Model of Human Occupation (MOHO) center in Taiwan

[NEWS] Update the schedule of “MOHO concepts and assessments workshop”

2012-02-12T20:45:00.000-08:00

The " MOHO concepts and assessments workshop”

will take place on THIS Saturday (Feb. 18, 2012) !
The workshop schedule has been updated, please take a look!!

The new agenda:

Time	Topic		Speaker
08:20-08:50	Registration		(Hsiao-Ling Wang)
08:50~09:10	Welcome ceremony		Keh-Chung Lin, Professor, Department head
09:00-09:30	An introduction of MOHO		Ay-Woan Pan, Associate Professor, The founder of MOHO center in Taiwan
09:30-10:50	The introduction of MOHO concepts (1)
	09:30-09:50	The basic concepts of human occupation; The dynamics of human occupation	Yun-Ling Chen, MS
	09:50-10:10	Volition; Habituation; Performance capacity	Li-Ting Liu, MS
	10:10-10:50	The environment and human occupation; Dimensions of doing; Crafting occupational life	Pei-Fan Wu, BS
10:50-11:00	Break
11:00-12:00	The introduction of MOHO (2)
	11:00-11:20	Doing and becoming; Therapeutic reasoning	Wei-An Chen, BS
	11:20-11:40	Remotivational strategy	Sheng-Hui Wang, BS
	11:40-12:00	Therapeutic strategies for enabling change	Shu-Zhen Lu, MS
12:00-12:30	Clinical experiences sharing		Wei-Ting Ke, MS
12:30-13:30	Lunch (please prepare by yourself)
13:30-14:00	An overview of MOHO assessments		Ay-Woan Pan, Associate Professor, The founder of MOHO center in Taiwan
14:00-15:20	MOHO Assessment (1)
	14:00-14:40	Observational Assessment: Pediatric Volitional Questionnaire (PVQ), Volitional Questionnaire (VQ)	Li-Ting Liu, MS Ming-Shan Yang, MS
	14:40-15:00	Observational Assessment: Assessment of Communication and Interaction Skills (ACIS)	Sheng-Hui Wang, BS
	15:00-15:20	Self-reports: Occupational Self Assessment (OSA), Role Checklist, Occupational Questionnaire (OQ)	Yun-Ling Chen, MS
15:20-15:30	Break
15:30-16:30	MOHO Assessment (2)
	15:30-15:50	Assessments with combining methods: Worker Role Interview (WRI)	Wei-Ting Ke, MS
	15:50-16:10	Assessments with combining methods: Work Environment Impact Scale (WEIS)	Yun-Ling Chen, MS
	16:10-16:30	Assessments with combining methods: Model of Human Occupational Screening Tool (MOHOST)	Li-Ting Liu, MS
16:30-17:00	Discussion		Ay-Woan Pan, Associate Professor, The founder of MOHO center in Taiwan

[NEWS] The “MOHO concepts and assessments workshop” will take place on 2012/2/18 (Sat.)

2012-01-13T09:31:00.001-08:00

Purpose: Inorder to promote the application of Model of Human Occupation (MOHO) inclinical practice and research, the MOHO center in Taiwan conducts theworkshop for occupational therapists to deeply learn the MOHO theoretical base,assessments and treatment strategies. Also, the workshop serves as a platformfor occupational therapists to share experiences in using MOHO in clinicalpractice. It’s a pleasure tocordially and officially invite you to participate in the workshop.

Date: Sat., 18^thof February 2012

Location：School ofOccupational Therapy, National Taiwan University

Address: Room431, 4F., Xuzhou Rd., Taipei City 100, Taiwan (R.O.C.)

Continuing EducationCredit: Application on-going

Registration:

1.Participants: occupational therapists

2.Number: 50 people (will be on afirst-come first-served basis)

3.Charge: Free

4.Please return by e-mail or calling

The founder of MOHO center in Taiwan: Ay-Woan Pan, Associate Professor

TEL: (02) 33668168, E-mail: aywoan@ntu.edu.tw

Coordinator: Hsiao-Ling Wang, Assistant

TEL: (02) 33668169, E-mail: kinkikids30@hotmail.com

※ Please respond your information as below when you register.

