PRPP-ASSESSMENT BASED ON PARENT-PROVIDED VIDEOS 137 6 Step 1: Problem Analysis The previous study (Lindenschot et al., 2021) gave enough directions to develop improved instructions which could be implemented in daily care. Step 2: Develop Improvement It was recognized that it was necessary to give more information on the choice of activity (e.g., it should fit with weather conditions and should be challenging enough for the child); the content of the video (e.g., completion of the criterion should be captured on video and the video should start before giving instructions to the child); and the way the video should be made (e.g., choose a device that influences the child’s behavior the least). Therefore, these topics were described in more detail in the written instructions. A short questionnaire was developed to gather the information needed by OTs to adequately perform the PRPP-Assessment based on the video material. Step 3: Implement Improvement The written instructions and questionnaire were sent by email to four parents from different backgrounds (level of education, socio-economic status, and age varied) and four professionals (two occupational therapists, a physiotherapist, and a physician). Step 4: Gather Data on Situation The parents and professionals were asked if the text was relevant, comprehensive, and comprehensible, based on the aspects of content validity (Mokkink et al., 2009). Parents and professionals were asked to give written feedback on the instructions and questionnaire. Step 5: Analyze Data The feedback was reviewed and discussed with the research team. The outcome is reported in the results. Fitting with ADR, only the methods of the first cycle of ADR were known prior to the study as the data collection method was adapted to the problem analysis. It was planned to use a combination of qualitative methods (semi-structured interviews and/or focus groups) with a variety of participants—parents and OTs. For the analysis, content analysis (Hsieh & Shannon, 2005) was chosen as an overall suitable method.
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