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“Is the OCAIRS a Suitable Hospice OT Outcome Measure?”Presentation HandoutsJanice Kishi ChowOT 8901 Capstone ProjectsIncluded in this packet are the following handouts: OCAIRS Literature MatrixOCAIRS Mental Health Questions Form OCAIRS Data Summary FormScaled Levels of Goal Attainment ScalingReferencesPlease note that Occupational Circumstances Assessment and Interview Rating Scale (OCAIRS) (Forsyth, et al., 2006) handouts are provided as illustrative examples and not intended for use without reference to the OCAIRS assessment manual for procedural instruction. For comments or questions, please contact Janice Kishi Chow at jkishi@ or tue83933@temple.edu. OCAIRS Literature MatrixCitationPopulationPurposeMethods/DesignSummary/ApplicabilityBroiler, C., Watts, J. H., Bauer, D., & Schmidt, W. A. (1989). Concurrent validity study of two occupational therapy evaluation instruments: the AOF and OCAIRS. Occupational Therapy in Mental Health, 8, 49-59. Inpatient psychiatric patients with schizophrenia, n=41Test the concurrent validity of OCAIRS with Assessment of Occupational Functioning (AOF)Pearson’s correlation coefficient, n=41, r=0.55; n=39, r=0.65Moderate correlation with AOFHaglund, L., & Henriksson, C. (1994). Testing a Swedish version of OCAIRS on two different patient groups. Scandinavian Journal of Caring Sciences, 8(4), 223-230. Compared acute inpatient psychiatric n=6 and chronic muscular pain patients n=6Test interrater reliability and content validityIntraclass correlation coefficient (0.56-0.82)Insufficient evidence for content validityAdequate to poor interrater reliability. Insufficient evidence for content validityHaglund, L., Thorell, L., & Walinder, J. (1998a). Assessment of occupational functioning for screening of patients to occupational therapy in general psychiatric care. Occupational Therapy Journal of Research, 4, 193-206. Swedish adult psychiatric patients, n=145Test interrater reliabilityIntraclass correlation coefficient (0.88-0.96)Excellent interrater reliabilityKaplan, K. (1984). Short-term assessment: The need and a response. Occupational Therapy in Mental Health, 4, 29-45.One case study, adult inpatient psychiatricTest content validity and interrater reliabilityIntraclass correlation coefficient (0.318-0.812)Adequate to poor interrater reliabilityLai, J., Haglund, L., & Kielhofner, G. (1999). Occupational case analysis interview and rating scale: an examination of construct validity. Scandinavian Journal of CaringSciences, 13, 276-273.Psychiatric patients from 3 hospitals n=145Evaluate construct validity and quality of rating scaleRasch analysis of 6 raters of 145 subjects. 10 domains evaluated. Acceptable ranges: MnSq=0.7 to1.3. 9 of 10 domains ranged 0.6 to 1.4, ZStd≤2.0. Considered valid measure for occupational adaptationWatts, J. H., Broiler, C., Bauer, D., & Schmidt, W. (1989). A comparison of two evaluation instruments used with psychiatric patients in occupational therapy. Occupational Therapy in Mental Health, 8, 7-27. Clients with schizophrenia, n=41Test criterion validity with AOFCorrelated with AOFPearson’s correlation coefficient, n=41, r=0.86High correlation with AOF,Excellent criterion validityOCAIRS Mental Health Interview Questions FormPage 1 of 2 (Forsyth, et al., 2006, p. 31)OCAIRS Mental Health Interview Questions Form Page 2 of 2 (Forsyth, et al., 2006, p. 30)OCAIRS Data Summary Form (Forsyth, et al., 2006, p. 75)Scaled Levels of Goal Attainment Scaling(Kiresuk & Sherman, 1968; Mailloux et al., 2007)RatingLevel Description-2Much less than expected outcome -1Somewhat less than expected outcome 0Expected outcome+1Somewhat more than expected outcome+2Much more than expected outcomeReferences[Black and white picture of Italian family gathering]. Retrieved from , R. (1998). When clients are dying: occupational therapists' perspectives. The Occupational Therapy Journal of Research, 18(1), 