Development of the Occupational Performance Inventory of Sexuality and Intimacy (OPISI): Phase One

Abstract

Background: The occupational therapy profession needs a framework to guide understanding of the occupational nature of sexuality and intimacy, assessment, intervention design, and measurement of outcomes. This study aimed to define the occupational nature of sexuality and intimacy and develop a theoretical and occupation-based screen, in-depth self-assessment, and performance measure.Method: The Occupational Performance Inventory of Sexuality and Intimacy (OPISI) was developed following DeVellis's (2017) guidelines for scale development that involved mapping the construct, generating an item pool, determining the format for measurement, and reviewing the initial item pool.Results: The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to define the occupational nature of sexuality and intimacy, depict how the theoretical constructs intertwine with the domain of occupational therapy, and guide scale development. The OPISI includes a self-screen, in-depth self-assessment, and an individualized measure to establish baseline performance and detect selfperceived change in ability, satisfaction, understanding, and confidence in skills and ability to improve occupational performance associated with sexuality and intimacy over time.Conclusion: The OTSAF defines the occupational nature of sexuality and intimacy and informs the occupational therapy scope of practice. The OPISI includes theoretical and occupation-based tools to adequately screen, assess, and measure performance related to the complex occupational nature of sexuality and intimacy. Formal validation is needed prior to releasing the OPISI for clinical use. CommentsThe authors report that that they have no conflicts of interest to disclose.

Occupational therapists views on addressing the sexuality of adult clients in rehabilitation settings: A qualitative focus group study

“…Many healthcare professionals have used the Sexual Assessment Framework to explore the dynamic sexual needs of clients with disabilities. Recently, Walker et al [37] developed theoretical and occupation-based tools designed to adequately screen, evaluate, and measure the outcomes related to the complex occupational nature of sexuality and intimacy. In domestic occupational therapy practice, the development and use of an appropriate assessment tool are required to assess occupational therapy sexuality and identify client-related needs.…”

Handlungsperformanz im Bereich Sexualität erheben – Assessment OPISI~DE

“…Das OPISI und das OPISI~DE sind das Ergebnis eines rigorosen Prozesses, bei dem Items und Formulierungen durch eine Sichtung von 35 verschiedenen Assessments zum Thema Sexualität und Intimität entstanden sind. Die endgültige Auswahl der Items wurde durch mehrere Runden mit 15 Expert*innen erreicht, wobei eine Zustimmung von 80 Prozent pro Item erforderlich war, um in das OPISI aufgenommen zu werden 4 , 5 . Obwohl diese Prozesse auf eine hohe Validität hindeuten, sind bis zum jetzigen Zeitpunkt Validierungsstudien mit einer Stichprobe aus der Allgemeinbevölkerung sowohl in Deutsch als auch in Englisch noch ausstehend.…”