MOHOST as a Screening Tool

Model of Human OccupationArchived List Serv DiscussionMOHOST as a Screening ToolDecember 5, 2009Hi there,My name is Viktoria Peter and I am a 4 th year occupational therapy-student of the RobertGordon University Aberdeen in Scotland.I am writing to you, as I chose a MOHOST related dissertation topic and would like toask for support. The title is as follows:“The use of MOHOST as a screening tool for primary stroke patients to create acommunity-based self-management programme to prevent a secondary stroke byaddressing the risk factors having led to primary stroke.”I chose this topic as there is a strong political and clinical drive to discharge patients asearly as appropriate/possible from hospital in Scotland. Patients are asked to self-managetheir condition with help from voluntary services and Allied Health Professionals.However no clear OT strategy or definition of the unique OT contribution to selfmanagementexists. Therefore I want to examine if MOHOST (as specific OTtool/outcomemeasure) can be used for creating a self-management approach whichaddresses the remaining problems and prevents a secondary stroke.I chose MOHOST as it is a standardised, OT specific tool and it could be used well as anoutcome measure as well as for screening for strengths and weaknesses of eachindividual patient to create a client-centred self-management programme.I love the idea of this dissertation topic and the clinical relevance; however I struggle tofind enough articles for my literature review regarding:MOHOST as screening tool for strokeMOHOST usage for health promotion/secondary disease preventionMOHOST for creating a self-management approach to overcome residingproblemsSo far I had an intensive scan through the whole MOHO webpage & found some articlesof relevance, tried to find articles via “Google scholar/ AMED/Medline/Cinahl", but Icould not find a sufficient amount of relevant articles.I would be therefore very thankful for

You ideasTips where to find research articles re: this topicContact to practitioners working in this areaYour help is highly appreciated,Kind regards,Viktoria PeterDecember 19, 2009Hi there Viktoria,I always struggle to find valuable evidence- we all do as OTs- its an area that needs togrow.However, before there can be evidence there needs to be development, innovation, minitrials. Things need to be tested out/developed. So just go for your idea anyway! It maybethat no one has thought about your topic before.Secondly aside from evidence there is always general consensus- which is huge in the OTworld- we all know what we do works. How do we know? We measure efficacy- goals,outcome measures- such as MOHO tools, COPM or AMPS. And it's pretty much proventhat occupation is essential for health and well being- that's how MOHO came about!!!I really like the MOHOST- I currently use it with cognitively impaired clients and clientswith various types of dementia. I've used it with stroke and other neurological (and nonneurological) clients. I find it focuses on occupational performance and participation;clarifies your analysis; and help guide your interventions- with an occupation focus, notsymptom focus.Maybe if you cannot find the evidence you are looking for with stroke- try othersupporting, similar conditions like vascular dementia- after all VD is just mini strokes. Ortry other cognitive impairments brain injury, MS, Parkinson's Disease...In the end it's occupational assessment and occupational therapy/occupationalinterventions which are key not the symptoms as such.I'm trying to grasp your research title. It's great. It sounds like your looking at healthpromotion via occupation- or should I say occupations which promote healthy lifestyles(and prevent a second stroke) as opposed to occupations that promote ill-health (an reoccurrenceof stroke)? Although how would you know you have prevented a secondstroke?All the very best.Iain Stringer