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Questions and Answers
What is the minimum clear space required for maneuvering a wheelchair in a corridor or doorway?
What is the minimum clear space required for maneuvering a wheelchair in a corridor or doorway?
Which organization is responsible for publishing criteria aimed at reducing workplace injuries?
Which organization is responsible for publishing criteria aimed at reducing workplace injuries?
What is the minimum width required at the approach to a turn for wheelchair accessibility?
What is the minimum width required at the approach to a turn for wheelchair accessibility?
What is an important aspect of the PEO relationship in environmental assessments?
What is an important aspect of the PEO relationship in environmental assessments?
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What does the Americans with Disabilities Act Checklist aim to assist with specifically?
What does the Americans with Disabilities Act Checklist aim to assist with specifically?
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What are environmental supports intended to do in occupational therapy?
What are environmental supports intended to do in occupational therapy?
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Which dimension is NOT mentioned as influencing performance and engagement in occupational therapy?
Which dimension is NOT mentioned as influencing performance and engagement in occupational therapy?
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How can environmental barriers be typically addressed in occupational therapy?
How can environmental barriers be typically addressed in occupational therapy?
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What is the goal of evaluating the Person-Environment-Occupation (PEO) relationship?
What is the goal of evaluating the Person-Environment-Occupation (PEO) relationship?
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What is essential for a client-centered approach in occupational therapy?
What is essential for a client-centered approach in occupational therapy?
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In what way should the occupational profile be determined?
In what way should the occupational profile be determined?
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Who is primarily responsible for assessing the environmental attributes in occupational therapy?
Who is primarily responsible for assessing the environmental attributes in occupational therapy?
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Which of the following is NOT a consideration when assessing the environment?
Which of the following is NOT a consideration when assessing the environment?
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What is the primary focus of the vision regarding persons with disabilities?
What is the primary focus of the vision regarding persons with disabilities?
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Which of the following best describes 'Reasonable Accommodation'?
Which of the following best describes 'Reasonable Accommodation'?
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What is meant by 'Accessible Formats'?
What is meant by 'Accessible Formats'?
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What does 'Universal Design' aim to achieve?
What does 'Universal Design' aim to achieve?
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What is the goal of the mission related to persons with disabilities?
What is the goal of the mission related to persons with disabilities?
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Which action is included in the removal of barriers for persons with disabilities?
Which action is included in the removal of barriers for persons with disabilities?
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What characterizes Disabled People’s Organizations?
What characterizes Disabled People’s Organizations?
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What is a critical aspect of accessibility in public spaces?
What is a critical aspect of accessibility in public spaces?
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What does universal design (UD) aim to achieve?
What does universal design (UD) aim to achieve?
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Which term describes features that remove physical barriers for individuals with disabilities?
Which term describes features that remove physical barriers for individuals with disabilities?
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What is one requirement mandated by the Americans with Disabilities Act (ADA)?
What is one requirement mandated by the Americans with Disabilities Act (ADA)?
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What do societal and cultural attitudes impact regarding accessibility for people with disabilities?
What do societal and cultural attitudes impact regarding accessibility for people with disabilities?
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What is the primary role of the Higher Council for the Rights of Persons with Disabilities (HCD) in Jordan?
What is the primary role of the Higher Council for the Rights of Persons with Disabilities (HCD) in Jordan?
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Which aspect of the International Classification of Functioning, Disability, and Health (ICF) is classified as an environmental factor?
Which aspect of the International Classification of Functioning, Disability, and Health (ICF) is classified as an environmental factor?
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How does the United Nations Convention on the Rights of Persons with Disabilities contribute to accessibility?
How does the United Nations Convention on the Rights of Persons with Disabilities contribute to accessibility?
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What misconception might one have about discriminatory access?
What misconception might one have about discriminatory access?
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How can building standards influence environmental accessibility?
How can building standards influence environmental accessibility?
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What is the main purpose of home-based performance assessments?
What is the main purpose of home-based performance assessments?
