The Model of Human Occupation Screening Tool-Japanese version (J-MOHOST) was developed, and it was identified that the J-MOHOST did not have any problems in linguistic validation. The purpose of this study is to examine the psychometric properties of the J-MOHOST for the physical disabilities.
Methods
Forty-four participants were recruited from the rehabilitative wards and data, including demographic variables and the J-MOHOST scores, were obtained. The fit statistics, rating scale characteristics, and reliability index were examined using the Rasch analysis.
Results
There were no misfitting participants, and the J-MOHOST measures reliably separated the participants into 3.95 statistically distinct strata with a person reliability of .88. The result of item fit showed that it did not have noticeable problem in the items of the J-MOHOST. Moreover, the item reliability was .88. The content of the item difficulty could represent the characteristics of occupational participation of the participants in conformity with the rating system of the J-MOHOST.
Conclusion
The J-MOHOST rating scale could discriminate the level of occupational participation in physical disabilities. The results indicate that the J-MOHOST is an effective tool for measurement. Further studies are needed to increase the number of participants with a variety of disabilities and settings.
AsanoT., & IshiiY. (2010). “I want to take a trip again”; A case report of rebuilding an active life, by using of Model of Human Occupation Screening Tool for the case who had second attack on cerebral-vascular accident. Japanese Journal of Occupational Behavior, 13, 248–258 (in Japanese).
2.
BondT. G., & FoxC. M. (2007). Applying the Rasch model: Fundamental measurement in the human sciences (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
3.
ForsythK., LaiJ. S., & KielhofnerG. (1999). The assessment of communication and interaction skills (ACIS): measurement properties. British Journal of Occupational Therapy, 62, 69–74.
4.
FujimotoK., & YamadaT. (2009). A study concerning to the subjective effectiveness of occupational therapy among the inpatients in rehabilitation wards for the recovery stage. Japanese Journal of Occupational Behavior, 13, 1–12 (in Japanese).
5.
HasegawaY., & YamadaT. (2011). A case who improved the behavioral disorder of the dementia by inflection of MOHOST. Japanese Journal of Occupational Behavior, 14, 274–283 (in Japanese).
6.
HayakawaR., MinamiS., KawatsuT., NotohH., & YamadaT. (2011). A case that improved occupational participation through occupation-focused intervention in palliative care. Japanese Journal of Occupational Behavior, 15, 29–37 (in Japanese).
7.
HawesD., & HoulderD. (2010). Reflections on using model of human occupation screening tool in a joint learning disability team. British Journal of Occupational Therapy, 73, 564–567.
8.
IrobeC., ShinoharaK., & YamadaT. (2011). A case report concerning the intervention of MOHO-based occupational therapy for an elderly client with dementia using a day service. Japanese Journal of Occupational Behavior, 15, 20–28 (in Japanese).
9.
KielhofnerG. (2008). Model of Human Occupation: Theory and Application (4th ed.). Philadelphia, PA: F.A. Davis.
10.
KielhofnerG., FanC. W., MorleyM., GarnhamM., HeasmanD., ForsythK. (2010). A psychometric study of the Model of Human Occupation Screening Tool (MOHOST). Hong Kong Journal of Occupational Therapy, 20, 63–70.
11.
KielhofnerG., FoggL., BravemannB., ForsythK., KramerJ., & DuncanE. (2009). A factor analytic study of the Model of Human Occupation Screening Tool of hypothesized variables. Occupational Therapy in Mental Health, 25, 127–137.
12.
KobayashiN., YamadaT., KawamataH., IshibashiY., & IshiiY. (2010). Examining internal validity of revised occupational self assessment for healthy older people using Rasch analysis. Japanese Journal of Occupational Behavior, 14, 33–40 (in Japanese).
13.
KobayashiT., HariguchiY., NishimuraK., TakedaM., FukunagaT., InoueO. (1988). A new clinical scale for rating of mental states and activities of daily living of the elderly (NM-scale and N-ADL). Japanese Journal of Clinical Psychiatry, 17, 1653–1668 (in Japanese).
14.
KramerJ., KielhofnerG., LeeS. W., AshpoleE., & CastleL. (2009). Utility of the Model of Human Occupation Screening Tool for detecting client change. Occupational Therapy in Mental Health, 25, 181–191.
15.
LeeS. W., TaylorR., KielhofnerG., & FisherG. (2008). Theory use in practice: a National Survey of Therapists Who Use the Model of Human Occupation. The American Journal of Occupational Therapy, 62, 106–117.
16.
LinacreJ. M. (1997). KR-20/ Cronbach alpha or Rasch reliability: Which Tells the “Truth”?Rasch Measurement Transactions, 11,580–581.
17.
LinacreJ. M. (2010). Facets Rasch Measurement Computer Program, version 3.67.1.Chicago: Winsteps.com.
18.
NotohH., YamadaT., KobayashiN., & KobayashiR. (2009). Linguistic validation of the Model of Human Occupation Screening Tool in the Japanese subjects. Japanese Journal of Occupational Behavior, 12, 74–81 (in Japanese).
19.
PanA. W., FanC. W., ChungL., ChenT. J., KielhofnerG., WuM. Y. (2011). Examining the validity of the Model of Human Occupation ScreeningTool: using classical test theory and item response theory. British Journal of Occupational Therapy, 74, 34–40.
20.
ParkinsonS., ForsythK., & KielhofnerG. (2006). The Model of Human Occupation Screening Tool (Version 2.0).Chicago, IL: Model of Human Occupation Clearinghouse, Department of Occupational Therapy, College of Applied Health Sciences, University of Illinois at Chicago.
21.
ShinoharaK., YamadaT., KobayashiN., & ForsythK. (2012). The model of human occupation-based intervention for patients with stroke: a randomized trial. Hong Kong Journal of Occupational Therapy, 22, 60–69.
22.
ThamK., BernspångB., & FisherA. G. (1999). Development of the assessment of awareness of disability. Scandinavian Journal of Occupational Therapy, 6, 184–190.
23.
WatanabeS. (2009). Current state and future challenges facing Kaifukuki rehabilitation wards. Japanese Journal of Rehabilitation Medicine, 46, 799–807 (in Japanese).
24.
WrightB. D. (1996). Reliability and separation. Rasch Measurement Transactions, 9, 472.
25.
WrightB. D., & StoneM. (1979). Best test design.Chicago, IL: MESA Press.
26.
YabuwakiK., KobayashiR., & YasudaM. (2013). Promotion of occupational participation among long-term hospitalized elderly patients using the model of human occupation screening tool. Japanese Journal of Occupational Behavior, 16, 258–266 (in Japanese).
