Browsing by Person "Yamada, T."

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Examining the Psychometric Properties of the Model of Human Occupation Screening Tool-Japanese Version
(2013-06) Notoh, H.; Yamada, T.; Koboyashi, N.; Ishii, Y.; Forsyth, Kirsty
Objective/Background: The Model of Human Occupation Screening Tool-Japanese version (J-MOHOST) was developed, and it was identified that the J-MOHOST did not have any problems in linguistic validation. The purpose of this study is to examine the psychometric properties of the J-MOHOST for the physical disabilities. Methods: Forty-four participants were recruited from the rehabilitative wards and data, including demographic variables and the J-MOHOST scores, were obtained. The fit statistics, rating scale characteristics, and reliability index were examined using the Rasch analysis. Results: There were no misfitting participants, and the J-MOHOST measures reliably separated the participants into 3.95 statistically distinct strata with a person reliability of .88. The result of item fit showed that it did not have noticeable problem in the items of the J-MOHOST. Moreover, the item reliability was .88. The content of the item difficulty could represent the characteristics of occupational participation of the participants in conformity with the rating system of the J-MOHOST. Conclusion: The J-MOHOST rating scale could discriminate the level of occupational participation in physical disabilities. The results indicate that the J-MOHOST is an effective tool for measurement. Further studies are needed to increase the number of participants with a variety of disabilities and settings. 2013.
Self-Reports: Eliciting Client's Perspectives
(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Forsyth, Kirsty; Suman, M.; Kramer, Jessica; Nakamura-Thomas, H.; Yamada, T.; Rjeille Corderio, J.; Keponen, R.; Pan, A. W.; Henry, A.; Kielhofner, G.
The Model of Human Occupation-Based Intervention for Patients with Stroke: A Randomised Trial
(2012-12) Shinohara, K.; Yamada, T.; Kobavashi, N.; Forsyth, Kirsty
Objective/Background: This study examined a group of people with cerebrovascular accidents who were in a chronic phase in a Health Care Facility for the Elderly in Japan. The model of human occupation (MOHO)-driven occupational therapy (OT) intervention was compared with interventions that were based on other theories, for example, biomechanical and neurodevelopmental frames of reference. Methods: A total of 36 service users were randomly assigned to either an experimental group (who received MOHO-based OT) or a control group (who received usual OT). All the service users were assessed using the Activities of Daily Living (ADL), WHO Quality of Life 26 (QOL-26), MOS-36-Item Short Form Health (SF-36) before and after a 12-week OT intervention. Results: Based on the results of our study, we found that the experimental group significantly improved in ADL and QOL scores following the MOHO-based OT intervention; in fact, these scores were higher (p < .05) than before the practice. The control group, however, only improved on ADL scores following OT intervention. In addition, when compared with the control group after the interventions, the experimental group had significantly improved (p < .05) scores in the following: ADL, all five domains of QOL-26, and physical functioning, role physical, bodily pain, general health perception, social functioning of SF-36. Conclusion: The MOHO-based intervention was more effective in the improvement of ADL and QOL than non-MOHO-based intervention. 2012.
The Relationship between Homebound Status and Occupational Competence, and Its Effects on Health-Related Quality of Life
(2013-06) Ishibashi, Y.; Yamada, T.; Kobayashi, N.; Hashimoto, M.; Forsyth, Kirsty
Objective/Background: This study aims to develop a fuller understanding of health-related quality of life (HRQOL) outcomes for older adults who were homebound (either occupationally competent or not occupationally competent) and not homebound (either occupationally competent or not occupationally competent). Methods: All the study participants were ≥65 years of age (N = 5,135) and lived in the city of Arakawa (Tokyo, Japan). Questionnaires were inclusive of the Short Form-8 for HRQOL and Occupational Self-Assessment (version 2.1), and were sent to participants by mail. The response rate was 38.7% (1,991/5,135) and the valid rate response was 66.1% (1,317/1,991). The participants were divided into four groups, namely, group A (not homebound/high occupational competence), group B (not homebound/low occupational competence), group C (homebound/high occupational competence), and group D (homebound/low occupational competence). This study analyzed the HRQOL using analysis of variance. Results: Group A (not homebound/high occupational competence) had the highest HRQOL, whereas group D (homebound/low occupational competence) had the lowest HRQOL among the four groups. However, group C (homebound/high occupational competence) had higher HRQOL than group B (not homebound/low occupational competence). Conclusion: Occupational competence is not dependent on homebound status. Having high occupational competence supports higher HRQOL than not being homebound. © 2013.