Measuring Outcomes using the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT): Data Description and Tool Sensitivity

Abstract

Although there is increasing demand for greater accountability from occupational therapists for the outcomes of their practice, there are few quick, simple and psychometrically sound tools available to measure these outcomes. This paper reports on the first data collection exercise using a new outcome measure, the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT). The aims of this paper are to present the scales, describe the data set and examine whether the scales are sufficiently sensitive to detect change over time in client status. Data were collected with 466 clients at 12 metropolitan and rural health care facilities using the 12 AusTOM-OT scales, which rate the client in relation to the four domains of Impairment, Activity limitation, Participation restriction and Distress/wellbeing. The findings indicated that the most frequently used scales were Self-care, Upper limb use, Transfers and Functional walking and mobility, and that all scales were successful in demonstrating statistically significant client change over time. The AusTOMs-OT can be used to document client outcomes in relation to four important practice domains and thus be of value in research and quality assurance activities seeking to provide evidence that occupational therapy does make a difference to the lives of clients.