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TRANSCRIPT
Running head: PRESENTATION HANDOUTS1
“Is the OCAIRS a Suitable Hospice OT Outcome Measure?”
Presentation Handouts
Janice Kishi Chow
OT 8901 Capstone Projects
PRESENTATION HANDOUTS
Included in this packet are the following handouts:
1) OCAIRS Literature Matrix
2) OCAIRS Mental Health Questions Form
3) OCAIRS Data Summary Form
4) Scaled Levels of Goal Attainment Scaling
5) References
Please 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
[email protected] or [email protected].
6)
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PRESENTATION HANDOUTS
OCAIRS Literature Matrix
Citation Population Purpose Methods/Design Summary/Applicability
Broiler, 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=41
Test the concurrent validity of OCAIRS with Assessment of Occupational Functioning (AOF)
Pearson’s correlation coefficient, n=41, r=0.55; n=39, r=0.65
Moderate correlation with AOF
Haglund, 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=6
Test interrater reliability and content validity
Intraclass correlation coefficient (0.56-0.82)Insufficient evidence for content validity
Adequate to poor interrater reliability. Insufficient evidence for content validity
Haglund, 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=145
Test interrater reliability
Intraclass correlation coefficient (0.88-0.96)
Excellent interrater reliability
Kaplan, K. (1984). Short-term assessment: The need and a response. Occupational Therapy in Mental Health, 4, 29-45.
One case study, adult inpatient psychiatric
Test content validity and interrater reliability
Intraclass correlation coefficient (0.318-0.812)
Adequate to poor interrater reliability
Lai, 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=145
Evaluate construct validity and quality of rating scale
Rasch 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 adaptation
Watts, 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=41
Test criterion validity with AOF
Correlated with AOFPearson’s correlation coefficient, n=41, r=0.86
High correlation with AOF,Excellent criterion validity
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PRESENTATION HANDOUTS
OCAIRS Mental Health Interview Questions Form
Page 1 of 2 (Forsyth, et al., 2006, p. 31)
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PRESENTATION HANDOUTS
OCAIRS Mental Health Interview Questions Form
Page 2 of 2 (Forsyth, et al., 2006, p. 30)
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PRESENTATION HANDOUTS
Scaled Levels of Goal Attainment Scaling
(Kiresuk & Sherman, 1968; Mailloux et al., 2007)
Rating Level Description-2 Much less than expected outcome-1 Somewhat less than expected outcome0 Expected outcome+1 Somewhat more than expected outcome+2 Much more than expected outcome
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PRESENTATION HANDOUTS
References
[Black and white picture of Italian family gathering]. Retrieved from http://cdn-imgs-
mag.aeon.co/images/2013/09/Italian-family.jpg
Bye, 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 (2nd
ed., 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 MOHO
Jacques, 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 Health
Journal, 4, 443-53.
Lala, A. P. & Kinsella, E. A. (2011). A phenomenological inquiry into the embodied
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PRESENTATION HANDOUTS
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 of
Occupational 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. American
Journal of Occupational Therapy, 61, 254–259.
Matisse, H. (1944). Lagoon. [Gouache paper cut-out]. Retrieved May 2, 2014 from
http://www.nationalgalleries.org/collection/artists-a-
z/M/3138/artist_name/Henri%20Matisse
Miller, J. & Cooper, J. (2011). The contribution of occupational therapy to palliative
medicine. 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 http://www.nhpco.org/press-room/press-releases/new-hospice-
facts-figures, 1/11/12
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PRESENTATION HANDOUTS
Norris, 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 http://www.paloalto.va.gov/
[Picture of pink rose]. Retrieved from http://4.bp.blogspot.com/-
q_F60v6knhM/UZKbWRcwG7I/AAAAAAAAAN0/jaC3NclCQsQ/s640/pink+an
d+white+rose+color+meanings.jpg
[Picture of walkway outside Golden Library, New Mexico University]. Retrieved from
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Library,_NMU.jpg
Pizzi, 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).
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