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Transcript of MOHOST
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
The MOHOST was designed to be used to document progress towards occupational therapy intervention goals as well as to screen for occupational therapy services.
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.
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
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.
Again, there are no norms for this instrument. It is subjective, and different for every client.
Norms from Normative Sample
Published in 2004
Revised in 2006
Are There Norms?
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
Informal or Formal?
Takes 5-10 minutes to add up each section and write down their strengths and weaknesses.
Reliability and Validity
Assessment Procedures and Ethics
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
Standardized, informal observation tool
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.
1.0 published in 2004
2.0 revised in 2006
Where can you obtain this instrument?
(MOHOST) Model of Human Occupation Screening Tool
by: Sue Parkinson, Kirsty Forsyth, & Gary Kielhofner.
Version 2.0 revised in 2006
FAIR 4-point rating scale
* The data sheet serves as a visual profile of clients' strengths and weaknesses.
Excellent r = .815
Divergent: Poor r= -0. 048
Convergent: Excellent r= 0.815
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
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
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
No known contraindications
This assessment addresses how many concepts:
True or False: MOHOST is norm referenced.
True or False: MOHOST cannot be used with individuals that are non-verbal.
What rating scale is used for MOHOST?
A. Likert scale
B. Pain analog scale
C. FAIR scale
D. Braun scale
True or False: The MOHOST is a client-centered screening tool.
No training required