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Evaluation of Social Interaction (ESI)

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The valid and reliable use of the Evaluation of Social Interaction (ESI) requires that person using it is an occupational therapist who has attended a specialized training course in the standardized ESI administration procedures and has calibrated as a valid and reliable ESI rater.

Exploratory: Cerebral Palsy (CP)
Short Description of Instrument

The Evaluation of Social Interaction (ESI) is a tool designed to measure the quality of social interactions with persons that the client typically sees in natural context of life tasks that are normally involved in social communication. The ESI can be used to test individuals aged 2½ years and above to measure the degree to which an individuals's social interactions are polite, respectful, well-timed, relevant, and mature.

Comments/Special Instructions
Used for ages 2½ years and older. Children at risk, persons with mild disabilities, persons with psychiatric disorders.
The ESI consists of 27 social interaction skills rated on a 4 point criterion-referenced scale 1 (severely limited skill performance); 2 (ineffective); 3 (questionable); 4 (competent). Training is required for administration, scoring, and interpretation.
The ESI is not specific to CP, requires training, and may not be a true participation measure. Therefore, it is recommended as exploratory for use in CP research.
Fisher AG, Griswold LA. Evaluation of Social Interaction (2nd ed.). Fort Collins, CO: Three Star Press; 2010.
Griswold LA, Townsend S. Assessing the sensitivity of the evaluation of social interaction: comparing social skills in children with and without disabilities. Am J Occup Ther. 2012;66(6):709-717.
Simmons CD, Griswold LA, Berg B. Evaluation of social interaction during occupational engagement. Am J Occup Ther. 2010;64(1):10-17.
SØndergaard M, Fisher AG. Sensitivity of the evaluation of social interaction measures among people with and without neurologic or psychiatric disorders. Am J Occup Ther. 2012;66(3):356-362.


Document last updated June 2019