1. Name:

2. Organization:

3. TEL:

4. E-mail：

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Agenda:

Time	Topic		Speaker
08:20-08:50	Registration		(Hsiao-Ling Wang)
08:50~9:10	Welcome ceremony		Keh-Chung Lin, professor, Department head
09:00-09:30	An introduction of MOHO		Ay-Woan Pan, Associate Professor, The founder of MOHO center in Taiwan
09:30-10:50	The introduction of MOHO concepts (1)
	09:30-09:50	The basic concepts of human occupation; The dynamics of human occupation	Yun-Ling Chen, MS
	09:50-10:10	Volition; Habituation; Performance capacity	Li-Ting Liu, MS
	10:10-10:50	The environment and human occupation; Dimensions of doing; Crafting occupational life	Pei-Fan Wu, BS
10:50-11:00	Break
11:00-12:00	The introduction of MOHO (2)
	11:00-11:20	Doing and becoming; Therapeutic reasoning	Wei-An Chen, BS
	11:20-11:40	Remotivational strategy	Sheng-Hui Wang, BS
	11:40-12:00	Therapeutic strategies for enabling change	Shu-Zhen Lu, MS
12:00-12:30	Clinical experiences sharing		Wei-Ting Ke, MS
12:30-13:30	Lunch (please prepare by yourself)
13:30-14:00	An overview of MOHO assessments		Ay-Woan Pan, Associate Professor, The founder of MOHO center in Taiwan
14:00-15:20	MOHO Assessment (1)
	14:00-14:40	Observational Assessment: Pediatric Volitional Questionnaire (PVQ), Model of Human Occupational Screening Tool (MOHOST)	Li-Ting Liu, MS
	14:40-15:00	Observational Assessment: Assessment of Communication and Interaction Skills (ACIS)	Sheng-Hui Wang, BS
	15:00-15:20	Self-reports: Occupational Self Assessment (OSA), Role Checklist, Occupational Questionnaire (OQ)	Yun-Ling Chen, MS
15:20-15:30	Break
15:30-16:30	MOHO Assessment (2)
	15:30-15:50	Assessments with combining methods: Worker Role Interview (WRI)	Wei-Ting Ke, MS
	15:50-16:10	Assessments with combining methods: Work Environment Impact Scale (WEIS)	Han-I Huang, MS
	16:10-16:30	Observational Assessment: Volitional Questionnaire (VQ)	Ming-Shan Yang
16:30-17:00	Discussion		Ay-Woan Pan, Associate Professor, The founder of MOHO center in Taiwan

Examining the Validity of the Model of Human Occupation Screening Tool: Using Classical Test Theory and Item Response Theory

2011-09-14T01:45:00.001-07:00

Abstract

Introduction: This study examined the psychometric properties of the Model of Human Occupation Screening Tool, using both item response theory and classicaltest theory.

Method: One hundred and one people with mental health problems, aged 18-65 years, were recruited. The Chinese version of the Model of Human Occupation Screening Tool, the National Taiwan University Hospital Symptom Checklist, the Volitional Questionnaire, the Assessment of Communication and Interaction Skills, and the Mini Mental State Examination were administered. Rasch analysis and correlational analysis were used to examine the construct, convergent, divergent validity and known group validity.

Results: Rasch analysis confirmed that there were six subscales within the Chinese version of Model of Human Occupation Screening Tool. The Volitional Questionnaire strongly correlated with the volition subscale (r = 0.583). The Assessment of Communication and Interaction Skills strongly correlated with the communication and interaction subscale (r = 0.815). The Mini Mental State Examination was moderately correlated with the process subscale (ρ = 0.334) and the symptomatology was not associated with any of the subscales asexpected. There were significant differences on selected subscale scores acrossfour known groups of participants.

