1
|
Vinge AFJ, Mondrup ME, Nielsen KT, Wæhrens EE. Assessment of motor and process skills in Danish occupational therapy practice. Scand J Occup Ther 2023; 30:1311-1329. [PMID: 37300535 DOI: 10.1080/11038128.2023.2220910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 03/30/2023] [Accepted: 05/29/2023] [Indexed: 06/12/2023]
Abstract
BACKGROUND The demand for employment of standardized evaluations is increasing. In Denmark, approximately 25% of all occupational therapists (OTs) are trained to use the standardized occupational therapy instrument Assessment of Motor and Process Skills (AMPS). AIMS To investigate the use of AMPS within Danish occupational therapy practice and determine factors supporting or hindering the use. MATERIAL AND METHODS An online cross-sectional survey was conducted among OTs from various settings. RESULTS Overall, 844 calibrated OTs participated in the survey. Of these, 540 (64%) met the inclusion criteria and 486 (90%) completed the questionnaire. Forty percent of the participants used the AMPS in a standardized way during a one-month period and 56% reported being dissatisfied with the low number of AMPS evaluations completed. Five supporting and nine hindering factors were found to significantly influence the use of standardized AMPS evaluations. CONCLUSIONS/SIGNIFICANCE Despite demands for standardized evaluations, the AMPS is not regularly used in a standardized way within Danish occupational therapy practice. Use of AMPS in clinical practice seems to be facilitated by an acknowledgement from the management and the OT's ability to develop habits and routines. Time restraints were reported, however, time to conduct evaluations was not a statistically significant influencing factor.
Collapse
Affiliation(s)
- Annette Forsberg Jørgensen Vinge
- Occupation Science, User Perspectives and Community-based Research, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Mette Egelund Mondrup
- Occupation Science, User Perspectives and Community-based Research, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Kristina Tomra Nielsen
- Department of Occupational Therapy, University College of Northern Denmark, Aalborg, Denmark
- Occupation-centered occupational therapy, The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Eva Ejlersen Wæhrens
- Occupation Science, User Perspectives and Community-based Research, Department of Public Health, University of Southern Denmark, Odense, Denmark
- Occupation-centered occupational therapy, The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
2
|
Prost SG, Golembeski C, Periyakoil VS, Arias J, Knittel AK, Ballin J, Oliver HD, Tran NT. Standardized outcome measures of mental health in research with older adults who are incarcerated. Int J Prison Health 2022; ahead-of-print:10.1108/IJPH-08-2021-0085. [PMID: 35362688 PMCID: PMC9328480 DOI: 10.1108/ijph-08-2021-0085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The targeted use of standardized outcome measures (SOMs) of mental health in research with older adults who are incarcerated promotes a common language that enables interdisciplinary dialogue, contributes to the identification of disparities and supports data harmonization and subsequent synthesis. This paper aims to provide researchers with rationale for using "gold-standard" measures used in research with community-dwelling older adults, reporting associated study sample psychometric indexes, and detailing alterations in the approach or measure. DESIGN/METHODOLOGY/APPROACH The authors highlight the mental health of older adults who are incarcerated. They also discuss the benefits of SOMs in practice and research and then identify gold-standard measures of mental health used in research with community-dwelling older adults and measures used in research with older adults who are incarcerated. Finally, the authors provide several recommendations related to the use of SOMs of mental health in research with this population. FINDINGS Depression, anxiety and post-traumatic stress disorder are common among older adults who are incarcerated. Researchers have used a variety of measures to capture these mental health problems, some parallel to those used with community-dwelling samples. However, a more targeted use of SOMs of mental health in research with this population will contribute to important strides in this burgeoning field. ORIGINALITY/VALUE This review offers several practical recommendations related to SOMs of mental health in research with older adults who are incarcerated to contribute to a rigorous evidence base and thus inform practice and potentially improve the health and well-being of this population.
