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

jkishi@yahoo.com or tue83933@temple.edu.

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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

OCAIRS Data Summary Form (Forsyth, et al., 2006, p. 75)

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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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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.

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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).

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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

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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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World population ageing: 1950-2050. Retrieved from

http://www.un.org/esa/population/publications/worldageing19502050/

Yoshioka, H. (1994). Rehabilitation for the terminal cancer patient. American Journal of

Physical Medicine & Rehabilitation, 73(3),199-206.

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