Occupational Performance History Interview II (OPHI-II)

Occupational Performance History Interview II (OPHI-II)

Purposes
Rates the client’s *occupational identity* and *occupational competence* and the *impact of occupational behavior settings*

Obtains a broad and detailed understanding of the client’s life history and the impact of illness, disability, or other trauma on the individual’s life.

Gives the interviewer a means of understanding the way a client perceives his or her life to be unfolding.

OPHI-II includes….?
– *Occupational Identity Scale*
– *Occupational Competence Scale*
– *Occupational Settings/Environment Scale*
– OPHI additional notes and rating scales
– OPHI Clinical Summary Report Form
– Life History Narrative Form
Clients
Those able to respond to in-depth interviewing, generally ages 12+ with range of impairments as long as they have cognitive ability to provide a useful life history.

*Not Suitable for:* those going through a major life trauma or who are in short-term hospital/clinical stay.

Type of Assessment
Ipsative, Semi-structured Interview
Administration of OPHI-II
Interview addresses 5 topics:
– occupational roles
– occupational behavior settings
– activity choices
– critical life events
Interviewer records data at the end but can take brief notes during the process.
Scoring of OPHI-II
Occupational ID, competence & impact of setting are rated on a 4 point scale as to competent occupational functioning
Reliability of OPHI
Test-retest reliability not available. More info on the rating process has improved observer reliability.
Validity of OPHI
The three scales were validated using Rasch analysis, demonstrating that they detect differences in occupational performance.
Theoretical Model
MOHO
Cost?
minimum
Time required?
~1 hour
User Qualifications
Adequate interview skills and preparation
Occupational Competence Scale
1) Maintains satisfying lifestyle
2) Fulfills role expectations
3) Works toward goals
4) Meets personal performance standards
5) Organized time for responsibilities
6) Participates in interests
7) Fulfilled roles (past)
8) Maintained habits (past)
9) Achieved satisfaction (past)