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A Behaviourally Anchored Checklist for Mental Health Occupational Therapy Intake Interviews: Development and
Yasuhisa Nakamura1, Shohei Mori2, Shuji Kijima1
1Department of Rehabilitation, Division of Occupational Therapy, Faculty of Health Sciences, Nihon Fukushi University, Handa City, Aichi Prefecture, Japan.
A new checklist reliably assesses occupational therapy students' intake interview skills in brief encounters. This tool supports rater calibration and feedback, even without multi-station Objective Structured Clinical Examinations (OSCEs).
Area of Science:
- Occupational Therapy Education
- Clinical Skills Assessment
- Psychometrics
Background:
- Assessing core competencies like intake interviews in mental health occupational therapy is crucial.
- Existing tools for evaluating brief, observed encounters are limited.
- This study addresses the need for reliable assessment instruments in occupational therapy education.
Purpose of the Study:
- To develop and validate a 16-item behaviourally anchored checklist/rubric for assessing intake interview performance.
- To examine the scoring reliability of this checklist in a simulated clinical encounter (Objective Structured Clinical Examination - OSCE format).
- To provide a tool for structured formative feedback in occupational therapy training.
Main Methods:
- A cross-sectional study involving 60 occupational therapy students and 2 raters.
- Development of a 16-item behaviourally anchored checklist/rubric.
- Assessment of performance across attitude, interview skills, and evaluation domains using standardized patient scenarios.
- Statistical analysis including Cronbach's alpha, Intraclass Correlation Coefficients (ICCs), and Bland-Altman analysis.
Main Results:
- High internal consistency was found for all domains (Cronbach's α = 0.850-0.887) and total scores (α = 0.816-0.817).
- Inter-rater agreement for total scores ranged from 0.761 to 0.929 across scenarios.
- Domain-level ICCs indicated acceptable to high agreement, with evaluation showing the strongest agreement (0.794-0.979).
Conclusions:
- The developed behaviourally anchored checklist demonstrates high internal consistency and acceptable inter-rater reliability for assessing intake interview performance.
- This instrument operationalizes interpersonal competencies as observable behaviors, aiding rater calibration and feedback.
- The checklist is suitable for single-station assessments, offering a viable option where multi-station OSCEs are not feasible.
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