Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? / Mary Morley in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 470-473 Titre : Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? Type de document : texte imprimé Auteurs : Mary Morley ; Genevieve Smyth Année de publication : 2013 Article en page(s) : p. 470-473 Langues : Anglais (eng) Mots-clés : Cost-benefit analysis  healthcare costs  healthcare expenditure Résumé : The current financial climate in health and social care is challenging: occupational therapists who work in mental health services need urgently to demonstrate clinical effectiveness and value for money in comparison to other interventions. In doing so they will help to ensure that service users in the United Kingdom can continue to benefit from occupational therapy interventions. In this opinion piece, a basic introduction to types of evaluation, costs and consequences is provided, as well as a description of research studies into the provision of occupational therapy for service users with mental health problems that include economic evaluations. Finally, methods to produce this vital information are suggested for practitioners, managers and researchers. Permalink : ./index.php?lvl=notice_display&id=103236 [article] Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? [texte imprimé] / Mary Morley ; Genevieve Smyth . - 2013 . - p. 470-473. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 470-473 Mots-clés : Cost-benefit analysis  healthcare costs  healthcare expenditure Résumé : The current financial climate in health and social care is challenging: occupational therapists who work in mental health services need urgently to demonstrate clinical effectiveness and value for money in comparison to other interventions. In doing so they will help to ensure that service users in the United Kingdom can continue to benefit from occupational therapy interventions. In this opinion piece, a basic introduction to types of evaluation, costs and consequences is provided, as well as a description of research studies into the provision of occupational therapy for service users with mental health problems that include economic evaluations. Finally, methods to produce this vital information are suggested for practitioners, managers and researchers. Permalink : ./index.php?lvl=notice_display&id=103236

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Barriers and facilitators of participation in intervention research by mental health occupational therapists / Mary Birken in The British Journal of Occupational Therapy, Vol.80 Issue 9 (September 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 9 (September 2017) . - p. 568-572 Titre : Barriers and facilitators of participation in intervention research by mental health occupational therapists Type de document : texte imprimé Auteurs : Mary Birken ; Elyse Couch ; Mary Morley Année de publication : 2017 Article en page(s) : p. 568-572 Langues : Anglais (eng) Mots-clés : participation  recherche  santé mentale Résumé : Statement of context Occupational therapists in clinical practice are required to deliver interventions within clinical trials to demonstrate the effectiveness of occupational therapy interventions. Challenges to participation in intervention research by occupational therapists working in community mental health have been identified and require further investigation. Critical reflection on practice A cross-sectional online survey of occupational therapists working in mental health was used, and obtained a 50% (n = 144) response rate. Limited time, large generic caseloads, and lack of skills and experience in research were identified barriers to participation in occupational therapy intervention research. Occupational therapists had limited dedicated time to carry out occupational therapy interventions and outcome measurement was limited. Implications for practice Occupational therapy roles need to be regained in adult community mental health alongside routine outcome measurement. This will enable occupational therapy interventions to contribute to community mental health services and support participation in clinical trials of occupational therapy interventions. Permalink : ./index.php?lvl=notice_display&id=52703 [article] Barriers and facilitators of participation in intervention research by mental health occupational therapists [texte imprimé] / Mary Birken ; Elyse Couch ; Mary Morley . - 2017 . - p. 568-572. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 9 (September 2017) . - p. 568-572 Mots-clés : participation  recherche  santé mentale Résumé : Statement of context Occupational therapists in clinical practice are required to deliver interventions within clinical trials to demonstrate the effectiveness of occupational therapy interventions. Challenges to participation in intervention research by occupational therapists working in community mental health have been identified and require further investigation. Critical reflection on practice A cross-sectional online survey of occupational therapists working in mental health was used, and obtained a 50% (n = 144) response rate. Limited time, large generic caseloads, and lack of skills and experience in research were identified barriers to participation in occupational therapy intervention research. Occupational therapists had limited dedicated time to carry out occupational therapy interventions and outcome measurement was limited. Implications for practice Occupational therapy roles need to be regained in adult community mental health alongside routine outcome measurement. This will enable occupational therapy interventions to contribute to community mental health services and support participation in clinical trials of occupational therapy interventions. Permalink : ./index.php?lvl=notice_display&id=52703