Collapse
Affiliation(s)
- Stephanie Grace Prost
- Raymond A. Kent School of Social Work, University of Louisville, Louisville, Kentucky, USA
| | - Cynthia Golembeski
- Milano School of Policy, Management, and Environment, The New School, New York, New York, USA
| | | | - Jalayne Arias
- University of California San Francisco, San Francisco, California, USA
| | - Andrea K Knittel
- Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
| | - Jessica Ballin
- Department of Health Promotion and Sports Medicine, Oregon Health and Science University, Portland, Oregon, USA
| | - Heather D Oliver
- Raymond A. Kent School of Social Work, University of Louisville, Louisville, Kentucky, USA
| | | |
Collapse
|
3
|
Young DK, Starace HE, Boddy HI, Connolly KMD, Lock KJ, Hamilton CRE. Evaluating functional change using the Physical Abilities and Mobility Scale in acute paediatric neurorehabilitation. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2020. [DOI: 10.12968/ijtr.2019.0144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/Aims Childhood acquired brain injury is the leading cause of death and long-term disability among children and young people in the UK. Following a childhood brain injury, function is shown to improve within a specialist neurorehabilitation setting. Little evidence currently exists to demonstrate gross motor functional change within an acute hospital setting. The Physical Abilities and Mobility Scale is a valid and reliable outcome measure for use within inpatient paediatric neurorehabilitation following brain injury. The primary aim of this study was to evaluate how the gross motor function of paediatric patients with a new acquired brain injury changes during an acute hospital admission. Methods Data were collected for all patients admitted as an inpatient to one acute hospital over a 12-month period. The Physical Abilities and Mobility Scale was completed at baseline, at least weekly and again at discharge. Views relating to the utility of the Physical Abilities and Mobility Scale were sought among physiotherapists using the measure in order to inform acceptability. Results A total of 28 patients were included in this study. A Wilcoxon signed rank test was performed, which showed a highly significant improvement in function as scored on the Physical Abilities and Mobility Scale between baseline assessment (median 29.00, interquartile range 25.00–35.50) and discharge (median 85.00, interquartile range 75.00–95.00, Z=-4.624, P<0.001). A total of five patients (17.86%) were referred on for specialist residential neurorehabilitation. A post hoc analysis found that the rate of change of the Physical Abilities and Mobility Scale appeared to have an impact on final discharge destination, with slow improvers 18.60 times more likely to require specialist rehabilitation than others. The Physical Abilities and Mobility Scale was found to be acceptable among physiotherapists using it. Conclusions Children with a new acquired brain injury make significant improvements in gross motor function during a period of acute inpatient neurorehabilitation. Further work should look to refine the measure and gain a full understanding of its clinical utilities.
Collapse
|
4
|
A Systematic Review on Clinimetric Properties of Play Instruments for Occupational Therapy Practice. Occup Ther Int 2020; 2020:2490519. [PMID: 32821250 PMCID: PMC7416293 DOI: 10.1155/2020/2490519] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 04/24/2020] [Accepted: 06/16/2020] [Indexed: 11/29/2022] Open
Abstract
Play is considered the main occupation for children. Pediatric occupational therapists utilize play either for evaluation or intervention purpose. However, play is not properly measured by occupational therapists, and the use of play instrument is limited. This systematic review was aimed at identifying play instruments relevant to occupational therapy practice and its clinimetric properties. A systematic search was conducted on six databases (Academic Search Complete, CINAHL, MEDLINE, Psychology and Behavioral Science Collection, Scopus, and ASEAN Citation Index) in January 2020. The quality of the included studies was evaluated using Law and MacDermid's Appraisal for Clinical Measurement Research Reports, and psychometric properties of play instruments were evaluated using Terwee's checklist while the clinical utility is extracted from each instrument. Initial search identifies 1,098 articles, and only 30 articles were included in the final analysis, extracting 8 play instruments. These instruments were predominantly practiced in the Western culture, which consists of several psychometric evidences. The Revised Knox Preschool Play Scale is considered the most extensive and comprehensive play instrument for extrinsic aspect, whereas the Test of Playfulness + Test of Environmental Supportiveness Unifying Measure is a promising play instrument for intrinsic aspect on play, where both instruments utilize observation. My Child's Play is a potential questionnaire-based play instrument. However, the current development of play instruments in the occupational therapy field is immature and constantly evolving, and occupational therapists should exercise good clinical reasoning when selecting a play instrument to use in practice.
