups of children.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connections, Renewal, and Inspiration.","authors":"Alyson Stover","doi":"10.5014/ajot.2023.077601","DOIUrl":"10.5014/ajot.2023.077601","url":null,"abstract":"<p><p>In her Presidential Address at the AOTA INSPIRE 2023 Annual Conference & Expo in Kansas City, Missouri, American Occupational Therapy Association (AOTA) President Alyson Stover shared her experiences traveling in 2022 to different state conferences and occupational therapy events. She described how the incredible people she met on her cross-country journey helped her to find \"connections, renewal, and inspiration\" and reinspired her passion for expanding her understanding of occupational therapy. During her address, Alyson Stover invited people who are a part of her cross-country occupational therapy community to share their own experiences with the conference audience.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State of the Journal, 2023.","authors":"Stacey Reynolds","doi":"10.5014/ajot.2023.077602","DOIUrl":"https://doi.org/10.5014/ajot.2023.077602","url":null,"abstract":"<p><p>The American Journal of Occupational Therapy (AJOT) has maintained its top-ranking status in the field of occupational therapy, as evidenced by an increase in its 2-yr impact factor. As the Editor-in-Chief enters her second 3-yr term, the journal faces both challenges and opportunities stemming from trends in academic publishing. The editorial team seeks to navigate these shifts while fostering meaningful research dissemination and translation. Key outcomes for 2023 showcase the journal's dedication to addressing diverse occupational therapy needs. A special issue on autism and mental health in 2023 and upcoming themes on recovery after neurological injury and play in occupational therapy in 2024 exemplify AJOT's commitment to relevant topics. The AJOT Authors & Issues interview series and an active presence on social media platforms further bolster research engagement and translation. Despite challenges, AJOT's impact factor and rankings in the rehabilitation category have demonstrated its global influence and leadership. The journal's commitment to diversity, equity, and inclusion (DEI) is evident through initiatives such as AJOT's DEI Committee and DEI article collection, as well as AJOT's comprehensive approach to combating bias. As AJOT looks ahead to 2024, its goals include reviving State of the Science articles, updating our Author Guidelines to incorporate artificial intelligence and bias-free language policies, and fostering engagement through the AJOT Instagram account and monthly AJOT Authors & Issues discussions. With its dedication to rigorous research and meaningful translation, AJOT remains a crucial resource for occupational therapy professionals striving to make evidence-based decisions.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Intensive Bimanual Stimulation Program (BB-Bim) for Infants at Risk of Unilateral Cerebral Palsy: A Randomized, Multiple-Baseline, Single-Case Study.","authors":"Rachel Bard-Pondarré, Carole Vuillerot, Nahime Al-Abiad, Stéphane Verdun, Stéphane Chabrier, Emmanuelle Chaléat-Valayer","doi":"10.5014/ajot.2023.050232","DOIUrl":"https://doi.org/10.5014/ajot.2023.050232","url":null,"abstract":"<p><strong>Importance: </strong>Clinical practice guidelines for infants at high risk of cerebral palsy (CP) emphasize the importance of very early and intensive intervention.</p><p><strong>Objective: </strong>To determine the feasibility of a new, home-based, early intensive bimanual stimulation program (BB-Bim) and its impact on hand function in infants at risk of unilateral CP.</p><p><strong>Design: </strong>Single case experimental design, multiple baseline across subjects, lasting from 12 to 15 wk, including a 4- to 7-wk randomized baseline, followed by 8 wk of BB-Bim.</p><p><strong>Setting: </strong>Home.</p><p><strong>Participants: </strong>Infants (ages 3-12 mo) with suspected unilateral CP, whose parents agreed to participate in the stimulation program.</p><p><strong>Intervention: </strong>Parent-provided bimanual stimulation 20 min/day, 6×/wk, with weekly occupational therapist coaching visits.</p><p><strong>Measures: </strong>Weekly repeated measures were the Hand Assessment in Infants (HAI) and Goal Attainment Scaling (GAS). Feasibility and relevance were assessed with a logbook and a parental report, including 10 continuous 0-10 scaled questions.</p><p><strong>Results: </strong>Six infants were included (2 with left and 4 with right brain lesions). Parents provided a mean 3.4 to 6.2 stimulation sessions/wk. Feasibility and relevance were highly rated (Ms = 8.2-9.6, SDs = 0.2-1.3). Stimulation significantly improved HAI bimanual and total scores for all infants, with no impact on HAI unilateral scores. GAS scores improved with stimulation (significant for 3 infants).