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A Critical Review of Assessments of Environmental Factors Influencing Activity and Participation O.Craciunoiu, MScOT (Candidate), D. Baxter, MScOT (Candidate) & P. Rigby, PhD Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario. Introduction: The influence of the environment on activity and participation has gained wide spread acceptance in occupational therapy and rehabilitation in general. To characterize the role of the environment on activity and participation, researchers have developed a variety of assessments and models that researchers and clinicians can use to consider the personenvironment relationship. Although clinicians recognize that the environment affects activity and participation, approaching clinical practice from a person-environment perspective has been challenged by clinicians' limited awareness of the spectrum of environment assessments, their clinical utility, and measurement properties. Objective: This study identified and critiqued a broad range of environmental assessment tools across various practice settings. Those designed to assess children’s home, community and school settings were also included. Methods: This study expanded on a landmark review of environmental assessments conducted by Letts et al. in 1994, to critique newly developed tools and examine additional research conducted with previously reviewed assessments. The Outcomes Measures Rating Form (Law, 2004) was used to evaluate the measurement properties and clinical utility of each assessment. Results: Of the 88 environmental assessments that were critiqued only 44 were found to have good measurement properties and clinical utility. The tools were grouped according to place (e.g., Home, community, school-setting), and focus (e.g., physical, social, institutional aspects of the environment). Conclusions: This critique will enable clinicians and researchers to easily identify useful environmental measures to suit their purposes.