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Cognitive Assessments Used in Occupational Therapy Practice: A Global Perspective
Fahad S Manee1, Mohammed Shaban Nadar1, Naser M Alotaibi1
1Occupational Therapy Department, Faculty of Allied Health Sciences, Kuwait University, Kuwait.
Occupational Therapy International
|September 16, 2020
Summary
Global occupational therapy assessment practices for cognitive impairments vary widely. This study highlights inconsistencies in tool selection and usage among international clinicians, emphasizing the need for standardized best practices.
Area of Science:
- Occupational Therapy
- Neurorehabilitation
- Cognitive Assessment
Background:
- Occupational therapy plays a crucial role in managing clients with cognitive impairments.
- Current global practices for assessing cognitive impairments in occupational therapy are not well-documented.
- Evidence-based assessment selection is vital for effective client outcomes.
Purpose of the Study:
- To evaluate the current global status of occupational therapy assessment practices for clients with cognitive impairments.
- To identify commonly used assessment tools and reasons for their selection.
- To provide recommendations for developing international best practices in cognitive assessment.
Main Methods:
- An exploratory study surveyed 323 international occupational therapists working with clients experiencing neurocognitive impairments.
- Data collected included the types of assessments used (standardized and non-standardized) and reasons for their selection.
- Statistical analysis examined regional differences in assessment use and selection criteria.
Main Results:
- A significant number of therapists utilized non-cognitive specific assessments, prioritizing functional approaches.
- The most frequently reported standardized assessments were the Canadian Occupational Performance Measure (COPM), Mini-Mental State Examination (MMSE), and Montreal Cognitive Assessment (MoCA).
- Clinical observation and generic Activities of Daily Living (ADL) assessments were common non-standardized tools. Significant regional variations (p < 0.05) were found in assessment use and selection rationale.
Conclusions:
- Occupational therapists' use of assessment tools for neurocognitive impairments shows global inconsistency.
- There is a need to identify and promote international best practices for selecting and implementing outcome measures.
- An international occupational therapy initiative is essential to support appropriate assessment use and ensure consistent best practices.
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