Department of Occupational Therapy, Konyang University, Dae-jeon, Republic of Korea.
Disabil Rehabil Assist Technol. 2022 Feb;17(2):127-133. doi: 10.1080/17483107.2020.1768306. Epub 2020 May 23.
To compare the effect of intervention providing home modifications and assistive devices based on MOHO theory with home exercise on people with disability in time use, competence and values of occupational performance and activity limitations.
Participants were 20 people with disabilities due to deficits in central nervous system. Eleven people in the experimental group partook in environmental modifications and assistive device intervention and nine people in the control partook in home exercise programmes. A total of eight sessions were progressed, one pre-test, six sessions of interventions and one post-test. Occupational Questionnaire (OQ) was used to evaluate one's time use. Occupational Self Assessment (OSA) was used to test the competence and values of one's everyday occupational performance. Activity Limitations Measure (ACTIVLIM) was used to assess the activity limitation of one's functional ability. Wilcoxon signed rank test was used to analyse the comparison of the pre-post of time use, competence and values of occupational performance, and activity limitations. Mann-Whitney was used to compare between both groups.
Among the four occupational areas of OQ, the participation time in ADL significantly increased and rest significantly decreased in the experimental group (<.05). The competence of occupational performance also increased in the experimental group whereas the values of occupational performance increased in the control group (<.05). The activity limitation significantly decreased in control group (<.05) but not in the experimental group.
Using the interaction between human and environment for environmental modification increased the time use in occupational participation and competence to perform occupation in people with disability. By applying MOHO theory to evaluate and modify one's home environment and activity performance, we could comprehend the life style of clients and suggest opportunities to actively participate in ADLs.Implications for rehabilitationUsing the interaction between human and environment for environmental modification increased the time use in occupational participation and competence to perform occupation in people with disability.By applying MOHO theory to evaluate and modify one's home environment, we could comprehend the life style of clients and suggest opportunities to actively participate in ADLs.Adapting MOHO theory to enhance activity participation will contribute to enhance the quality of occupational therapy services in community settings.
比较基于 MOHO 理论的家庭改造和辅助器具干预与家庭运动对残疾人群时间利用、职业表现能力和价值观以及活动受限的影响。
参与者为 20 名因中枢神经系统缺陷而导致残疾的人。实验组 11 人参与环境改造和辅助器具干预，对照组 9 人参与家庭运动方案。共进行了 8 次，1 次预测试，6 次干预，1 次后测试。职业问卷（OQ）用于评估一个人的时间利用情况。职业自我评估（OSA）用于测试一个人日常职业表现的能力和价值观。活动限制测量（ACTIVLIM）用于评估一个人的功能能力的活动限制。Wilcoxon 符号秩检验用于分析时间利用、职业表现能力和价值观以及活动受限的预后比较。Mann-Whitney 用于比较两组之间的差异。
在 OQ 的四个职业领域中，实验组的日常生活活动（ADL）参与时间显著增加，休息时间显著减少（<0.05）。实验组的职业表现能力也有所提高，而对照组的职业表现价值观有所提高（<0.05）。对照组的活动限制显著降低（<0.05），但实验组没有。
利用人与环境的相互作用进行环境改造增加了残疾人群的职业参与时间和职业表现能力。通过应用 MOHO 理论评估和修改家庭环境和活动表现，可以理解客户的生活方式，并为他们积极参与日常生活活动提供机会。
利用人与环境的相互作用进行环境改造增加了残疾人群的职业参与时间和职业表现能力。通过应用 MOHO 理论评估和修改家庭环境，可以理解客户的生活方式，并为他们积极参与日常生活活动提供机会。
将 MOHO 理论应用于增强活动参与度，将有助于提高社区环境中的职业治疗服务质量。