Conclusion: The Chinese version of the Model of Human OccupationScreening Tool was valid when applied to people with mental health problems.

References:
Pan, A.W., Fan, C. W., Chung, L., Chen T. J., Kielhofner, G., Wu, M. Y., & Chen, Y. L. (2011). Examining the validity of the Model of Human Occupation Screening Tool: using classical test theory and item response theory. British Journal of Occupational Therapy, 74(1), 34-40.

Full Text : PDF file

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For the information about the original version of MOHOST, please click here!

Mourn for Professor Gary Kielhofner

2010-09-25T09:32:00.000-07:00

Professor Gary Kielhofner, the developer of the Model of Human Occupation (MOHO), was laid to rest on September 2, 2010. He dedicated his life to Occupational Therapy and led professional development. We mourn for his death and remember him with gratitude.

The memorial activity “Celebrating the Life of Professor Gary Kielhofner “ will be held at UIC on 11:30-13:00 pm, Monday, September 27th, 2010. Please check the MOHO website http://www.moho.uic.edu/ for more information regarding the tribute service.

Faculty members from University of Applied Science of JAMK in Finland (2010/04/29-30)

2010-05-23T11:06:00.000-07:00

The Chinese version of MOHO assessment- request form

2009-05-04T00:54:00.000-07:00

If you are interested in obtaining the assessments listed below, please fill out the request form and e-mail to Dr. Ay-Woan Pan
E-mail: aywoan@ntu.edu.tw

Here is the Request Form

Assessment:
1. Role checklist
Introduction:
The Role checklist is a self-report assessment. It is developed to obtain information on client's perceptions of their participation in 10 kinds of occupational roles throughout life. Also, they are asked to indicate their value on those occupational roles. The roles in this checklist include: Student, Worker, Volunteer, Care giver, Home maintainer, Frient, Family member, Religious participant, Hobbyist/Amateur, and Participant in organizations.

2. Occupational Questionnaire (OQ)
Introduction:
The Occupational questionnaire is a self-report assessment. It is developed to obtain information on what activities the client engages in over the course of a weekday or weekend day. It asks him or her to report what they are doing during each half-hour waking period of their day. Then, they indicate (1) whether it to be considered a work, leisure, a daily living task, or rest; (2) how much they enjoy it; (3) how important it is; (4) how well they do it.

3. Taiwan Interest checklist
Introduction:
The Taiwan Interest checklist a self-report assessment. It is developed by Dr. Ay-Woan Pan based on original interest checklist and the information recruited from general population and psychiatric patients. The Taiwan Interest checklist consists of 40 items and reflect Taiwanese culture. It can be used to examine the client's unique pattern of interests, including their strength of enjoying and performance to the activity.

The poster of MOHO center in Taiwan

2009-03-26T03:01:00.000-07:00

Please click the poster below!

Obtain the MOHO Chinese manual

2009-03-26T02:02:00.000-07:00

If you are interested in obtaining the assessments listed below, please contact
Ay-Woan Pan, Associate Professor
School of Occupational Therapy, College of Medicine, National Taiwan University
E-mail: aywoan@ntu.edu.tw
Address: R407, No.17, Xu-Zou Rd., Taipei City 10055, Taiwan (R.O.C.)

1. Volitional Questionnaire- Chinese version, VQ-C
Introduction: The VQ is an observational assessment. The therapists or clinicians captures the clients’ intrinsic motives while they engage in occupational activities and understand how they enhance or reduce their volition by observing the interactions with their environments.

2. Pediatric Volitional Questionnaire- Chinese version, PVQ-C
Introduction: The PVQ is an observational assessment revised by VQ to capture the volition of children aged 2 to 6 years or teenagers with developmental delays. It is designed to understand what environment support and restrict children’s volition by observing how children react to and act within their environments.

