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Reid H, Hocking C, Smythe E. Occupational therapy's oversight: How science veiled our humanity. Scand J Occup Ther 2024; 31:2306585. [PMID: 38261715 DOI: 10.1080/11038128.2024.2306585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 01/12/2024] [Indexed: 01/25/2024]
Abstract
BACKGROUND Occupational therapy's connection to positivist science predates the profession's formal beginning, with important contributing knowledge sources coming from mathematics, physics, psychology, and systems theory. While these sources of objective knowledge provide a rational, defendable position for practice, they can only explain a portion of what it means to exist as an occupational being. AIMS/OBJECTIVES This article aims to reveal some of the history of science within occupational therapy and reveal the subjective, ontological nature of doing everyday activities that the profession's preoccupation with positivist science has obscured. METHODS This research used a history of ideas methodology to uncover how occupational therapy perceived people and how practice was conceptualised and conducted between 1800 and 1980s, as depicted in writing of the time. CONCLUSION Analysis showed that, through history, people were increasingly categorised and delimited. Practice also became systematically controlled, moving occupational therapy into a theoretical, scientific, and abstract realm. SIGNIFICANCE The emphasis placed on objectivity diminishes the attention given to human ways of practicing, where the subjective experience is central to our thinking.
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Affiliation(s)
- Heleen Reid
- School of Clinical Sciences, AUT University, Auckland, New Zealand
| | - Clare Hocking
- School of Clinical Sciences, AUT University, Auckland, New Zealand
| | - Elizabeth Smythe
- School of Clinical Sciences, AUT University, Auckland, New Zealand
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2
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Tveter AT, Østerås N, Nossum R, Eide REM, Klokkeide Å, Matre KH, Olsen M, Kjeken I. Long-term changes in pain and function in patients with thumb base osteoarthritis receiving brief information, occupational therapy and/or surgery. Musculoskeletal Care 2024; 22:e1883. [PMID: 38629865 DOI: 10.1002/msc.1883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 03/31/2024] [Accepted: 04/08/2024] [Indexed: 04/19/2024]
Affiliation(s)
- Anne Therese Tveter
- Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway
| | - Nina Østerås
- Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway
| | - Randi Nossum
- St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | | | | | | | - Monika Olsen
- Haugesund Rheumatism Hospital AS, Haugesund, Norway
| | - Ingvild Kjeken
- Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway
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Greene R, Levine IC, Guay M, Novak AC. Biomechanical Demands and User Preference Associated with Wall-Mounted and Rim-Mounted Grab Bars. Can J Occup Ther 2024; 91:183-193. [PMID: 37498939 PMCID: PMC11088220 DOI: 10.1177/00084174231186066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
Background. Grab bars are used to support bathing tasks. Sometimes, temporary rim-mounted grab bars may be preferred over permanent wall-mounted grab bars. Purpose. We compared postural requirements, applied loads, and user perceptions between two configurations of rim-mounted grab bars, a vertical wall-mounted grab bar, and a no-grab bar condition. Method. Ten adults entered and exited a simulated bathing environment. Trunk flexion was evaluated via 3D kinematics, while load cells mounted to the grab bars facilitated the evaluation of applied loads. Participants rated each condition on perceived safety, comfort, effectiveness, and ease of use. Findings. Rim-mounted grab bars resulted in greater trunk flexion and greater applied loads and were less favorably perceived. Implications. The rim-mounted grab bars included in this study may induce challenging postural demands and loading scenarios, and occupational therapists should consider whether they meet the needs of their clients.
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Affiliation(s)
| | | | | | - Alison C. Novak
- Alison C. Novak, KITE Research Institute, Toronto Rehabilitation Institute – University Health Network, 550 University Ave, Toronto, ON M5G 2A2 Canada.
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Soares LFL, Mollo Tormin L, Carvalho KS, Alves ACDJ. Assistive technology for Para-badminton athletes: the application of the matching person and technology theoretical model in occupational therapy. Disabil Rehabil Assist Technol 2024; 19:1170-1177. [PMID: 36480643 DOI: 10.1080/17483107.2022.2154398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 10/04/2022] [Accepted: 11/25/2022] [Indexed: 12/13/2022]
Abstract
PURPOSE The objective was to identify the AT demands of para-athletes in para-badminton and present the process of prescription, and follow-up of the AT devices. Also, to evaluate the expectations and the level of satisfaction with the service provided and the AT device. MATERIALS AND METHODS Case study with 3 professional para-badminton athletes, that had as baseline the Matching Person and Technology (MPT) model, the Para-athlete Questionnaire, the AT Device Predisposition Assessment (ATD PA-Br), the Quebec User Evaluation of Satisfaction with AT (B-QUEST) and an Observation Script. The data were analyzed using absolute frequency statistics, and the qualitative data were grouped according to the categories of the MPT model. RESULTS 4 AT demands were identified: 1 insole, 1 wheelchair footrest adaptation, 1 armband, and 1 lower-limb strap, with prescription, and AT follow-up by the occupational therapist. The quantitative analysis showed a gain in athletes' satisfaction with the AT devices, and in the expectations achieved with the use of the device. CONCLUSIONS The role of the occupational therapist in parasports, based on a theoretical model, can contribute to the successful use of AT and therefore better performance of para-athletes. Studies with different populations are necessary to improve knowledge in the area.
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Affiliation(s)
| | - Liana Mollo Tormin
- Department of Occupational Therapy, University of Brasília, Brasília, Brazil
| | - Kauanne Santos Carvalho
- Department of Occupational Therapy and Postgraduate Programm of Rehabilitation Science, University of Brasília, Brasília, Brazil
| | - Ana Cristina de Jesus Alves
- Department of Occupational Therapy and Postgraduate Programm of Rehabilitation Science, University of Brasília, Brasília, Brazil
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Bruton L, Storey M, Gentile J, Smith TL, Bhatti P, Davis MM, Cartland J, Foster C. Access to Home- and Community-Based Services for Children with Disability: Academic Institutions' Role and Areas for Improvement. Acad Pediatr 2024; 24:596-604. [PMID: 37939827 PMCID: PMC11056305 DOI: 10.1016/j.acap.2023.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 10/26/2023] [Accepted: 11/01/2023] [Indexed: 11/10/2023]
Abstract
OBJECTIVE This project sought to describe provider- and parent-identified needs and barriers to obtaining home- and community-based services (HCBS) for children with disability (CWD) and to determine ways pediatric health care institutions can improve access to HCBS services. METHODS In this exploratory sequential mixed methods evaluation, semi-structured interviews and focus groups were conducted with multidisciplinary providers and staff from an independent children's hospital, followed by a survey of English and Spanish-speaking parents of CWD. Data from interviews and surveys were then triangulated for overarching common themes regarding how pediatric health care institutions can better support access to HCBS. RESULTS Among 382 parent respondents, 74.1% reported that their child needed a HCBS, most commonly physical/occupational/speech therapies, school-based support, and case management services. Two-thirds of parents reported at least one barrier to accessing HCBS and one-third experience >3 barriers. While multiple current institutional strengths were noted, internal weaknesses included lack of provider knowledge, staffing difficulties, and lack of protocols for identifying and tracking patients needing or receiving HCBS. External threats included requirements to entry for HCBS and transfer of care, with opportunities for improvement involving dissemination of information, funding support, and connection between providers/support staff and services. CONCLUSIONS Parents of CWD identified HCBS as necessary for the health of this population, but multiple barriers to HCBS were identified by both parents and providers. Multiple internal and external opportunities for improvement relative to pediatric health care institutions were identified, suggesting a need for a comprehensive approach to ensure that CWD receive necessary HCBS.