Collapse
|
5
|
O'Connor B, Kerr C, Shields N, Adair B, Imms C. Steering towards collaborative assessment: a qualitative study of parents' experiences of evidence-based assessment practices for their child with cerebral palsy. Disabil Rehabil 2019; 43:458-467. [PMID: 31230482 DOI: 10.1080/09638288.2019.1629652] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
PURPOSE To understand parents' experiences of evidence-based assessment by health professionals for their child with cerebral palsy. METHODS A qualitative interpretive description study was undertaken. Primary carers of children with cerebral palsy (aged 3-18 years) from south-eastern Australia were invited to participate. Face-to-face interviews were held using a semi-structured topic guide and data analyzed inductively. Credibility was ensured through: journal reflections; co-author review; audit trail; and, participant member-checking. RESULTS Fourteen parents of children with cerebral palsy, representing Gross Motor Functional Classification System levels I-V, participated. Six themes emerged: (1) Protection; (2) Positively Framed; (3) Bridging the Gap; (4) Involvement; (5) Finding Worth; and (6) Trust. Central to parents' experience was protection of their child's identity and personal self. Assessment can be emotionally confronting, at any stage. Representing the child positively and highlighting possibilities was deemed essential. Parents' involvement ranged from being overlooked spectators to being instigators of assessment. Evidence-based assessment was worthwhile when relevant to parents' direction and family context. The researchers' interpretive description generated a schema and metaphor-the Steering Wheel for Collaborative Assessment. CONCLUSIONS A strengths-based approach to diagnosis and assessment is essential. The resulting interpretive description may assist health professionals align evidence-based assessment practices with family-centred care.Implications for rehabilitationParents of children who have cerebral palsy describe having to protect their child's identity and representation, and their own personal well-being, through evidence-based assessment and diagnostic processes.Involving parents in the process of evidence-based assessment and adopting a strengths-based approach is essential.The interpretive description developed-the Steering Wheel for Collaborative Assessment-may assist health professionals to implement evidence-based assessment tools in ways consistent with family-centred care principles.
Collapse
Affiliation(s)
- Bridget O'Connor
- School of Allied Health, Australian Catholic University, Melbourne, Australia
| | - Claire Kerr
- School of Allied Health, Australian Catholic University, Melbourne, Australia.,School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Nora Shields
- School of Allied Health, La Trobe University, Melbourne, Australia
| | - Brooke Adair
- Centre for Disability and Development Research, Australian Catholic University, Melbourne, Australia
| | - Christine Imms
- Centre for Disability and Development Research, Australian Catholic University, Melbourne, Australia
| |
Collapse
|
6
|
Romli MH, Wan Yunus F, Mackenzie L. Overview of reviews of standardised occupation-based instruments for use in occupational therapy practice. Aust Occup Ther J 2019; 66:428-445. [PMID: 30821362 DOI: 10.1111/1440-1630.12572] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2019] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Using standardised instruments is one approach to support evidence-based practice. Referring to systematic reviews is an option to identify suitable instruments. However, with an abundance of systematic reviews available, therapists are challenged to identify an appropriate instrument to use. Therefore, this overview of reviews aimed to summarise relevant systematic review findings about standardised occupation-based instruments relevant for occupational therapy practice. METHODS An overview of reviews was conducted. A systematic search was performed on four databases up to March 2018. Included systematic reviews were analysed for quality using A MeaSurement Tool to Assess systematic Reviews (AMSTAR). RESULTS A total of 2187 articles were identified after removing duplicates. Ultimately, 58 systematic reviews were identified that yielded 641 instruments. From those, 45 instruments were selected for appraisal as they met the inclusion criteria of being developed mainly by occupational therapists and were recommended in the summarised findings from the systematic reviews. The instruments were classified according to the following occupation domains: (i) multidimensional, (ii) activities of daily living, (iii) productivity, (iv) social, (v) sleep/rest, (vi) sexuality and (vii) spirituality. No systematic review was identified that specifically focussed on occupations related to school/education, leisure and play. DISCUSSION Certain occupation domains such as activities of daily living, social and sleep/rest received high attention amongst researchers. There is a need for systematic reviews of instruments to measure education/school, play and leisure. Limited numbers of instruments were developed by occupational therapists outside the occupation domain of activities of daily living, and in areas of practice other than children and older people. Nevertheless, this overview can give some guidance for occupational therapists in selecting a suitable occupational therapy instrument for practice.
Collapse
Affiliation(s)
- Muhammad Hibatullah Romli
- Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.,Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Farahiyah Wan Yunus
- Occupational Therapy Programme, Faculty of Health Sciences, Centre for Rehabilitation and Special Needs, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Lynette Mackenzie
- Discipline of Occupational Therapy, Faculty of Health Sciences, Cumberland Campus, University of Sydney, Lidcombe, New South Wales, Australia
| |
Collapse
|
7
|
Mackenzie L, Clifford A. Perceptions of primary health staff about falls prevention in primary care settings in the west of Ireland. Br J Occup Ther 2018. [DOI: 10.1177/0308022618761759] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction Primary care is an emerging area of practice for allied health practitioners. The effective integration of primary care services provided by different professions using diverse funding sources is challenging. Ireland has implemented a primary care strategy and set up primary care teams to address this. Acknowledging the ageing population in the community, fall prevention needs to be a core function of these services. This study aimed to explore the perceptions of general practitioners, occupational therapists and physiotherapists working in the primary care setting about falls prevention in their practice. Method Three general practitioners, five occupational therapists and three physiotherapists were interviewed from primary care teams in the counties of Limerick, Clare and North Tipperary, Ireland. Interviews were in person or by telephone and audiotaped, transcribed and analysed thematically. Results Two key themes emerged from the data: the level of primary care team integration and the nature of community fall prevention, linked by referral mechanisms. Conclusion Providing comprehensive falls prevention services in the primary care context is complex. Integrated processes and pathways in primary care teams are needed to identify older people at risk of falls and to engage a whole of primary care approach to fall prevention.
