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Related Experiment Video

Updated: Sep 14, 2025

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Occupational Therapy Acute Care Self-Efficacy Scale (OTACSES): Development, Test-Retest Reliability, and Precision.

Corey McGee¹, Hannah Oldenburg¹

¹University of Minnesota, Minneapolus, Minnesota, USA.

Occupational Therapy International

|July 21, 2025

Summary

A new scale, the Occupational Therapy Acute Care Self-Efficacy Scale (OTACSES), reliably measures occupational therapy students' confidence in acute care settings. This tool demonstrates strong internal consistency and test-retest reliability for assessing student abilities and knowledge.

Keywords:

acute care measurement occupational therapy precision reliability self-efficacy

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Area of Science:

Occupational Therapy Education
Healthcare Professional Training
Psychometrics

Background:

Occupational therapy (OT) practice in acute care demands specialized skills for complex patient populations.
A standardized tool to measure OT students' self-efficacy in acute care settings is currently lacking.
Self-efficacy is crucial for effective occupational therapy service delivery.

Purpose of the Study:

To develop and validate the Occupational Therapy Acute Care Self-Efficacy Scale (OTACSES).
To assess the test-retest reliability and precision of the OTACSES in first-year OT students.
To establish preliminary benchmarks for clinically meaningful change in self-efficacy scores.

Main Methods:

Scale items were developed using literature review, expert interviews, and student input.
The OTACSES was administered to 47 OT students, followed by item reduction.
The scale was re-administered after a one-week control period to assess test-retest reliability and precision.

Main Results:

The finalized "knowledge" and "abilities" subscales exhibited excellent internal consistency.
The OTACSES demonstrated excellent test-retest reliability and acceptable precision for total and subscale scores.
Preliminary data suggest meaningful changes of 5, 3, and 7 points for abilities, knowledge, and total scores, respectively.

Conclusions:

The OTACSES is a reliable and precise instrument for evaluating occupational therapy students' self-efficacy in acute care.
The scale provides a foundation for future research on acute care OT education outcomes.
Further investigation is warranted to explore its use with practitioners and as an educational outcome measure.