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Affiliation(s)
- Lucas Bruton
- Division of Advanced General Pediatrics and Primary Care (L Bruton, MM Davis, and C Foster), Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Ill; Department of Pediatrics (L Bruton, MM Davis, and C Foster), Northwestern University Feinberg School of Medicine, Chicago, Ill.
| | - Margaret Storey
- Ann and Robert H. Lurie Children's Hospital of Chicago Family Advisory Board (M Storey), Chicago, Ill
| | - Jennifer Gentile
- Tulane University School of Social Work (J Gentile), Tulane University, New Orleans, La
| | - Tracie L Smith
- Department of Data Analytics and Reporting (TL Smith), Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill
| | - Punreet Bhatti
- Mary Ann and J. Milburn Smith Child Health Outcomes (P Bhatti, MM Davis, J Cartland, and C Foster), Research, and Evaluation Center, Stanley Manne Children's Research Institute, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill
| | - Matthew M Davis
- Division of Advanced General Pediatrics and Primary Care (L Bruton, MM Davis, and C Foster), Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Ill; Department of Pediatrics (L Bruton, MM Davis, and C Foster), Northwestern University Feinberg School of Medicine, Chicago, Ill; Mary Ann and J. Milburn Smith Child Health Outcomes (P Bhatti, MM Davis, J Cartland, and C Foster), Research, and Evaluation Center, Stanley Manne Children's Research Institute, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill; Department of Medical Social Sciences (MM Davis), Northwestern University Feinberg School of Medicine, Chicago, Ill; Departments of Medicine and Preventive Medicine (MM Davis), Northwestern University Feinberg School of Medicine, Chicago, Ill
| | - Jenifer Cartland
- Mary Ann and J. Milburn Smith Child Health Outcomes (P Bhatti, MM Davis, J Cartland, and C Foster), Research, and Evaluation Center, Stanley Manne Children's Research Institute, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill
| | - Carolyn Foster
- Division of Advanced General Pediatrics and Primary Care (L Bruton, MM Davis, and C Foster), Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Ill; Department of Pediatrics (L Bruton, MM Davis, and C Foster), Northwestern University Feinberg School of Medicine, Chicago, Ill; Mary Ann and J. Milburn Smith Child Health Outcomes (P Bhatti, MM Davis, J Cartland, and C Foster), Research, and Evaluation Center, Stanley Manne Children's Research Institute, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill
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Radomski MV, Anheluk M, Carroll G, Zola J. Purpose in Life as an Explicit Outcome of Occupational Therapy. Am J Occup Ther 2024; 78:7803347010. [PMID: 38502315 DOI: 10.5014/ajot.2024.050428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2024] Open
Abstract
Purpose in life is increasingly understood to be important to health and well-being. Despite occupational therapy's long history of using occupations to advance health and the linkage between a subclass of occupations and purpose in life, the term is nearly absent from the American Occupational Therapy Association's documents and the profession's empirical literature. We propose that the profession explicitly name purpose in life as among our intervention outcomes and address disruptions of purpose in life in practice. This can be accomplished by first investing in purpose in our own lives, discussing the topic with colleagues and students, identifying possible purpose disruptions in our clients, and using direct or indirect intervention approaches to help clients reconnect to purpose in their lives. By explicitly naming purpose in life as part of the domain of occupational therapy, we become poised to leverage human occupation to address both a broad societal gap and our clients' needs for a renewal of purpose in life.
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Affiliation(s)
- Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, is Senior Scientific Adviser, Courage Kenny Research, Allina Health, Minneapolis, MN;
| | - Mattie Anheluk
- Mattie Anheluk, MOT, OTR/L, is Outpatient Occupational Therapist and Research Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN
| | - Ginger Carroll
- Ginger Carroll, MS, OT, is Project Manager, Juniper, a program of Trellis, Arden Hills, MN
| | - Joette Zola
- Joette Zola, BS, OTR/L, is Outpatient Occupational Therapist and Research Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN
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de Jong IJ, Lexis MAS, Slegers K, Tuijthof GJM. Medical device regulation: requirements for occupational therapists in The Netherlands who prescribe and manufacture custom-made devices. Disabil Rehabil Assist Technol 2024; 19:1415-1423. [PMID: 36897133 DOI: 10.1080/17483107.2023.2187889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 03/01/2023] [Indexed: 03/11/2023]
Abstract
PURPOSE To interpret the Medical Device Regulation for occupational therapists in the Netherlands involved in prescribing and manufacturing custom-made assistive devices and to develop a roadmap for implementation. MATERIALS AND METHODS Four online iterative co-design workshops were organized under supervision of a senior quality manager to assist in the interpretation of the MDR framework with a focus on custom-made assistive devices; and to assist the implementation by generating guidelines and forms. The workshops for seven participating occupational therapists had an interactive character with Q&A, small and homework assignments, and oral evaluations. Next to occupational therapists, participants with different backgrounds joined such as 3D printing experts, engineers, managers, and researchers. RESULTS The participants experienced the interpretation of the MDR as informative, but also as complex. Complying with the MDR requires considerable documentation activities that are currently not part of care professionals tasks. This initially raised concerns regarding implementation in daily practice. To facilitate the MDR implementation, forms were created and evaluated for a selected design case together with the participants for future reference. Additionally, instructions were given which forms should be filled out only once per organization, which forms could be reused for similar types of custom-made devices, and which forms should be filled out for each individual custom-made device. CONCLUSIONS This study provides practical guidelines and forms to support occupational therapists in the Netherlands to prescribe and manufacture custom-made medical devices complying with the MDR. It is recommended to involve engineers and/or quality managers in this process.
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Affiliation(s)
- Iwan J de Jong
- Research Engineering, Maastricht University, Maastricht, The Netherlands
| | - Monique A S Lexis
- Research Centre Assistive Technology in Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands
| | - Karin Slegers
- Research Centre Assistive Technology in Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands
| | - Gabrielle J M Tuijthof
- Research Engineering, Maastricht University, Maastricht, The Netherlands
- Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
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Patten KK, Murthi K, Onwumere DD, Skaletski EC, Little LM, Tomchek SD. Occupational Therapy Practice Guidelines for Autistic People Across the Lifespan. Am J Occup Ther 2024; 78:7803397010. [PMID: 38758762 DOI: 10.5014/ajot.2024.078301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2024] Open
Abstract
IMPORTANCE Occupational therapy practitioners need evidence to support interventions that promote subjective well-being among autistic people and their families through optimal engagement and participation in occupations. OBJECTIVE These Practice Guidelines are informed by systematic reviews to expand knowledge of interventions that promote access, inclusion, engagement, and optimal participation in occupations that are meaningful to autistic people. Our intent was to foster occupational therapy practitioners' clinical decision-making and reasoning when working with autistic people and their care partners. METHOD These Practice Guidelines were developed on the basis of four systematic reviews, supporting evidence and literature, along with continued revisions and integration through an iterative and collaborative process. RESULTS A total of 98 articles were included in the systematic reviews, which are the foundation for practice recommendations in these guidelines. Forty-eight of the systematic review articles were used to inform the clinical recommendations included in these Practice Guidelines. CONCLUSIONS AND RECOMMENDATIONS Strong to moderate evidence indicates the need for multidisciplinary, goal-oriented interventions to support autistic people in different contexts. Although there is only emerging evidence in the inclusion of autistic people's strengths, interests, and perspectives to guide occupational therapy interventions, such practices can enhance the delivery of neurodiversity-affirming and trauma-informed practices. In addition, evidence is needed to support participation in activities of daily living (ADLs) for autistic youths. We recommend the use of strengths-based language to describe autistic people and the use of environmental adaptations, care partner education, and coaching to enhance occupational therapy service delivery. Plain-Language Summary: The literature is sparse regarding neurodiversity-affirming and trauma-informed practices for autistic youths, as well as for participation in activities of daily living (ADLs). These Practice Guidelines provide new information on positive mental health development; self-determination; ADLs, instrumental ADLs, play, and leisure occupations for children, adolescents, and adults; person-centered planning for adolescents and adults; and rest and sleep. Information on health management is also provided. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). However, we respect the use of person-first language and have made a conscious decision to include research articles that have used this language.
