| OBJECTIVE. This study explored the clinical utility and inter-rater reliability of the Occupational Adaptation Practice Guide (OAPG).;METHOD. The pilot test was conducted in two phases. In phase one, the instrument was implemented by two graduate students through a single case-study. In phase two, eight therapists used the instrument to rate a video-taped client to evaluate the inter-rater reliability of two sections of the instrument. Subsequently, each therapist utilized the OAPG to evaluate a client in an inpatient rehabilitation setting. Qualitative data on clinical utility of the instrument was then gathered.;RESULTS. Phase one revealed the instrument needed to be simplified for ease of use and efficiency. After modification of the instrument, phase two showed the instrument to be viewed as an efficient, thorough tool that facilitated the use of the Theory of Occupational Adaptation. Percentage agreement was 100% for three of the five assessment areas, with the other two being 75% and 75%. In addition to this, the Occupational Challenge Description Table was also found to have high inter-rater reliability for this study.;CONCLUSION. Quantitative and qualitative data showed the OAPG to have the potential to effectively and efficiently aid therapists in using the Theory of Occupational Adaptation in practice. |
