PDF(Pubmed)
Abstract：
Background: Sensory reactivity (SR) difficulties are characterised by problems regulating an individual\'s responses to sensory input such that it interferes with occupational performance in daily tasks. South African occupational therapists use assessments developed in the United States to identify SR difficulties in children. These have been found to be inappropriate for the South African context. This study reports on the methodology used to adapt an assessment for use in the Western Cape Province of South Africa. Method: The SPM-2 Child and Preschool caregiver self-report questionnaires and seven tests of the performance-based Evaluation in Ayres Sensory Integration (EASI) that assess SR were identified for adaptation. A qualitative methodology was used to identify challenges using the assessment in a sample of the Western Cape population. Cognitive interviews were conducted with six community members from diverse socioeconomic groupings. Inductive analysis was used to identify and group the emerging themes. The test adaptation was conducted by expert occupational therapists based on these findings. Findings: Challenges were grouped into two themes, namely, language challenges, of which there were three subcategories and inappropriate or threatening assessment tasks. Fifty-three changes were made to the assessment. Conclusion: A detailed methodology was developed to adapt a SR assessment for use in the Western Cape Province. Challenges in using the assessment were elicited primarily from community members rather than professionals.
摘要：
背景：感觉反应性（SR）困难的特征在于调节个体对感觉输入的反应的问题，从而干扰日常任务中的职业表现。南非职业治疗师使用美国开发的评估来确定儿童的SR困难。这些被认为不适合南非的情况。本研究报告了用于调整评估以在南非西开普省使用的方法。方法：SPM-2儿童和学龄前照顾者自我报告问卷和七个基于表现的Ayres感觉统合评估（EASI）的测试被确定为适应。在西开普省人口样本中使用了定性方法来确定挑战。对来自不同社会经济群体的六名社区成员进行了认知访谈。归纳分析用于识别和分组新兴主题。测试调整是由专业职业治疗师根据这些发现进行的。调查结果：挑战分为两个主题，即,语言挑战,其中有三个子类别和不适当或具有威胁性的评估任务。对评估进行了53次修改。结论：开发了一种详细的方法来调整SR评估以在西开普省使用。使用评估的挑战主要来自社区成员，而不是专业人员。