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Affiliation(s)
- Kristie K Patten
- Kristie K. Patten, PhD, OT/L, FAOTA, is Counselor to the President and Professor, Department of Occupational Therapy, New York University, New York, NY
| | - Kavitha Murthi
- Kavitha Murthi, MSc(OT), FHEA(UK), OTR, is PhD Candidate, Department of Occupational Therapy, New York University, New York, NY
| | - Dora D Onwumere
- Dora D. Onwumere, MS, OTR/L, is PhD Candidate, Department of Occupational Therapy, New York University, New York, NY
| | - Emily C Skaletski
- Emily C. Skaletski, MOT, OTR/L, is PhD Candidate, Department of Kinesiology, University of Wisconsin-Madison
| | - Lauren M Little
- Lauren M. Little, PhD, OTR/L, FAOTA, is Associate Dean of Research, College of Health Sciences, and Associate Professor, Occupational Therapy, Rush University, Chicago, IL
| | - Scott D Tomchek
- Scott D. Tomchek, PhD, OTR/L, FAOTA, is Professor, Department of Pediatrics, Division of Developmental Behavioral Pediatrics, School of Medicine, University of Louisville, Louisville, KY
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Hartman AG, Caspero K, Bodison SC, Soehner A, Akcakaya M, DeAlmeida D, Bendixen R. Pediatric Occupational Therapists' Perspectives on Sleep: A Qualitative Descriptive Study. Am J Occup Ther 2024; 78:7803205010. [PMID: 38512128 DOI: 10.5014/ajot.2024.050352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2024] Open
Abstract
IMPORTANCE Insufficient sleep is common among children seeking occupational therapy services but is rarely a focus of therapy despite sleep's critical impact on health. OBJECTIVE To examine pediatric occupational therapists' experiences, views, and confidence in addressing sleep concerns in their practice as well as barriers to and supports for doing so. DESIGN A qualitative descriptive study with thematic analysis of data from 1-hr virtual interviews. Rapport building, multiple-coder analysis, and member checking were used to ensure reliability and validity. SETTING Interviews were conducted remotely at each participant's preferred time and location. PARTICIPANTS Pediatric occupational therapists (N = 20) practicing across multiple settings in the United States were recruited through emails directed to their place of work and social media posts. A goal of 20 participants was set a priori with the goal of thematic saturation. OUTCOMES AND MEASURES A semistructured interview guide. RESULTS Participants were predominately cisgender (95%), female (85%), and White, non-Hispanic (90%). Overall, they voiced the importance of sleep but reported almost never writing sleep-related goals. Reported barriers that affected the participants' ability to fully address sleep in practice included therapists' lack of confidence and knowledge and low caregiver buy-in. CONCLUSIONS AND RELEVANCE The findings identify themes on the basis of which actionable steps toward promoting occupational therapists as sleep champions can be developed. Future implications include increasing sleep education opportunities, enhancing awareness of sleep health's impact on goal areas, and facilitating discussions about occupational therapy's role within the medical system and family system in supporting sleep. Plain-Language Summary: This qualitative study identifies what helps and hinders occupational therapists in addressing the sleep health concerns of their clients. We give occupational therapy clinicians and educators key supports to seek out or barriers to address.
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Affiliation(s)
- Amy G Hartman
- Amy G. Hartman, PhD, OTR/L, is Postdoctoral Fellow, Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA;
| | - Kaitlyn Caspero
- Kaitlyn Caspero, MS, OTR/L, is Occupational Therapist and Founder, OT Graphically, Frederick, MD
| | - Stefanie C Bodison
- Stefanie C. Bodison, OTD, OTR/L, FAOTA, is Assistant Professor, Department of Occupational Therapy, University of Florida, Gainesville
| | - Adriane Soehner
- Adriane Soehner, PhD, is Assistant Professor, Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | - Murat Akcakaya
- Murat Akcakaya, PhD, is Associate Professor, Department of Engineering, University of Pittsburgh, Pittsburgh, PA
| | - Dilhari DeAlmeida
- Dilhari DeAlmeida, PhD, is Associate Professor and Program Director, Department of Health Information Management, University of Pittsburgh, Pittsburgh, PA
| | - Roxanna Bendixen
- Roxanna Bendixen, PhD, OTR/L, FAOTA, is Associate Professor and Division Director, Department of Occupational Therapy, Medical University of South Carolina, Charleston
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Leenders JMP, Geurts ACH, Steultjens EMJ, Packer TL, Cup EHC. Test-retest reliability of three life balance measures in people with neuromuscular disease: the activity card sort-NL, the activity calculator, and the occupational balance questionnaire. Disabil Rehabil 2024; 46:2138-2144. [PMID: 37212794 DOI: 10.1080/09638288.2023.2213482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 05/08/2023] [Indexed: 05/23/2023]
Abstract
PURPOSE Life balance is a new and important concept in occupational therapy. New measurements are needed to assess and evaluate life balance and interventions aimed to achieve this concept. This article describes the test-retest reliability of three life balance measures: the Activity Calculator (AC), Activity Card Sort (ACS-NL(18-64)) and Occupational Balance Questionnaire (OBQ11-NL). METHOD Data collection took place among 50 participants with neuromuscular diseases: facioscapulohumeral dystrophy (FSHD, n = 25) or mitochondrial myopathy (MM, n = 25). The AC, the ACS-NL(18-64) and the OBQ11-NL were assessed twice with an interval of one week. Intraclass correlation coefficients (ICC-agreement) were applied to examine test-retest reliability. RESULTS The ICC of the AC-average total day score was .95 (95% CI .91-.97), whereas the ICC of the weights allocated to each activity was 0.80 (95% CI .77-0.82). The ICC of the ACS-NL(18-64) percentage retained activities was 0.92 (95% CI 0.86 - 0.96) and the ICC of the importance score per activity was- .76 (95% CI . 0.68-0.89). The ICC of the OBQ11-NL total score was .76 (95% CI 0.62-0.86). CONCLUSION All three tools showed good to excellent test-retest reliability in a sample of patients with FSHD or MM, which is promising for its use in clinical practice and research.
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Affiliation(s)
- J M P Leenders
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands
| | - A C H Geurts
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands
| | - E M J Steultjens
- School of Allied Health, HAN, University of Applied Sciences, Nijmegen, The Netherlands
| | - T L Packer
- School of Health Administration, Dalhousie University, Halifax, Canada
| | - E H C Cup
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands
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Donoso Brown EV, Manspeaker S, Blaskowitz MG, Bratton K. Occupational therapy practitioners' experiences with interprofessional collaborative practice. J Interprof Care 2024; 38:525-533. [PMID: 38602113 DOI: 10.1080/13561820.2024.2303489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 01/04/2024] [Indexed: 04/12/2024]
Abstract
Although occupational therapists engage as part of interprofessional healthcare teams, explicit investigation into their experiences of interprofessional collaborative practice (IPCP) has not been explored. This study evaluated occupational therapists in the United States experiences of IPCP with additional inquiry into which healthcare professionals occupational therapy practitioners interact with and how they engage in collaboration, during IPCP. An exploratory cross-sectional study was conducted using an online survey; 142 occupational therapy practitioners responded. Quantitative data were analyzed using descriptive and bivariate analyses; open-ended responses underwent consensual qualitative analysis. Participants reported most often engaging in IPCP with physical therapists, speech-language pathologists, nurses, physicians, and case managers, although variations in the top five professions were evident between practice settings. In addition, 82% of the respondents reported either feeling prepared or very prepared for IPCP after completing their pre-licensed educational programs. Two qualitative themes have emerged to describe key education-oriented and practice-oriented interprofessional experiences. To further enhance engagement in and preparedness for IPCP, occupational therapy professionals, and students may benefit from interprofessional training that involves the professions most often encountered during clinical practice. This type of learning could foster an understanding of communication and teamwork, thus enhancing readiness to participate in the IPCP team upon transition to practice.
