Date Presented 4/7/2016 This poster presents the methods and finding of a qualitative study in which occupational therapists shared their reflections about participating in a new Tier 1 response-to-intervention program in general education kindergarten classrooms. Primary Author and Speaker: Hannah Koelbl Additional Authors and Speakers: Yelena Myman, Ann Claire Wuestefeld Contributing Authors: Alisha M. Ohl, Beth K. Elenko

We examined the test–retest reliability of the Child Occupational Self-Assessment (COSA). Fifty-two children ages 6–12 yr completed the COSA on two separate occasions 7–14 days apart. Participant data were analyzed using intraclass correlation coefficients (ICCs). Test–retest reliability was good for total Competence and Value scores (ICC_2,1 = .72–.77) and poor to good across category scores (ICC_2,1 = .44–.78). These findings suggest that the children’s perceptions of their abilities and the value they placed on their everyday activities as reflected in the test items were fairly consistent over a short period of time.

OBJECTIVE. This study examined the efficacy of a 10-wk Tier 1 Response to Intervention (RtI) program developed in collaboration with classroom teachers to improve the fine motor and visual–motor skills of general education kindergarten students. METHOD. We recruited 113 students in six elementary schools. Two general education kindergarten classrooms at each school participated in the study. Classrooms were randomly assigned to the intervention and control groups. Fine motor skills, pencil grip, and visual–motor integration were measured at the beginning of the school year and after the 10-wk intervention. RESULTS. The intervention group demonstrated a statistically significant increase in fine motor and visual–motor skills, whereas the control group demonstrated a slight decline in both areas. Neither group demonstrated a change in pencil grip. CONCLUSION. This study provides preliminary evidence that a Tier 1 RtI program can improve fine motor and visual–motor skills in kindergarten students.