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Item-Level Analysis of the Revised Occupational Therapy Fieldwork Performance Evaluation Applied in Practice

Open Journal of Therapy and Rehabilitation 2024年第2期12卷 145-159页

作者： Cynthia L. Sears Brad E. Egan Patricia F. Tomsic craig A. velozo Graduate College of Health Professions Occupational Therapy Program Hawai&#8217i Pacific University Honolulu HI USA College of Science and Health Occupational Therapy Program DePaul University Chicago IL USA Department of Occupational Therapy Wingate University Wingate NC USA College of Health Professions Department of Rehabilitation Sciences Division of Occupational Therapy Medical University of South Carolina Charleston SC USA

Competency-based assessments for healthcare professionals are critical for safe and effective client outcomes. Rehabilitation clinical skill competency assessments must be validated and revised to produce safe and skilled practitioners. The revised American Occupational Therapy Association (AOTA) Fieldwork Performance Evaluation (FWPE) instrument measures occupational therapy student performance to determine readiness for practice. The assessment includes thirty-seven competencies that address both profession specific clinical skills and general professional behavior skills. The objective of this study was to use Rasch methods to explore the use of the revised FWPE in actual fieldwork practice and to determine the instrument’s psychometric properties when separating the item components into two distinct subdomains: General Health Professions Competences and Occupational Therapy-Specific Competencies. Internal construct validity and test reliability were analyzed using data from 149 occupational therapy students after completing their initial Level II A fieldwork clinical internship. This study examined the item difficulty hierarchy, item fit, person-fit to model, person separation index, person separation reliability coefficient, strata, ceiling and floor effect, and unidimensionality of the FWPE instrument as a whole and as two separate domains. With the exception of not meeting the criteria for unidimensionality, the full FWPE instrument and the Occupational Therapy-Specific Competencies subdomain showed acceptable item-level psychometrics for reliability and precision. While the General Health Professions Competencies subdomain showed good item-level psychometrics, it was below the criterion for reliability and only separated the sample into two strata. Results support the validity, reliability, and clinical use of the revised FWPE full instrument and the Occupational Therapy-Specific Competencies subdomain to measure entry-level clinical skill competencies in pr

关键词： Rehabilitation Competency-Based Assessments Occupational Therapy Measurement Rasch Analysis

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Self-efficacy for managing hypertension and comorbid conditions

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World Journal of Hypertension 2019年第3期9卷 30-41页

作者： Mi Jung Lee Sergio Romero HuanGuang Jia craig a velozo Ann L Gruber-Baldini Lisa M Shulman Department of Occupational Therapy University of FloridaGainesvilleFL 32610United States NF/SG VHS Center of Innovation on Disability and Rehabilitation Research-GNVGainesvilleFL 32601United States Division of Occupational Therapy Medical University of South CarolinaCharlestonSC 29425United States Department of Epidemiology and Public Health University of Maryland School of MedicineBaltimoreMD 21201United States Department of Neurology University of Maryland School of MedicineBaltimoreMD 21201United States

BACKGROUND Self-efficacy is defined an individual’s belief in completing necessary actions to achieve the desired *** individuals with hypertension and other chronic conditions,self-efficacy has been an essential factor to predict adherence to treatment *** To examine self-efficacy for managing chronic conditions in individuals with *** A total of 1087 individuals with chronic conditions in two groups(hypertension and non-hypertension groups)were selected in this *** two groups’selfefficacy for managing chronic conditions were investigated using the five domains of patient reported outcomes measurement information system selfefficacy for managing chronic conditions measures(PROMIS-SE);daily activities,emotions,medication and treatment,social interactions,and ***,the relationships between self-efficacy and other health-related outcomes for the hypertension group were examined using structural equation *** Among 1087 participants,437 reported having *** hypertension and non-hypertension groups were statistically different in self-efficacy for managing daily activities[F(1,598)=5.63,P<0.05].Structural equation modeling indicated that for individuals with hypertension,two domains of PROMIS-SE(managing daily activities and emotions)significantly predict global physical health(P<0.001 and P<0.01 sequentially),and one domain(managing emotions)significantly predicts mental health(P<0.001).Hypertension patients’general quality of life was significantly predicted by global physical health(P<0.001)and mental health(P<0.001).CONCLUSION The hypertension group reported deficits in self-efficacy in managing daily activities as compared to the non-hypertension *** this hypertension group,self-efficacy functioned as an indirect predictor of general quality of life,mediated by global physical and mental health.

关键词： Hypertension Self-efficacy Self-management Chronic conditions

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Rater Effect on the Behavior Rating Inventory of Executive Function-Adult Version in Traumatic Brain Injury

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Psychology Research 2015年第12期5卷 661-671页

作者： Wen Pey-Shan Waid-Ebbs J. Kay velozo craig A. Florida International University Miami USA Department of Veterans Affairs Medical Center North Florida/South Georgia Veterans Health System Gainesville USA Medical University of South Carolina Charleston USA

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