THE SCOPE OF ORAL HEALTH PRACTICE AND NEEDS OF CHILD HEALTH ...
The Short Child Occupational Profile (SCOPE)
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Transcript of The Short Child Occupational Profile (SCOPE)
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The Short Child Occupational Profile (SCOPE)
Lauren Stevenson and Brandy White
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Purpose
• Initial evaluation and/or outcome measure
• Broad overview of child’s occupational participation
• Identify occupational strengths and areas to address
• Guide occupation-based goals and interventions
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Key Characteristics
• Age range: birth to 21 years
• Frame of Reference: MOHO
• Very simple and flexible• Multiple means of gathering data• Includes intervention planning ideas
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Test Development
• Pediatric therapists attempted to use MOHOST, but found it did not meet the needs of pediatric evaluation.• First draft: based on team of expert pediatric occupational therapists• Four years of research and revisions based on therapist and other
professional input
• Standardization: This is not a standardized assessment.
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Psychometric PropertiesType of Reliability
Statistics Used Value Rating
Observer: Practitioner Separation Index
MFRM 0.83 excellent
Internal consistency: Item Separation Index
MFRM 0.99 excellent
Client Separation Index
MFRM 0.95 excellent
Construct Validity: Confirmed by MFRM analysis
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Test Length and Cost• Length: • Consists of 25 items• Experienced therapists may complete this assessment
in 10+ min depending on methods used to gather information.
• Test Cost: $40• Rating and summary forms are reproducible
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Assessment Approach
• TOP-DOWN APPROACH
• Ecological
• Judgment-based
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Areas of Occupation Addressed• ADLs• IADLs• Education•Work• Play• Leisure• Social Participation
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Domains (Sub-domains)- Volition (exploration, expression of enjoyment, showing
preferences/making choices, response to challenge)- Habituation (daily activities, response to transitions, routines, roles)- Communication and Interaction Skills (non-verbal
communication, verbal/vocal expression, conversation, relationships)- Process Skills (Understands and uses objects, orientation to
environment, plan and make decisions, problem solving)- Motor Skills (posture and mobility, coordination, strength,
energy/endurance)- Environment (how the environment affects the child, physical
space, physical resources)
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Test Most Likely Used in what Settings?
• Across practice contexts and settings • Some may include:
SchoolsAcute careClinics Home
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Testing Procedures• Informal observation• Formal observation• Discussion (interview) with the child• Discussion (interview) with the parents,
teachers, multidisciplinary team • Reading case notes and medical/rehab
records• Completing other formal assessments
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Rating Scale• F: Facilitates occupational
participation
• A: Allows occupational participation
• I: Inhibits occupational participation
• R: Restricts occupational participation
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Example of SCOPE Items
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Example of SCOPE Interview Items (Optional to gather data)
Parent Interview: HabituationDescribe your child’s typical weekday and weekend routine at
home/school/in the community. Does your child know when to do these daily routines and self-care activities? How does your child actively take part in doing these routines and self-care activities?
Teacher Interview: Volition What are some things that you think this student feels he/she does
well or that he/she is proud of doing? Does the student enjoy most things, or is he/she frequently frustrated or unhappy when doing things? How do you know when this student is proud of himself/herself?
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Demonstrations
• Brandy observe Lauren (child)• Response to transitions A
• Lauren interview Brandy (parent)• Response to transitions R
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SCOPE Summary Rating Form
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SCOPE Ratings Totals Form
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Goal Writing and Intervention Planning• Guide for creating occupation-based goals and intervention
strategies• Additional form for organizing plan of care
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Measurement Concerns
• Examiner error: Rating is subjective to therapist’s judgment • Some clients may be more difficult to rate
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Advantages:
Occupation-based, top-down, holisticWide range of ages, diagnoses, and settingsFacilitates family-centerednessUseful for children who cannot complete standardized assessmentResults are easy to communicate to parents
Disadvantages:
Not a widely used instrumentNot standardized
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References• Bowyer, P.L., Kramer, J., Ploszaj, A., Ross, M., Schwartz, O., Kielhofner, G.,
Kramer, K. (2005). A User’s Manual for The Short Child Occupational Profile (SCOPE) (v.2.2). Chicago, IL: Model of Human Occupation Clearinghouse.• Bowyer, P., Kramer, J., Kielhofner, G., Maziero-Barbosa, V., & Girolami, G.
(2007). Measurement properties of the SCOPE. Physical & Occupational Therapy in Pediatrics, 27(4), 67-85.• Bowyer, P., Lee, J., Kramer, J., Taylor, R.R., Kielhofner, G. (2012).
Determining the clinical utility of the Short Child Occupational Profile (SCOPE). British Journal of Occupational Therapy, 75(1), 19-28.• Kramer, J., Bowyer, P., Kielhofner, G., O’Brien, J., & Maziero-Barbosa, V.
(2009). Examining rater behavior on a revised version of the Short Child Occupational Profile (SCOPE). OJTR: Occupation, Participation, and Health, 29(2), 88-96.