3. Assessments and Communication of Interaction Skill- Chinese version, ACIS-C
Introduction: The ACIS is an observational assessment. The therapists observe the clients’ strengths and weakness in interacting and communicating with others within the meaningful and relevant contexts to the client.

4. Occupational Self Assessment- Chinese version, OSA-C
Introduction: The OSA is a self-rated questionnaire developed based on the MOHO and the client-centered approach. It is designed to capture the clients’ occupational competence for doing everyday occupations and the impact of the environment.

5. Model of Human Occupation Screening Tool- Chinese version, MOHOST-C
Introduction: The MOHOST is a screening tool which developed based on the MOHO. It aims to capture an overview of the clients’ occupational functioning and relative strengths. It also highlights the impact of clients’ volition, habituation, skills, and the environment on their occupational performance.

6. Worker Role Interview- Chinese version, WRI-C
Introduction: The WRI is a semi-structured interview with an accompanying rating scale. It is designed to determine the influence of the clients’ psychosocial and environmental factors for returning to work and is suitable for workers with vary disabilities and impairments. It can be used with other physical or functional assessments concurrently to provide more information on the clients’ work-related capacity.

7. Work Environment Impact Scale- Chinese version, WEIS-C
Introduction: The WEIS is a semi-structured interview with an accompanying rating scale. It is designed to gather information on how the environment factors affects the clients' performance, satisfaction, and physical, social, and emotional welling being. The WEIS is recommended for use with individuals who are currently employed and for individuals who are not currently working, but are anticipating return to a specific job or type of work.

Evidence-based Bibliography

2009-03-16T20:51:00.000-07:00

1. Huang, H. I. (2011). The Development and Application of the Chinese Version of the Work Environment Impact Scale. [Master Thesis of the school of Occupational Therapy in National Taiwan University, unpublished]. TEXT

2. Pan, A.W., Fan, C. W., Chung, L., Chen T. J., Kielhofner, G., Wu, M. Y., & Chen, Y. L. (2011). Examining the validity of the Model of Human Occupation Screening Tool: using classical test theory and item response theory. British Journal of Occupational Therapy, 74(1), 34-40.

3. Ko, W. T. (2010). The Psychometric Study of the Chinese Version of the Worker Role Interview for Persons with Psychiatric Disorder in Taiwan. [Master Thesis of the School of Occupational Therapy, National Taiwan University, unpublished]. TEXT

4. Fan, C. W. (2008). The Study of Psychometric Properties of the Model of Human Occupation Screening Tool (MOHOST). [Master Thesis of the school of Occupational Therapy in National Taiwan University, unpublished]. TEXT

5. Hsu, W. L., Pan, A. W., Chen, T. J. (2008). A Psychometric Study of the Chinese Version of the Assessment of Communication and Interaction Skills. Occupational Therapy in Health Care, 22(2–3), 177-185.

6. Hsu, W. L. (2007). Psychometric study of the Assessment of Communication and Interaction Skills---Chinese version (ACIS-C) .[Master Thesis of the school of Occupational Therapy in National Taiwan University, unpublished]. TEXT

7. Yang, M. S., Tseng, M. C., Lee, M. B., Chung, L. I., Pan, A. W. (2007). The Development and Test-Retest Reliability of the Volitional Questionnaire-Chinese Version for the Clients with Depressive Disorders–A Preliminary Investigation. Journal of Taiwan Occupational Therapy Research and Practice. 3(1), 11-18. TEXT

8. Yang, M. S. (2007). Psychometric Study of Chinese Version of the Volitional Questionnaire for Clients with depressive Disorders in Taiwan. [Master Thesis of the School of Occupational Therapy, National Taiwan University, unpublished]. TEXT

9. Liu, L. T. (2004). Psychometric study of Chinese version of the Pediatric Volitional Questionnaire for preschoolers in Taiwan. [Master Thesis of the school of Occupational Therapy in National Taiwan University, unpublished]. TEXT