Collapse
Affiliation(s)
- Lynette Mackenzie
- Associate Professor, Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, Australia
| | - Amanda Clifford
- Senior Lecturer in Physiotherapy, Department of Clinical Therapies, University of Limerick, Limerick, Republic of Ireland
| |
Collapse
|
8
|
Rushton PW, Smith EM, Miller WC, Kirby RL, Daoust G. Reliability and responsiveness of the Self-Efficacy in Assessing, Training and Spotting wheelchair skills (SEATS) outcome measure. Disabil Rehabil Assist Technol 2018; 14:250-254. [PMID: 29385845 DOI: 10.1080/17483107.2018.1428370] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate the internal consistency, test-retest reliability and responsiveness of the Self-Efficacy in Assessing, Training and Spotting manual wheelchair skills (SEATS-M) and Self-Efficacy in Assessing, Training and Spotting power wheelchair skills (SEATS-P). METHODS A 2-week test-retest design was used with a convenience sample of occupational and physical therapists who worked at a provincial rehabilitation centre (inpatient and outpatient services). Sixteen participants completed the SEATS-M and 18 participants completed the SEATS-P. RESULTS For the SEATS-M assessment, training, spotting and documentation sections, Cronbach's alpha coefficients ranged from 0.90 to 0.97, the 2-week intraclass correlation coefficients (ICC1,1) ranged from 0.81 to 0.95, the standard error of measurements (SEM) ranged from 5.06 to 8.70 and the smallest real differences (SRD) ranged from 6.24 to 8.18. For the SEATS-P assessment, training, spotting and documentation sections, Cronbach's alpha coefficients ranged from 0.83 to 0.92, the ICCs ranged from 0.72 to 0.86, the SEMs ranged from 4.54 to 8.91 and the SRDs ranged from 5.90 to 8.27. CONCLUSIONS There is preliminary evidence that both the SEATS-M and the SEATS-P have high internal consistency, good test-retest reliability and support for responsiveness. These tools can be used in evaluating clinician self-efficacy with assessing, training, spotting and documenting wheelchair skills included on the Wheelchair Skills Test. Implications for Rehabilitation There is preliminary evidence that the SEATS-M and SEATS-P are reliable and responsive outcome measures that can be used to evaluate the self-efficacy of clinicians to administer the Wheelchair Skills Program. Measurement of clinicians' self-efficacy in this area of practice may enable an enhanced understanding of the areas in which clinicians lack self-efficacy, thereby informing the development of improved knowledge translation interventions.
Collapse
Affiliation(s)
- Paula W Rushton
- a School of Rehabilitation , Université de Montréal , Montréal , QC , Canada.,b CHU Sainte-Justine Research Center , Montréal , QC , Canada
| | - Emma M Smith
- c Rehabilitation Sciences Graduate Program , University of British Columbia , Vancouver , BC , Canada.,d Rehabilitation Research Program and GF Strong Rehabilitation Research Lab , Vancouver , BC , Canada.,e International Collaboration on Repair Discoveries , Vancouver , BC , Canada
| | - William C Miller
- c Rehabilitation Sciences Graduate Program , University of British Columbia , Vancouver , BC , Canada.,d Rehabilitation Research Program and GF Strong Rehabilitation Research Lab , Vancouver , BC , Canada.,e International Collaboration on Repair Discoveries , Vancouver , BC , Canada.,f Department of Occupational Science and Occupational Therapy , University of British Columbia , Vancouver , BC , Canada
| | - R Lee Kirby
- g Division of Physical Medicine and Rehabilitation, Department of Medicine , Dalhousie University , Halifax , NS , Canada
| | | |
Collapse
|
9
|
Lam Wai Shun P, Bottari C. Development and Pilot Testing of a Measure of Potential Barriers and Facilitators to the Use of a Standardized Assessment Tool. THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 2018; 38:94-101. [PMID: 29624521 DOI: 10.1097/ceh.0000000000000194] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Standardized assessment tools (SATs) are essential to evidence-based assessment practices. Identifying what impedes clinicians' use of a SAT can help tailor strategies promoting its use in clinical practice. This article presents the development of the "Measure of potential barriers and facilitators to the Use of a Standardized assessment Tool (MUST)" questionnaire. Preliminary findings are also reported from pilot testing in which the MUST was used to investigate occupational therapists' (OTs) perceptions of potential barriers and facilitators to the use of the Activities of Daily Living Profile (ADL Profile), a SAT evaluating independence in everyday activities of cognitively impaired adults. METHODS The MUST was administered to 41 OTs attending continuing education workshops on the ADL Profile. Internal consistency was explored using Chronbach alpha. Descriptive statistics were used to analyze scores for each statement. RESULTS Internal consistency for subscales related to clinicians' characteristics (α = 0.7) and to the SAT's characteristics (α = 0.8) were adequate but lower for the subscale related to the clinical setting (α = 0.6). OTs' perceptions of potential barriers were associated with: OTs' perceived self-efficacy; ADL Profile's applicability to OTs' clienteles; ADL Profile's compatibility with values promoted in the work setting and with clients' preferences; limited peer support; time to implement the ADL Profile. DISCUSSION The MUST, a theory-informed questionnaire, may prove useful in identifying potential barriers needing to be addressed in continuing education training promoting the use of SATs by clinicians. The MUST is quick to administer and initial testing provides support for its internal consistency.
