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- ItemAssessing Information Literacy Skills and Library Anxiety of First-year Occupational Therapy Graduate Students(2021) Moghimi, Christine; Rickelman, Mary C.In today’s academic environment, students equipped with self-regulated learning and information literacy (IL) skills have an excellent opportunity for professional success given the current information-based practices in health care. Purposefully providing IL instruction to students early in their coursework will help them develop competent research skills applicable to their remaining studies and scholarly projects. Along with IL challenges, students can experience “library anxiety,” which the literature identifies as a contributing factor to poor academic performance. This study explored components of library anxiety in Master of Occupational Therapy (MOT) students and identified opportunities for IL training that could help students become more confident and proficient in analyzing research publications. The study was embedded in a class assignment, that had the students, in small groups, connect with a university librarian for a one-hour research consultation and review of library resources. Participants in the study completed a pre- and post-survey of 17 questions utilizing a 4-point Likert scale. The results indicated that the students experienced significant positive change in their confidence level with utilization of research tools. Results also showed that students had increased comfort in seeking help while using the university library. The study suggests that the students’ ability to find and assess quality research material will only improve with practice. Despite the availability of new technology that does not necessitate human contact to facilitate research, face-to-face interactions are the most effective mode of communication for questions that are involved and complex, such as graduate students’ scholarly projects.
- ItemAssessing therapeutic communication during rehabilitation: The Clinical Assessment of Modes(2016) Fan, Chia-Wei; Taylor, Renee R.OBJECTIVE. This study applied Rasch analysis to test four versions of the Clinical Assessment of Modes (CAM), an assessment based on Taylor’s Intentional Relationship Model: CAM–P, which assesses clients’ pretreatment preferences; CAM–E, clients’ treatment experience; CAM–T, therapists’ self-reported perspective; and CAM–O, an observer rating scale. METHOD. The CAM–P was administered to 63 inpatients. The CAM–E was administered to 110 inpatients and outpatients. Trained raters rated therapists’ modes with 59 inpatients and outpatients on the CAM–O. The CAM–T was administered to 38 therapists. Analyses of reliability and validity were conducted. RESULTS. The CAM demonstrated adequate construct validity. All versions showed acceptable internal consistency and unidimensionality within each of the subscales. Disorder between the 5 points on the ordinal rating scale was found for the client measures (CAM–P, CAM–E) and was resolved by modifying the ratings to encompass a 4-point scale. CONCLUSION. The four CAM versions are reliable and valid measures of therapeutic communication in rehabilitation.
- ItemChinese Manual of the Model of Human Occupation Screening Tool (MOHOST)(School of Occupational Therapy, College of Medicine, National Taiwan University, 2009) Fan, Chia-Wei; Pan, Ay-Woan
- ItemClinical Assessment of Modes - Client Outcomes Version (CAM-C2): Communicating with Your Therapist(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Taylor, Renee R.; Wong, S.; Fan, Chia-Wei; Kjellber, A.; Alfredsson-Agren, K.; Andersson, E.; Zubel, B.
- ItemClinical Assessment of Modes - Client Outcomes Version (CAM-C2): Communicating with Your Therapist (Spanish Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei; Taylor, Renee R.; Wong, S.; Zubel, B.
- ItemClinical Assessment of Modes - Client Preferences Version (CAM-C1): Communicating with Your Therapist(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Taylor, Renee R.; Wong, S.; Fan, Chia-Wei; Kjellber, A.; Alfredsson-Agren, K.; Andersson, E.; Zubel, B.
- ItemClinical Assessment of Modes - Client Preferences Version (CAM-C1): Communicating with Your Therapist (Mandarin Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Preferences Version (CAM-C1): Communicating with Your Therapist (Spanish Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei; Taylor, Renee R.; Wong, S.; Zubel, B.
- ItemClinical Assessment of Modes - Therapist Outcomes Version (CAM-T): Communicating with Your Client(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Taylor, Renee R.
- ItemClinical Assessment of Modes—Observational Version (CAM-O): Communicating with Your Therapist—Observational Version(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei; Taylor, Renee R.; Wong, S.; Kjellber, A.; Alfredsson-Agren, K.; Andersson, E.; Zubel, B.
- ItemClinical Assessment of Modes—Patient Experience Version (CAM–E), Version 2.0(University of Illinois at Chicago, Department of Occupational Therapy, 2015) Taylor, Renee R.