10. Wang, S. M. (2004). Psychometric Study of the Occupational Self Assessment-Chinese version for patients with schizophrenia in Taiwan. [Master Thesis of the School of Occupational Therapy, National Taiwan University, unpublished]. TEXT

11. Liu, L.T., Pan, A.W., Chung, L., Chen, T. J. (2004). Role Checklist –the reliability and validity study for Taiwanese. Formosa Medical Journal, 8, p.630-638. TEXT

A Psychometric Study of the Chinese Version of the Assessment of Communication and Interaction Skills

2009-01-03T21:22:00.000-08:00

Abstract

This study examined the dependability of the Assessmentof Communication and Interaction Skills—Chinese version (ACIS-C)with psychiatric participants in Taiwan.
A convenience sample of 101participants diagnosed with psychiatric illness were recruited from fourday-care wards in northern and eastern Taiwan.
The results of the Raschanalysis showed that the ACIS-C items coalesced to form a measureof communication/interaction and the 4-point rating scale functioned asintended.
The ACIS-C differentiated participants into six levels of communicationand interaction skills.
The findings support the conclusionthat the ACIS-C is a valid and sensitive tool when used with Chineseclients. Moreover the study supports the generalizability of the Modelof Human Occupation concept of communication and interaction skillsto an Eastern context.

References:
Hsu, W. L., Pan, A. W., Chen, T. J. (2008). A Psychometric Study of the Chinese Version of the Assessment of Communication and Interaction Skills. Occupational Therapy in Health Care, 22(2–3), 177-185.

Full Text : PDF file
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For the information about the original version of ACIS, please click here!

The Development and Test-Retest Reliability for the Clients with Depressive Disorders of the Volitional Questionnaire-Chinese Version

2008-12-22T08:23:00.000-08:00

Abstract

Objective: The purpose of the study was to introduce the development of Volitional Questionnaire-Chinese version and to examine the test-retest reliability of the Volitional Questionnaire-Chinese version for clients with depression in Taiwan.

Methods: The Volitional Questionnaire was translated into Mandarin via 2 stage methodology and tested on 46 clients who were diagnosed with depressive disorders. The clients were consisted of eight males and thirty-eight females. The average age of the clients was 50.50 years old. (SD=15.37). All subjects participated in purposeful activities arranged by the researcher, the volitional status of the clients was assessed. After ten to fifteen days, reevaluation was carried out by the same researcher in the same environment.

Results: The results of the study showed that test-retest reliability of the Volitional Questionnaire-Chinese version, ICC= .82. Kappa value of individual item of the Volitional Questionnaire-Chinese version was between .452 and .777.

Conclusion: The findings of the study indicated that the Volitional Questionnaire- Chinese version has good test-retest reliability for clients with depressive disorder. Test-retest reliability of individual item of the Volitional Questionnaire-Chinese version was between moderate and good. Other psychometric properties of the Volitional Questionnaire-Chinese version need to be examined in the future.

Reference:
Yang, M. S., Tseng, M. C., Lee, M. B., Chung, L. I. & Pan, A. W. (2007). The Development and Test-Retest Reliability for the Clients with Depressive Disorders of the Volitional Questionnaire-Chinese Version: A Preliminary Investigation. Journal of Taiwan Occupational Therapy Research and Practice, 3 (1), 11-18.

Full text: PDF file
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For the information about the original version of VQ, please click here!

Psychometric study of Chinese version of the Pediatric Volitional Questionnaire for preschoolers in Taiwan

2008-12-22T08:06:00.000-08:00

Abstract

Objective：

Occupational therapy promotes the clients' functions through engaging them in the purposeful and meaningful occupations. Lack of motivation to participate in occupations would obstuct the individual to perform adaptively. Understanding client's motivational status provides us a picture of the mechanism which results in certain behaviors.

