DeLana Honaker, Stacy Sue Rosello, Catherine Candler; Test–Retest Reliability of Family L.I.F.E. (Looking Into Family Experiences): An Occupation-Based Assessment. Am J Occup Ther 2012;66(5):617-620. doi: 10.5014/ajot.2012.004002.
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OBJECTIVE. We examined the test–retest reliability of Family L.I.F.E. (Looking Into Family Experiences) for consistency in identifying occupations desired by families with a child with autism spectrum disorder (ASD), and we compared the perceived efficiency, effectiveness, and satisfaction ratings of those occupations for the families.
METHOD. Family L.I.F.E. was administered initially and 1 wk later via interview to 13 families with a child with ASD.
RESULTS. Ninety-two percent of the families identified the same occupations as important at test and retest. Wilcoxon signed-rank test indicated no change in the families’ perceived efficiency and effectiveness of those occupations, and Spearman’s correlations indicated strong relationships. A decrease in satisfaction was noted.
CONCLUSION. For families with a child with ASD, desired family occupations and efficiency and effectiveness ratings are likely to remain consistent and are highly linked on retest using Family L.I.F.E. At second interview using this instrument, families with a child with ASD may report decreased satisfaction in desired family occupations.
The Family L.I.F.E. assessment tool reliably identifies unique and relevant family occupations the family considers important to improve or restore.
Social participation was identified more than twice as often as ADLs, suggesting the importance of addressing social challenges in therapeutic interventions with children on the autism spectrum and their families. Assessment and intervention for children with ASD must be considered within the greater domain of the family and the occupations valued by the family as a whole.
By nature of its design, Family L.I.F.E. embodies family-centered care. Thus, by identifying family occupations, it serves as a guide for occupational therapists to fully engage the family as partners in facilitating positive outcomes for the child with ASD and for the entire family.
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