3-24. Eva, G. (2006). Measuring occupational therapy outcomes in cancer and palliative care. In J. Cooper (Ed.), Occupational Therapy in Oncology and Palliative Care (2nded., pp. 189-199). West Sussex, England: Whurr Publishers Limited. Forsyth, K., Deshpande, S., Kielhofner, G., Henriksson, C., Haglund, L., Olson, L., Skinner, S., & Kulkarni, S. (2006). A user’s manual for the Occupational Circumstances Assessment Interview and Rating Scale (OCAIRS). Chicago, Illinois: The MOHOJacques, N. D. & Hasselkus, B. R. (2004). The nature of occupation surrounding dying and death. Occupational Therapy Journal of Research, 24(2), 44-53.Javier, N., & Montagnini, M. (2011). Rehabilitation of the hospice and palliative care patient. Journal of Palliative Medicine, 14(5), 638-648.Keesing, S., & Rosenwax, L. (2013). Establishing a role for occupational therapists in end-of-life care in Western Australia. Australian Occupational Therapy Journal, 60, 370-373. Kiresuk, T. & Sherman, R. (1968). Goal attainment scaling: a general method of evaluating comprehensive mental health programmes. Community Mental HealthJournal, 4, 443-53. Lala, A. P. & Kinsella, E. A. (2011). A phenomenological inquiry into the embodied nature of occupation at end of life. Canadian Journal of Occupational Therapy, 78(4), 246-254.Lyons, M., Orozovic, J. D., & Newman, J. (2002). Doing-being-becoming: occupational experiences of persons with life-threatening illnesses. American Journal ofOccupational Therapy, 56, 585-295.Mailloux, Z., May-Benson, T. A., Summers, C. A., Miller, L. J., Brett-Green, B., Burke, J. P., et al. (2007). The Issue Is— Goal attainment scaling as a measure of meaningful outcomes for children with sensory integration disorders. AmericanJournal of Occupational Therapy, 61, 254–259.Matisse, H. (1944). Lagoon. [Gouache paper cut-out]. Retrieved May 2, 2014 from , J. & Cooper, J. (2011). The contribution of occupational therapy to palliativemedicine. In G. Hanks, Cherny, N. I., Chistakis, N. A., Fallon, M., Kaasa, S., & Portenoy, R. K. (Eds.), Oxford Textbook of Palliative Medicine (pp. 206-213). New York, NY: Oxford University Press.Mueller, K.; & Decker,I. (2011). Impact of physical therapy intervention on patient-centered outcomes in a community hospice. Topics in Geriatric Rehabilitation, 27, (1), 2–9.National Hospice and Palliative Care Organization. (2012). Dying Americans using hospice care remains stable but new report reveals drop in length of service. Retrieved from , 1/11/12Norris, A. (1999). A pilot study of an outcome measure in palliative care. International Journal of Palliative Nursing 5(1), 40-45. Pearson, E. & Todd, J. G. (2007). How can occupational therapists measure outcomes in palliative care? Palliative Medicine, 21, 477-485. [Picture of Palo Alto Veterans Affairs Health Care Center – Palo Alto Division]. Retrieved from [Picture of pink rose]. Retrieved from [Picture of walkway outside Golden Library, New Mexico University]. Retrieved from , M. (1993). Environments of care: hospice. In H.L. Hopkins & H. Smith, Willard and Spackman’s occupational therapy, (p. 853-864). Philadelphia, PA: J.B. Lippincott Company.Sviden, G. A., Tham, K., & Borell, L. (2010). Involvement in everyday life for people with a life threatening illness. Palliative and Supportive Care, 8, 345-352.Vrkljan, B. & Miller-Polgar, J. (2001). Meaning of occupational engagement in life-threatening illness: a qualitative pilot project. Canadian Journal of Occupational Therapy, 68(4), 237-246. Turner-Stokes, l. (2009). Goal attainment scaling (GAS) in rehabilitation: a practical guide. Clinical Rehabilitation, 23, 362-370.United Nations Department of Economic and Social Affairs: Population Division. (2013). World population ageing: 1950-2050. Retrieved from , H. (1994). Rehabilitation for the terminal cancer patient. American Journal of Physical Medicine & Rehabilitation, 73(3),199-206. ................
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