Trial Outcomes & Findings for Development and Validation of the Client Centered Occupational Therapy Service Model (NCT NCT04465422)

NCT ID: NCT04465422

Last Updated: 2021-03-24

Results Overview

The Occupational Performance History Interview-Second Version(OPHI-II) was tested before and after in the intervention group and the control group to explain the intervention effect of the MOHO theory-based treatment model. OPHI-II is a semi-structured interview that gathers life history information. The OPHI-II contains 3 sub-domains: OPHI-II Occupational Identity(range 11\~44)、OPHI-II Occupational Competence(range 9\~36)、OPHI-II Occupational Behavior Settings(range 9\~36). The three sub-domains are divided into 4 levels, in which 4 points indicate good performance, 3 points indicate good functions, 2 points indicate lack of certain functions, and 1 points indicate poor functions. The total score of OPHI-II is equal to the sum of the three sub-domains (scores 29 to 116; higher scores indicate higher performance).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

33 participants

Primary outcome timeframe

2 weeks

Results posted on

2021-03-24

Participant Flow

Date of the recruitment period : 06/19/2020 - 07/16/2020 Recruitment type of location : medical clinical

Participant milestones

Participant milestones
Measure
Intervention Group
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The Intervention group provided Occupational therapy based on the MOHO theory. Occupational therapy based on the MOHO theory: We selected two acute wards in the Songde hospital as the intervention group and the control group. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Control Group
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The control group adopted the original Occupational therapy model. Execution for two weeks. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Overall Study
STARTED
17
16
Overall Study
COMPLETED
17
14
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Group
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The Intervention group provided Occupational therapy based on the MOHO theory. Occupational therapy based on the MOHO theory: We selected two acute wards in the Songde hospital as the intervention group and the control group. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Control Group
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The control group adopted the original Occupational therapy model. Execution for two weeks. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Overall Study
Lost to Follow-up
0
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=17 Participants
In order to indicate the occupation identity and competence to validate the OT@tcpc service model. We recruited 70 inpatients with schizophrenia and divided into intervention group and control group. The Intervention group provided Occupational therapy based on the MOHO theory. Occupational therapy based on the MOHO theory: We selected two acute wards in the Songde hospital as the intervention group and the control group. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Control Group
n=16 Participants
In order to indicate the occupation identity and competence to validate the OT@tcpc service model. We recruited 70 inpatients with schizophrenia and divided into intervention group and control group. The control group adopted the original Occupational therapy model. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Total
n=33 Participants
Total of all reporting groups
Age, Continuous
43.6 years
STANDARD_DEVIATION 9 • n=17 Participants
43.4 years
STANDARD_DEVIATION 9.4 • n=16 Participants
43.5 years
STANDARD_DEVIATION 9 • n=33 Participants
Sex: Female, Male
Female
11 Participants
n=17 Participants
8 Participants
n=16 Participants
19 Participants
n=33 Participants
Sex: Female, Male
Male
6 Participants
n=17 Participants
8 Participants
n=16 Participants
14 Participants
n=33 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Onset age
20.1 years
STANDARD_DEVIATION 4.8 • n=17 Participants
19.0 years
STANDARD_DEVIATION 3.8 • n=16 Participants
19.56 years
STANDARD_DEVIATION 4.29 • n=33 Participants
Duration of illness
23.0 years
STANDARD_DEVIATION 8.6 • n=17 Participants
24.4 years
STANDARD_DEVIATION 8.6 • n=16 Participants
23.7 years
STANDARD_DEVIATION 8.4 • n=33 Participants
Marital Status
Single
15 Participants
n=17 Participants
14 Participants
n=16 Participants
29 Participants
n=33 Participants
Marital Status
Married
2 Participants
n=17 Participants
1 Participants
n=16 Participants
3 Participants
n=33 Participants
Marital Status
Divorced
0 Participants
n=17 Participants
1 Participants
n=16 Participants
1 Participants
n=33 Participants
Education
Junior high school
1 Participants
n=17 Participants
3 Participants
n=16 Participants
4 Participants
n=33 Participants
Education
Senior high school
7 Participants
n=17 Participants
7 Participants
n=16 Participants
14 Participants
n=33 Participants
Education
College and above
9 Participants
n=17 Participants
6 Participants
n=16 Participants
15 Participants
n=33 Participants

PRIMARY outcome

Timeframe: 2 weeks

Population: Individuals with schizophrenia were recruited from acute ward of the Psychiatric Department of Taipei City Hospital.

The Occupational Performance History Interview-Second Version(OPHI-II) was tested before and after in the intervention group and the control group to explain the intervention effect of the MOHO theory-based treatment model. OPHI-II is a semi-structured interview that gathers life history information. The OPHI-II contains 3 sub-domains: OPHI-II Occupational Identity(range 11\~44)、OPHI-II Occupational Competence(range 9\~36)、OPHI-II Occupational Behavior Settings(range 9\~36). The three sub-domains are divided into 4 levels, in which 4 points indicate good performance, 3 points indicate good functions, 2 points indicate lack of certain functions, and 1 points indicate poor functions. The total score of OPHI-II is equal to the sum of the three sub-domains (scores 29 to 116; higher scores indicate higher performance).

