title: Interrater reliability and discriminative validity of the structural elements of the Ayres Sensory Integration Fidelity Measure.
abstract: This study examined the reliability and validity of the structural section of the Ayres Sensory Integration® Fidelity Measure© (ASIFM), which provides a method for monitoring the extent to which an intervention was implemented as conceptualized in studies of occupational therapy using sensory integration intervention methods (OT-SI). We examined the structural elements of the measure, including content of assessment reports, availability of specific equipment and adequate space, safety monitoring, and integration of communication with parents and other team members, such as collaborative goal setting with parents or family and teacher education, into the intervention program. Analysis of self-report ratings by 259 occupational therapists from 185 different facilities indicated that the structural section of the ASIFM has acceptable interrater reliability (r ≥ .82) and significantly differentiates between settings in which therapists reportedly do and do not practice OT-SI (p < .001).
authors.affiliation: Teresa A. May-Benson, ScD, OTR/L, FAOTA, is Executive Director, SPIRAL Foundation, 74 Bridge Street, Newton, MA 02458; tmaybenson@thespiralfoundation.org.
authors.forename: Teresa A
authors.initials: TA
authors.lastname: May-Benson
authors.affiliation: Susanne Smith Roley, OTD, OTR/L, FAOTA, is Project Director, Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
authors.forename: Susanne Smith
authors.initials: SS
authors.lastname: Roley
authors.affiliation: Zoe Mailloux, OTD, OTR/L, FAOTA, is Program and Professional Development Consultant, Redondo Beach, CA.
authors.forename: Zoe
authors.initials: Z
authors.lastname: Mailloux
authors.affiliation: L. Diane Parham, PhD, OTR/L, FAOTA, is Professor, Occupational Therapy Graduate Program, School of Medicine, University of New Mexico, Albuquerque.
authors.forename: L Diane
authors.initials: LD
authors.lastname: Parham
authors.affiliation: Jane Koomar, PhD, OTR/L, FAOTA, was Executive Director, OTA The Koomar Center, and President, SPIRAL Foundation, Newton, MA, at the time of the study.
authors.forename: Jane
authors.initials: J
authors.lastname: Koomar
authors.affiliation: Roseann C. Schaaf, PhD, OTR/L, FAOTA, is Professor and Chair, Department of Occupational Therapy, Jefferson School of Health Professions, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Roseann C
authors.initials: RC
authors.lastname: Schaaf
authors.affiliation: Annamarie Van Jaarsveld, MOT (UFS), is Head of Department: Occupational Therapy, Faculty of Health Sciences, University of the Free State, Bloemfontein, Republic of South Africa.
authors.forename: Annamarie Van
authors.initials: AV
authors.lastname: Jaarsveld
authors.affiliation: Ellen Cohn, ScD, OTR/L, FAOTA, is Clinical Professor and MSOT Program Director, Occupational Therapy, Department of Occupational Therapy, College of Health and Rehabilitation Sciences, Boston University, Boston, MA.
authors.forename: Ellen
authors.initials: E
authors.lastname: Cohn
mesh_terms: D006302:Health Services Research / Q000592:standards*; D006801:Humans; D009788:Occupational Therapy / Q000379:methods*; D017064:Process Assessment, Health Care; D012678:Sensation Disorders / Q000534:rehabilitation*