- ItemClinical Assessment of Modes—Patient Preferences Version (CAM–P), version 2.0(University of Illinois at Chicago, Department of Occupational Therapy, 2015) Taylor, Renee R.; Fan, Chia-Wei
- ItemDimensions of Doing(Wolters Kluwer, 2017) de las Heras de Pablo, Carmen-Gloria; Fan, Chia-Wei; Kielhofner, Gary
- ItemDocumentation to Meet Reimbursement Guidelines(Wolters Kluwer, 2016) Case, Vicki
- ItemEvaluating the Psychometric Properties of a Clinical Vocational Rehabilitation Outcome Measurement: The Assessment of Work Performance(2013) Fan, Chia-Wei; Taylor, Renée R.; Ekbladh, Elin; Hemmingsson, Helena; Sandqvist, JanThis study examined the validity and reliability of the Assessment of Work Performance (AWP) using Rasch analysis. The AWP was administered to 365 clients with a variety of work-related problems. Rasch analysis and principal component analysis were used to examine the appropriateness of the rating scales and unidimensionality of AWP items. The person-response validity, internal consistency, targeting appropriateness, and differential item function were also analyzed. The Rasch analysis confirmed the 4-point rating scale, and the item set met the criteria of unidimensionality. The AWP exhibited satisfactory person-response validity and internal consistency. Among the three subdomains, the targeting of item-difficulty was sufficient in the motor skills and process skills subdomains. Differential item functioning was found across gender and diagnoses. This study presented evidence to support that the AWP functioned as a reliable and valid assessment in assessing work performance.
- ItemExamining changes in occupational participation in forensic patients using the Model of Human Occupation Screening Tool(2016) Fan, Chia-Wei; Morley, Mary; Garnham, Mike; Heasman, David; Taylor, ReneeIntroduction: In occupational therapy, there has been an increased interest in patients’ occupational participation within forensic settings. This retrospective study involved a longitudinal analysis of occupational participation within six forensic hospitals in England. The aim was to contribute to the understanding of forensic patients’ occupational participation over a two-year period. Methods: The Model of Human Occupation Screening Tool (MOHOST) was rated by 78 occupational therapists on 489 patients in low and medium secure units who were receiving occupational therapy over two years. The many-faceted Rasch Model was used to convert their MOHOST scores at each time point into interval scales. Regression analysis was used to examine changes in occupational participation over time. Results: Patients’ overall occupational participation improved over time. Specifically, participation improved in five of the six MOHOST subdomains, which included their motivation for occupation, pattern of occupation, communication/interaction skills, process skills, and environment. Patients did not demonstrate significant change in their motor skills, which varied as expected. In addition, patients in low secure units had better occupational participation than those in medium secure settings. Conclusion: Our findings indicated improvements in the patients’ occupational participation over the 2-year period. Further investigations are needed to understand factors contributing to change.
- ItemExamining the Validity of the Model of Human Occupation Screening Tool: Using Classical Test Theory and Item Response Theory(2011) Pan, Ay-Woan; Fan, Chia-Wei; Chung, LyInn; Chen, Tsyr-Jang; Kielhofner, Gary; Wu, Ming-Yi; Chen, Yun-LingIntroduction: This study examined the psychometric properties of the Model of Human Occupation Screening Tool, using both item response theory and classical test theory. Method: One hundred and one people with mental health problems, aged 18–65 years, were recruited. The Chinese version of the Model of Human Occupation Screening Tool, the National Taiwan University Hospital Symptom Checklist, the Volitional Questionnaire, the Assessment of Communication and Interaction Skills, and the Mini Mental State Examination were administered. Rasch analysis and correlational analysis were used to examine the construct, convergent, divergent validity and known group validity. Results: Rasch analysis confirmed that there were six subscales within the Chinese version of Model of Human Occupation Screening Tool. The Volitional Questionnaire strongly correlated with the volition subscale (r = 0.583). The Assessment of Communication and Interaction Skills strongly correlated with the communication and interaction subscale (r = 0.815). The Mini Mental State Examination was moderately correlated with the process subscale (ρ = 0.334) and the symptomatology was not associated with any of the subscales as expected. There were significant differences on selected subscale scores across four known groups of participants. Conclusion: The Chinese version of the Model of Human Occupation Screening Tool was valid when applied to people with mental health problems.