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Affiliation(s)
- Elena V Donoso Brown
- Department of Occupational Therapy, Rangos School of Health Sciences, Duquesne University, Pittsburgh, USA
| | - Sarah Manspeaker
- Department of Athletic Training, Rangos School of Health Sciences, Duquesne University, Pittsburgh, USA
| | - Meghan G Blaskowitz
- Department of Occupational Therapy, Rangos School of Health Sciences, Duquesne University, Pittsburgh, USA
| | - Kira Bratton
- Department of Occupational Therapy, Rangos School of Health Sciences, Duquesne University, Pittsburgh, USA
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Copley J, Martin R, Dix C, Forbes R, Hill A, Mandrusiak A, Penman A, Patterson F, Davies S, Jauncey-Cooke J, Mahendran N, Hooper K, Collins C. Fostering collaborative practice through interprofessional simulation for occupational therapy, physiotherapy, dietetics, and nursing students. J Interprof Care 2024; 38:534-543. [PMID: 38343271 DOI: 10.1080/13561820.2024.2303499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 01/04/2024] [Indexed: 04/12/2024]
Abstract
Literature regarding simulation for learning interprofessional collaborative practice (IPCP) indicates a need to include a range of health professions and to focus on students' development of team communication and conflict resolution skills in day-to-day healthcare delivery. This study evaluated the impact of interprofessional simulation for occupational therapy, physiotherapy, dietetics, and nursing students on interprofessional collaboration competencies, specifically collaborative communication and conflict resolution during day-to-day interactions, and their intention for IPCP during placement. A series of simulations featuring the potential for interprofessional conflict and involving explicit coaching on communication and conflict resolution were conducted. A single cohort pre-test post-test design included the Students' Perceptions of Interprofessional Clinical Education Revised (SPICE-R), the Interprofessional Collaborative Competencies Attainment Survey (ICCAS), and an open response survey question on future intended practice. A total of 237 students participated in the simulation experience. Overall scores and scores on all IPCP competencies in the ICASS (n = 193) and SPICE-R (n = 226) improved for all professions post-simulation. The mean score of the ICCAS increased for 98% of the respondents and similarly the mean score of the SPICE-R increased for 71% of the respondents. Open-ended responses indicated students' intentions to pursue self-leadership in IPCP. Students who participated in an interprofessional simulation reported perceived improvements in IPCP competencies and were encouraged to initiate IPCP when on placement in the practice setting.
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Affiliation(s)
- Jodie Copley
- Occupational Therapy, The University of Queensland, ST LUCIA, Australia
| | - Romany Martin
- Physiotherapy, The University of Tasmania, Launceston, Newnham, Australia
| | - Clare Dix
- Nutrition and Dietetics, The University of Queensland, ST LUCIA, Australia
| | - Roma Forbes
- Physiotherapy, The University of Queensland, ST LUCIA, Australia
| | - Anne Hill
- Speech Pathology, The University of Queensland, ST LUCIA, Australia
| | | | - Adriana Penman
- Speech Pathology, The University of Queensland, ST LUCIA, Australia
| | - Freyr Patterson
- Occupational Therapy, The University of Queensland, ST LUCIA, Australia
| | - Sarah Davies
- Casual Academic, The University of Queensland, ST LUCIA, Australia
| | | | | | - Kelly Hooper
- School of Nursing, Midwifery and Social Work, The University of Queensland, ST LUCIA, Australia
| | - Cheryl Collins
- Nutrition and Dietetics, The University of Queensland, ST LUCIA, Australia
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13
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Jeremy J, Spandagou I, Hinitt J. A Profile of Occupational Therapists Working in School-Based Practice in Australian Primary Schools. Occup Ther Int 2024; 2024:2077870. [PMID: 38707514 PMCID: PMC11068452 DOI: 10.1155/2024/2077870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 02/24/2024] [Accepted: 03/28/2024] [Indexed: 05/07/2024] Open
Abstract
Inclusive education has increased the demand for school-based occupational therapy services and has reconceptualised the practice in mainstream schools. Therapists are now expected to work collaboratively with teachers within tiered intervention models to support access and participation of all students, including those with disabilities, within the natural classroom context. School-based occupational therapy has become a specialised area of practice, as therapists work within educational, rather than health, systems and processes. While the growth in demand and expanded scope of practice is positive for the profession, predicted workforce shortages and the necessity for specialised and enhanced practice present significant challenges. The ability of the profession to fully support the demands of an inclusive education system remains unclear. As accurate, up-to-date information on the school-based therapy workforce is the foundation for planning future personnel needs, knowledge of the current state of the workforce is critical. There is a paucity of national data regarding this growing area of practice. The aim of this study is to describe a current profile of school-based occupational therapists to better understand the workforce, practice patterns, and the funding landscape in Australia. A convenient and purposive sample of 108 Australian paediatric occupational therapists working in mainstream primary schools in New South Wales, Queensland, and Victoria was surveyed in this quantitative study, which was analysed using descriptive statistics. Results provide some insights into the workforce and practice of school-based therapy in Australia offering preliminary data for future planning in this important and growing area of paediatric practice. While specific to the local context, results invite cross-national and global comparison to reveal universal trends and localised nuances across diverse settings.
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Affiliation(s)
- Jill Jeremy
- Sydney School of Education & Social Work, Faculty of Arts & Social Science, The University of Sydney, Camperdown, Australia
| | - Ilektra Spandagou
- Sydney School of Education & Social Work, Faculty of Arts & Social Science, The University of Sydney, Camperdown, Australia
| | - Joanne Hinitt
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
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14
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Shi L, Granlund M, Zhao Y, Huus K. Construct validity of the simplified Chinese version of the instrument 'Picture My Participation'. Scand J Occup Ther 2024; 31:2348816. [PMID: 38728597 DOI: 10.1080/11038128.2024.2348816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 10/05/2023] [Indexed: 05/12/2024]
Abstract
BACKGROUND Preliminary evidence of the content validity of the simplified Chinese version of 'Picture My Participation' (PMP-C; Simplified) items and reliability of the subscale attendance for the effectiveness of the use with children and youth in mainland China has been collected. However, evidence of construct validity for the instrument is not yet available. AIM To explore the construct validity of the attendance scale in PMP-C (Simplified). METHODS A cross-sectional study using convenience sampling was conducted using PMP-C (Simplified) with a picture-supported interview for 290 children and youths aged 5-21 with and without ID in urban and rural areas of mainland China. Exploratory factor analysis (EFA) was performed using the principal component analysis (PCA) to analyse the resulting data. RESULTS The EFA extracted five factors with eigenvalues greater than one and the cumulative contribution rate of factors accounted for 51.62% of the variance. All items had factor loadings above 0.50. The five subcomponents included: organised activities, social activities, taking care of others, family life activities and personal care and development activities. CONCLUSION The results of the factor analysis support the construct validity of the PMP-C (Simplified) attendance scale. It provides further psychometric evidence that PMP-C (Simplified) is a sound measure to assess participation for children and youths in mainland China.
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Affiliation(s)
- Linjun Shi
- School of Nursing, Tianjin Medical University, Tianjin, China
- CHILD Research Group and Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Mats Granlund
- CHILD Research Group and Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Yue Zhao
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Karina Huus
- CHILD Research Group and Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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15
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Froude EH. CO-OP helps children and young people with executive function deficits achieve their occupational performance goals. Dev Med Child Neurol 2024; 66:412-413. [PMID: 37837295 DOI: 10.1111/dmcn.15782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 09/26/2023] [Indexed: 10/15/2023]
Abstract
This commentary is on the original article by Lebrault et al. on pages 501–513 of this issue.
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Affiliation(s)
- Elspeth H Froude
- School of Allied Health, Australian Catholic University, North Sydney, New South Wales, Australia
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16
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İnal Ö, Özkan E. Investigation of Predictors of Psychological Resilience in Occupational Therapy Students in Terms of Different Variables. Occup Ther Health Care 2024; 38:424-438. [PMID: 37079338 DOI: 10.1080/07380577.2023.2200049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 04/02/2023] [Indexed: 04/21/2023]
Abstract
There is an increased number of publications concerning the mental health of occupational therapy students. The aim of this study is to investigate the predictors of psychological resilience in occupational therapy students in terms of different variables. Four scales measuring resilience, psychological flexibility, coping and coping attitudes were used in this study. Predictors of resilience were evaluated using multiple linear regression analysis with the backward elimination. It was determined that psychological resilience, psychological flexibility, and coping attitudes are interrelated concepts (p < 0.05). This is the first study to examine the predictors of the concept of resilience in occupational therapy students in terms of different variables. The results show that students' psychological flexibility and positive coping behaviors need to be improved to develop psychological resilience.
