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