Adherence to the Ayres Sensory Integration® Fidelity Measures: Malaysian Occupational Therapists’ Practices
https://doi.org/10.47836/mjmhs.19.2.13
- Author:
Farah Samsu Rahman
1
;
Masne Kadar
1
;
Dzalani Harun
1
Author Information
1. Centre for Rehabilitation and Special Needs Studies, Occupational Therapy Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Wilayah Persekutuan Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
Ayres sensory integration®, Fidelity measures, Sensory processing issues, Occupational therapy intervention
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.2):76-85
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: A popular intervention for paediatric clients, Ayres Sensory Integration® (ASI) must adhere to sensory
integration (SI) fidelity. This study describes fidelity adherence in ASI intervention by occupational therapy practitioners in Malaysia. Methods: A questionnaire on ASI fidelity was developed before being tested for its validity by seven experts and for its internal consistency and test-retest reliability by 30 occupational therapists. The questionnaire
was then used nationally to collect data on ASI practitioners. Data were collected from 161 occupational therapists
working in various settings. Results: The mean of the sub-scales I-CVI was excellent, ranging between 0.97 and 1.00.
The total S-CVI/Ave of the form was also reported as excellent, at 0.98, with subscales S-CVI ranging between 0.75
and 1.00. Cronbach’s alpha was 0.80 for the questionnaire’s internal consistency and the ICC for test-retest reliability
ranged from 0.80 to 0.95. The survey received 161 responses, indicating that most respondents perceived themselves
as having ‘moderate competence’ and showing ‘high interest’ in ASI implementation. Most fidelity aspects were
addressed in their practices. Majority of the respondents adhered to the process elements. It was indicated that three
aspects of physical space under the structural elements could not be provided by most occupational therapists in the
study. Conclusion: To implement evidence-based practice, adherence to fidelity when providing ASI is important to
ascertain its effectiveness. Improvements to ensure optimal space, ASI certification, and more related training are the
first steps that can be taken by the related agencies to ensure effective ASI intervention could be delivered.
- Full text:11.2023my1463.pdf