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Affiliation(s)
- Özgü İnal
- Gülhane Faculty of Physiotherapy and Rehabilitation, Department of Neurological Physiotherapy-Rehabilitation, University of Health Sciences Turkey, Ankara, Turkey
| | - Esma Özkan
- Gülhane Faculty of Health Science, Department of Occupational Therapy, University of Health Sciences Turkey, Ankara, Turkey
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17
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Clay F, Hunt R, Obiefuna N, Solly JE, Watson E, Wilkinson A, Chohan R, Hatfield C, Fletcher PC, Underwood BR. The Use of Immersive Virtual Reality in Sensory Sessions on a Specialist Dementia Unit: Service Evaluation of Feasibility and Acceptability. Occup Ther Health Care 2024; 38:317-330. [PMID: 37933866 DOI: 10.1080/07380577.2023.2270052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 10/08/2023] [Indexed: 11/08/2023]
Abstract
This service evaluation reviewed inclusion of Immersive Virtual Reality (iVR) relaxation activities as part of routine occupational therapy sensory sessions on a specialist dementia unit. Twenty-five sessions were completed over 13 wk with 14 participants. Nine participants chose to engage in multiple sessions. Feasibility was assessed through participant engagement and tolerability. Modal first session length was in the range 30 s to 2 min. This increased to over 2 min on second sessions. There was a lack of significant adverse effects measured by direct questioning, neuropsychiatric assessment before vs. after sessions and adverse incident reporting. Acceptability was assessed via structured review of user and staff feedback which noted positive experiences such as relaxation, openness to discussion, reminiscence, wider engagement and interest in future use. Further work is required to explore efficacy and use in other settings.
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Affiliation(s)
- Felix Clay
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
| | - Rachel Hunt
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
| | - Neche Obiefuna
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
- University of East Anglia, Norwich, UK
| | - Jeremy E Solly
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Emily Watson
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
| | - Alison Wilkinson
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
| | - Raminder Chohan
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
| | | | - Paul C Fletcher
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Wellcome Trust MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK
| | - Benjamin R Underwood
- Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK
- Department of Psychiatry, University of Cambridge, Cambridge, UK
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18
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Danial-Saad A, Corzani M, Tacconi C, Chiari L. Usability of a touchscreen assessment tool (TATOO) prototype for clinicians and typically developing children. Disabil Rehabil Assist Technol 2024; 19:951-961. [PMID: 36322675 DOI: 10.1080/17483107.2022.2137250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 10/03/2022] [Accepted: 10/12/2022] [Indexed: 03/12/2023]
Abstract
PURPOSE Touchscreen devices are widely used in modern life and have quickly become part of daily life for children, including during Occupational Therapy sessions for children with disabilities. Touchscreen Assessment Tool (TATOO) is a prototype application used to evaluate children's performance when using touchscreen devices. The purpose of this study, based on the logical user-centred interaction design framework, was to evaluate TATOO's usability for occupational therapists and typically developing children and to examine the correlations between their usability scores. METHODS A convenience sample of clinicians (N = 10) and children with typical development (N = 60) was recruited for this study. The usability assessment was conducted using the System Usability Scale (SUS) and semi-structured interviews for the clinicians, and the Short Feedback Questionnaire-Child (SFQ-Child) for the children. RESULTS The SUS scores (M ± SD = 85.5 ± 8.04, range = 70-97.5) indicated good ratings of TATOO's usability by clinicians; the SFQ-Child results showed children also rated its usability very highly, including all ages (4-10 years) and all tasks. The clinicians all expressed positive attitudes towards using TATOO, and no bias was found between the clinicians' usability scores and the children's usability feedback. CONCLUSION The TATOO is a user-friendly tool. Researchers and clinicians can benefit from the availability of an objective and low-cost assessment tool to promote their evaluation and intervention by providing more focussed individualized recommendations and adaptations. The study also suggests a model to follow when developing applications and evaluating their usability through a mixed-method approach to deepen understanding of the user's needs.Implications for rehabilitationTouchscreen Assessment Tool (TATOO) shows a user-friendly tool for assessing the different skills required to operate touchscreens interface.TATOO has the potential to become an essential objective and low-cost assessment tool for the clinician, in which the spread of touchscreens constantly increases.Researchers and clinicians can benefit from the availability of such tools to promote their evaluation and intervention by providing more focussed individualized recommendations and adaptations.TATOO will complement the assessment needs, as traditional fine motor assessment tools cannot capture the skills necessary to operate a touchscreen deviceThe study suggests a model to follow when developing applications and evaluating their usability through a mixed-method approach in order to deepen understanding of the user's needs.
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Affiliation(s)
- Alexandra Danial-Saad
- Department of Occupational Therapy, The University of Haifa, Haifa, Israel
- The Academic Arab College for Education in Israel - Haifa, Haifa, Israel
| | - Mattia Corzani
- Department of Electrical, Electronic, and Information Engineering, University of Bologna, Bologna, Italy
| | - Carlo Tacconi
- Health Sciences and Technologies - Interdepartmental Center for Industrial Research (CIRI-SDV), University of Bologna, Bologna, Italy
| | - Lorenzo Chiari
- Department of Electrical, Electronic, and Information Engineering, University of Bologna, Bologna, Italy
- Health Sciences and Technologies - Interdepartmental Center for Industrial Research (CIRI-SDV), University of Bologna, Bologna, Italy
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19
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Bailey RR, Waddoups S. Performance of Dietary Behaviors in Chronic Community-Dwelling Stroke Survivors: A Mixed-Methods Study. Occup Ther Health Care 2024; 38:214-235. [PMID: 36622304 PMCID: PMC10329724 DOI: 10.1080/07380577.2022.2139444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 10/19/2022] [Indexed: 01/10/2023]
Abstract
In order to gain a better understanding of post-stroke dietary behaviors (e.g., selecting, accessing, and preparing healthy foods) among chronic, community-dwelling stroke survivors, we conducted a mixed-methods study consisting of a quantitative online survey (n = 63) and follow-up focus groups with a subset of participants (n = 7). Perceived performance, assistance required, adaptive equipment and compensatory strategies used, and sources of education and training were examined. Results demonstrated (1) diminished post-stroke performance for most dietary behaviors (e.g., grocery shopping, meal preparation), (2) an increased desire to eat healthily to prevent recurrent stroke, (3) variable use of adaptive equipment and compensatory strategies, and (4) limited healthcare-based dietary behavior education and training. These results suggest that stroke survivors could benefit from increased dietary behavior intervention to improve dietary behavior performance. Findings can be used to guide clinical intervention and design future research studies.
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Affiliation(s)
- Ryan R Bailey
- Department of Occupational and Recreational Therapies, College of Health, University of Utah, Salt Lake City, UT, USA
| | - Sarah Waddoups
- Department of Occupational and Recreational Therapies, College of Health, University of Utah, Salt Lake City, UT, USA
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20
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Pugh HK, Heatwole Shank KS. Multispecies Occupations Involving Equines: An Action-Oriented Inquiry to Inform Occupational Therapy Practitioners. OTJR (Thorofare N J) 2024; 44:196-204. [PMID: 37853726 DOI: 10.1177/15394492231203724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Abstract
Research related to human-animal engagement often fails to address the complexity and nuance present in occupations and occupational therapy services that incorporate animals. The goal of this research was to develop a basic understanding of multispecies occupations (MSO) involving humans and equines, focusing on the action-oriented processes and transactions during socialization in outdoor, non-therapeutic contexts. We employed a multi-modal qualitative design with interviews and videography with n = 6 horse-human dyads, creating opportunities to understand and represent engagement beyond anthropocentric norms. Findings included a variety of dyad-specific features of occupation, including processes of embodied communication, the presence of behavioral synchrony, and perceptions of attunement arising from these processes. Examining MSO via a multi-modal inquiry offers new perspectives about the nature and experience of such occupations and supports a deeper understanding of potential mechanisms of change when animals are incorporated in occupational therapy interventions and practice.