Therefore, clearly defined motivational behaviors could assist clinicians to choose appropriate programs to promote the treatment effect. Literature indicates that an adequate, standardized, and theory-based assessment to evaluate client's motivational status is important. The purpose of this study is to examine the psychometric properties of the Chinese version of the Pediatric Volitional questionnaire (PVQ-C) for preschoolers in Taiwan.

Methods:

The PVQ-C was translated and back-translated according to scholars' suggestions. Forty normal preschoolers and 40 preschoolers with developmental delayed were randomly selected from medical institutions and kindergartens of north Taiwan. Subjects were observed and videotaped in 2 situations (school vs. motivational situation). The researcher then rated their performance by watching the videotapes. The data was analyzed using Rasch measurement model and traditional test theory.

Results:

The results revealed that all items of the PVQ-C defined a unidimensional construct of volition. The PVQ-C correlated with the developmental test moderately. It also showed that the PVQ-C had acceptable test-retest, intra-rater reliability and internal consistency. The children with developmental delay had significantly lower Rasch score on the PVQ-C as compared with the nomal group when controlled for confounding variables (p<.01).

Conlusion:

This study supports that the PVQ-C is a reliable and effective clinical assessment tool, which can provide useful information about the client’s volition status as reference to clinical judgment, intervention program, and progression of treatment.

Reference:
Liu, L. T. (2004). Psychometric study of Chinese version of the Pediatric Volitional Questionnaire for preschoolers in Taiwan. Unpublished master’s thesis, National Taiwan University, Taipei.

Full text: PDF file

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For the information about the original version of PVQ, please click here!

Psychometric Study of Chinese Version of the Volitional Questionnaire for Clients with Depressive Disorders in Taiwan

2008-11-29T23:18:00.001-08:00

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 Questionnaire was translated into Mandarin via 2 stage methodology and tested on 97 clients who were diagnosed with depressive disorders and were recruited from one university-affiliated hospital and two psychiatry rehabilitation hospitals in northern Taiwan. The clients were consisted of twenty-three males and seventy-four females. The average age of the clients was 47.14 years old. (SD=14.12). All subjects participated in purposeful activities that were arranged by the researcher or choose by self, then, the volitional status of the clients was assessed by the researcher. Furthermore, the clients had to finish 5 assessments tools in order to examine the psychometric properties of the Chinese version of the Volitional Questionnaire. The data was analyzed by using Rasch measurement model and traditional test theory.

Results：Rasch analysis indicated that the Volitional Questionnaire-Chinese version encompasses a unidimensional construct. The results of the study showed that test-retest reliability of the Volitional Questionnaire-Chinese version, ICC= .82. Kappa value of individual item of the Volitional Questionnaire-Chinese version was between .449 and .876. The item separation coefficient is 1.00 showed that the Volitional Questionnaire-Chinese version had ideal internal consistency reliability. Lower correlations between the VQ-C and the criterion-related assessment tools revealed that the concurrent validity of the VQ-C was within acceptable level. Furthermore, The 49 clients took part in two different activities with different occupational forms of environment that indicated significant difference in volitional performance (t = 8.670 ，p =.000). This result did meet the theory of the「Model of Human Occupation」. That is, the volitional function of the clients could be influenced by environmental features.

Conclusions：This study confirmed that the VQ-C is a reliable and effective assessment tools, which can provide useful information to therapists about the client’s volitional performance as references in clinical evaluation, intervention program, progression of treatment, or academic research.

Refrences:
Yang, M. S. (2007). Psychometric Study of Chinese Version of the Volitional Questionnaire for Clients with Depressive Disorders in Taiwan. Unpublished master’s thesis, National Taiwan University, Taipei.

Full text: PDF file
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For the information about the original version of VQ, please click here!

Psychometric Study of Occupational Self Assessment – Chinese version for patients with schizophrenia in Taiwan

2008-11-29T23:18:00.000-08:00

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 test- retest reliability.

