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Updated: May 25, 2025

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
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Occupational Therapy Assessment Practice Patterns for Core Domains in Adult Populations.

Pamela Roberts1, Debra Ouellette2, Gordon Muir Giles3

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OTJR : Occupation, Participation and Health
|February 28, 2025
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Summary
This summary is machine-generated.

Occupational therapy assessment practices vary significantly across different healthcare settings. Understanding these variations is crucial for improving patient outcomes and identifying potential gaps in care.

Keywords:
activities of daily livingassessmentfear of fallingfunctional cognitioninstrumental activities of daily livingpsychosocial participationscreeningvision

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Area of Science:

  • Occupational Therapy
  • Healthcare Practice Assessment

Background:

  • Effective patient outcomes rely on robust occupational therapy services.
  • Adequate assessment practices are fundamental for successful intervention.

Purpose of the Study:

  • To examine variations in occupational therapy assessment practices.
  • To identify differences based on facility type, assessed domains, and instruments used.
  • To characterize common practices and pinpoint potential assessment gaps.

Main Methods:

  • A cross-sectional online survey was conducted.
  • 1,198 occupational therapy practitioners participated.
  • Assessments covered six core adult domains: ADL, IADL, fear of falling, functional cognition, psychosocial, and vision.

Main Results:

  • Significant differences in assessed domains and methods were found between hospital inpatient post-acute care and community settings.
  • Variability exists in assessment methods for critical occupational therapy domains.
  • The extent to which therapists evaluate specific domains differs across practice settings.

Conclusions:

  • Occupational therapy assessment practices are not uniform across all settings.
  • There is a need to address variability in assessment to ensure comprehensive patient care.
  • Identifying and bridging assessment gaps can enhance the value and effectiveness of occupational therapy.