Document Type (Journals)

Original Research


The Occupation-Centered Intervention Assessment (OCIA) was developed as a reflective tool for students to improve their comprehension of occupation-centered practice. Finding new and innovative ways to incorporate occupation-centered assignments can serve as a strategy to develop student integration of occupation-centered practice and allow educators to appraise student comprehension. The purpose of this study was to evaluate student understanding of occupation-centered practice by utilizing various statistical analyses, including updated inter-rater reliability, of the OCIA using student assignments. Utilizing a methodological approach, 121 first-year students analyzed 10 physical rehabilitation videos utilizing the OCIA to rate the interventions for their level of occupation-centeredness. Overall, the students demonstrated good agreement (α =.864), indicating the OCIA has good inter-rater reliability with first year students. Individual and aggregate student OCIA scores and standard deviations provided valuable information to the course instructors for threshold concepts to reinforce throughout the course and program. The use of the OCIA facilitates student comprehension and application of occupation-centered reasoning and can be woven into didactic curricula as a learning tool.


Kelly Little, OTD, OTR/L, CHT, CLT was a student in the occupational therapy post-professional doctorate program at Creighton University at the time of the study. Her clinical experience spans 20 years in physical rehabilitation and currently, she specializes in upper extremity orthopedics, lymphedema, and oncology rehabilitation.

Yongyue Qi, PhD, MS is an assistant professor in the Occupational Therapy Department at Creighton University. He teaches Critical Analysis of Occupational Therapy Practice in the entry-level OTD program. His expertise is in the fields of research design and quantitative data analysis.

Vanessa Jewell, PhD, OTR/L is an associate professor in the Division of Occupational Science and Occupational Therapy at the University of North Carolina. She developed the OCIA in 2012 at Texas Woman's University. Her research passions include developing and testing occupation-centered assessments and interventions for caregivers of children with type 1 diabetes.

Declaration of Interest

Dr. Vanessa Jewell is the developer of the OCIA, which was published with AOTA Press. The authors report no additional declarations of interest.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.