OCAIRS as an outcome measure

Transcription

1 OCAIRS as an outcome measure April 3, 2017 Hi, I am trying to find out if OCAIRS can be used as an outcome measure. Any help would be appreciated! Thanks, Frances April 4, 2017 Frances, Yes, It can! We just published an article measuring concurrent validity with the Role Checklist Version 2: QP to measure Participation outcomes. Scott, P. J., Cacich, D., Morgan Keener, K. M., & Whiffen, K. (2017). Establishing Concurrent Validity of the Role Checklist Version 2 with the OCAIRS in Measurement of Participation: A Pilot Study. Occupational Therapy International, 2017 (Article ID ), 6 pages. doi: Hope this helps! Let me know if you have any questions. Patty Patricia J Scott, PhD, MPH, OT, FAOTA Associate Professor, Occupational Therapy Director, Post-Professional Doctor of Occupational Therapy Program Adjunct Associate Professor, School of Medicine Model of Human Occupation Clearinghouse Archived ListServ Discussion 1

2 April 4, 2017 Hi, I am not able to open your message. Could you send it in a different format please? BW Frances April 5, 2017 Hi all, my name is David from Kenya Cohort 8 Euromaster. I am working in Kenya as an Occupational Therapist in an acute area (critical care unit) and my department has been tasked by the Hospital to produce an Occupational Therapy treatment protocol in ICU. Could anyone kindly provide some guidance towards this end? Thanks David Kabarak Ebongon.OTR. Msc. OT (MKOTA,MWFOT) Part-time Lecturer JKUAT Kenyatta National Hospital P.O. Box NAIROBI. KENYA April 5, 2017 Hi, I have used it as an outcome measure; it does depend on your client group though, whether it is sensitive enough to capture change; particularly if insight is poor. Vicki Model of Human Occupation Clearinghouse Archived ListServ Discussion 2

3 Vicki Smith I Lead Occupational Therapist I The Hamptons & Brookhaven I Active Pathways Limited I April 6, 2017 Hi We use OCAIRS within our OT team and can be used as an outcome measure. It's not a critical measure for us as there are multiple other outcome measures used that are none OT related in order to look at our outcomes from a wider perspective however we have occasionally completed a final OCAIRS as a comparison. I'm hoping it could be used more often but certainly there's no reason why it could be an outcome measure, particularly when compared to a previously completed OCAIRS. Was there something in particular that was making you feel like it wouldn't be appropriate? Many thanks Jessica Norman April 7, 2017 Hi Jessica, As it happens, a student asked me the very same question a few days ago, and I gave the following answer. The OCAIRS can be used as an outcome measure. OTs sometimes think it can't, because they assume that the interview would need to be repeated. In actual fact, however, when OTs are working with service users they are constantly 'interviewing'/discussing their occupational needs and so should have a good idea of when and how the person's occupational participation is changing. Rather than setting aside time to re-do the OCAIRS interview, all an OT needs to do is have a confirmatory chat with the person, e.g., "when we first met, you said...; but now it seems to me that... Is that right?" This chat is really important to check the person's subjective viewpoint and check that the OT's observations are valid, but it doesn't require the OT to complete a full OCAIRS interview. Would others agree? Model of Human Occupation Clearinghouse Archived ListServ Discussion 3

4 Interestingly, I ve always found that the assessment is sensitive enough to detect changes, even if the person s viewpoint remains unchanged. Although some of items undoubtedly capture the person s subjective viewpoint, others allow for professional analysis I ve always thought that this combination gives the OCAIRS its strength. Kind regards Sue April 7, 2017 Hi David, my name is Claudia, I am currently not seeing patients in the ICU, but I worked there for many years with adult neurological patients. The work we did, and I know they are still doing, it is joint protection and postural alignment, when the patient is with conscientious commitment or medication. As the patient has a higher degree of consciousness, the patient works by searching for sensorial input channels to see where he responds best and then stimulates, thus progressively stimulates the sensory channel according to development. It can hardly be seen from the medical point of view, sits the patient and remains aligned with proprioceptive stimulation through sandbags, ankles, metatarsus, knees, groin. In addition to daily stimulation 2 times a day by the TO and the kinesiologist. In addition, the family is educated so that in the moments that visite its patient can stimulate correctly in the different areas. This allows the family member to take charge and feel that he / she is helping. Regards April 8, 2017 That's really interesting - I'll take that back to my team. I would certainly agree that it's sensitive enough with the client group I work with, for us it shows their perception of change so even if insight or motivations for self-reporting are questionable it's still valid information. I did my MSc dissertation on whether you can trust self-reporting highlighting issues of insight etc. Even though I didn't explicitly use the OCAIRS in this research I had it in mind. I keep meaning to try to get it published, I wonder if it would be useful in this context. Model of Human Occupation Clearinghouse Archived ListServ Discussion 4

5 Many thanks Jessica Norman April 8, 2017 You are absolutely right, Jessica. It s really important that we measure people s perception of participation. If we think things have changed, but a person doesn t, then we still have work to do. Good luck with getting your dissertation published it sounds fascinating. Sue April 9, 2017 Dear David: For any program development, and, for knowing how the use of MOHO could be of help, an occupational needs assessment needs to be carried out. The new MOHO book, Kielhofner s Model of Human Occupation, Theory and Application, edited by Renée Taylor, 2017, and published by Walters Klower, could give you a good idea of this process. We usually work with family and staff (using MOHO), when people are in those very critical conditions. Please do not hesitate on contacting me to explain me the details of the situation, if you need some guidance. Sincerely, Carmen Gloria de las Heras, MS, OTR/L Chile Model of Human Occupation Clearinghouse Archived ListServ Discussion 5

6 April 10, 2017 Dear Jessica, Sue: I think that to better integrate what MOHO therapeutic reasoning is, the MOHOST assessment would be my choice for a better outcome measure, as it integrates the subjective and objective perspective into the mix methods of evaluation. It uses observation plus OCAIRS interview, informal conversations with clients, caregivers, staff and other means. So all what it is being raised in this discussion comes to MOHO practice: Being client centered and occupational based. Sue, could you, as the main author of MOHOST, list its research publications about outcome measures and its use in practice? Much love to all, Carmen Gloria de las Heras, MS, OTR/L Chile April 10, 2017 Thanks Sue, that s a really interesting thought. May I ask your advice on those individuals that like to please the teams they work with/are easily led and I find I often struggle not to put words into people s mouths with the OCAIRS a little as it is; especially as I know them; does it then loose its validity as a semi-structured interview? Did the original poster state what area they work in? I work in MH rehab and am aware that [sadly] with some of my client group we have a very short time window and with the pressures to move people on when they still have a fair amount of rehab work to do in the community that we don t always capture the finer details with the OCAIRS, but then I think that is where the single assessment MOHOST has its strengths; in showing progress against more specific functional goals and I like to use the two together where possible. Vicki Smith I Lead Occupational Therapist I The Hamptons & Brookhaven I Active Pathways Limited I Model of Human Occupation Clearinghouse Archived ListServ Discussion 6