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What does barrier-free design primarily focus on?
What does barrier-free design primarily focus on?
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Which tool measures both functional limitations and physical environmental barriers?
Which tool measures both functional limitations and physical environmental barriers?
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What is the time to administer the Home Falls and Accidents Screening Tool (HOME FAST)?
What is the time to administer the Home Falls and Accidents Screening Tool (HOME FAST)?
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How many domains does the SAFER-HOME measure assess?
How many domains does the SAFER-HOME measure assess?
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Which assessment is specifically designed for identifying fall hazards in older adults' homes?
Which assessment is specifically designed for identifying fall hazards in older adults' homes?
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What type of scoring is used for the Safe Living Guide?
What type of scoring is used for the Safe Living Guide?
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What is the maximum score achievable on the SAFER-HOME assessment?
What is the maximum score achievable on the SAFER-HOME assessment?
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What is a key aspect therapists must consider when assessing clients' home environments?
What is a key aspect therapists must consider when assessing clients' home environments?
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Which assessment takes up to 2 hours to administer?
Which assessment takes up to 2 hours to administer?
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What does the scoring for the Home Falls and Accidents Screening Tool indicate?
What does the scoring for the Home Falls and Accidents Screening Tool indicate?
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What is the primary purpose of the CRAIG HOSPITAL INVENTORY OF ENVIRONMENT FACTORS (CHIEF)?
What is the primary purpose of the CRAIG HOSPITAL INVENTORY OF ENVIRONMENT FACTORS (CHIEF)?
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Which assessment is specifically designed for individuals with mobility impairments?
Which assessment is specifically designed for individuals with mobility impairments?
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Which of the following assessments employs a self-reported method?
Which of the following assessments employs a self-reported method?
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What does the Multidimensional Scale of Perceived Social Support (MSPSS) assess?
What does the Multidimensional Scale of Perceived Social Support (MSPSS) assess?
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Which assessment is designed to observe physical, social, and institutional supports at the workplace?
Which assessment is designed to observe physical, social, and institutional supports at the workplace?
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What aspect of workplace environments does the Worker Role Interview (WRI) focus on?
What aspect of workplace environments does the Worker Role Interview (WRI) focus on?
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Which assessment tool focuses on evaluating productivity and employee satisfaction?
Which assessment tool focuses on evaluating productivity and employee satisfaction?
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What is the time frame for administering the Measure of Quality of the Environment (MQE)?
What is the time frame for administering the Measure of Quality of the Environment (MQE)?
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How many items are there in the full version of the CRAIG HOSPITAL INVENTORY OF ENVIRONMENT FACTORS (CHIEF)?
How many items are there in the full version of the CRAIG HOSPITAL INVENTORY OF ENVIRONMENT FACTORS (CHIEF)?
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Which assessment requires a 7-point Likert scale for evaluation?
Which assessment requires a 7-point Likert scale for evaluation?
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What is the scoring method for the Environmental Assessment Tool (EAT)?
What is the scoring method for the Environmental Assessment Tool (EAT)?
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What areas does the CHEW assess regarding health behaviors?
What areas does the CHEW assess regarding health behaviors?
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How long does it typically take to administer the Workplace Environment Impact Scale (WEIS) Version 2?
How long does it typically take to administer the Workplace Environment Impact Scale (WEIS) Version 2?
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Which assessment measure specifically includes items related to community destinations access?
Which assessment measure specifically includes items related to community destinations access?
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Study Notes
Assessing Environment: Home, Community, and Workplace Access and Safety
- The environment influences human behavior, providing the context for all occupational roles.
- Occupational performance is influenced by physical, social, cultural, institutional, and temporal dimensions at personal, community, and societal levels.
- Environmental barriers (hindrances) are often easier to modify than other negative influences for people with disabilities.
- Environmental supports (enablers) promote optimal engagement in occupation.
How Does OT Play a Role?
- Analyze the Person-Environment-Occupation (PEO) relationship and congruence level.