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21
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Liu S, Huang X, Liu Y, Yue J, Li Y, Chen L. A scoping review of the use of creative activities in stroke rehabilitation. Clin Rehabil 2024; 38:497-509. [PMID: 38232974 DOI: 10.1177/02692155241227049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
OBJECTIVE Clarifying the distinctions between art-based creative activities in the domains of occupational therapy and art therapy in the context of stroke rehabilitation, while also describing the effects of art-based creative activities on stroke rehabilitation. DESIGN Scoping review. DATA SOURCE A systematic search was performed in nine databases (Web of Science, PubMed, EMBASE, Cochrane Library, CINAHL and four Chinese database) from their inception to December 2023. REVIEW METHODS The study included randomized and non-randomized controlled trials involving art-based creative activities, as well as qualitative research providing detailed intervention measures. The study focused on stroke patients, with primary outcomes related to patients' physiological recovery, psychological well-being, ADL, etc. Data extraction included information on intervention strategies and study results. RESULTS Seventeen studies were included, extracting six similarities and differences in creative activity between two domains. Creative activities were observed to have positive impacts on daily living activities, limb motor function, fine motor ability, and emotional well-being in stroke patients. CONCLUSION Creative activities, whether in occupational therapy or art therapy, involve providing participants with tangible crafting materials for the creation of artistic works. Future stroke rehabilitation practices should tailor activities and intervention focus based on patients' rehabilitation needs, preferences, and cultural background. The current comprehensive analysis provides initial support for the potential positive role of creative activities in stroke rehabilitation, but further in-depth research is needed to confirm their effectiveness.
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Affiliation(s)
- Shuang Liu
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - XianYi Huang
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - Yan Liu
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - Jie Yue
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - Yu Li
- The Oncology Department, Southwest Medical University Affiliated Hospital, Luzhou, Sichuan, China
| | - Li Chen
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
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22
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Kelly C. Healthcare Education: Can Literary Narratives Address Occupational Therapy's 'Incongruence' in Values? Occup Ther Health Care 2024; 38:439-456. [PMID: 36579423 DOI: 10.1080/07380577.2022.2161116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 12/18/2022] [Indexed: 12/30/2022]
Abstract
Occupational therapy may be facing an incongruence in values. A growing body of literature, based on occupational therapy documentation and the perspectives of clients, suggests the profession is more focused on productivity and institutional demands than the individualized needs of clients. A proposed solution in occupational therapy education is the critical reading of literary narratives with qualities of complex characters, sensory evoking language, and the subjective truths of the individual experience. This is proposed because empathy has been shown to improve client outcomes and the reading of literary narratives has been shown to improve levels of empathy. Instruction through literary narratives, versus medicalized case studies or videos, may help occupational therapists practice with consilience, regain what is threatened, and provide more impactful and empathic-centered care.
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Affiliation(s)
- Cavenaugh Kelly
- Occupational Therapy, College of Health & Pharmacy, Husson University, Bangor, Maine, USA
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23
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Ryan SJ, Bolten E, Abolhosn N, Adams J, Bocianski H. "It Doesn't Die Within You": Outdoor Recreation Participation Following Spinal Cord Injury. OTJR (Thorofare N J) 2024; 44:227-235. [PMID: 37248987 DOI: 10.1177/15394492231175070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Although some people with spinal cord injury (SCI) return to outdoor recreation, many have low activity levels and encounter significant environmental barriers. The purpose of the study was to describe how people with SCI engage in outdoor recreation activities, what meaning they attribute to these, and to inform occupational therapists in promoting outdoor recreation post-SCI. The study used qualitative, descriptive phenomenology. Thirteen participants completed semi-structured interviews, and data were analyzed using thematic analysis. Outdoor recreation contributes to personal well-being. It is a way to share life with loved ones and other disabled people. Having the right equipment and using a trial-and-error approach facilitated participation, which was sometimes supported and frequently constrained by physical, built, and information environments. Findings suggest implications for occupational therapists in the areas of direct intervention, entrepreneurship, and advocacy. These are consistent with the American Occupational Therapy Association Vision 2025 to collaborate for inclusion and accessibility in occupational performance.
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Affiliation(s)
- Sheryl J Ryan
- California State University Dominguez Hills, Carson, USA
| | | | - Nader Abolhosn
- California State University Dominguez Hills, Carson, USA
| | - Julia Adams
- California State University Dominguez Hills, Carson, USA
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24
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Robinson-Bert K, Woods AB. Effectiveness of synchronous action observation and mental practice on upper extremity motor recovery after stroke. Occup Ther Health Care 2024; 38:196-213. [PMID: 36309807 DOI: 10.1080/07380577.2022.2138675] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 09/02/2022] [Accepted: 10/15/2022] [Indexed: 06/16/2023]
Abstract
The purpose of this quasi-experimental pretest-posttest control group study was to examine the effect of group synchronous action observation/mental practice intervention compared to usual rehabilitation care on upper extremity motor recovery after stroke. The intervention group (n = 25) received usual care, consisting of a minimum of 3 hours of rehabilitation services per day, 5 days a week, plus group synchronous action observation/mental practice sessions 3 times per week and the control group (n = 26) received usual care. Outcome measures included the Kinesthetic and Visual Imagery Questionnaire Short Version (KVIQ-10), the Fugl-Meyer Assessment (FMA-UE) of affected upper extremity motor function only and The Box and Block Test (BBT). Although there were no statistically significant differences in upper extremity motor function between the two groups, a subgroup analysis of the intervention group identified statistically significant (FMA-UE: p < .001; BBT: p = .04) and Minimally Important Clinical Differences on upper extremity motor recovery between patients with behaviors demonstrating more versus less commitment to the intervention. Group synchronous action observation/mental practice is a promising intervention for patients demonstrating commitment to actively participating in the intervention to improve outcomes on upper extremity motor recovery after stroke.
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Affiliation(s)
| | - Anne B Woods
- Graduate Program in Nursing, Messiah University, Mechanicsburg, PA, USA
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25
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Rutt L, Springer V, Geib K, Middlekauff E, San E, Eby J. Occupational Justice: Staff Member's Understanding of the Role of Occupational Therapy within Organizations Serving Persons Experiencing Homelessness. Occup Ther Health Care 2024; 38:400-413. [PMID: 37916783 DOI: 10.1080/07380577.2023.2243512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 07/29/2023] [Indexed: 11/03/2023]
Abstract
The purpose of this descriptive study was to explore the understanding of occupational justice and occupational therapy's role among staff members working within organizations serving persons experiencing homelessness. A survey was developed to determine if staff (N = 43) understood what occupational therapists can do to help persons experiencing homelessness. Responses were split almost equally between agree/strongly agree and disagree/strongly disagree. Most or 95% (n = 38) of respondents stated their organization would be interested in increasing programming to support the ideas of occupational justice. This suggests that occupational therapy can fill a need in these organizations to promote occupational justice.
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Affiliation(s)
- Leanne Rutt
- Master of Occupational Therapy, Messiah University, Mechanicsburg, PA, USA
| | - V Springer
- Master of Occupational Therapy, Messiah University, Mechanicsburg, PA, USA
| | - K Geib
- Master of Occupational Therapy, Messiah University, Mechanicsburg, PA, USA
| | - E Middlekauff
- Master of Occupational Therapy, Messiah University, Mechanicsburg, PA, USA
| | - E San
- Master of Occupational Therapy, Messiah University, Mechanicsburg, PA, USA
| | - J Eby
- Master of Occupational Therapy, Messiah University, Mechanicsburg, PA, USA
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26
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Baker H, Cuomo B, Femia C, Lin D, Stobbie C, McLean B, Hatfield M. Occupational therapy in maternal health: Exploring the Barkin Index of Maternal Functioning as a potential tool. Aust Occup Ther J 2024; 71:279-290. [PMID: 38221771 DOI: 10.1111/1440-1630.12926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 12/06/2023] [Accepted: 12/08/2023] [Indexed: 01/16/2024]
Abstract
INTRODUCTION Transitioning into the role of a mother encompasses many physical and psychosocial changes, affecting the way a woman may function. Maternal health is an emerging area of practice for occupational therapists, and therefore, screening and assessment tools to support work in this area are needed. The Barkin Index of Maternal Functioning (BIMF) is a quantitative outcome measure that is used by health professionals to assess maternal functioning. Currently, its ability to measure occupational performance is unclear. METHODS Utilising a mixed methods design, this study analysed the extent to which the BIMF assesses maternal function from an occupational perspective. Thirteen first-time mothers with a baby 12 months of age or younger participated in the study. Results from the BIMF were compared with themes developed from semi-structured qualitative interviews that explored the occupational experiences of first-time mothers. FINDINGS Seven themes were developed from the interviews. The BIMF addressed three themes, including changes to engagement in basic activities of daily living and leisure, transitioning into motherhood, emotions, self-efficacy, and social support. However, four themes were not captured by the BIMF, including changes to partner relationships, identity shift, influence of 'person' factors, and changes to social experiences in early motherhood. CONCLUSION Findings suggest that a new tool with a holistic perspective of mothers as occupational beings is needed to be able to identify occupational performance issues and the potential need for occupational therapy support. This study identified key experiences of occupational performance for new mothers.