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Evidencing What Works: Are Occupational Therapists Using Clinical Information Effectively? / Mary Morley in The British Journal of Occupational Therapy, Volume 77 numéro 12 (Décembre 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 12 (Décembre 2014) . - p.601-604 Titre : Evidencing What Works: Are Occupational Therapists Using Clinical Information Effectively? Type de document : texte imprimé Auteurs : Mary Morley, Auteur Année de publication : 2014 Article en page(s) : p.601-604 Langues : Anglais (eng) Mots-clés : Informatics  Clinical outcomes  Cost effectiveness Résumé : This practice analysis considers the extent to which mental health occupational therapists utilize standardized assessments and other tools within local electronic clinical records. There is further analysis of a clinical dataset from a single service that highlights limitations in its use to inform cost effectiveness evaluation. The paper highlights the opportunity for the profession to promote greater consistency across clinical datasets at a time when many electronic record systems are being updated. This will require a collaborative approach to allow cross-organizational benchmarking and to adopt a set of variables and other outcome measures in order to successfully undertake economic evaluation. Permalink : ./index.php?lvl=notice_display&id=35913 [article] Evidencing What Works: Are Occupational Therapists Using Clinical Information Effectively? [texte imprimé] / Mary Morley, Auteur . - 2014 . - p.601-604. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 12 (Décembre 2014) . - p.601-604 Mots-clés : Informatics  Clinical outcomes  Cost effectiveness Résumé : This practice analysis considers the extent to which mental health occupational therapists utilize standardized assessments and other tools within local electronic clinical records. There is further analysis of a clinical dataset from a single service that highlights limitations in its use to inform cost effectiveness evaluation. The paper highlights the opportunity for the profession to promote greater consistency across clinical datasets at a time when many electronic record systems are being updated. This will require a collaborative approach to allow cross-organizational benchmarking and to adopt a set of variables and other outcome measures in order to successfully undertake economic evaluation. Permalink : ./index.php?lvl=notice_display&id=35913

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Examining changes in occupational participation in forensic patients using the Model of Human Occupation Screening Tool / Chia-Wei Fan in The British Journal of Occupational Therapy, Vol.79 Issue 12 (Décembre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 Issue 12 (Décembre 2016) . - p. 727-733 Titre : Examining changes in occupational participation in forensic patients using the Model of Human Occupation Screening Tool Type de document : texte imprimé Auteurs : Chia-Wei Fan ; Mary Morley ; Mike Garnham ; [et al...] Année de publication : 2016 Article en page(s) : p. 727-733 Langues : Anglais (eng) Mots-clés : modèle de l'occupation humaine  participation Résumé : Introduction 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. Permalink : ./index.php?lvl=notice_display&id=47326 [article] Examining changes in occupational participation in forensic patients using the Model of Human Occupation Screening Tool [texte imprimé] / Chia-Wei Fan ; Mary Morley ; Mike Garnham ; [et al...] . - 2016 . - p. 727-733. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 Issue 12 (Décembre 2016) . - p. 727-733 Mots-clés : modèle de l'occupation humaine  participation Résumé : Introduction 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. Permalink : ./index.php?lvl=notice_display&id=47326

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A Rasch analysis of the model of human occupation screening tool single observation form (MOHOST-SOF) in mental health / Donald Maciver in The British Journal of Occupational Therapy, Vol.79 N°1 (January 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°1 (January 2016) . - p.49-56 Titre : A Rasch analysis of the model of human occupation screening tool single observation form (MOHOST-SOF) in mental health Type de document : texte imprimé Auteurs : Donald Maciver ; Mary Morley ; Kirsty Forsyth Année de publication : 2016 Article en page(s) : p.49-56 Langues : Anglais (eng) Mots-clés : validity  reliability  effectiveness  inpatient  community  intervention  assessment Résumé : Introduction This study examined the psychometric properties of the model of human occupation screening tool single observation form. Method Clinical records were extracted pre- and post-treatment for 152 mental health service users. Data were model of human occupation screening tool single observation form scores and demographics. We investigated the form using Rasch analysis; we also present an analysis of change over time. Results We identified four misfitting items and evidence of instability with respect to change over time. After anchoring to adjust for unstable estimates, it was possible to measure client change, and there were significant differences in form scores pre–post treatment indicating client improvement in ability. Conclusion The study provides initial psychometric assessment of this version of the model of human occupation screening tool. Permalink : ./index.php?lvl=notice_display&id=42372 [article] A Rasch analysis of the model of human occupation screening tool single observation form (MOHOST-SOF) in mental health [texte imprimé] / Donald Maciver ; Mary Morley ; Kirsty Forsyth . - 2016 . - p.49-56. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°1 (January 2016) . - p.49-56 Mots-clés : validity  reliability  effectiveness  inpatient  community  intervention  assessment Résumé : Introduction This study examined the psychometric properties of the model of human occupation screening tool single observation form. Method Clinical records were extracted pre- and post-treatment for 152 mental health service users. Data were model of human occupation screening tool single observation form scores and demographics. We investigated the form using Rasch analysis; we also present an analysis of change over time. Results We identified four misfitting items and evidence of instability with respect to change over time. After anchoring to adjust for unstable estimates, it was possible to measure client change, and there were significant differences in form scores pre–post treatment indicating client improvement in ability. Conclusion The study provides initial psychometric assessment of this version of the model of human occupation screening tool. Permalink : ./index.php?lvl=notice_display&id=42372

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