Article

This study was aimed at investigating the outcomes of an activity-based
assessment (BIA) compared with standard assessment (SA) for evaluating clients
undergoing psychiatric occupational therapy. Patients admitted to a psychiatric
occupational therapy unit were randomized into the BIA or the SA assessment. The
outcome indicators were (a) clients' satisfaction with the occupational therapy
during the assessment period, (b) clients' awareness of capacities and
occupational problems, (c) satisfaction with the assessment among the referring
physicians, and (d) outcomes of the intervention following the assessment, in
terms of changes in occupational performance and satisfaction. The groups did not
differ in awareness of occupational problems, but the BIA group was more
satisfied than the SA group with the support of their contact person and with the
group leader during the period of assessment. Furthermore, physicians receiving
feedback on patients in the BIA group were more satisfied than those receiving
feedback on patients in the SA group. However, the groups did not differ
concerning change during the treatment period in occupational performance or
satisfaction. Thus, there was no difference between the assessment methods
regarding the outcomes of the treatment following assessment. Minor advantages
from the patients' perspective were found, in terms of better satisfaction in the
BIA group, and from the referring physicians' perspective the BIA clearly seemed
more satisfying than the SA. Thus, the findings showed that the BIA possessed
better qualities than the SA regarding the indicators pertaining to satisfaction,
but not concerning awareness of capacities and problems or the outcome of the
subsequent treatment.

Langue : ANGLAIS