Result:
The results of Rasch model measurement revealed that OSA had good construct validity. There were 73% items matched between OSA and COPM. Besides, moderate correlation was noted between Rasch score as well as COPM performance mean score and satisfaction mean score, which was suggested that OSA had moderate concurrent validity. Weighted kappa in 75% to 100% items of four subscales was up to 0.4, which was suggested that OSA had moderate test-retest reliability.

Discussion:
The research findings suggested that OSA had good psychometric properties, and can be applied in clinic to be a valid and reliable assessment tool.

Reference:
Wang, S. M. (2004). Psychometric Study of Occupational Self Assessment – Chinese version for patients with schizophrenia in Taiwan. Unpublished master’s thesis, National Taiwan University, Taipei.

Full Text: PDF file
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For the information about the original version of OSA, please click here!

Psychometric study of the Assessment of Communication and Interaction Skills---Chinese version (ACIS-C)

2008-11-29T23:17:00.001-08:00

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, each subject was tested on the Mini-Mental State Examination (MMSE). Only patients whose scores on MMSE were equal or larger than 24 were recruited. After securing the permission of the patient and ward staff, the researcher observed subjects’ performance during group session and a simulated social situation. The ACIS-C was used to assess the communication and interaction skills of the patients. Construct and discriminative validity as well as test-retest reliability were examined through Rasch measurement model and related inferential statistics.

Results: The mean age of the subjects are 38.6 years (SD=11.5years). 55.4% are female and 44.6% are male. The majority of the subjects are diagnosed as schizophrenia (77.2%). 70.3% of the patients were unmarried. Most of the educational level is at college or above. 97% of the subjects were unemployed. The results of the Rasch analysis showed that the items of the ACIS-C form a unidimensional construct except for one item (item 7). The test retest reliability is good (ICC=.93). The internal consistency of the scale is .96. The ACIS-C is a sensitive scale which could be used to differentiate social skills among psychiatric patients. The easiest item is ”ask” and the hardest item is”relate”.

Discussion：The ACIS was translated into Chinese through careful two stage translation process. The ACIS-C has acceptable construct validity, discriminative validity and test-retest reliability. The reason for misfit item could be attributed to side effect of psychotropic medications. Therapists can utilize the level of difficulties of ACIS-C items from the study to design matching training programs. For example, a therapist could start the training focus from easier item such as body movement, then progress to harder items such as relates and respects. The results of the study also showed that the severity of symptoms did not influence the patients’ social skills. Future study needs to emphasize inter-rater and intra-rater reliability of the ACIS-C as well as ACIS-C’s validity in different context.

References:

Hsu, W. L. (2007). Psychometric study of the Assessment of Communication and Interaction Skills---Chinese version (ACIS-C). Unpublished master’s thesis, National Taiwan University, Taipei.

Full Text: PDF file
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For the information about original version of ACIS, please click here!

The Study of Psychometric Properties of the Model of Human Occupation Screening Tool (MOHOST)

2008-11-29T23:17:00.000-08:00

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-translated twice and checked by a committee of experts to ensure that the meaning of the original was maintained. The translated version was applied to 101 clients with psychiatric disorders aged between 18 to 65 years old. Clients were from 4 different groups: 28 from task-oriented occupational therapy groups, 41 from vocational training programs, 20 from sheltered employment, and 12 from supported employment. Researcher used the MMSE to screen the primary cognitive abilities of clients, and those with MMSE scores above 24 were included. Four occupational therapists were involved in this study. The forty clients included were rated by at least two raters simultaneously.
Clients were observed for 20-30 minutes when participating in work or a task-oriented group and interviewed according to the MOHOST-C interview guidelines. In addition to the interview, the clients were administered related questionnaires, including the National Taiwan University Hospital Symptom Checklist (NTUHSC) and the Chinese version of the Occupational Self Assessment (OSA-C). The researcher combined the results of observations and filled out the MOHOST-C, the Chinese version of the Volitional Questionnaire (VQ-C), and the Chinese version of the Assessment of Communication and Interaction (ACIS-C).

