INSIGHT INTO DAILY ACTIVITIES OF CHILD WITH MULTIPLE DISABILITIES 121 5 The OT and the parents expressed that Jerome was aware that he was being videotaped. However, both parties felt that this did not influence the actual performance or scoring and that the videotaped activities gave insight into the actual quality of occupational performance. Challenges of video material The OT stated that it is important that the video material reflects what is important for the activity: OT: When someone is playing soccer and it is important for the child that the ball goes into the goal, then that needs to be videotaped. If it is important that he makes a good move, then the ball should not be the focus of the film, but the movement is. Therefore, you should record what is important for the child or parent. In addition, the OT expressed that the duration of the video material was not important. However, what was important is that the whole task is videotaped, including the assignment or appointments/rules of the activity. There were some technical difficulties in using the video material in practice. The OT expressed that playing the video material on the computers in the hospital was difficult and the process was time-consuming. The parents chose to use WhatsApp to send the videos but experienced difficulty as the phone did not have enough storage capacity. They were aware that WhatsApp is not a “safe” medium for transferring files but they felt this was the easiest way for them. Challenges in scoring the PRPP-Assessment It became clear in the PRPP scores and the interview with the OT that difficulties in scoring the PRPP-Assessment occurred due to the lack of information on the criteria for the activities: OT: I was not able to score the performance mastery as I did not know what was needed for the task, I did not know the expectations of the activity. For example; I did not know which items he had to transport from the table to the countertop. And also; if putting it on the countertop was sufficient, or that he had to place it into the dishwasher. He also puts objects on each other, which does not seem a good strategy, but then again there was not much more space on the countertop, so what is expected in this situation? Therefore I was not able to state the quality of performance of these activities. It led to difficulties in scoring stage 1 and in stage 2 as I did not know when a cognitive strategy was applied sufficiently for the demands of the task.
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