Consistent with certification industry standards, NBCOT periodically conducts OTR and COTA practice analysis studies to determine the domains, tasks, and knowledge needed to effectively practice occupational therapy. The goal is to ensure that the certification exam content reflects current practice. The results of the studies are used to create the exam outlines and to guide construction of the exams.
Each domain area of the exam includes a set of associated task and knowledge statements, which are the result of the practice analysis studies. All exam items are classified according to these statements.
Note: Although exam items do not test specific content from the Occupational Therapy Practice Framework (3rd edition), they may reflect the language of this document.
Foundations of the NBCOT Examination
Information on test development and construction, the exam format, exam scoring and test metrics.
Matrix Studies - OTR & COTA
NBCOT conducted matrix studies comparing its Validated Domain, Task, and Knowledge Statements to the Accreditation Council for Occupational Therapy Education (ACOTE®) Standards (effective July 31, 2013). The studies show that the NBCOT statements and ACOTE Standards are closely aligned. These results suggest that if an OT or OTA program has met the Standards, it has also provided adequate education to generally cover the areas in the OTR or COTA Validated Domain, Task, and Knowledge Statements.
Curriculum Textbook and Peer-Reviewed Journal Reports: OTR & COTA
NBCOT recently completed surveys to identify the textbooks and peer-reviewed journals that are most commonly used in occupational therapy and occupational therapy assistant educational programs. The results help NBCOT update a reference list of publications that item writers and the Occupational Therapy Certification Examination Committees (OTCE) will use to reference, verify, and validate certification exam items.