Week 3 Lecture

Question 1

Describe the hierarchy of a top down assessment.

Answer 1

1. the meaning of occupation and its importance to creating and an individual’s occupational identity at the top
2. the function of purpose of the occupation in the individual’s life, the form that those occupations take
3. the occupational performance components

Question 2

will the scores be consistent btwn different therapists

Answer 2

inter-rater reliability

Question 3

Name 8 criteria for selecting an assessment.

Answer 3

• population addressed
• what is measured
• standardization
• reliability
• validity
• norms
• population
• length of time to administer and score
• equipment needed

Question 4

a standard method of administering and scoring the instrument is clearly determined.

Answer 4

standardization

Question 5

consistency of the instrument’s measures

Answer 5

reliability

Question 6

the extent to which an instrument measures what it says it measures; will the results support the conclusions you want to make?

Answer 6

validity

Question 7

scores are compiled from a specific population and allows you to compare your client’s score to the avg for that group.

Answer 7

norms

Question 8

Name 3 assumptions of MOHO.

Answer 8

1. ppl have a fundamental and neurologically based need for action and doing. this need is the dominant source of motivation for participation in occupation.
2. ppl are continuously impacted by input from one’s environment.
3. the client’s environment, context, and situation influence how the person variables (volitions, habituation, performance capacity) will inter-relate with each other.

Question 9

the degree to which one sustains a pattern of occupational participation that represents one’s occupational identity.

Answer 9

occupational competence

Question 10

exploration, competence, achievement

Answer 10

order

Question 11

helplessness, incompetence, inefficacy

Answer 11

disorder

Question 12

Describe the Occupational Circumstances Assessment Interview and Rating Scale version 4.0 (OCAIRS)

Answer 12

• 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.

Question 13

Name the 12 MOHO areas in which the questions of the OCAIRS are organized into.

Answer 13

• roles
• habits
• personal communications
• values
• interests
• skills
• short-term goals
• long-term goals
• interpretation of past experiences
• physical environment
• readiness to change

Question 14

What is the 4 point rating scale of the OCAIRS?

Answer 14

FAIR

Question 15

Describe the OCAIRS 4 point rating scale.

Answer 15

F - facilitates participation in occupation
A - allows participation in occupation
I - inhibits participation in occupation
R - restricts participation in occupation

Question 16

Describe the Role Checklist.

Answer 16

• 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.

Question 17

What 2 things is the role checklist eval used to reveal.

Answer 17

• role incumbency

- discontinuity in role performance

Question 18

Describe the NPI Interest Checklist.

Answer 18

• 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.

Question 19

Describe the Comprehensive Occupational Therapy Evaluation Scale (COTE Scale).

Answer 19

• 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

Question 20

Describe the hierarchy of the decision tree assessment process.

Answer 20

-the order moves from easiest to change to hardest to change (environment down to physical)

Question 21

Name 3 methods of choosing the best sources of info.

Answer 21

• direct observation of performance in the correct environment.
• self report
• proxy report

Question 22

Name an issue associated with self-reports.

Answer 22

accuracy

Question 23

Name 3 issues associated with proxy reports.

Answer 23

accuracy, denial, over-nurturing

Question 24

What is the issue with the COTE scale?

Answer 24

doesn’t have behavior description criteria so it can be difficult to score.