Is the Morriston Occupational Therapy Outcome Measure (MOTOM) an appropriate tool for reablement services?
Sophie Tooke, Julia Warrener, Tamsin Leah and 2 others
PMID 40337633WHAT IT FOUND
Staff using the MOTOM in one reablement service found it helpful for goals, team overview and checking progress, but said scoring was inconsistent, training lacking, and it did not suit everyone.
Most goals were self-care.
Key findings
01Staff in one local authority reablement service completed questionnaires about the MOTOM, with 153 responses and a 37.7% response rate.
02Most staff in both questionnaires reported self-care as the most common MOTOM goal: 92.6% in Q1 and 94.85% in Q2.
03Staff reported inconsistent goal scoring, unclear guidance and limited training as weaknesses, while seeing the MOTOM as useful for goal setting, team overview and progress monitoring.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
It reports staff perceptions from one local authority service, not patient outcomes or service-user views. The response rate was 37.7%, and participation was voluntary, so the staff who replied may not represent all staff. The MOTOM was used alongside the service's own reablement assessment form, so views may be about the whole process rather than the MOTOM alone. The research lead worked part-time as a reablement OT in the same service while doing the project. The paper notes that MOTOM reliability has not been formally assessed. The study did not collect service users' perspectives.
Declared interests
The research was funded by the NIHR Health and Social Care Delivery Research programme (award NIHR131100) as part of the SCRiPT study, and supported by the NIHR Applied Research Collaboration East of England. The lead researcher worked part-time as a reablement occupational therapist in the service studied.
The easy way to misread this
Do not read this as evidence that the MOTOM improves patient outcomes. It reports staff perceptions in one local authority service, not patient results.