Tuesday, April 16, 2013

Short Child Occupational Profile (SCOPE)


Full Name of Assessment:
Short Child Occupational Profile (SCOPE)
Author, Publisher, Date:
Patricia L. Bowyer, Jessica Kramer, Annie Ploszaj, Melissa Ross, Orit Schwartz, Gary Kielhofner, Kathleen Kramer; University of Illinois Chicago, 2008
Source:
University of Illinois Chicago
Pricing: $40
Brief description (purpose, domains, subscales, time to administer, space/equipment needs):
Purpose:
The SCOPE is an occupation-focused assessment that determines how a child’s volition, habituation, skills, and the environment facilitate or restrict participation. Developed in collaboration with international practitioners, the SCOPE seeks to facilitate a systematic evaluation of most MOHO concepts. SCOPE ratings are based on each child’s “individual developmental trajectory”- the capacities a child has the potential to acquire in the future given the child’s age, impairment, prior life experiences, and environmental context. This approach enables practitioners to capture each child’s strengths as well as challenges using the SCOPE.
Practitioners can gather information to rate the SCOPE in a variety of ways (observation, interviews, chart review, and other assessments). The SCOPE can be used with children birth- 21 years of age with a range of abilities and diagnosis. The SCOPE was designed to be used to document progress towards occupational therapy intervention goals as well as to screen for occupational therapy services. SCOPE Version 2.2 includes several resources to support the use of the SCOPE in practice, including:
Domains/subscales
volition
      exploration
      expression of enjoyment
      showing preferences and making choices
      response to challenge
habituation
      daily activities
      response to transitions
      routine
      roles
communication and interaction skills
      non-verbal communication
      understands & Uses objects
      orientation to environment
      plan & make decisions
      problem solving
process skills
      understands & uses objects
      orientation to environment
      plan & make decisions
      problem solving
motor skills
      posture & mobility
      coordination
      strength
      energy/endurance
environment
      physical space
      physical resources
      social groups
      occupational demands
      family routine
Time to administer: 10-20 minutes
Space/Equipment needs: Scoring sheets
Scoring:
Step 1: record and/or transfer your SCOPE ratings
 F (facilitates): facilitates participation in occupation
      The child spontaneously seeks and persists in new or more challenging activities
 A (Allows): allows participation in occupation
      the child spontaneously attempts new or more challenging activities, but is easily frustrated and/or needs some support in order to persist
I (Inhibits): inhibits participation in occupation
      the child usually requires significant support to engage in new and more demanding activities and to overcome frustration and persist during such activities
R (restricts): restricts participation in occupation j
      the child avoids new or more challenging activities because they elicit a high level of frustration
Step 2: convert the SCOPE ratings to numbers using the following key
 F=4
A=3
 I=2
R=1
Step 3: sum the numbers for each section to obtain Section Rating Totals
Step 4: Sum the section rating totals to obtain the overall rating total
Psychometric properties (describe briefly; e.g. reliability, validity, sensitivity, specificity, etc):
Client separation was 3.07 (Table 4) with a separation reliability of .90.
Overall the therapists had a rater separation of 1.34 with a separation reliability of .64.

Citations/References (source at least 2 articles that use the tool or reports on psychometrics):
Bowyer, P. L., Kramer, J., Kielhofner, G., Maziero-Barbosa, V., & Girolami, G. (December 01, 2007). Measurement Properties of the Short Child Occupational Profile (SCOPE). Physical & Occupational Therapy in Pediatrics, 27, 4.)
Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: a comparative study using the short sensory profile. The American Journal of Occupational Therapy, 61(2), 190-200.
Comments/critique (include application to practice – settings, needs, populations):
Settings: The environment includes both physical and social dimensions, such as spaces, objects, social groups, and occupational forms/tasks
Populations: Children from birth to 21
Training or certification requirements:
none



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