Introduction: In children with visual impairment, the development of fine motor skills is slower, due to which they are faced with obstacles whilst performing their basic daily activities. A tactile picture book is one of the ways through which we can encourage a child to learn skills. A tactile picture book is a medium that offers a wide range of possible uses. It can be used to establish a first contact, strengthen the tactile senses, develop fine motor skills, obtain new information, as a motivational tool. Purpose: Based on the study of relevant literature, a tactile picture book was created, which served as a learning medium or tool helping in the performance of basic daily activities during occupational therapy treatment. Methods: A case study was used in which a 6-year-old visually impaired child was included. A 60-minute-long treatment using tactile picture books took place once or twice a week. At the beginning and at the end of the treatment, two assessment instruments were used: Canadian Occupational Performance Measure (COPM) and the activity analysis by skills. Results: At the end of the occupational therapy treatment, progress in tying shoelaces was evident. The results of the final assessments show higher marks in performance efficiency and in satisfaction with the performance of the activities, and a decrease in skill discrepancies. Discussion: We conclude that the use of a tactile picture book in occupational therapy treatment contributes to the development of skills and to a greater efficiency and independence of the user in the performance of basic daily activities. Conclusion: The tactile picture book has proven to be a very useful medium in occupational therapy treatment in which the content can be individually adjusted and directed towards the attainment of the goals of the treatment.
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