Use of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore

Chen, Zhenzhen; Eng, Jia Yen

doi:10.1177/0308022614562582

Cited by 2 publications

(3 citation statements)

References 20 publications

(29 reference statements)

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“…However, as participation and distress/wellbeing are global constructs, these are scored once, across all scales at admission and again at discharge. Studies have demonstrated the validity (Abu-Awad et al, 2014; Chen and Eng, 2015; Unsworth, 2005; Unsworth et al, 2004) and reliability (Fristedt et al, 2013; Morris et al, 2005; Scott et al, 2006; Unsworth et al, 2018) of the AusTOMs-OT. In addition, Unsworth et al (2015) investigated the minimal clinically important difference (MCID), indicating a clinically significant change, for each AusTOMs-OT scale as being a one-point shift.…”

Section: Methodsmentioning

confidence: 99%

Use of the AusTOMs-OT to record outcomes in an occupational therapy homeless service

Alderdice¹,

Wolfe²,

Timmer³

et al. 2022

British Journal of Occupational Therapy

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Introduction Occupational therapists provide services to homeless people internationally, yet relatively little research evidence underpins this practice. This study aimed to describe the process of selecting an outcome measure for use in a homeless occupational therapy service and demonstrate the changes experienced in the occupational performance of individuals participating in this service. Method The Glasgow homeless occupational therapy service staff reviewed eight outcome measures against six pre-determined criteria. The selected tool was then used to collect data pre and post an occupational therapy intervention with 58 participants. Data were analysed using descriptive statistics and Wilcoxon Signed Ranks Test to determine statistically significant change from admission to discharge in the different domains of the selected outcome measure. Results The AusTOMs-OT was implemented in daily practice and 70% of participants were discharged following achievement of therapy goals. Clients made clinically and statistically significant improvements over their admission as measured on AusTOMs-OT in areas such as Transfers, Self-Care and Domestic Life-Home, across the health domains of activity, participation and wellbeing. Conclusion AusTOMs-OT was successfully implemented and demonstrated that participants improved over their time with the service. This evidence can be used to support the effectiveness of occupational therapy services with people experiencing homelessness.

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Section: Methodsmentioning

confidence: 99%

Use of the AusTOMs-OT to record outcomes in an occupational therapy homeless service

Alderdice¹,

Wolfe²,

Timmer³

et al. 2022

British Journal of Occupational Therapy

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show abstract

“…Initially, the AusTOMs' validity was established through comparisons between AusTOMs scores and EuroQol-5D scores, resulting in Spearman Rho correlations of 0.612-0.748 (Unsworth et al, 2004). This validity has been supported in ongoing studies using AusTOMs (Abu-Awad et al, 2014;Chen & Eng, 2015;Unsworth, 2005). Multiple reliability studies have been conducted (Fristedt, Elgmark Andersson, & Unsworth, 2013;Morris et al, 2005;Scott, Unsworth, Fricke, & Taylor, 2006), with the most recent study revealing inter-rater reliability intraclass correlation coefficients (ICCs) ranging from 0.531 to 0.922 suggesting moderate to very high reliability, and intra-rater reliability ICCs between 0.675 to 1.000 suggesting moderate to very high reliability (Unsworth, Timmer, & Wales, 2018).…”

Section: Instrumentmentioning

confidence: 95%

“…The most commonly documented AusTOMs-OT scales in the literature are self care, upper limb use, functional walking and mobility, domestic life-home, and community life/recreation/leisure/play (Abu-Awad et al, 2014;Chen & Eng, 2015;Unsworth, 2008;Unsworth et al, 2009;Unsworth et al, 2005). Considering this and the available data, this study also focused the data analysis on these five more common AusTOMs-OT scales.…”

Section: Instrumentmentioning

confidence: 99%

Changes in older adults’ impairment, activity, participation and wellbeing as measured by the AusTOMs following participation in a Transition Care Program

Smith

Fields

2020

Aus Occup Therapy J

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Introduction: Maintaining a continuum of care is vital to ensure adequate health among older adults, particularly during periods of care transitions, when they are vulnerable and at risk of poor health outcomes. The Transition Care Program in Australia is designed to support older adults following the conclusion of a hospital episode. Using the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT), this study aimed to understand how the Transition Care Program impacts an older adult's occupational performance during care transitions. Methods: Data were collected as a part of usual occupational therapy care from March 2016 to August 2017 from clients admitted to a Gold Coast Health Transition Care Program. Data from 110 clients were analysed on 5 AusTOMs-OT scales: functional walking and mobility, upper limb use, self care, domestic life-home, and community life/recreation/leisure/play. Change data from these scales were analysed using the Wilcoxon Signed Ranks Test. Results: Clients in the Transition Care Program experienced statistically and clinically significant improvements in all AusTOMs-OT scales analysed as well as in each domain of impairment, activity limitation, participation restriction and distress/ wellbeing. Conclusion: These results are meaningful for clients, occupational therapists and Australian Transition Care Programs. Clients demonstrated progress towards their goals, indicating maintenance or improvements in their occupational performance, confirming for occupational therapists that the provision of services is promoting goal achievement and leading to improved occupational performance. The study also highlighted the benefits for the use of outcome measures such as the AusTOMs-OT to quantify and validate client change. K E Y W O R D S community participation, occupational therapy, outcome measure, patient-centred care, transition care How to cite this article: Smith HN, Fields SM. Changes in older adults' impairment, activity, participation and wellbeing as measured by the AusTOMs following participation in a Transition Care Program.

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Use of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore

Cited by 2 publications

References 20 publications

Use of the AusTOMs-OT to record outcomes in an occupational therapy homeless service

Use of the AusTOMs-OT to record outcomes in an occupational therapy homeless service

Changes in older adults’ impairment, activity, participation and wellbeing as measured by the AusTOMs following participation in a Transition Care Program

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