The Measurement Properties of the Model of Human Occupation Screening Tool and Implications for Practice

By Forsyth, K.; Parkinson, S. et al. | New Zealand Journal of Occupational Therapy, September 2011 | Go to article overview

The Measurement Properties of the Model of Human Occupation Screening Tool and Implications for Practice


Forsyth, K., Parkinson, S., Kielhofner, G., Kramer, J., Mann, L. Summerfield, Duncan, E., New Zealand Journal of Occupational Therapy


Over the past decade, occupational therapy leaders have increasingly articulated the importance of occupation focused practice (Christiansen & Baum, 1991; Creek, 2003; Fisher, 1993; Hagadorn, 1997; Polatajko, 1994; Trombly, 1995). Such practice aims to engage clients in the occupations of life--self care, productivity and leisure. If such a practice is to be developed and valued, it will be necessary to document the specific impact of therapy on everyday occupational life. As Creek (2003) stated, we should seek ways of measuring the effectiveness of our interventions in terms of enhanced engagement in occupation. In order to achieve this, occupational therapists need to develop occupation focused assessments that can be reliably and validly used in practice (Bower, 2005; Last, 2001; Melton, 2001; Parrott, 2001; Rey, 2001).

In addition to the challenge of designing and implementing more occupation-focused practice, therapists face other contemporary expectations for practice. Firstly, there have been calls for client-centred practice that embraces a philosophy of respect and partnership with clients (Law, 1998). The client-centred approach recognises the need to understand the motives and unique circumstances of each client (Kielhofner, 2002). Secondly, the health profession council (HPC, 2004) has also detailed the need for therapists to "use the established theories, models, frameworks and concepts of occupational therapy" (p. 11). Being able to develop a theoretically driven understanding Kramer, L. Summerfield Mann, and E. Duncan. of a client's occupational circumstances is the sign of a profession (Curry & Wergin, 1993; Sibeon, 1991). A further consideration is the burden of documentation for therapists in the context of increasing demands for productivity (Hagedorn, 1995). Finally, therapists are urged to engage in evidence-based practice that uses the highest quality knowledge to guide practice decisions (HEFCE, 2001; Scottish Exec, 2002; Creek & Ilott, 2002).

Taken together, these expectations create multiple demands in the context of everyday occupational therapy practice. Consequently, therapists require a range of practice resources and tools which allow them to operationalise expectations for best practice. This paper discusses the development and investigation of one such tool, the Model of Human Occupation Screening Tool (MOHOST version 1.0) (Parkinson, et al, 2002). The MOHOST is designed to be an occupation focused, evidence based, client centred, theory driven assessment that can be readily integrated into and be useful for practice. The purpose of this study was to empirically test the MOHOST (version 1.0) inclusive of clinical utility.

Development of the MOHOST

The MOHOST is based on the Model of Human Occupation (MOHO) (Kielhofner, 2002). MOHO is concerned with embracing the complexity of a client's occupation (Creek, 2003). Moreover, MOHO is an occupation focused (Pedretti, 1996), evidence based (Lae et al., 1997) theoretical framework that has associated assessments and interventions (Hagadorn, 1997). Practitioners report that MOHO provides both a theoretical understanding of occupation and the tools for doing occupationally focused practice (Forsyth, 2001), thereby providing a framework for "thinking" in practice. MOHO has been built on a scholarship of practice philosophy that encourages partnerships between academia and practice in order to deliver and generate evidence based practice (Forsyth, 2004; Forsyth, Duncan & Summerfield Mann, 2005a, Forsyth, Melton & Summerfield Mann, 2005b; Harrison & Forsyth, 2005; Taylor, Braveman & Forsyth, 2002). The scholarship of practice partnership which developed the MOHOST was initially between the second author and the University of Illinois at Chicago (led by the first and third authors). It was later expanded to include UK therapists within Central North West London Mental Health NHS Trust; Gloucestershire NHS Partnership NHS Trust; The State Hospital, Carstairs; NHS Lanarkshire; NHS Lothian; and Coventry Teaching Primary Care Trust.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

The Measurement Properties of the Model of Human Occupation Screening Tool and Implications for Practice
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.