- ItemExploring culture and therapeutic communication: Therapeutic mode use by occupational therapists in the United States and Singapore(2020) Wong, Su Ren; Fan, Chia-Wei; Polatajko, HeleneImportance: According to the Intentional Relationship Model, six therapeutic modes characterize client–therapist interactions in occupational therapy: advocating, collaborating, empathizing, encouraging, instructing, and problem solving. However, whether these modes hold across cultural contexts is not clear. Objective: To compare therapeutic mode use in occupational therapy interactions in the United States and Singapore. Design: Cross-sectional observational study; questionnaires were collected and compared from two convenience samples of occupational therapists from the United States and Singapore, and results were analyzed using t tests and general linear modeling. Setting: Large tertiary hospitals. Participants: Occupational therapists were recruited if they had at least 6 mo experience in their clinical specialty. Adult client participants were recruited if they had or planned to have at least three occupational therapy sessions. Outcomes and Measures: The therapist version of the Clinical Assessment of Modes (CAM–T) was used to assess occupational therapists’ therapeutic mode use in interactions with specific clients. Results: A total of 74 U.S. and 39 Singaporean client–therapist interactions were assessed. U.S. therapists were more likely to use the upper end of the response scale; after we corrected for this, the pattern of mode use was similar in both cultural contexts, with instructing mode used the most. In absolute terms, U.S. therapists used the instructing mode more frequently than Singaporean therapists. Conclusion and Relevance: Further research should be done to examine the sociocultural factors that affect responses on the CAM–T and mode use. What This Article Adds: This study is the first to compare therapeutic mode use in different cultural settings. With the globalization of occupational therapy practice, it is important to consider the generalizability of occupational therapy concepts across cultures.
- ItemInfluence of Interprofessional Communication on Discharge Decisions in Prelicensure Healthcare Learners(2020) Stokes, C. Kim; Lysaght, Christine; Kim, Young; Lin, Chia-Cheng; Murphy, Lynne; Radloff, Jennifer C.Introduction: Readiness in interprofessional practice is expected of graduating health professionals. This study examined the effectiveness of education on interprofessional communication around discharge destination decisions of healthcare learners utilizing standardized patients in an objective structured clinical examination (OSCE). Methods: Occupational therapy (OT, n = 26), physical therapy (PT, n = 27), and physician assistant (PA, n = 35) learners individually assessed a standardized patient (SP) in a simulated acute care setting and chose a discharge destination from a list of options. Next, learners considered other team member perspectives, either in an interprofessional team huddle or through review of written documentation, before meeting with the SP as a team and finalizing discharge destination decisions. Learner decisions were compared to expert opinion using cross tabulation. Results: Overall, learners in both intervention groups significantly improved their discharge decisions matched with expert opinion (Team Huddle, p = 0.001; Written Communication, p = 0.006) without a significant difference between the Team Huddle and Written Communication groups (p = .774). Variance was noted among disciplines with statistical significance only noted between OT learners and learners from the other professions (Team Huddle, p = 0.004; Written Communication, p = 0.016). Conclusion: Interprofessional collaboration through either team huddle or written communication improves discharge decision-making with compatible effectiveness between them.
- ItemInterprofessional Education for Health Science Students’ Attitudes and Readiness to Work Interprofessionally: A Prospective Cohort Study(2018) Kim, Young Joo; Radloff, Jennifer C.; Stokes, C. Kim; Lysaght, Christine R.Background: Interprofessional education of healthcare providers is necessary to foster collaborative practice and improve patient outcomes. Objective: To examine the effectiveness of the single-session interprofessional education in improving interprofessional attitudes, increasing knowledge of healthcare professions, and improving perceived-readiness for working interprofessionally and with older adults in students in occupational therapy, physical therapy, and physician assistant graduate programs. Methods: We used a prospective, pre–post cohort design. Fall risk evaluation for older adults was selected as the topic of the 4-hour interprofessional education session. Graduate students from three professional programs including occupational therapy (n = 20), physical therapy (n = 26), and physician assistant studies (n = 35) participated in the study, and 17 older adults aged 65 years or older volunteered for the session. Our primary outcome measure was the Interprofessional Attitudes Scale measuring interprofessional attitudes, and our secondary outcome measure was the study-specific questionnaire measuring the direct effect of our interprofessional education session. Results: Graduate students showed significant improvements in the subscale of teamwork, roles, and responsibilities in the Interprofessional Attitudes Scale. Students also showed significant improvements in “understanding of other professions,” “perceived-readiness to work interprofessionally,” and “perceived-readiness to work with older adults” in the study-specific questionnaire. Ceiling effects were observed in most of the subscales in the Interprofessional Attitudes Scale. Conclusion: This study demonstrates that a single 4-hour interprofessional education session can improve interprofessional attitudes, knowledge of other professions, and perceived-readiness of health science graduate students to work interprofessionally and to work with older adults.