Examining the clinical utility of the Occupational Therapy Observation Tool-Adjustment Support Details (OTOT-ASD): Experiences of paediatric occupational therapists.

Only six therapists finished the study, all from one Australian state and recruited by convenience, so the results describe these six people rather than paediatric occupational therapists in general. All six had at least ten years of experience and five worked in private practice, with only one from a publicly funded regional setting, so less experienced therapists and those in public health or school services may see the tool differently. No child was assessed or followed up, so the study says nothing about whether using the tool changes assessment accuracy or children's outcomes. Five of the eleven therapists who consented dropped out, most citing workload or family commitments, which may leave the findings leaning towards therapists with more available time. Training was delivered live to two participants and as recordings to four, and the authors note this variation may have affected how the tool was used.

The authors declare no conflicts of interest. The paper does not state who funded the work.

Do not take this as evidence that the tool improves assessment accuracy or children's outcomes. No child was assessed or followed up and no outcome was measured; the findings are the opinions of six experienced therapists, and only one of the six agreed the tool made standardised assessments more accurate.