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The Revised American Occupational Therapy Association Fieldwork Performance Evaluations: Evaluation of Internal
Anders Kottorp1, Catherine Killian2, Kathryn Duke3
1Anders Kottorp, PhD, OT Reg, is Full Professor and Dean, Faculty of Health and Society, Malmo University, Malmo, Sweden; anders.kottorp@mau.se.
Summary
The revised Fieldwork Performance Evaluation (FWPE) for occupational therapy students (OTS) and occupational therapy assistant students (OTAS) shows preliminary validity and precision. These updated tools support evidence-based fieldwork evaluations in academic and practice settings.
Area of Science:
- Occupational Therapy Education
- Psychometrics
- Clinical Assessment Tools
Background:
- The American Occupational Therapy Association's Fieldwork Performance Evaluation (FWPE) is crucial for assessing student competency.
- An evidence-based need exists to validate the revised FWPE items for both occupational therapy students (OTS) and occupational therapy assistant students (OTAS).
Purpose of the Study:
- To evaluate the validity, including response processes and internal structure, and the precision of the revised FWPEs for OTS and OTAS.
- To provide empirical evidence supporting the use of updated fieldwork evaluation tools.
Main Methods:
- A cross-sectional study design was employed across US fieldwork settings.
- Rasch modeling was utilized to analyze data from 267 fieldwork educators evaluating 228 OTS and 39 OTAS.
- Key psychometric properties including item fit, internal structure, and rating scale precision were assessed.
Main Results:
- The revised FWPEs demonstrated overall validity, with most items fitting the Rasch model.
- Evidence for unidimensionality was not fully supported in subscales and total scales.
- The scales effectively differentiated students into at least four performance levels, indicating good precision.
Conclusions:
- The revised FWPEs for OTS and OTAS provide preliminary evidence of validity and precision, supporting evidence-based fieldwork evaluations.
- These findings support the use of the revised FWPEs in academic and clinical settings for occupational therapy and occupational therapy assistant education.
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