Week 3 Lecture Flashcards
Describe the hierarchy of a top down assessment.
- the meaning of occupation and its importance to creating and an individual’s occupational identity at the top
- the function of purpose of the occupation in the individual’s life, the form that those occupations take
- the occupational performance components
will the scores be consistent btwn different therapists
inter-rater reliability
Name 8 criteria for selecting an assessment.
- population addressed
- what is measured
- standardization
- reliability
- validity
- norms
- population
- length of time to administer and score
- equipment needed
a standard method of administering and scoring the instrument is clearly determined.
standardization
consistency of the instrument’s measures
reliability
the extent to which an instrument measures what it says it measures; will the results support the conclusions you want to make?
validity
scores are compiled from a specific population and allows you to compare your client’s score to the avg for that group.
norms
Name 3 assumptions of MOHO.
- ppl have a fundamental and neurologically based need for action and doing. this need is the dominant source of motivation for participation in occupation.
- ppl are continuously impacted by input from one’s environment.
- the client’s environment, context, and situation influence how the person variables (volitions, habituation, performance capacity) will inter-relate with each other.
the degree to which one sustains a pattern of occupational participation that represents one’s occupational identity.
occupational competence
exploration, competence, achievement
order
helplessness, incompetence, inefficacy
disorder
Describe the Occupational Circumstances Assessment Interview and Rating Scale version 4.0 (OCAIRS)
- semi-structured interview and rating scale based on MOHO concepts
- elicits self-eval
- estimated 20-30 mins to administer and 15 mins to score and interpret.
Name the 12 MOHO areas in which the questions of the OCAIRS are organized into.
- roles
- habits
- personal communications
- values
- interests
- skills
- short-term goals
- long-term goals
- interpretation of past experiences
- physical environment
- readiness to change
What is the 4 point rating scale of the OCAIRS?
FAIR
Describe the OCAIRS 4 point rating scale.
F - facilitates participation in occupation
A - allows participation in occupation
I - inhibits participation in occupation
R - restricts participation in occupation
Describe the Role Checklist.
- appropriate to use with adolescents, adults and the elderly with physical or psychosocial dysfunction.
- 15 mins to administer
- 10 roles are provided in the eval form but a space is allowed for other
- client is asked to fill out a form identifying roles that they performed in the past, roles that they perform now and roles that they hope to perform in the future.
- part 2 of the eval the client is asked to place a value on each role - “not at all valuable, somewhat valuable, very valuable.
What 2 things is the role checklist eval used to reveal.
- role incumbency
- discontinuity in role performance
Describe the NPI Interest Checklist.
- gathers data about a person’s interest patterns and characteristics.
- questionnaire that client can complete independently
- lists 80 activities, client asked to rate as casual, strong, or nonexistent.
- addresses how person spends leisure time.
Describe the Comprehensive Occupational Therapy Evaluation Scale (COTE Scale).
- time required to administer: 5-20 mins
- for use in short-term, acute-care psychiatric facilities.
- scale defines 26 behaviors that occur in and are particularly relevant to the practice of OT.
- high inter-rater reliability
Describe the hierarchy of the decision tree assessment process.
-the order moves from easiest to change to hardest to change (environment down to physical)
Name 3 methods of choosing the best sources of info.
- direct observation of performance in the correct environment.
- self report
- proxy report
Name an issue associated with self-reports.
accuracy
Name 3 issues associated with proxy reports.
accuracy, denial, over-nurturing
What is the issue with the COTE scale?
doesn’t have behavior description criteria so it can be difficult to score.
