Abstract
The Occupational Regulation Questionnaire (ORQ) is a tool used to measure regulation in the pediatric population. This retrospective chart review investigated the psychometric properties of this instrument and supports utilization of this tool in practice.
Primary Author and Speaker: Michelle A. Suarez
Additional Authors and Speakers: Hannah Sherman, Emily Zion, Emma Sauger, Carly Pylat
It is important for Occupational Therapy Practitioners (OTP) to understand and measure regulation because challenges in regulation impact a child’s ability to function in daily activities. Existing measurement tools focus on single, specific aspects of regulation or social behavior, leaving a gap in assessing the relationship between global regulation and occupational participation. The Occupational Regulation Questionnaire (ORQ) was developed to bridge this gap. This study investigated the amount of shared variance between the two subtests of the ORQ. It also determined the convergent validity between the ORQ and Canadian Occupational Performance Measure (COPM). Finally, it determined if the ORQ was useful in detecting changes from evaluation to discharge in a group of children receiving OT services. The ORQ was developed using a review of the literature and consultation with expert clinicians. Then, data for this retrospective chart review was drawn from charts at two occupational therapy clinics that are currently using both the ORQ and the COPM. Internal consistency was evaluated using Cronbach’s alpha, convergent validity was evaluated using correlation between the ORQ and COPM and pre to post test changes were evaluated using a non-parametric dependent t-test. The ORQ demonstrated strong internal consistency (Regulation- Chronbach’s Alpha = .936, Satisfaction- Chronbach’s Alpha = .936), significant association with the COPM (r = .515, p = .014) and a significant difference between evaluation and discharge (Wilcoxon = -3.14, p = .02) in parent report of their child’s regulation. This study will provide clinicians with information about the usefulness of this new outcome measure of regulation. Access to a new measure of regulation could allow clinicians to measure change and indicate the potential effectiveness of occupational therapy services.
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