- Optimal occupational performance correlates with a better PEO fit.
- OTs assess environmental supports and barriers for determining occupational functioning.
- Strategies are developed to eliminate barriers and use resources to improve function.
- Environmental barriers and resources need to be identified and evaluated.
Evaluation of the Environment
- The environment provides the context for occupational functioning.
- Attributes of the environment should be considered, including those who will use the environment and the functions to be carried out.
- A client-centered approach should be used in every stage of the assessment for a better understanding of the person's occupational profile.
Client-Centered Approach
- Collaborative goal setting is crucial for client-centered therapy.
- Occupational profile determination involves determining previously held roles and occupations, and current wants and expected abilities.
- Analysis of occupational performance assesses performance skills, patterns, and challenges in the contexts of activities and roles.
- Environmental assessments related to self-maintenance, enhancement, and advancement (with individualized meaning to each person) should be conducted.
Barriers & Enablers
- The International Classification of Functioning, Disability, and Health (ICF) classifies environmental factors as natural and human-made environments, assistive products & technology, and support/relationships/services.
- Discriminatory or inconvenient access (e.g., stairs vs. elevators, rocky paths vs. ramps) is no longer acceptable.
- Universal design and barrier-free design are preferred for improved accessibility (ensuring optimal function and convenience for everyone).
Influences on Environmental Accessibility and Safety
- Societal and cultural attitudes influence environmental accessibility and safety for people with disabilities.
- National and state/provincial legislation, building standards, and professional practice requirements should be considered.
- The United Nations Convention on the Rights of Persons with Disabilities promotes, protects, and ensures equal enjoyment of human rights for all persons with disabilities.
Legislation
- The Americans with Disabilities Act (ADA) and Ontarians with Disabilities Act aim at enabling participation and inclusion of people with disabilities in society.
- These laws mandate reasonable accommodations for public services, facilities, transportation, employment, and communications.
- Titles II and III address necessary accommodations, removal of barriers, and alternative services.
Legislation - HCD
- The Jordan Higher Council for the Rights of Persons with Disabilities (HCD) is the governing body.
- The HCD's vision is a society where people with disabilities have a sustainable and decent life, granting them effective participation.
- The HCD's mission includes policy-making, planning, coordination, follow-up, and support for individuals with disabilities.
Legislation - HCD (continued)
- Reasonable accommodation involves altering environments to enable equal rights and freedoms.
- Accessible formats transform various types of information to be usable for individuals with disabilities (e.g., Braille, large print, audio formats, sign language).
- Accessibility refers to the construction of buildings and facilities for everyone.
- Disabled People's Organizations are registered and accredited for facilitating the rights/enablement/programs for persons with disabilities.
Building Standards
- The U.S. Access Board's updated ADA-ABA guidelines provide accessibility requirements for new and altered public and private facilities.
- The guidelines consider adult and child dimensions, and include requirements for maneuvering wheelchairs in various spaces (corridors, rooms, washrooms, entrances, parking lots).
ADA-ABA Guidelines (specifics)
- Clear space for wheelchair maneuvering/parallel approach; minimum width of 30x48 inches, and 42 inches at turns.
- Wheelchair turning space is also a key criterion with 48 inches needed.
Environment Assessment
- Choose standardized instruments that assess the PEO fit.
- PEO relationship is complex, dynamic and interwoven, and can be difficult to measure.
- Assessments are tailored for varying settings (e.g. homes, communities, workplaces).
Assessment of Access to Home
- Home-based assessments provide an accurate reflection of client's abilities to manage in their setting.
- An individualized approach is required for ensuring an appropriate fit with the person, daily roles, and home environment.
- Clients' home environments need necessary supports for continued safe home living.
Home Assessments
- The Housing Enabler assesses the congruence between an individual with a functional impairment and their home environment, including functional limitations and physical barriers.
- The questionnaire uses dichotomous and ordinal scales.
- Scores are dependent on functional limitations, use of mobility aids, and the number of environmental barriers.