Data analysis: We used the SPSS (version 11.5) and Facets (version 3.62.0) to do data analysis.Scores on the MOHOST-C were transformed to interval data by Rasch measurement model. Item separation reliability was used to examine internal consistency; Rasch analysis was used to examine inter-rater reliability, construct validity and differential item function (DIF) on gender. Additionally, Pearson’s correlation coefficient was used to examine the concurrent validity between the VQ-C, ACIS-C, OSA-C, and the MOHOST-C. Spearman’s correlation coefficient was used to examine the concurrent validity between the NTUHSC and the MOHOST-C. In addition, one-way ANOVA was used to examine the score differences for the four work types.

Results: The MOHOST-C was found to have excellent internal consistency. The items on the MOHOST-C could be separated into the Self aspect and the Environment aspect, and both aspects represented unidimensionality. The MOHOST-C and the VQ-C showed positive correlation (r=0.568, p<0.000), r="0.767," r="0.169," p="0.091" r="0.116," p="0.249" r="0.010," p="0.922)">

Reference:
Fan, C. W. (2008). The Study of Psychometric Properties of the Model of Human Occupation Screening Tool (MOHOST). Unpublished master’s thesis, National Taiwan University, Taipei.

Full text: PDF file
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For the information about original version of MOHOST, please click here!

Role Checklist: The Reliability and Validity Study for Taiwanese Psychiatric Patients

2008-11-29T23:16:00.000-08:00

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 during one-week interval. Kappa statistics from SAS computer program were used for analyses. The validity study included 229 clients from the same unit as above. The diagnoses include mood disorders (62.9%); neurotic, stress-related and somatoform disorders (7.0%); Schizophrenia (2.6%), and others (21.4%). Rasch measurement model was used to analyze construct validity through BIOSTEPS computer program.

Kappa values varied from 0.30 to 0.52 for test-retest reliability study. Eighty percents of these values were at the acceptable level. Rasch analysis indicated that the Role Checklist encompasses a uni-dimensional construct. The three most valued roles were ‘value of being a family member', 'value of being a friend', and 'value of being a caregiver'. Value of organization member role was the least valued role among these subjects. The internal consistency is high as demonstrated by high item separation reliability index. The role checklist was supported of its test-retest reliability as well as construct validity of the value items.

Full Text: PDF file

References:
Liu, L. T., Chen, T. J., Chung, L. I. & Pan, A. W. (2004). Role Checklist: The Reliability and Validity Study for Taiwanese Psychiatric Patients. Formosan Journal of Medicine, 8 (5), 630-638.

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For the information about the original version of Role checklist, please click here!

Model of Human Occupation in Occupational Therapy

2008-11-29T22:51:00.000-08:00

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

The application of MOHO in the treatment of a patient with depression in Taiwan: A case study

2008-11-29T08:20:00.000-08:00

Yun-Ling Chen, Ay-Woan Pan, Tsyr-Jang Chen
Department of Occupational Therapy, National Taiwan University

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 through the discussion of the results of the assessment and treatment planning.The process focused on facilitating patient’s change and the most frequent therapeutic strategies used in the treatment included identifying, negotiating, advising, structuring and feedback.

Results:
The patient obtained high scores on all symptom checklists and lower satisfaction of her lifestyle and performance initially. A set of meaningful occupations were constructed with her and the steps to apply to her life were negotiated. Before her discharge in a month, her daily living function, role performance, occupational identification and competence improved from previous state. The most important point is the mobilization of her to initiate subtle change.

Conclusion:
The MOHO is a useful theoretical base in the clinical assessment and treatment of patients with minor mental disorder. The emphases of enhancing client’s motivation to engage in occupation and the employment of the therapeutic strategies to support client’s change are essential components of effective intervention.

MOHO center in Taiwan

2008-11-24T21:20:00.000-08:00

We move our website to the new address!