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Affiliation(s)
- Hanna Baker
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Belinda Cuomo
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Ciarn Femia
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Daniel Lin
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Claire Stobbie
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Belinda McLean
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Megan Hatfield
- Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
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Mackenzie L, Lexén A, Kaelin VC, Hynes P, Roosen I, Tam E, Huang LJ, Ye CW. An international study of diversity in occupational therapy research- A bibliographic review of English research literature. Aust Occup Ther J 2024; 71:302-312. [PMID: 38217453 DOI: 10.1111/1440-1630.12928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 12/07/2023] [Accepted: 12/10/2023] [Indexed: 01/15/2024]
Abstract
BACKGROUND The cornerstone of a strong profession is the research that supports its knowledge base and practice. However, little is known about the range of international occupational therapy research. OBJECTIVE To explore the range and diversity of the international occupational therapy research from published peer reviewed literature in English during the year 2018. METHODOLOGY Limited to 2018, a review was conducted of sources from i) health-related search engines using search terms associated with occupational therapy practice, and ii) content pages of occupational therapy publications. Articles were excluded if they i) had no occupational therapy author, ii) were not peer reviewed, iii) not in English, and iv) did not include primary data collection (e.g., opinion pieces, position statements, study protocols). Of articles selected for analysis, data were extracted and synthesized according to the study's origin country, publishing research journal, the characteristics of the represented research, and its alignment with World Federation of Occupational Therapists research priorities. RESULTS A total of 4,169 articles were retrieved from the search (i.e., 3,459 from health-related search engines and 710 through a manual search of occupational therapy journals). After exclusions, 2,345 articles were included for analysis. CONCLUSION The review identified English published research was predominantly conducted in economically privileged countries. In addition, it revealed several research priorities that need further development such as evaluating the effectiveness of occupational therapy interventions.
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Affiliation(s)
- Lynette Mackenzie
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Annika Lexén
- Department of Health Sciences, Lund University, Lund, Sweden
| | - Vera C Kaelin
- Department of Occupational Therapy, University of Illinois Chicago, Chicago, Illinois, USA
- Department of Computer Science, University of Illinois Chicago, Chicago, Illinois, USA
| | - Patrick Hynes
- School of Allied Health, University of Limerick, Limerick, Ireland
| | - Ina Roosen
- Department of Applied Health Sciences, Hochschule für Gesundheit Bochum, Bochum, Germany
| | - Elaine Tam
- Health Sciences Library, University of Sydney, Camperdown, Australia
| | - Lin-Jye Huang
- Department of Psychiatry, Taipei City Hospital Yangming Branch, Taipei, Taiwan
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Ching-Wei Ye
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
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Lucas Molitor W, Naber A, Duncan K, Wall J, Wookey H, Steineke T. Health Prevention Interventions for Adults in the Community: A Scoping Review of Intervention Characteristics. Occup Ther Health Care 2024; 38:385-399. [PMID: 37210631 DOI: 10.1080/07380577.2023.2212288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 05/06/2023] [Indexed: 05/22/2023]
Abstract
This scoping review was designed to determine which adults receive preventative health interventions, the types of interventions for modifiable risk factors, the health professionals, including occupational therapy practitioners providing these interventions, and where they are delivered to adults in the community. The databases searched were PubMed, Ageline, and CINAHL and included research meeting the inclusion criteria and published between 2016-2021. All included studies addressed health prevention. 5,399 articles were screened with 83 of these included in the final review. Older adults, White and Black individuals, and females were the most prevalent individuals and groups to receive health prevention interventions and occupational therapy professionals were involved in 5% of the reviewed studies. As there is a need for preventative health interventions to help reduce negative health outcomes and occupational therapy professionals have important skills in health prevention this study illustrates the types of health prevention provided to adults receiving intervention in the community and points to areas of opportunity for occupational therapy professionals.
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Affiliation(s)
| | - Allison Naber
- Department of Occupational Therapy, University of SD, Vermillion, SD, USA
| | - Karlee Duncan
- Department of Occupational Therapy, University of SD, Vermillion, SD, USA
| | - Jenna Wall
- Department of Occupational Therapy, University of SD, Vermillion, SD, USA
| | - Hunter Wookey
- Department of Occupational Therapy, University of SD, Vermillion, SD, USA
| | - Tanner Steineke
- Department of Occupational Therapy, University of SD, Vermillion, SD, USA
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Synek SS, Lohman HL, Jewell VD. The Effectiveness of Upper Extremity Orthotic Interventions on Performance Skills and Performance of Occupations for Adults after Stroke: A Scoping Review. Occup Ther Health Care 2024; 38:236-253. [PMID: 38327118 DOI: 10.1080/07380577.2024.2310801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 01/23/2024] [Indexed: 02/09/2024]
Abstract
The objective of this study was to determine the effectiveness of upper extremity orthoses on improving performance skills and performance of occupations after stroke. Databases searched included CINAHL, PubMed, and OT Seeker. Articles were included if published between 2012 to 2022, English, peer-reviewed, level of evidence IB, IIB, or IIIB, and included upper extremity orthoses, adults after a stroke, and performance skill and performance of occupation outcome measures; six studies meet inclusion criteria. Moderate strength of evidence supports the usage of dynamic upper extremity orthoses to improve performance skills, although they do not improve performance of occupations for adults after stroke. Evidence suggests practitioners should utilize dynamic orthoses concurrently with tasks that promote performance skills such as gripping, pinching, grasping, and reaching during interventions to promote upper extremity use after stroke. Additional research is needed to further justify the use of upper extremity orthoses for performance of occupations after stroke.
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Affiliation(s)
| | - Helene L Lohman
- Department of Occupational Therapy, Creighton University, Omaha, NE, USA
| | - Vanessa D Jewell
- Division of Occupational Science and Occupational Therapy, University of NC, Chapel Hill, NC, USA
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Ramachandran M, Chin J, Cheung V, Cope J, Belchior P. Can Occupation-Based Interventions for People Living with Dementia and Their Spousal Caregivers Support Positive Aspects of Caregiving? A Scoping Review. Occup Ther Health Care 2024; 38:291-316. [PMID: 38436299 DOI: 10.1080/07380577.2024.2324283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 02/24/2024] [Indexed: 03/05/2024]
Abstract
This scoping review aimed to explore the characteristics and outcomes of occupation-based interventions for people living with dementia and their spousal caregivers relating to positive aspects of caregiving. A conceptualization of positive aspects of caregiving was developed based on the existing literature encompassing three domains - quality of the caregiver/care receiver relationship, meaning of the caregiver's role in daily life, and caregiver's feeling of accomplishment. Arksey and O'Malley's guidelines were used and four databases were searched to identify studies discussing occupation-based interventions involving spousal caregivers and persons living with dementia in the community that addressed at least one of three domains of positive aspects of caregiving identified in our conceptualization. After screening 1,560 articles, 18 articles were included for analysis. Three types of interventions were identified (i.e. music therapy, reminiscence therapy and a tailored activity program) involving three components contributing to positive aspects of caregiving: socializing outside the dyad, producing tangible end products, and education for the caregiver or dyad. Findings indicate that occupation-based interventions can support positive experiences for the dyad by improving the quality of the dyadic relationship and caregivers' feelings of accomplishment.
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Affiliation(s)
- Meena Ramachandran
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada
- Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Montréal, Canada
| | - Julia Chin
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada
| | - Vincent Cheung
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada
| | - Jenna Cope
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada
| | - Patricia Belchior
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada
- Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Montréal, Canada
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Winters CA, Marshall HK, Victorson DE, Adler RF, Magasi S. Does the Canadian Occupational Performance Measure (COPM) Capture the Complex Experiences of Cancer Survivors? A Mixed Methods Approach. Occup Ther Health Care 2024; 38:347-363. [PMID: 37302410 PMCID: PMC10711147 DOI: 10.1080/07380577.2023.2215875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 05/14/2023] [Indexed: 06/13/2023]
Abstract
Occupational therapy practitioners are uniquely positioned to address the needs of cancer survivors. This study aimed to understand the complex needs of survivors using The Canadian Occupational Performance Measure and in-depth interviewing. A convergent, mixed methods approach was utilized with a purposive sample of 30 cancer survivors. The results indicate that while the COPM can be a practical tool to address basic occupational performance problems, the in-depth interviews exposed these challenges are intricately connected to identity, relationships, and roles. Implications for occupational therapy practitioners include a critical approach to evaluation and interventions to capture the complex needs of survivors.
