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The VPA™: Assessment & Clinical Reasoning — participation guide

4 contact hours · 0.4 AOTA CEUs · Module 2 — follow along, take notes, and complete the reflection prompts.

Module 2

VPA™ Architecture

Follow along

What this module covers

  • Why 15 skills across 5 domains
  • When to reach for a standardized tool

Key ideas

Capture these as you listen

  • 15 skills across 5 domains; the domain says what is measured, the level says how hard the item is. The output is a profile, not a global score.
  • Fast Screener = triage yes/no. Mini VPA™ = which domains need full assessment. Full VPA™ = the profile that drives the plan of care.
  • Age-band content variants exist to protect engagement, which protects measurement. Never hand an adolescent a primary-grade stimulus.
  • Interactive and printed administration are item-equivalent, but never mix modes inside one skill, and always record the mode used.
  • Observation data (head movement, refixations, latency, discomfort) is part of the finding, not optional color.

Notes

My notes for this module

Reference figures

Keep these for practice

Mini VPA™ administration view
Mini VPA™ administration view. Say/Do script, level ladder, and the scoring worksheet in one clinician view.

Diagram — 15 skills mapped to 5 domains

L1 · Access
Near acuity
Intermediate / distance acuity
Contrast tolerance
L2 · Efficiency
Fixation
Pursuits
Saccades / NPC & endurance
L3 · Processing
Discrimination & closure
Figure-ground
Visual memory & spatial
L4 · Visual-motor integration
Form reproduction
Copy accuracy
Timed written output
L5 · Functional integration
Sustained reading
Generative writing
Classroom-task simulation

Task rubric 0–3 → reported as VPL 1–5

0

Unable

1

Emerging, max support

2

Functional but inefficient

3

Accurate & efficient

Five domains, fifteen skills — one domain per framework level. Every task is rubric-scored 0–3; the highest task level scored 2 or better is the skill’s achieved level, reported as VPL 1–5 against the age-band expectation.

Screenshot — Full VPA™ skill menu

Visual Performance Assessment™ · Select skills

Ocular foundation

  • Near acuity
  • Distance acuity
  • Contrast & glare tolerance

Field & attention to space

  • Field awareness
  • Organized scanning
  • Left/right coverage

Oculomotor efficiency

  • Fixation stability
  • Pursuits
  • Saccades & NPC

Perceptual processing

  • Discrimination & closure
  • Figure-ground
  • Visual memory & spatial

Visual-motor integration

  • Copy accuracy
  • Form reproduction
  • Timed written output
The Full VPA™ skill menu. Clinicians select the skills the referral question actually requires; the ladder and scoring rules stay identical across every skill selected.

Apply it

Case prompt

A student is described by two teachers as losing stamina in the second half of any reading block. He flags on the Mini VPA™ in Domain 2 only, with all other domains at criterion. What is your next step, and what would you have done differently if Domain 1 had also flagged?

Practice

Mini exercise

In one sentence each, state the job of the Fast Screener, the Mini VPA™, and the Full VPA™. If any two sentences sound alike, you have not yet separated triage from routing from assessment.

Take it to work

Action step this week

Sketch the 5 × 15 grid, domains down, skills across, from memory, then check it against the VPA™ scope page. The gaps you find are the domains you are least likely to assess in practice.