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Person-environment assessments in occupational therapy
1Community Occupational Therapists and Associates, Toronto, Ontario, Canada.
Summary
Occupational therapists can improve patient function by considering environmental factors. This review highlights 41 environmental assessments to aid therapists in selecting appropriate tools for practice.
Area of Science:
- Occupational therapy
- Environmental psychology
- Human factors engineering
Background:
- Occupational therapists increasingly recognize the environment's impact on occupational performance.
- Person-environment fit models offer a theoretical framework for understanding this influence.
- A gap exists in clinical practice regarding awareness and use of psychometrically tested environmental assessments.
Purpose of the Study:
- To review and analyze existing environmental assessments relevant to occupational therapy.
- To evaluate these assessments based on specific criteria including psychometric properties and clinical utility.
- To provide occupational therapists with a resource for selecting appropriate environmental assessment tools.
Main Methods:
- Systematic review of 41 environmental assessments.
- Analysis of each assessment's purpose, environmental attributes, application, clinical utility, development, and psychometric testing.
- Inclusion of a case example to demonstrate practical application.
Main Results:
- The review identified and categorized 41 distinct environmental assessments.
- Each assessment was evaluated for its psychometric rigor and suitability for clinical use.
- The paper provides a critical overview of the strengths and limitations of available tools.
Conclusions:
- A comprehensive understanding of available environmental assessments is crucial for occupational therapists.
- Selecting assessments with strong psychometric properties enhances the validity of environmental interventions.
- This review serves as a guide to bridge the gap between theoretical concepts of person-environment fit and practical clinical application.