</p><p><strong>Conclusions and relevance: </strong>BB-Bim was feasible and tended to improve bimanual function in infants at risk of unilateral CP. What This Article Adds: Parent-provided daily bimanual stimulation at home is feasible when parents are coached weekly by an occupational therapist. Bimanual stimulation seems to improve functional interactions between the hands among infants at high risk of unilateral CP.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Health Equity Through Holistic Admissions in Occupational Therapy Education.","authors":"Arameh Anvarizadeh,&nbsp;Kristin Nxumalo,&nbsp;Amber Bennett,&nbsp;Julie McLaughlin Gray,&nbsp;Grace T Baranek","doi":"10.5014/ajot.2023.050103","DOIUrl":"10.5014/ajot.2023.050103","url":null,"abstract":"<p><p>As the U.S. population shifts away from a White majority, it is imperative that the health care workforce reflect the diversity of client populations served. Increased diversity in the health care workforce fosters access to more personalized, culturally responsive, and client-centered care, thereby facilitating improved outcomes and reduced health disparities. Occupational therapy education programs function as gatekeepers for diversity and need to be accountable for representation in the profession and to produce graduates who reflect the diversity of the broader population. Holistic admission practices, which ensure that no single factor excludes an applicant from admission, are recognized as a meaningful strategy for increasing student diversity in higher education and provide a pathway to create a representative workforce with the ability to improve care disparities and client outcomes. As one of the largest occupational therapy programs in the country, and located in a diverse urban area, the University of Southern California's Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy has embraced the profession's responsibility toward greater health equity through holistic admissions. In this column, we discuss holistic admission best practices and report diversity outcomes resulting from enactment of these practices within our occupational therapy education program.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocol for Forearm Pronosupination Strength Measuring in Different Postures: Reliability and Influence of Relevant Factors.","authors":"Cristina Herrera Ligero,&nbsp;Daniel Sánchez Zuriaga,&nbsp;Úrsula Martínez Iranzo,&nbsp;Salvador Pitarch Corresa,&nbsp;Helios De Rosario","doi":"10.5014/ajot.2023.050238","DOIUrl":"10.5014/ajot.2023.050238","url":null,"abstract":"<p><strong>Importance: </strong>Despite the importance of pronosupination strength, which is key in daily activities, current evaluation protocols are disparate, and results differ regarding the influence of factors such as gender, age, limb dominance, or posture.</p><p><strong>Objective: </strong>To design a reliable device to measure pronation and supination torques in different forearm positions, considering the influence of gender, age, and limb dominance.</p><p><strong>Design: </strong>Reliability study with analysis of intrarater and interrater repeatability and examination of the influence of different factors on the strength of pronation and supination.</p><p><strong>Setting: </strong>Biomechanical analysis laboratory of the Instituto de Biomecánica de Valencia.</p><p><strong>Participants: </strong>Convenience sample of 39 healthy male and female participants, ages 18 to 65 yr.</p><p><strong>Outcomes and measures: </strong>Pronation strength and supination strength were studied in five forearm positions: 30° and 60° of supination, neutral rotation, and 30° and 60° of pronation. The influence of gender, age, and limb dominance was studied using repeated-measures analysis of variance. Intrarater and interrater reliabilities were studied in 17 participants, and the intraclass correlation coefficients (ICCs) were calculated from three measurement sessions.</p><p><strong>Results: </strong>Except for 60° of pronation, all ICCs ranged from .72 to .97. Gender, limb dominance, and posture significantly affected pronosupination strength (p < .05), with the highest supination strength at 60° of pronation and the highest pronation strength at 60° of supination.</p><p><strong>Conclusions and relevance: </strong>In using this reliable pronosupination torque assessment device and standardized protocol in the clinical setting, clinicians must consider the influence of gender, limb dominance, and forearm posture. What This Article Adds: The results of this study will allow occupational therapists to establish differences between patients' functionality in comparison with healthy individuals and to design recovery treatments and facilitate performance of manual tasks, considering which are the most advantageous positions to exert force. Furthermore, the developed device can be used to monitor the evolution of these torques in an objective and reliable manner.