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Importance: Few studies have examined differences in clients’ and therapists’ perspectives on therapeutic communication; this article contributes to the knowledge base. Objective: To examine clients’ and therapists’ real-time perceptions of therapeutic communication. Design: Observational, quantitative, cross-sectional study. Setting: Inpatient and outpatient units of a large urban teaching hospital. Participants: Clients (n = 110) and rehabilitation therapists (n = 38; occupational, physical, and speech). Outcomes and Measures: Demographic characteristics, Clinical Assessment of Modes (CAM). Results: Clients perceived that therapists communicated by instructing more, and therapists reported empathizing more. Conclusions and Relevance: The findings suggest that clients and therapists may perceive therapeutic communication differently. What This Article Adds: This article supports therapists’ use of the CAM to examine multiple perspectives on their communication mode use, as described in the Intentional Relationship Model.

Date Presented 04/12/21 We examined the psychometric properties of the Self-Efficacy for Therapeutic Use of Self questionnaire by Rasch analysis. The questionnaire was completed by 111 students across four time points. Unidimensionality was confirmed for all three parts of the questionnaire. The rating scales and person response validity need further investigation; excellent internal consistency and person-item separation was found. The study supports the psychometric properties of the questionnaire. Primary Author and Speaker: Chia-Wei Fan Contributing Authors: Kathy Dahl, Marc Corbiere

Date Presented 03/28/20 We examined the psychometric properties of the Self-Efficacy for Therapeutic Use of Self questionnaire by Rasch analysis. The questionnaire was completed by 111 students across four time points. Unidimensionality was confirmed for all three parts of the questionnaire. The rating scales and person response validity need further investigation; excellent internal consistency and person/item separation was found. The study supports the psychometric properties of the questionnaire. Primary Author and Speaker: Chia-Wei Fan Contributing Authors: Farzaneh Yazdani, Tove Carstensen, Tore Bonsaksen

Importance: According to the Intentional Relationship Model, six therapeutic modes characterize client–therapist interactions in occupational therapy: advocating, collaborating, empathizing, encouraging, instructing, and problem solving. However, whether these modes hold across cultural contexts is not clear. Objective: To compare therapeutic mode use in occupational therapy interactions in the United States and Singapore. Design: Cross-sectional observational study; questionnaires were collected and compared from two convenience samples of occupational therapists from the United States and Singapore, and results were analyzed using t tests and general linear modeling. Setting: Large tertiary hospitals. Participants: Occupational therapists were recruited if they had at least 6 mo experience in their clinical specialty. Adult client participants were recruited if they had or planned to have at least three occupational therapy sessions. Outcomes and Measures: The therapist version of the Clinical Assessment of Modes (CAM–T) was used to assess occupational therapists’ therapeutic mode use in interactions with specific clients. Results: A total of 74 U.S. and 39 Singaporean client–therapist interactions were assessed. U.S. therapists were more likely to use the upper end of the response scale; after we corrected for this, the pattern of mode use was similar in both cultural contexts, with instructing mode used the most. In absolute terms, U.S. therapists used the instructing mode more frequently than Singaporean therapists. Conclusion and Relevance: Further research should be done to examine the sociocultural factors that affect responses on the CAM–T and mode use. What This Article Adds: This study is the first to compare therapeutic mode use in different cultural settings. With the globalization of occupational therapy practice, it is important to consider the generalizability of occupational therapy concepts across cultures.

Date Presented 04/06/19 OTs who worked at forensic settings in England were expected to use the MOHO-based forensic care pathway to guide their interventions. As part of their standard procedures, therapists administered the Model of Human Occupation Screening Tool (MOHOST) and the Health of Nation Outcome Scales (HoNOS) to represent clients’ participation and their health conditions. The study built up a picture for forensic patients with assessments that were already being used regularly in practice. Primary Author and Speaker: Chia-Wei Fan

Date Presented 4/20/2018 The Model of Human Occupation Screening Tool (MOHOST) and the Clinical Assessment of Modes were used to evaluate clients’ participation and paired therapists’ use of mode. Correlation analyses were conducted. The results show that the empathizing mode was significantly correlated to five subdomains of the MOHOST. Primary Author and Speaker: Chia-Wei Fan Additional Authors and Speakers: Renee Taylor

Date Presented 4/9/2016 Clients expected therapists to show more of the instructing mode, such as educating them and structuring the treatment process. However, therapists focused more on empathizing with clients’ emotions. Primary Author and Speaker: Chia-Wei Fan Additional Author and Speaker: Renee Taylor

Date Presented 4/9/2016 Rasch analysis confirmed that the item set in six modes met the criteria of unidimensionality. Both the client and therapist versions exhibited satisfactory construct validity and internal consistency. Primary Author and Speaker: Chia Wei-Fan Additional Author and Speaker: Renee Taylor