MOHOST

Reliability and Validity

Content validity: Excellent r = .815

Construct:

• Divergent: Poor r= -0. 048
• Convergent: Excellent r= 0.815

MOHOST

4 forms provided:

• MOHOST Form (the one we are using/most recommended)
• Multiple MOHOST Form
• MOHOST Data Sheet Single Observation Form
• MOHOST Data Sheet Multiple Observation Form

Scoring Time

• Takes 5-10 minutes to add up each section and write down their strengths and weaknesses.

Method

FAIR 4-point rating scale

* The data sheet serves as a visual profile of clients' strengths and weaknesses.

(MOHOST) Model of Human Occupation Screening Tool

by: Sue Parkinson, Kirsty Forsyth, & Gary Kielhofner.

Version 2.0 revised in 2006

Scoring

Norms from Normative Sample

Administration

Purpose

Again, there are no norms for this instrument. It is subjective, and different for every client.

Administration time: 10-40 minutes (experienced therapists will take less time)

When to administer:

• Assess overall occupation performance, not symptoms
• Determine need for OT
• Determine volition’s role and its impact
• Assist with treatment planning
• Assist with discharge planning
• Identify what needs to be further assessed
• To be used when self-reporting is not possible

The MOHOST addresses 6 concepts allowing the therapist to gain an overview of the client's occupational functioning:

(1) client's motivation for occupation (volition)

(2) pattern of occupation (habituation)

(3) communication/interaction skills

(4) processing skills

(5) motor skills

(6) environment

The MOHOST was designed to be used to document progress towards occupational therapy intervention goals as well as to screen for occupational therapy services.

Year published:

Published in 2004

Revised in 2006

Instrument Description

Appropriate Population

Adults 18-65 and elderly adults 65+ who are:

1. Clients with physical, cognitive, and or emotional impairments

2. Clients with all levels of functioning

3. Wide range of settings from acute to long term care

• 24 items (4 items per the 6 sections)
• Minimum score 24, Maximum score 96

Each item is scored on an ordinal rating scale:

F= facilitates occupation participation (no outside support required)

A= allows occupation participation (May benefit from occasional support)

I= inhibits occupation participation (Requires support and/or encouragement)

R= restricts occupation participation (Unable to manage despite support)

• Can be translated into a 4-point interval rating scale where F=4, A=3,I=2, and R=1.

Version?

2 versions:

1.0 published in 2004

2.0 revised in 2006

Where can you obtain this instrument?

http://www.cade.uic.edu/moho/products.aspx type=assessments

Additional info:

• Costs $40
• No training required

Test Evaluation and Selection

Assessment Procedures

Contraindications

1) Choose an occupation that the client performs often

2) Have the client perform the occupation with no assistance

3) Observe performance and grade according to the FAIR scale

4) Assess results

Weaknesses

No known contraindications

• Can at first take time to administer until familiar with

• Further research will be needed to provide additional evidence of the assessment’s reliability and validity.

• Been said that the MOHOST doesn’t tell an experienced therapist anything more than they already know.

• Therapist- rated assessment (must have adequate and sufficient information about client or the assessment could take longer the 40 minutes.

• For challenging clients assessment can take up to a week

Informal or Formal?

Standardized, informal observation tool

Are There Norms?

No norms, it is a criterion referenced. This type of testing provides the evaluator with knowledge regarding the test taker’s level of proficiency or mastery of the skill or ability that the assessment measures.

Strengths

Ready,

Set,

Quiz!!!!!!

Question 1

Assessment Procedures and Ethics

This assessment addresses how many concepts:

A. 4

B. 5

C. 6

D. 7

• Client-centered

• Easy to administer and flexible enough to use in a lot of intervention settings

• Provides a comprehensive evaluation of the person using mixed data collection methods: informal conversations, proxy report, team feedback, or medical records.

• Can be used with clients who do not have the ability to verbally self-report or participate in formalized assessment procedures

• Translated into many versions including: Arabic, Chinese, Danish, Dutch, Finnish, French, German, Hebrew, Icelandic, Italian, Japanese, Korean, Lithuanian, Malaysian, Norwegian, Persian, Portuguese, Slovenian, Spanish, and Swedish.

Cultural Considerations

Question 2

True or False: MOHOST cannot be used with individuals that are non-verbal.

Case Study

Question 3

• Some cultures may perform occupations in a different manner. For example, eating meals on the ground.
• Be aware of cultural roles. For example, men may not have any cleaning or cooking responsibilities in some cultures.
• The MOHOST is translated into multiple languages.
• Still be aware of body language and gestures that could be offensive

True or False: MOHOST is norm referenced.

Question 4

What rating scale is used for MOHOST?

A. Likert scale

B. Pain analog scale

C. FAIR scale

D. Braun scale

Question 5

True or False: The MOHOST is a client-centered screening tool.