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interinstrument Reliability Between the Squegg® Smart Dynamometer and Hand Grip Trainer and the Jamar® Hydraulic Hand Dynamometer: A Pilot Study.","authors":"Andreea Stamate,&nbsp;Jonathan Bertolaccini,&nbsp;Michel Deriaz,&nbsp;Saket Gunjan,&nbsp;Mircea-Dan Marzan,&nbsp;Luiza Spiru","doi":"10.5014/ajot.2023.050099","DOIUrl":"10.5014/ajot.2023.050099","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapists need dependable and accurate instruments for remote assessments and monitoring of hand functionality. These assessments monitor progress, evaluate interventions, and guide independence goals.</p><p><strong>Objective: </strong>To assess the interinstrument reliability and concurrent validity of the Squegg® Smart Dynamometer and Hand Grip Trainer and the Jamar® Hydraulic Hand Dynamometer.</p><p><strong>Design: </strong>Repeated-measures design.</p><p><strong>Setting: </strong>Individual clinic in Bucharest, Romania.</p><p><strong>Participants: </strong>Forty middle-age and older adult volunteers, healthy and free from any neuromuscular, orthopedic dysfunction that affected hand strength.</p><p><strong>Outcomes and measures: </strong>Participants' maximal grip strength (MGS) for both their dominant and nondominant hands was measured with both devices. Participants with odd-numbered IDs were measured with the Squegg first and the Jamar second, and those with even-numbered IDs were measured in opposite sequence.</p><p><strong>Results: </strong>Paired-samples t tests on overall mean MGS and mean MGS (three measures on each hand) showed no statistically significant differences between the two devices. Intraclass correlation analysis showed good to excellent interinstrument agreement. Pearson correlations between measurements across all participants, and hands, indicated strong agreement.</p><p><strong>Conclusions and relevance: </strong>The Squegg shows promise for health care professionals, including occupational therapists, for grip strength assessment in clinical contexts. What This Article Adds: These results offer initial psychometric data for a new remote MGS measurement device. MGS is crucial for assessing the physical function of aging adults. Reliable measurements from such a device are vital for occupational therapists to guide treatment interventions and assess hand function's impact on daily activities.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profile of Assessments in Pediatric Occupational Therapy Practice.","authors":"Alysha Skuthan,&nbsp;Wendy Stav","doi":"10.5014/ajot.2023.050190","DOIUrl":"https://doi.org/10.5014/ajot.2023.050190","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapy practice is intended to reflect the core construct of occupation throughout all aspects of service delivery. In pediatric occupational therapy, the evidence examining regularly selected assessment tools and the occupational constructs of those assessment tools is insufficient.</p><p><strong>Objective: </strong>To examine the assessment tools regularly selected by practicing pediatric occupational therapists and the therapists' classification of assessment tools as occupation-based.</p><p><strong>Design: </strong>A cross-sectional quantitative design through the dissemination of an anonymous, close-ended assessment tool inventory with completion of descriptive statistics.</p><p><strong>Setting: </strong>Pediatric occupational therapist practice specific to the assessments used.</p><p><strong>Participants: </strong>There were 337 pediatric occupational therapists recruited through targeted sampling via social media. The participants were included if they had provided direct client care to individuals ages of 0 to 21 yr during their career.</p><p><strong>Results: </strong>The assessment tools most commonly used by pediatric occupational therapists are the Sensory Profile (86.4%) and the Beery-Buktenica Developmental Test of Visual-Motor Integration (85.2%). The primary assessment tools selected by pediatric occupational therapists were skill-based regardless of years of practice or practice setting. Therapists were unable to correctly classify assessment tools as occupation-based.</p><p><strong>Conclusions and relevance: </strong>The limited use of occupation-based assessments in conjunction with decreased recognition of the occupational nature of assessment tools hinders the integration of occupation-based assessment tools across pediatric clinical practice. Pediatric occupational therapists' integration of occupation-based assessment tools is needed to promote the occupational constructs of the profession. What This Article Adds: This article identifies the common assessment tools utilized by pediatric occupational therapists. Additionally, this article brings awareness to the inconsistent identification and integration of occupation-based assessment tools within pediatric clinical practice.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Illness Perceptions on Poststroke Activity Engagement and the Moderating Role of Gender.","authors":"Yun Shi,&nbsp;Tsu-Hsin Howe,&nbsp;Bei Wu","doi":"10.5014/ajot.2023.050155","DOIUrl":"10.5014/ajot.2023.050155","url":null,"abstract":"<p><strong>Importance: </strong>Beyond existing knowledge of demographic and performance skill factors, establishing relationships between poststroke activity engagement and illness perceptions sets the stage for the development of more effective intervention strategies.