Collapse
Affiliation(s)
- Priscilla Lam Wai Shun
- Ms. Lam Wai Shun: Doctoral Candidate, Occupational Therapy Program, School of Rehabilitation, Université de Montréal, Montreal, Quebec, Canada. Dr. Bottari: Associate Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal, Montreal, Quebec, Canada, and Researcher, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal
| | | |
Collapse
|
10
|
Al-Muqiren TN, Al-Eisa ES, Alghadir AH, Anwer S. Implementation and use of standardized outcome measures by physical therapists in Saudi Arabia: barriers, facilitators and perceptions. BMC Health Serv Res 2017; 17:748. [PMID: 29157248 PMCID: PMC5697212 DOI: 10.1186/s12913-017-2693-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Accepted: 11/07/2017] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The use of standardized outcome measures (SOMs) has been recommended in the physical therapy practice guidelines to improve the patient's management and encourage the evidence based practice. However, the extent of the use of SOMs by physical therapists (PTs) in Saudi Arabia was not investigated. The present study aimed to (1) evaluate the extent of the use of SOMs by PTs in routine daily practice in Saudi Arabia; (2) explore the barriers, facilitators and perceptions in the use of SOMs during physical therapy services; (3) examine the relationship between facility settings and the PTs characteristics and the use of SOMs. METHODS The present study used an observational design. A survey based questionnaire used and distributed to 352 PTs who were working in Saudi Arabia and was commonly involved in the management of patients within different clinical settings, either private or public. RESULTS One-hundred-eighty participants completed the questionnaires (response rate of 51%). One-hundred-eleven (62%) participants indicated that they used SOMs in their practice. The most common barriers to using the SOMs were time-consuming for patients and therapist and difficult to understand the outcome measures by the patients. Those with a Masters degree were 3.5 times more likely to use SOMs compared to PTs with diploma level qualification [Odd Ratio (95% CI) 3.5 (0.9-12.6)]. Participants with a clinical specialty were nearly 3 times more likely to use SOMs than those who do not have a specialty [Odd Ratio (95% CI) 2.9 (1.6-5.5)]. CONCLUSIONS Nearly two-thirds of the participants indicated that they used SOMs in clinical practice. Time-consuming for patient and therapist, difficult to understand the SOMs by the patients were the main perceived barriers. Years of experience, professional degree, and clinical specialty had a high probability of using SOMs. The majority of the participants showed the willingness to use SOMs in the future.
Collapse
Affiliation(s)
| | - Einas S. Al-Eisa
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Ahmad H. Alghadir
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Shahnawaz Anwer
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, India
| |
Collapse
|
11
|
Romli MH, Mackenzie L, Lovarini M, Tan MP, Clemson L. The interrater and test-retest reliability of the Home Falls and Accidents Screening Tool (HOME FAST) in Malaysia: Using raters with a range of professional backgrounds. J Eval Clin Pract 2017; 23:662-669. [PMID: 28105771 DOI: 10.1111/jep.12697] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 11/29/2016] [Accepted: 11/29/2016] [Indexed: 11/30/2022]
Abstract
RATIONALE, AIMS AND OBJECTIVES Falls can be a devastating issue for older people living in the community, including those living in Malaysia. Health professionals and community members have a responsibility to ensure that older people have a safe home environment to reduce the risk of falls. Using a standardised screening tool is beneficial to intervene early with this group. The Home Falls and Accidents Screening Tool (HOME FAST) should be considered for this purpose; however, its use in Malaysia has not been studied. Therefore, the aim of this study was to evaluate the interrater and test-retest reliability of the HOME FAST with multiple professionals in the Malaysian context. METHODS A cross-sectional design was used to evaluate interrater reliability where the HOME FAST was used simultaneously in the homes of older people by 2 raters and a prospective design was used to evaluate test-retest reliability with a separate group of older people at different times in their homes. Both studies took place in an urban area of Kuala Lumpur. RESULTS Professionals from 9 professional backgrounds participated as raters in this study, and a group of 51 community older people were recruited for the interrater reliability study and another group of 30 for the test-retest reliability study. The overall agreement was moderate for interrater reliability and good for test-retest reliability. The HOME FAST was consistently rated by different professionals, and no bias was found among the multiple raters. CONCLUSION The HOME FAST can be used with confidence by a variety of professionals across different settings. The HOME FAST can become a universal tool to screen for home hazards related to falls.
