CHAPTER 5 112 Abstract Aims: This case report explores whether the combined use of Talking Mats® (TM) and the Perceive-Recall-Plan-Perform-Assessment (PRPP-Assessment) by parent- provided videos is feasible to gain insight into which everyday activities are meaningful for children with multiple disabilities and to analyze their level of functioning in these activities. Case: A 14-year-old boy with limited physical, cognitive and communication abilities. Materials and Methods: To let the boy express meaningful activities, TM was used. For evaluation of performance, the parents provided videotapes of three activities in the home- and school environment. The videos were scored by an occupational therapist (OT) using the PRPP-Assessment. To evaluate if the two methods are feasible, interviews were conducted with the parents and the OT, and were analyzed by content analysis. Findings: In this case, evaluation of TM showed that the parents and the OT felt that the boy was able to express his meaningful activities due to the use of TM. Evaluation of the PRPP-Assessment resulted in four themes: value of the PRPP-Assessment, considerations in choosing activities, challenges of video material and challenges in scoring the PRPP-Assessment. Conclusions: In this case, combined use of TM and the PRPP-assessment (with parent-provided videos) was feasible and gave insight into the child’s everyday functioning in the meaningful activities expressed by the child, despite his communication problems. This made goal-setting for performing these meaningful activities possible. However, several points need to be addressed in the instructions for parents to make the video material more eligible for scoring with the PRPP-Assessment.
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