July / August / September • Issue 3 • 2018
AMPS Utilization, continued from Page 10
for all barriers except time. Average group scores were
calculated for each question, pre and post, and differences
between scores determined effect size per question (Table
1). Significant changes occurred in 8 of 11 survey questions.
Participants reported significant increases in compatibility
with daily practice, usefulness and how worthwhile the AMPS
is. The question with the largest positive change was, “When
I deliver the AMPS it is easier to deliver occupation-based
treatment.” Survey results indicated increased implementation
of the AMPS (Table 2). Following the intervention, the
participants formed a community of practice and continue
to meet monthly to sustain changes.
Results indicate use of an intervention founded in the
KTA framework is effective to increase utilization of the
AMPS in practice and supports use of a community of practice
to sustain changes. Findings demonstrate utilization of the
AMPS also increased use of occupation-based interventions.
This result supports the need for occupational therapists to
complete occupation-based performance assessments to align
with our profession’s core values.
References
Chard, G. (2000). An investigation into the use of the
Assessment of Motor and Process
Skills (AMPS) in
clinical practice. British Journal of Occupational Therapy, 63,
481–488.
Chard, G. (2004). Implementing the Assessment of
Motor and Process Skills (AMPS) in the workplace: A
comparison of the experiences of occupational therapists and
new graduates. British Journal of Occupational Therapy, 67,
54–65.
Chard, G. (2006). Adopting the Assessment of Motor
and Process Skills into practice:
Therapists’
voices.
British Journal of Occupational Therapy, 69, 50–57.
Fisher, A. & Jones, K. (2010). Assessment of Motor
and Process Skills Vol. 1: Development, Standardization and
Table 1: Effect Size of DIBQ Based Survey Questions
Table 1: Effect Size of DIBQ Based Survey Questions
Pre
Pre
Post
Post
Effect Size
Question mean
Pre SD
Pre mean
Post SD
Post d
Effect Size
1) Question
I know how to deliver the AMPS following the Guidelines 5.000
mean 0.707
SD 5.200
mean 1.304
SD 0.199 d
2) 1) I I am
confident
can deliver
the AMPS
following
the guidelines
know
how to I deliver
the AMPS
following
the Guidelines 5.200
5.000 1.095
0.707 5.200
5.200 0.447
1.304 0.000
0.199
3) 2) For
me confident
delivering I can
the AMPS
useful
I am
deliver is the
AMPS following the guidelines 5.250
5.200 1.258
1.095 6.000
5.200 0.816
0.447 0.723*
0.000
4) 3) For
For me
me delivering
delivering the
the AMPS
AMPS is is Worthwhile
useful 4.800
5.250 1.483
1.258 6.000
6.000 0.707
0.816 1.096*
0.723*
5) 4) If For
I deliver
the AMPS,
will be is easier
to deliver occupation-based
me delivering
the it AMPS
Worthwhile
treatment
5) If I deliver the AMPS, it will be easier to deliver occupation-based
6) The AMPS is compatible with my daily practice
treatment
7) 6) The
advantages with
over my
standard
delivery of assessments
The AMPS
AMPS has
is compatible
daily practice 4.600
4.800 1.673
1.483 6.600
6.000 0.894
0.707 1.558*
1.096*
4.600
3.400 1.673
1.342 6.600
4.800 0.894
1.789 1.558*
0.894*
6.000
3.400 1.000
1.342 6.000
4.800 1.000
1.789 0.000
0.894*
3.200
6.000 2.168
1.000 5.400
6.000 1.817
1.000 1.104*
0.000
3.200
4.000 2.168
2.121 5.400
5.200 1.817
2.168 1.104*
0.560*
4.000
2.400 2.121
1.673 5.200
4.400 2.168
1.817 0.560*
1.146*
2.800
2.400 1.304
1.673 4.400
4.400 1.673
1.817 1.075*
1.146*
2.800 1.304 4.400 1.673 1.075*
8) 7) At The
the AMPS
hospital
is good over
collaboration
professionals
has there
advantages
standard between
delivery of
assessments who
deliver the AMPS
8) At the hospital there is good collaboration between professionals who
9) I can count on support from others whom deliver the AMPS when
deliver the AMPS
delivering the AMPS is challenging in my practice
9) I can count on support from others whom deliver the AMPS when
10) I have the resources I need to deliver the AMPS during daily practice
delivering the AMPS is challenging in my practice
11)
clear
plan of which
I will
the AMPS
with,
how I
10) I I have
have a the
resources
I need patients
to deliver
the deliver
AMPS during
daily
practice
will document and communicate the results to the team
11) I have a clear plan of which patients I will deliver the AMPS with, how I
*indicates moderate to large effect size
will document and communicate the results to the team
d= .35-.60, moderate; d>.60, large
*indicates moderate to large effect size
Based on 7-point Likert Scale anchored by 1- strongly disagree to 7 - strongly agree
d= .35-.60, moderate; d>.60, large
Based on 7-point Likert Scale anchored by 1- strongly disagree to 7 - strongly agree
Table 2: AMPS Delivered
Table 2: AMPS Delivered
Pre-Survey
Post-Survey,
n
Pre-Survey n
Post-Survey,
Zero 3 n 0 n
One
- Three
Zero 1 3 4 0
Six-
One Ten
- Three 1 1 0 4
Greater
than Ten
Six- Ten 0 1 1 0
Greater than Ten
0
1
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