CHAPTER 8 196 Abstract Purpose: Primarily, this study explored the potential of the Perceive, Recall, Plan and Perform (PRPP)-Assessment to measure change in the performance of children with multiple disabilities. Secondary, the feasibility of the PRPP-Intervention in a home-based program to enable activities was described. Methods: An exploratory longitudinal multiple case series mixed-methods design was used. The PRPP-Assessment, scored by multiple raters, was conducted based on parent-provided videos. Responsiveness was evaluated by hypotheses formulated a priori and by comparing measured change with change on concurrent measures. The feasibility of the intervention was explored by semi-structured interviews with children, parents and the treating occupational therapists, and was analyzed by directed content analysis. Results: Three out of seventeen eligible children agreed to participate and completed post-interventionmeasurement, two of whomcompleted the intervention. Quantitative results showed that eight out of nine activities improved on the PRPP-Assessment and 13 out of 15 hypotheses for responsiveness were accepted. Participants experienced the intervention as successful and acceptable. Facilitators and concerns over demand, implementation, practicality, integration and adaptation were shared. Conclusion: The PRPP-Assessment showed potential to measure change in a heterogenous group of children. The results indicated a positive tendency for the intervention and also provide directions for further development.
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