</p><p><strong>Objective: </strong>To describe the illness perceptions of community-dwelling people with stroke in the first 2 yr poststroke; specifically, to examine whether illness perceptions are associated with activity engagement and to explore the moderating role of gender in these relationships.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Participants were recruited from eight rehabilitation settings in Beijing, China.</p><p><strong>Participants: </strong>202 community dwellers with stroke.</p><p><strong>Outcomes and measures: </strong>Activity engagement and illness perceptions were measured with the Mandarin version of the Assessment of Life Habits and the Chinese version of the Stroke-Specific Illness Perceptions Questionnaire-Revised, respectively. Participants' demographic information, cognitive status, and motor function were also collected.</p><p><strong>Results: </strong>Stronger perceptions of consequences and controllability were related to better performance in activity engagement at the personal level, and stronger perceptions of illness coherence were related to better performance in activity engagement at the societal level. In addition, gender differences in the relationship between illness perceptions and activity engagement were described.</p><p><strong>Conclusions and relevance: </strong>How people with stroke perceived their conditions dictated their levels of activity engagement in their community of residence. The findings suggest that understanding clients' illness perceptions may assist practitioners in developing comprehensive, targeted interventions to improve activity engagement and maximize recovery after stroke. Future studies are needed to explore the gender effect of illness perceptions on activity engagement in people with stroke. What This Article Adds: This study identified the relationships between illness perceptions and level of activity engagement in real-life environments in people with stroke. In addition to motor and cognitive interventions, providing opportunities for clients to gain a better understanding of stroke would facilitate their activity engagement in their real-life environment.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Revised American Occupational Therapy Association Fieldwork Performance Evaluations: Evaluation of Internal Structure, Response Processes, and Precision-Part 2.","authors":"Anders Kottorp,&nbsp;Catherine Killian,&nbsp;Kathryn Duke,&nbsp;Caniece Leggett,&nbsp;Ruxandra Drasga,&nbsp;Katharine Preissner","doi":"10.5014/ajot.2023.050207","DOIUrl":"10.5014/ajot.2023.050207","url":null,"abstract":"<p><strong>Importance: </strong>There is an evidence-based need to assess the validity and reliability/precision of the revised American Occupational Therapy Association's Fieldwork Performance Evaluation (FWPE) items for the occupational therapy student (OTS) and the occupational therapy assistant student (OTAS).</p><p><strong>Objective: </strong>To evaluate evidence of validity in relation to response processes, internal structure, and precision of the FWPEs.</p><p><strong>Design: </strong>Cross-sectional study design.</p><p><strong>Setting: </strong>OTS and OTAS fieldwork practice settings, United States.</p><p><strong>Participants: </strong>Two hundred sixty-seven fieldwork educators participated in total, providing 228 OTS evaluations and 39 OTAS evaluations.</p><p><strong>Outcomes and measures: </strong>A Rasch model was used to evaluate aspects of validity and precision.</p><p><strong>Results: </strong>The rating scales provided evidence of the tools' overall validity. Thirty-two of 37 items on the FWPE for the OTS, and 27 of 31 items on the FWPE for the OTAS demonstrated acceptable fit, but the evidence of unidimensionality in the subscales and in the total scales was not fully supported. The total/reduced FWPE scales were able to separate students into at least four distinct groups of fieldwork performance. The relationships between the current and revised FWPEs indicate that the new scales measure different but related constructs of student fieldwork performance, compared with the current version.</p><p><strong>Conclusions and relevance: </strong>The findings support that the revised FWPEs for the OTS and OTAS demonstrate preliminary evidence of internal structure, response processes, and precision, supporting evidence-based practice in fieldwork evaluations. What This Article Adds: This article highlights evidence demonstrating the validity and precision of the revised American Occupational Therapy Association's Fieldwork Performance Evaluation items and supports academic and fieldwork settings for occupational therapy students and occupational therapy assistant students.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}