This study is part of a larger research investigating the assessment methods used by occupational therapists working with children in independent practice in the United Kingdom. The focus of this paper is on the use of standardised tests. The research design was a cross-sectional descriptive survey, using a postal questionnaire as the data collection tool.
Out of 89 questionnaires sent, 66 (74%) were returned and 48 (54%) were deemed eligible. The findings demonstrated that 34 (71%) of the 48 respondents used standardised tests. The most common tests used regularly were the Movement Assessment Battery for Children (79%) and the Developmental Test of Visual-Motor Integration (74%). Standardised tests were used mainly to measure outcomes. The main reason that the participants did not use standardised tests or used them cautiously was the lack of suitable tests for the client.
Most of the study's findings were consistent with those of previous studies. The limited use of occupation-centred standardised tests and the necessity of critiquing standardised tests, especially when used as outcome measures, are discussed. It is suggested that further research on whether the standardised tests contribute to or do not contribute to an occupation-centred practice would be of great value.
BabbieE (1990) Survey research methods. 2nd ed.Belmont: Wadsworth Publishing.
3.
BonderB (1985) Standardised assessments: Ethical principles for use. American Journal of Occupational Therapy, 39(7), 473–74.
4.
BowlingA (2002) Research methods in health: Investigating health and health services. 2nd ed.Buckingham: Open University Press.
5.
BrymanA (2001) Social research methods. Oxford: University Press.
6.
BurtnerPAWilhiteCBordegarayJMoedlDRoeRJSavageAR (1997) Critical review of visual perceptual tests frequently administered by pediatric therapists. Physical and Occupational Therapy in Pediatrics, 17(3), 39–61.
7.
CossarA (1992) The growth of private practice in occupational therapy in Great Britain. British Journal of Occupational Therapy, 55(4), 157–61.
8.
ChiaSH (1997) Occupational therapists' assessment practices with children who have disabilities. British Journal of Therapy and Rehabilitation, 4(3), 123–28.
9.
ChowSMK (1989) Assessment practices of paediatric occupational therapists. Unpublished MSc dissertation. Southampton: University of Southampton.
10.
CosterW (1998) Occupation-centered assessment of children. American Journal of Occupational Therapy, 52(5), 337–44.
11.
de Clive-LoweS (1996) Outcome measurement, cost-effectiveness and clinical audit: The importance of standardised assessment to occupational therapists in meeting these new demands. British Journal of Occupational Therapy, 59(8), 357–62.
12.
Department of Health (1997) The new NHS: Modern, dependable. London: Stationery Office.
13.
Department of Health (1998) A first class service — quality in the new NHS. London: Stationery Office.
14.
Department of Health (2000) The NHS plan: A plan for investment, a plan for reform. London: Stationery Office.
15.
de VausDA (2002) Surveys in social research. 5th ed.London: Routlege.
16.
DonnellyCCarswellA (2002) Individualised outcome measures: A review of the literature. Canadian Journal of Occupational Therapy, 69(2), 84–94.
17.
FisherAGShort-DeGraffM (1993) Improving functional assessment in occupational therapy: Recommendations and philosophy for change. American Journal of Occupational Therapy, 47(3), 199–201.
18.
FowlerFG (2002) Survey research methods: Applied social research methods series, volume 1. 3rd ed.Thousand Oaks, CA: Sage.
19.
HockingC (2001) Implementing occupation-based assessment. American Journal of Occupational Therapy, 55(4), 463–69.
20.
HowardL (2002) A survey of paediatric occupational therapists in the United Kingdom. Occupational Therapy International, 9(4), 326–43.
LawlorMCHendersonA (1989) A descriptive study of the clinical practice patterns of occupational therapists working with infants and young children. American Journal of Occupational Therapy, 43(11), 755–64.
23.
MandichAMillerLLawM (2002) Outcomes in evidence-based practice. In: LawM, ed. Evidence-based rehabilitation: A guide to practice. Thorofare, NJ: Slack, 49–69.
24.
MangioneTW (1998) Mail surveys. In: BickmanLRogDJ, eds. Handbook of applied social research methods. Thousand Oaks, CA: Sage, 399–427.
25.
MulliganS (2003) Occupational therapy evaluation for children: A pocket guide. Philadelphia: Lippincott Williams and Wilkins.
Occupational Therapists in Independent Practice (2004b) About OTIP. Available at: http://www.otipp.co.uk/about.htm Accessed on 22.06.04.
28.
PallantJ (2001) SPSS survival manual: A step by step guide to data analysis using SPSS. Buckingham: Open University.
29.
PayneS (2002) Standardised tests: An appropriate way to measure the outcome of paediatric occupational therapy?British Journal of ccupational Therapy, 65(3), 117–22.
30.
PolgarJM (2003) Critiquing assessments. In: CrepeauEBCohnESSchellBAB, eds. Willard and Spackman's occupational therapy. 10th ed.Philadelphia: Lippincott Williams and Wilkins, 299–314.
31.
ReidD (1987) Occupational therapists' assessment practices with handicapped children in Ontario. Canadian Journal of Occupational Therapy, 54(4), 181–88.
32.
RichardsonPK (2001) Use of standardised tests in pediatric practice. In: Case-SmithJ, ed. Occupational therapy for children. 4th ed.Missouri: Mosby, 217–45.
33.
RodgerS (1994) A survey of assessments used by paediatric occupational therapists. Australian Occupational Therapy Journal, 41(3), 137–42.
34.
SimJWrightC (2000) Research in health care: Concepts, designs and methods. Cheltenham: Nelson Thornes.
35.
TromblyC (1993) Anticipating the future: Assessment of occupational function. American Journal of Occupational Therapy, 47(3), 253–57.
36.
UnsworthC (2000) Measuring the outcome of occupational therapy: Tools and resources. Australian Occupational Therapy Journal, 47(4), 147–58.
37.
WallenMDoyleS (1996) Performance indicators in paediatrics: The role of standardised assessments and goal setting. Australian Occupational Therapy Journal, 43, 172–77.
38.
WallenMWalkerR (1995) Occupational therapy practice with children with perceptual motor dysfunction: Findings of a literature review and survey. Australian Occupational Therapy Journal, 42(1), 15–25.
39.
WeisbergHFKrosnickJABowenBD (1996) An introduction to survey research, polling, and data analysis. 3rd ed.Thousand Oaks, CA: Sage.