Collapse
Affiliation(s)
- Muhammad Hibatullah Romli
- Discipline of Occupational Therapy, University of Sydney, Lidcombe, NSW, Australia.,Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Lynette Mackenzie
- Faculty of Health Sciences, Discipline of Occupational Therapy, University of Sydney, Lidcombe, NSW, Australia
| | - Meryl Lovarini
- Faculty of Health Sciences, Discipline of Occupational Therapy, University of Sydney, Lidcombe, NSW, Australia
| | - Maw Pin Tan
- Ageing and Age Associated Disorders Research Group, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Lindy Clemson
- Faculty of Health Sciences, Discipline of Occupational Therapy, University of Sydney, Lidcombe, NSW, Australia
| |
Collapse
|
12
|
Swinson T, Wenborn J, Hynes S, Orrell M, Stansfeld J, Rooks S, Ledgerd R. Community occupational therapy for people with dementia and their family carers: A national survey of United Kingdom occupational therapy practice. Br J Occup Ther 2016. [DOI: 10.1177/0308022615624447] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction A national survey was conducted with United Kingdom (UK) occupational therapists to scope occupational therapy service provision for people with dementia and their family carers in the community. Method This was an online questionnaire with topics on occupational therapists’ roles, service provision, referral, assistive technology and assessment tools. Recruitment was through direct invitation, and promotion via occupational therapy networks, websites and newsletters. Results A total of 197 responded. Occupational therapy referrals most commonly came from the multidisciplinary team. Over half primarily undertook profession-specific work, with occupational therapy assessments the most common profession-specific task. Two-thirds of referrals for initial assessments were for people with mild-to-moderate dementia. A median of 2.5 hours for assessment/intervention was spent for each person with dementia. Almost two-thirds used the Model of Human Occupation Screening Tool. Most could prescribe personal activities of daily living equipment and Telecare, with few able to prescribe equipment for reminiscence or leisure. Conclusion This national survey increases knowledge of UK community occupational therapy practice and service provision for people with dementia and their family carers. It informs occupational therapists about national trends within this practice area, and development of the community occupational therapy intervention (COTiD-UK) as part of the Valuing Active Life in Dementia research programme.
Collapse
Affiliation(s)
- Tom Swinson
- Research Assistant, Dementia Research Centre, Research and Development, North East London NHS Foundation Trust, London, UK
| | - Jennifer Wenborn
- Senior Clinical Research Associate, Division of Psychiatry, University College London/Dementia Research Centre, Research and Development, North East London NHS Foundation Trust, London, UK
| | - Sinéad Hynes
- Lecturer, School of Occupational Therapy, National University of Ireland, Galway, Ireland
| | - Martin Orrell
- Director of the Institute of Mental Health, University of Nottingham, Nottingham, UK
| | - Jacki Stansfeld
- Research Assistant, Dementia Research Centre, Research and Development, North East London NHS Foundation Trust, London, UK
| | - Sally Rooks
- Previously Havering Borough Older Adults Mental Health Team and Memory Service Manager, Dementia Research Centre, Research and Development, North East London NHS Foundation Trust, London, UK
| | - Ritchard Ledgerd
- Clinical Researcher, Dementia Research Centre, Research and Development, North East London NHS Foundation Trust, London, UK
| |
Collapse
|
13
|
Valdes K, MacDermid J, Algar L, Connors B, Cyr LM, Dickmann S, Lucado AM, Naughton N. Hand therapist use of patient report outcome (PRO) in practice: a survey study. J Hand Ther 2015; 27:299-307; quiz 308. [PMID: 25150584 DOI: 10.1016/j.jht.2014.07.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Revised: 07/08/2014] [Accepted: 07/08/2014] [Indexed: 02/03/2023]
Abstract
PURPOSE The purpose of this survey was to gain greater insight into hand therapists' use of Patient Report Outcome (PRO) measures. METHODS An 11-question survey that evaluated therapists' perceptions, preferences, and patterns of use of patient report outcome measures was sent to members of ASHT. RESULTS A total of 633 ASHT members participated in the survey study. A large majority of participants (92%) responded affirmatively to using a PRO measure in practice. The DASH was reported as the most frequently used measure (90%). The majority of therapists (84%) discuss the results of the outcome measurement score with their patients. Of the participants who use more than one outcome measure, 44% report that this allows them to better establish their patient's functional and physical limitations. CONCLUSION The findings in this study suggest that a large percentage of hand therapists are currently including a PRO measure in their hand therapy practice.
