Assessment of the client component of spirituality to determine meaningful occupations for occupational therapy practice




Greer, Mary Janette Pease

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A gap was identified in available assessments to incorporate spirituality within the occupational therapy assessment process. The Meaningful Occupations, Relationships, and Expressions of Spirituality (MORE Spirituality) semi-structured interview guide was developed to assess the construct of spirituality as it was framed within the occupational therapy literature. This study included a purposeful sample of nine women who were diagnosed with fibromyalgia syndrome. The purpose of Study One was to establish face validity of the instrument. The instrument was administered to three participants. Interviews were recorded, transcribed, and qualitatively analyzed. The results of Study One supported face validity of the instrument.

Study Two was a quasi-experimental study to determine if the instrument added potentially-clinically-useful data to the assessment process. Six participants were systematically assigned to two Assessment Groups. Group A participants were administered the COPM. Group B participants were administered the COPM and MORE Spirituality instrument. Results indicated there was a difference in the number of occupations and in the type of occupations identified within the data inclusive of MORE Spirituality results.

The purpose of Study Three was to conclude whether or not the additional occupations generated from use of the MORE Spirituality instrument would be useful to enhance an occupational therapy treatment plan. Study Three required development of potential treatment plans that were inclusive and exclusive of the MORE Spirituality data. Comparison of the plans confirmed the clinical utility of the instrument. Participant feedback provided consensual validity of the clinical utility of the instrument.

The results of this study confirm that the human component of spirituality can be assessed. The MORE Spirituality fills a gap in available assessments for the occupational therapy profession. Combined results of this study support the clinical utility of the MORE Spirituality instrument.



Philosophy, religion and theology, Health and environmental sciences, Assessment, Fibromyalgia, Occupational therapy, Spirituality