Model of Human Occupation (MOHO) center in Taiwan

Abstract Introduction： Occupational therapy seeks to facilitate the clients’ functional performance through motivated, meaningful participation in life occupations. Clients with depressive disorder commonly experience reduction in motivation and energy. Poor motivation can be an impediment to their adaptive functioning. Hence, Data collected on a person’s motivation enables the therapists to identify motivational barriers to functioning and to plan appropriate intervention. Volition refers to the motivation for occupation. The Volitional Questionnaire can provide individualized and concrete information about the person’s specific motivational characteristics (e.g., personal causation, values, and interests), and identify environmental factors that support or hinder the person’s volition. The purpose of this thesis is to validate the psychometric properties of the Chinese version of the Volitional Questionnaire for clients with depressive disorders in Taiwan. Methods： The Volitional Que...

Abstract Objective: Functional performances were emphasized on the occupational therapy in mental health. However, lacking of standardized evaluation tools was noticed.The Occupational Self Assessment (OSA) was developed based on the model of human occupation and client- center intervention. The purpose of this study was to examine the psychometric properities of Chinese version of OSA. OSA was translated into Mandarin by research members before testing. 93 patients diagnosed as schizophrenia were recruited from 2 community hospitals (either from day care program or outpatient department) in northern Taiwan. 51 of the subjects were accepted the retest of OSA within 2 weeks. Method: Rasch measurement model was selected to examine the construct validity. Items matching percentage of COPM and OSA and Spearman’s correlation between subjects Rasch score as well as COPM performance score and satisfaction score were used to examine the concurrent validity. Weighted Kappa was used to examine t...

Abstract Background ：There is a lack of standardized social skill assessments which are developed based on occupational therapy theories with good psychometric properties in Taiwan. The Assessment of Communication and Interaction Skills (ACIS) is an observational rating scale with acceptable construct validity, discriminative validity and reliability. However, the psychometric properties of the Chinese version are unclear. Objective： The purpose of this study is to examine the reliability and validity of the Assessment Communication and Interaction Skills---Chinese version (ACIS-C) with psychiatric patients in Taiwan. Methods：The subjects were recruited from 3 day care wards in northern and eastern Taiwan. The minimal educational level is elementary school. Exclusion criteria for the subjects included diagnoses of organic brain injury and substance abuse. We recruited 101 patients. After explaining the process and purpose of the study to patients and obtaining their informed consent, ...

Abstract Background: Increasing numbers of people around the world are developing mental illness. Of the people comprising this large group, approximately half are adults, who should be producers or workers in their current life stages. A major consequence of psychiatric symptoms and functional degeneration in clients with psychiatric disorders is unemployment. A multidimensional assessment could be used to evaluate the holistic work participation of clients with psychiatric disorders and then to help determine their work potential and limitations. In this study, we chose the MOHOST as the assessment tool. We translated it into Chinese and then examined if the MOHOST-Chinese version (MOHOST-C) was an appropriate tool for evaluating the work participation of clients with psychiatric disorders in work or task-oriented situations. In addition, we examined the psychometric properties of the MOHOST-C. Methods: The MOHOST-C was developed through translation of the MOHOST. It was back-trans...

Abstract We play many roles in our lives. Our spaces and times are arranged and occupational behaviors are organized according to these role. Researchers proposed that cognitive, emotional impairments and restricted learning experience might limit people to practice various roles. Thus, it is necessary to understand client's roles in relation to his or her context for occupational therapists. Occupational therapists found that the test results provide practical information to facilitate clients' motivation in participating the treatment program and their self-awareness. The purpose of the study is to examine the reliability and construct validity of the Role Checklist for Taiwanese clients. Twenty-nine clients were recruited for reliability study from a psychosomatic unit of a university-affiliated hospital in Taiwan. The diagnoses include mood disorders (55.2%), neurotic, stress-related and somatoform disorders (34.4%), and others (10.3%). All clients were tested and retested...

Hello, We have set up a MOHO center in Taiwan in Feb of 2006. Here is the first website of the center. Hope you find it useful. MOHO proposes that human being is composed of three systems and interact with sourrounding environment to generate occupational behavior. The three system within a person including personal causation which influences how you choose, how you interprete the experience and how you view your own effectiveness.The second system refers to habit of daily life which concerns habits and roles. To put it in simple way, it means that a person functions better if he or she remains a habitual way of life.The third system is about performance which mainly concerns about skills.The environment aspect is related to how resources or limitations of the environment will enable or constrain performance.The MOHO is useful in various areas of clinical practice in Occupational Therapy throughout the world Ay-Woan Pan, Ph.D School of OT, NTU Taiwan

Yun-Ling Chen, Ay-Woan Pan, Tsyr-Jang Chen Department of Occupational Therapy, National Taiwan Univer sity Background: Although the current treatment of depression centers on anti-depressant medication use and specific psychotherapy techniques, such as cognitive-behavioral therapy, there are still needs to employ different psychosocial approach to assist the patients with depression to live independently and happily. The purpose of the case study is to illustrate the application of the Model of Human Occupation (MOHO) in the assessment and treatment of a patient with recurrent depression. Methods: The patient was recruited from a psychiatric inpatient unit in a medical center in northern Taiwan. She was diagnosed as recurrent depressive disorder with previous history of anorexia nervosa, conversion disorder and obsessive-compulsive disorder. Multiple Chinese version MOHO assessments were applied to her at initial stage. The therapeutic relationship with the patient was developed throug...

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