Collapse
Affiliation(s)
- Kristin Valdes
- Rocky Mountain University, UT, USA; Drexel University, PA, USA.
| | | | - Lori Algar
- Northeast Orthopaedic and Hand Surgery, CT, USA
| | | | | | | | | | | |
Collapse
|
14
|
Abu-Awad Y, Unsworth CA, Coulson M, Sarigiannis M. Using the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) to Measure Client Participation Outcomes. Br J Occup Ther 2014. [DOI: 10.4276/030802214x13916969446958] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction: Measuring change in clients' ‘participation’, and being able to attribute this change to occupational therapy intervention, is important in the quest to provide evidence to support practice. The Australian Therapy Outcome Measures for Occupational Therapy is an outcome measure that has four domains, one of which is concerned with measuring client participation. An occupational therapy service wanted to determine if client level of participation was improving, as measured by the Australian Therapy Outcome Measures for Occupational Therapy. Method: Data were collected between 2009 and 2012 from three home-based therapy services, using the Australian Therapy Outcome Measures for Occupational Therapy. Data were divided into diagnostic cohorts, and then exploratory data analysis techniques and paired t-tests were performed. Findings: Data from 506 participants were analysed and clients in all diagnostic groups made statistically (p < .05) significant improvements over time in relation to their participation. Conclusion: Most clients in this study improved or maintained their level of participation between admission and discharge, with few clients deteriorating, when measured on the Australian Therapy Outcome Measures for Occupational Therapy scales. These results suggest the home-based therapy service was meeting its goal, and further supports the responsiveness of the Australian Therapy Outcome Measures for Occupational Therapy to detect change in clients' participation status over time. Randomized control trials are needed to determine whether improvements in participation are due to engaging in the occupational therapy program.
Collapse
Affiliation(s)
- Yasar Abu-Awad
- Post-professional Master's Student, La Trobe University — Occupational Therapy, Melbourne, Victoria, Australia
| | - Carolyn A Unsworth
- Professor, La Trobe University — Occupational Therapy, Melbourne, Victoria, Australia
| | - Melissa Coulson
- Research Assistant, La Trobe University — Occupational Therapy, Melbourne, Victoria, Australia
| | - Mary Sarigiannis
- Occupational Therapy Manager, Aged and Chronic Care Rehabilitation Service, Sydney Local Health District, Sydney, New South Wales, Australia
| |
Collapse
|
15
|
Morley M, Smyth G. Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? Br J Occup Ther 2013. [DOI: 10.4276/030802213x13807217284305] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The current financial climate in health and social care is challenging: occupational therapists who work in mental health services need urgently to demonstrate clinical effectiveness and value for money in comparison to other interventions. In doing so they will help to ensure that service users in the United Kingdom can continue to benefit from occupational therapy interventions. In this opinion piece, a basic introduction to types of evaluation, costs and consequences is provided, as well as a description of research studies into the provision of occupational therapy for service users with mental health problems that include economic evaluations. Finally, methods to produce this vital information are suggested for practitioners, managers and researchers.
Collapse
Affiliation(s)
- Mary Morley
- Director of Therapies, South West London and St George's Mental Health NHS Trust, Springfield Hospital, London
| | - Genevieve Smyth
- Professional Affairs Officer, Mental Health and Learning Disabilities, College of Occupational Therapists
| |
Collapse
|
16
|
Hunter EP. The Elizabeth Casson Memorial Lecture 2013: Transformational Leadership in Occupational Therapy — Delivering Change through Conversations. Br J Occup Ther 2013. [DOI: 10.4276/030802213x13757040168234] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The Elizabeth Casson Memorial Lecture 2013, given on 19 July at the 37th Annual Conference and Exhibition of the College of Occupational Therapists, held at the Scottish Exhibition and Conference Centre, Glasgow, Scotland.
