Feasibility testing of the Occupational Adaptation Practice Guide

Abstract

Introduction The theory of occupational adaptation was articulated with an emphasis on client-centered and occupation-based practice. The Occupational Adaptation Practice Guide is an instrument designed to facilitate therapists’ application of this theory in evaluation and treatment planning to influence clients’ internal occupational adaptation and participation in daily life. Method The purpose of this study was to trial the instrument and to assess percentage of agreement and perceived feasibility of the Occupational Adaptation Practice Guide in an inpatient rehabilitation setting. Eight therapists completed the Occupational Adaptation Practice Guide according to a videoed case study for evaluation of percentage of agreement. Each therapist then administered the guide to separate clients and subsequently completed an open-ended questionnaire to assess acceptability and practicality feasibility. Results Percentage of agreement was 100% for motor control, perception and environmental ratings, with the cognition and psychosocial ratings each at 75%. Themes gathered from qualitative data revealed perceptions of the instrument as comprehensive and efficient. Conclusion The instrument was reported to be an efficient, thorough tool that facilitated the use of the theory of occupational adaptation.