Home Falls and Accidents Screening Tool
- (HOME FAST) is a questionnaire completed by healthcare providers.
- Identifying risk of falls due to home hazards is the purpose of this tool.
- This tool can help evaluating the effectiveness of interventions for improving function in the home environment.
Safety Assessment of Function and the Environment for Rehabilitation
- SAFER-HOME measures intervention effectiveness and changes in safety intervention over time.
- Includes 12 domains (living situation, mobility, environmental hazards, kitchen, household, eating, personal care, bathroom/toilet, medication, addiction, abuse, leisure, communication, scheduling, wandering).
Westmead Home Assessment
- Designed to identify fall hazards in older adults' homes.
- Nominal scoring. One home visit.
The Safe Living Guide: A Home Hazard Checklist for Seniors
- Self-completed questionnaire to identify home hazards for seniors.
- Dichotomous scoring.
- Administration time: 25-30 minutes.
Assessment of Community Access
- OTs help change environments for client participation in community roles.
- Communities, businesses, services, and programs must be made accessible to people with disabilities.
- OTs can advise and advocate for accessibility in educational, cultural, commercial, and religious facilities.
Community Assessments
- (specific assessment tools are mentioned)
Craig Hospital Inventory of Environment Factors (CHIEF)
- Assesses the frequency and magnitude of environmental characteristics impeding daily activities.
- Five categories: attitude & support, services & assistance, physical & structural policy, work & school.
- Self-administered or with interview.
Facilitators and Barriers Survey/Mobility
- (FABS/M) is a self-report survey.
- Environmental facilitators and barriers are assessed for people with mobility impairments.
- Includes 6 domains: personal mobility device, home-built features, community built & natural features, community destinations access, community facilities access, and attitudes.
Measure of Quality of the Environment (MQE) Version 2
- Measures environmental facilitators and obstacles to social participation and daily activities.
- Six categories are used (support/family, job/income security, government/public services, physical environment/accessibility, technology, equal opportunity, political orientations).
- Interview-based format.
The Multidimensional Scale of Perceived Social Support (MSPSS)
- Assesses perceived social support from family, friends, and significant others.
- Inventory of 12 statements, rated on a 7-point Likert scale.
Assessment of Access to Workplace
- OTs help clients fulfill self-advancement roles by assisting them to seek/return to work.
- Workplace environments require assessment due to potential significant differences in client needs.
- Sociocultural environment, social supports, staff interactions, and attitudes of coworkers and supervisors are assessed as part of the workplace assessment.
Workplace Assessments
- (Specific assessment tools are mentioned)
Checklist of Health Promotion Environments at Worksites (CHEW)
- Observational measure of work sites for health behaviors.
- Assess environmental influences on health programs.
- Scoring is based on separate scores, computed for each content area to give a summary.
Environmental Assessment Tool (EAT)
- An observational assessment measuring physical, social, and institutional environmental supports for health behaviors.
- Scoring is dichotomous, with scores categorized on a 0-100 point scale.
Work Environment Scale (WES) Version 4
- Measures the social environment in various work settings emphasizing personal growth, relationship dimensions, and system change.
Work Experience Survey
- Interview to identify job accommodation needs in accessibility and job satisfaction related to employment functions, job mastery, and job satisfaction.
Workplace Environment Impact Scale (WEIS) V.2
- Semi-structured interviews aid in assessing experiences and perceptions of work environments for individuals with physical or psychosocial disabilities.
Worker Role Interview V.10
- Semi-structured interview used for identifying barriers interfering with return-to-work.
- Use of a 4-point ordinal scale for scoring.
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Description
This quiz covers key aspects of occupational therapy, focusing on environmental accessibility criteria and the Person-Environment-Occupation (PEO) relationship. It addresses guidelines set by organizations to improve workplace safety and ease of mobility for individuals using wheelchairs. Test your knowledge on essential dimensions that influence occupational performance and client-centered approaches.
