Occupational Therapy and Arts Therapies
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Item Therapeutic Reasoning: Planning, Implementing and Evaluating the Outcomes of Therapy(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Forsyth, Kirsty; Kielhofner, G.Item A psychometric study of the model of human occupation screening tool (MOHOST)(2010-12) Kielhofner, G.; Fan, C-W; Morley, M.; Garnham, M.; Heasman, D.; Forsyth, Kirsty; Lee, S. W.; Taylor, R. R.This study examined the psychometric properties of the Model of Human Occupation Screening Tool (MOHOST) using item response theory and classical test theory approaches for clients with psychiatric disorders. Data, including demographic variables and scores on the MOHOST and a version of the Health of the Nation Outcomes Scale, were retrieved from case records of 1039 adult psychiatric service users. Participants ranged in age from 18 to 102 and 57 were female and 43 were male. Most (94) were unemployed, retired, or receiving other education or training. The items that make up each of the MOHOST subscales demonstrated good discriminant validity and excellent goodness of fit showing that the items measured the MOHO constructs unidimensionally. All subscales were able to distinguish clients into at least three statistically distinct strata and showed convergence with an independent measure of functioning. Findings from this study must take into account implicit limitations associated with the use of Rasch analysis and classical test theory. At the same time, results did support use of the MOHOST for research and clinical purposes. The MOHOST demonstrated good construct validity, item separation reliability, and concurrent validity. As a measure of occupational participation, the MOHOST offers practitioners and researchers a valid and reliable measure of volition, habituation, communication/interaction skills, process skills, motor skills, and environmental influences on participation. 2010 Elsevier.Item The development of care pathways and packages in mental health based on the model of human occupation screening tool(College of Occupational Therapists, 2011-06) Lee, S. W.; Morley, M.; Taylor, R. R.; Kielhofner, G.; Garnham, M.; Heasman, D.; Forsyth, KirstyPurpose: Payment by Results (PbR) was recently introduced to mental health care in England. The system allocates service users to one of 20 clusters and will provide funding based on cluster membership, rather than on block contracts. Occupational therapists are challenged to define care packages for each of the clusters. Method: To facilitate their development, this study identified the occupational profiles of service users in each cluster based on measures offered by the Model of Human Occupation. The study used existing data from the clinical records of 625 service users from two organisations, collected through use of the Mental Health Clustering Tool and the Model of Human Occupation Screening Tool. Results: Across the sample, service users showed greatest problems with habituation, followed by volition and process skills. Qualitatively distinct occupational profiles were identified across the clusters. Service users with non-psychotic problems showed the least interference with occupational participation; those in clusters involving psychosis showed moderate levels of interference; and those in clusters involving cognitive impairment demonstrated the most difficulty with occupational participation. Conclusion: These findings provide an important evidence base for thinking about the occupational needs of service users within the various PbR clusters and the corresponding services that might be offered. The College of Occupational Therapists Ltd.Item Assessments Combining Methods of Information Gathering(Lippincott Williams & Wilkins, 2008) Forsyth, Kirsty; Kielhofner, G.; Kielhofner, G.Item A Factor Analytic Study of the Model of Human Occupation Screening Tool of Hypothesized Variables(2009) Kielhofner, G.; Fogg, Lou; Braveman, Brent; Forsyth, Kirsty; Kramer, Jessica; Duncan, EdwardThe Model of Human Occupation (Kielhofner, 2008) postulates that occupational participation is influenced by volition, habituation, three skill areas, and the environment. The Model of Human Occupation Screening Tool (MOHOST) (Parkinson, Forsyth, Kielhofner, 2004) was developed to provide a broad assessment of the factors that influence a client's occupational participation. The purpose of this study was to ask whether there was evidence that the items of the MOHOST meaningfully cluster into these theoretical sub-constructs. Nine occupational therapists used the MOHOST with 166 clients in the US and the UK, and a series of confirmatory factor analyses (CFA) were conducted. The six-dimensional model fit better than the one-dimensional model, and the standardized coefficients also indicated that the items were well designed and captured each factor. The results of this study confirmed the hypothesis that the MOHOST contains six factors and provides further evidence of the validity of the MOHOST.Item Talking With Clients: Assessments That Collect Information(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Forsyth, Kirsty; Clay; Ekbladh; Haglund; Hemmingsson; Olsen; Keponen, R.Item Assessment: Choosing and Using Structured and Unstructured Means of Gathering Information(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Forsyth, Kirsty; Kielhofner, G.Item 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.Item Observational Assessments(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Cahill, S. M.; Forsyth, Kirsty; de las Heras, C.; Melton, J.; Raber, C.; Prior, SusanItem Therapeutic Strategies for Enabling Clients(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Forsyth, Kirsty; Kielhofner, G.