Outcome measures

Outcome measures
Measure
Intervention Group
n=17 Participants
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The Intervention group provided Occupational therapy based on the MOHO theory. Occupational therapy based on the MOHO theory: We selected two acute wards in the Songde hospital as the intervention group and the control group. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Control Group
n=16 Participants
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The control group adopted the original Occupational therapy model. Execution for two weeks. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Total score (pretest)
66.2 score on a scale
Standard Deviation 8.0
69.4 score on a scale
Standard Deviation 6.8
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Occupational Identity (pretest)
24.9 score on a scale
Standard Deviation 4.8
25.7 score on a scale
Standard Deviation 3.4
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Occupational Competence (pretest)
20.7 score on a scale
Standard Deviation 2.6
22.1 score on a scale
Standard Deviation 2.3
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Occupational Behavior Settings (pretest)
20.7 score on a scale
Standard Deviation 2.7
21.6 score on a scale
Standard Deviation 2.3
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Total score (posttest 2 weeks)
67.1 score on a scale
Standard Deviation 8.3
67.6 score on a scale
Standard Deviation 7.3
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Occupational Identity (posttest 2 weeks)
25.3 score on a scale
Standard Deviation 5.3
25.0 score on a scale
Standard Deviation 3.8
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Occupational Competence (posttest 2 weeks)
20.9 score on a scale
Standard Deviation 2.7
21.5 score on a scale
Standard Deviation 2.0
Occupational Performance History Interview-II (OPHI-II) Total and Subscale Scores
OPHI-II Occupational Behavior Settings (posttest 2 weeks)
20.9 score on a scale
Standard Deviation 2.2
21.1 score on a scale
Standard Deviation 2.6

SECONDARY outcome

Timeframe: 2 weeks

Population: Individuals with schizophrenia were recruited from acute ward of the Psychiatric Department of Taipei City Hospital.

Except for Mini-Menlal State Examination(MMSE), all other tools were tested before and after in the intervention group and the control group to explain the intervention effect of the MOHO theory-based treatment model The secondary outcome included the following instruments: 1. Mini-Menlal State Examination, MMSE(range 0\~30;the higher scores indicate greater ability) 2. Canadian Occupational Performance Measure, COPM(performance and satisfaction, each range 1\~10;the higher scores indicate greater performance) 3. Personal and Social Performance scale , PSP(range 1\~100;the higher scores indicate greater performance) 4. Clinical Global Impressions Scale of Severity, CGIS(range 1\~7;the lower scores indicate greater performance) 5. Comprehensive Occupational Therapy Evaluation Scale, COTES(range 20\~100;the higher scores indicate greater performance) 6. Lawton Instrumental Activities Daily Living, LIADL(range 0\~23;the higher scores indicate greater performance)

Outcome measures

Outcome measures
Measure
Intervention Group
n=17 Participants
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The Intervention group provided Occupational therapy based on the MOHO theory. Occupational therapy based on the MOHO theory: We selected two acute wards in the Songde hospital as the intervention group and the control group. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Control Group
n=16 Participants
We will recruit 70 inpatients with schizophrenia and divided into intervention group and control group. The control group adopted the original Occupational therapy model. Execution for two weeks. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
Occupational Therapy Evaluation Scales Measure
MMSE(pretest)
27.5 score on a scale
Standard Deviation 2.5
27.8 score on a scale
Standard Deviation 2.5
Occupational Therapy Evaluation Scales Measure
CGIS(pretest)
3.9 score on a scale
Standard Deviation 0.8
4.0 score on a scale
Standard Deviation 0.9
Occupational Therapy Evaluation Scales Measure
LIADL(pretest)
18.1 score on a scale
Standard Deviation 4.8
17.8 score on a scale
Standard Deviation 4.2
Occupational Therapy Evaluation Scales Measure
COTES(pretest)
70.8 score on a scale
Standard Deviation 7.9
74.9 score on a scale
Standard Deviation 7.8
Occupational Therapy Evaluation Scales Measure
COPM-C performance(pretest)
5.7 score on a scale
Standard Deviation 2.6
5.1 score on a scale
Standard Deviation 2.3
Occupational Therapy Evaluation Scales Measure
COPM-C satisfaction(pretest)
5.5 score on a scale
Standard Deviation 2.9
4.8 score on a scale
Standard Deviation 2.5
Occupational Therapy Evaluation Scales Measure
PSP(pretest)
52.1 score on a scale
Standard Deviation 15.9
51.9 score on a scale
Standard Deviation 12.5
Occupational Therapy Evaluation Scales Measure
CGIS(posttest 2 weeks)
3.6 score on a scale
Standard Deviation 1.0
3.4 score on a scale
Standard Deviation 1.0
Occupational Therapy Evaluation Scales Measure
LIADL(posttest 2 weeks)
18.2 score on a scale
Standard Deviation 4.3
18.6 score on a scale
Standard Deviation 3.0
Occupational Therapy Evaluation Scales Measure
COTES(posttest 2 weeks)
71.9 score on a scale
Standard Deviation 7.1
74.3 score on a scale
Standard Deviation 8.6
Occupational Therapy Evaluation Scales Measure
COPM-C performance(posttest 2 weeks)
6.2 score on a scale
Standard Deviation 2.5
5.1 score on a scale
Standard Deviation 2.3
Occupational Therapy Evaluation Scales Measure
COPM-C satisfaction(posttest 2 weeks)
6.2 score on a scale
Standard Deviation 2.6
4.7 score on a scale
Standard Deviation 2.4
Occupational Therapy Evaluation Scales Measure
PSP(posttest 2 weeks)
53.4 score on a scale
Standard Deviation 15.4
55.4 score on a scale
Standard Deviation 11.3

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Shu Chun Lee

Taipei City Hospital

Phone: +886 2 27263141

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place