MOHOST as a Screening Tool

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