Collapse
|
17
|
Fristedt S, Elgmark Andersson E, Unsworth CA. The inter-rater and test–retest reliability of the Self-care and Transfer scales, and intra-rater reliability of all scales of the Swedish Translation of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT-S). Scand J Occup Ther 2013; 20:182-9. [DOI: 10.3109/11038128.2013.777940] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
18
|
Duncan EAS, Murray J. The barriers and facilitators to routine outcome measurement by allied health professionals in practice: a systematic review. BMC Health Serv Res 2012; 12:96. [PMID: 22506982 PMCID: PMC3358245 DOI: 10.1186/1472-6963-12-96] [Citation(s) in RCA: 218] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2012] [Accepted: 04/16/2012] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Allied Health Professionals today are required, more than ever before, to demonstrate their impact. However, despite at least 20 years of expectation, many services fail to deliver routine outcome measurement in practice. This systematic review investigates what helps and hinders routine outcome measurement of allied health professionals practice. METHODS A systematic review protocol was developed comprising: a defined search strategy for PsycINFO, MEDLINE and CINHAL databases and inclusion criteria and systematic procedures for data extraction and quality appraisal. Studies were included if they were published in English and investigated facilitators and/or barriers to routine outcome measurement by allied health professionals. No restrictions were placed on publication type, design, country, or year of publication. Reference lists of included publications were searched to identify additional papers. Descriptive methods were used to synthesise the findings. RESULTS 960 papers were retrieved; 15 met the inclusion criteria. Professional groups represented were Physiotherapy, Occupational Therapy, and Speech and Language Therapy. The included literature varied in quality and design. Facilitators and barriers to routine outcome measurement exist at individual, managerial and organisational levels. Key factors affecting professionals' use of routine outcome measurement include: professionals' level of knowledge and confidence about using outcome measures, and the degree of organisational and peer-support professionals received with a view to promoting their work in practice. CONCLUSIONS Whilst the importance of routinely measuring outcomes within the allied health professions is well recognised, it has largely failed to be delivered in practice. Factors that influence clinicians' ability and desire to undertake routine outcome measurement are bi-directional: they can act as either facilitators or barriers. Routine outcome measurement may only be deliverable if appropriate action is taken at individual therapist, team, and organisational levels of an organisation.
Collapse
Affiliation(s)
- Edward AS Duncan
- NMAHP Research Unit, Iris Murdoch Building, University of Stirling, Stirling, FK9 4LA, Scotland, UK
| | - Jennifer Murray
- NMAHP Research Unit, Iris Murdoch Building, University of Stirling, Stirling, FK9 4LA, Scotland, UK
| |
Collapse
|
19
|
Fuller K. The Effectiveness of Occupational Performance Outcome Measures within Mental Health Practice. Br J Occup Ther 2011. [DOI: 10.4276/030802211x13125646371004] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction: The routine use of outcome measures is essential to the maintained delivery of quality care and the continued commissioning of mental health occupational therapy services. Occupational therapists are required to demonstrate that intervention is successful in an evidence-based, valid and reliable way. Therefore, this critical review aims to address the issue of choosing an appropriate occupational performance outcome measure for use within mental health services. Method: Evidence was critically appraised for the effectiveness of the Assessment of Communication and Interaction Skills (ACIS), Occupational Therapy Task Observation Scale (OTTOS), Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS), all recommended for use by occupational therapists within mental health practice. Findings and discussion: The review identifies that there are a limited number of clinically based studies evidencing the validity and reliability of occupational performance outcome measures. It also identifies a paucity of literature concerning service user experience of outcome measures, bringing into question how client centred and meaningful these tools are.
Collapse
|
20
|
Duncan E. Routine outcome measurement in practice: overcoming challenges, seeking solutions, demonstrating impact. Aust Occup Ther J 2011; 58:221. [PMID: 21770956 DOI: 10.1111/j.1440-1630.2011.00951.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
21
|
Letters to the Editor. Br J Occup Ther 2011. [DOI: 10.1177/030802261107400703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
22
|
Floyd N. Increasing the Pace of Evidence Gathering. Br J Occup Ther 2011. [DOI: 10.1177/030802261107407s07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Naomi Floyd
- Retired; previously Children's Centre, Royal United Hospital (NHS) Trust, Bath, and Clinical Adviser to COTSS – Children, Young People and Families
| |
Collapse
|
23
|
Wales L, Dunford C. Measuring Participation in Occupation for Children with Acquired Brain Injuries. Br J Occup Ther 2011. [DOI: 10.4276/030802211x13074383957788] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Lorna Wales
- Clinical Specialist Occupational Therapist, The Children's Trust, Tadworth, Surrey
| | | |
Collapse
|