Importance: Responsive communication is critical to ensuring family-centered care in early intervention (EI). The Intentional Relationship Model (IRM) offers a framework for examining therapist–parent communication and offers strategies for supporting therapist responsiveness. Objective: To explore family-centered care and therapists’ communication in EI using the IRM. Design: Prospective descriptive study. Setting: Illinois EI program. Participants: Convenience sample of 101 therapists and 19 parents enrolled in an EI program. Therapist disciplines included developmental (n = 24), occupational (n = 32), physical (n = 17), and speech (n = 28) therapy. Outcomes and Measures: Demographic questionnaire, Early Interventionist Self-Efficacy Scale, Early Intervention Parenting Self-Efficacy Scale, Measure of Processes of Care (MPOC)–Short Form, MPOC–Service Provider, Clinical Assessment of Modes (CAM), and Clinical Assessment of Suboptimal Interaction–Short Form (CASI–SF). Results: Therapists used family-centered practices specific to relationship building more frequently than information sharing (especially sharing of general information). Therapists used the empathizing, encouraging, and instructing modes most frequently in their interactions with families. Participants’ scores on the MPOC, CAM, and CASI–SF were significantly correlated. Conclusions and Relevance: Therapist–parent interactions were aligned with family-centered care. Opportunities for practitioners were identified in (1) sharing specific and general information and (2) expanding the use of collaborating, problem-solving, and advocating modes. What This Article Adds: In this study, we explored how the IRM can inform family-centered practices in EI through examination of therapists’ interpersonal competency and therapeutic mode use.

Importance: The Occupational Self-Assessment, Version 2.2 (OSA 2.2), is a client-centered measure of clients’ perceived occupational competence and value. The OSA 2.2 has previously demonstrated good structural validity and internal consistency; however, the administration length could deter therapists from using this assessment in acute care and acute inpatient rehabilitation. Objective: To evaluate reliability and validity of the OSA 2.2 in acute care and acute inpatient rehabilitation and to develop and validate the OSA–Short Form (OSA–SF). Design: We performed a descriptive psychometric analysis using the Rasch analytic approach. Setting: The data were collected in acute care and acute inpatient rehabilitation. Participants: Our convenience sample consisted of 86 patients in acute care and acute inpatient rehabilitation. Outcomes and Measures: Participants rated their perceived occupational competence and value by completing the OSA 2.2. Results: We examined psychometric properties of the OSA 2.2 and OSA–SF using a partial credit Rasch model. The 21-item OSA 2.2 was reduced to a 12-item OSA–SF through iterative removal of items on the basis of item-misfit statistics. The OSA–SF demonstrated adequate rating scale functioning, dimensionality, item and person goodness of fit, item targeting, item hierarchies, and item and person separation. Conclusions and Relevance: Findings indicate that the OSA–SF is a valid and reliable measure that can guide client-centered goal setting and intervention planning for adults receiving acute care and acute inpatient rehabilitation. What This Article Adds: The OSA 2.2 and the OSA–SF offer a client-centered approach to evaluating patients’ self-reported ability and ratings of the importance of performing everyday occupations. These assessments can guide client-centered goal setting in acute care and acute inpatient rehabilitation.

Burnout is increasingly documented in occupational therapy (OT); however, practitioner and student well-being have not been examined to date. The research aim was to explore the relationship between well-being, resilience, stress, and self-care in OT. For this purpose, a cross-sectional survey of practitioners and students was done, including a background survey, World Health Organization–5 Well-Being Index (WHO-5), Brief Resilience Scale (BRS), Perceived Stress Scale (PSS), and Mindful Self-Care Scale (MSCS). Open-ended questions and Visual Analog Scales were used to gather satisfaction and service access. Practitioners ( n = 235) and students ( n = 200) reported well-being “less than half of the time” on the WHO-5, “moderate” stress on the PSS, and “normal” resilience on the BRS. The BRS, PSS, and MSCS explained a significant proportion of variance on the WHO-5 for practitioners and students. Most participants used at least one self-care strategy and desired additional organizational services. The findings of elevated stress and decreased well-being underscore the importance of reimagining wellness initiatives in OT.

The ACIS-FI offers Finnish practitioners and researchers a valid tool to measure communication and interactions skills that is theoretically grounded in the MOHO.

Date Presented 04/01/2022 Intimate relationships are significantly associated with quality of life for young people with Down syndrome (DS). These relationships are a facet of social participation within the scope of OT practice that is not often addressed in practice. This descriptive study explores self-determination and perceptions of intimate relationships from the perspective of young adults with DS (ages 18-30 years) and their caregivers. Implications of findings for OT practice are discussed. Primary Author and Speaker: Katherine Williams Contributing Authors: Evguenia Popova, Katie Frank