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Affiliation(s)
- Cassandra A Winters
- Department of Disability Studies, University of Illinois Chicago, Chicago, Illinois, USA
| | - Hilary K Marshall
- Department of Occupational Therapy, University of Illinois Chicago, Chicago, Illinois, USA
| | - David E Victorson
- Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Rachel F Adler
- Department of Computer Science, Northeastern Illinois University, Chicago, Illinois, USA
| | - Susan Magasi
- Department of Disability Studies, University of Illinois Chicago, Chicago, Illinois, USA
- Department of Occupational Therapy, University of Illinois Chicago, Chicago, Illinois, USA
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Turner T, Hanson DJ, Rogers O, Graves C, Klug MG. Collaborative Fieldwork Supervision: Its Value and Use in Occupational Therapy. Occup Ther Health Care 2024; 38:457-471. [PMID: 37191354 DOI: 10.1080/07380577.2023.2211670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 05/03/2023] [Indexed: 05/17/2023]
Abstract
Collaborative supervision is not new to occupational therapy; however, its use remains limited. To identify factors affecting the perceived value and use of collaborative supervision, a survey was developed and disseminated to fieldwork educators seeking their opinions and experiences. The survey had 382 respondents. Familiarity with constructs and prior experience using this collaborative supervision seem to be the highest predictor of use. Understanding the impact of practitioner attributes on the perceived value of collaborative fieldwork can help expand the use of collaborative fieldwork supervision.
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Affiliation(s)
- Tamara Turner
- Department of Occupational Therapy, Midwestern University, Glendale, AZ, USA
| | - Debra J Hanson
- Occupational Therapy Department, University of Mary, Bismarck, ND, USA
| | - Oaklee Rogers
- Occupational Therapy Department, Northern AZ University, Flagstaff, AZ, USA
| | - Cherie Graves
- Occupational Therapy Department, University of ND, Grand Forks, ND, USA
| | - Marilyn G Klug
- Department of Population Health, University of North Dakota, Grand Forks, ND, USA
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Odgers S, Thomas Y, Tokolahi E. Mothering occupations: A review identifying mothering occupations. Aust Occup Ther J 2024; 71:352-363. [PMID: 38105621 DOI: 10.1111/1440-1630.12921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/16/2023] [Accepted: 11/25/2023] [Indexed: 12/19/2023]
Abstract
INTRODUCTION This review aimed to retrieve and collate a list of culturally relevant mothering occupations in the New Zealand context with mothers positioned as experts of their experience. Mothering occupations influence wellbeing and this study aimed to better inform on the daily occupations mothers participate in that contribute to feelings of maternal confidence. METHODS Two main sources were used to identify mothering occupations: A systematic search of mothering literature, and participant additions. The first step involved mothering literature being searched, collated and condensed. The second step involved presenting the compiled list of mothering occupations to a panel of mothers for review and to invite additions. Mothers were asked to consider the occupations they participate in that evoke feelings of confidence and mastery in their mothering. Fifteen mothers with infants 12 to 18 months old were recruited, eight contributed to the mothering occupations list. RESULTS A list of 203 items was collated then condensed based on the inclusion criteria for the participant group, and was tracked in a table. The list was reduced to 36 items. Eight participants added to the mothering occupations list, bringing the total number of items to 47. Mothers indicated through their contributions to the list that some types of mothering occupations are more relevant to them when considering feelings of maternal confidence and mastery. The mothers of this study indicated that connecting with their infant, their culture and nature are of high value to them. CONCLUSION Developing a list of culturally relevant and relatable mothering occupations is a significant undertaking, highlighting the subjective experiences of mothers. Mothering occupations are vast and influenced by context. Mothers valuing some types of occupation more in relation to maternal confidence indicates a role for occupational therapy with this population to support with engagement and participation in occupations that promote wellbeing.
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Affiliation(s)
- Sorcha Odgers
- School of Occupational Therapy, Otago Polytechnic, Dunedin, New Zealand
- Department of Occupational Therapy, School of Primary and Allied Health Care, Frankston, VIC, Australia
| | - Yvonne Thomas
- School of Occupational Therapy, Otago Polytechnic, Dunedin, New Zealand
| | - Ema Tokolahi
- School of Occupational Therapy, Otago Polytechnic, Hamilton Campus, Hamilton, New Zealand
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Özden F. Letter to the editor: "Effect of an early occupational therapy intervention on length of stay in moderate and severe traumatic brain injury patients". Ir J Med Sci 2024; 193:975-976. [PMID: 37690110 DOI: 10.1007/s11845-023-03523-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 09/07/2023] [Indexed: 09/12/2023]
Affiliation(s)
- Fatih Özden
- Köyceğiz Vocational School of Health Services, Department of Health Care Services, Muğla Sıtkı Koçman University, Muğla, Turkey.
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35
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Kernot J, Goh J, Aguilar A, Muller J, Dawson S. Individual placement and support: A qualitative investigation of carers' experiences supporting someone experiencing mental illness into employment. Aust Occup Ther J 2024; 71:240-250. [PMID: 38110830 DOI: 10.1111/1440-1630.12922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Revised: 11/18/2023] [Accepted: 11/25/2023] [Indexed: 12/20/2023]
Abstract
BACKGROUND Unemployment rates for people living with mental illness remain persistently high. Individual Placement Support (IPS) is an evidence-based employment model that supports people with severe mental illness to gain employment. Although carers provide emotional and instrumental support for people with mental illness, there is limited research exploring carers' perspectives of IPS. AIMS To explore carers' perspectives of their experience as caregivers of individuals living with mental illness who have participated in IPS. METHODS This qualitative descriptive study gained carers' perspectives through semi-structured interviews. A convenience sample of eight carers was recruited via a community mental health service in Adelaide. Data were analysed thematically. FINDINGS Three main themes were identified: (1) employment benefits, (2) factors that may impact on employment, and (3) knowledge and opinions of IPS. Within each theme, four sub-themes emerged. CONCLUSIONS This study addresses a gap in research and provides insights into carers' experiences of IPS. Increased communication and involvement of carers in IPS may benefit IPS participants and staff as carers provide invaluable additional insight into supporting individuals through their employment journey.
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Affiliation(s)
- Jocelyn Kernot
- Allied Health & Human Performance Academic Unit, University of South Australia, Adelaide, South Australia
| | - Jiin Goh
- Allied Health & Human Performance Academic Unit, University of South Australia, Adelaide, South Australia
| | - Alejandra Aguilar
- Allied Health & Human Performance Academic Unit, University of South Australia, Adelaide, South Australia
| | - Jess Muller
- Allied Health & Human Performance Academic Unit, University of South Australia, Adelaide, South Australia
| | - Suzanne Dawson
- Caring Futures Institute, Flinders University, Adelaide, South Australia
- Southern Adelaide Local Health Network, Adelaide, South Australia
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Aclan R, George S, Laver K. Common home hazards among healthy older aged adults and potential modifications required for age-friendly housing. Aust Occup Ther J 2024; 71:213-225. [PMID: 38016761 DOI: 10.1111/1440-1630.12918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 10/22/2023] [Accepted: 11/04/2023] [Indexed: 11/30/2023]
Abstract
INTRODUCTION The creation of age-friendly home environments enables middle-aged and older aged people to live independently at home while adapting to age-related changes. Little is currently known about existing home hazards that may potentially hinder healthy older people as they age. METHODS Prospective cohort study of healthy adults who received an age-friendly home environment assessment conducted by an occupational therapist. Adults aged 60 and over, without significant disability, living in homes within metropolitan Adelaide, South Australia were recruited through community advertising. RESULTS Sixty age-friendly home environment assessments were conducted. Common areas where potential hazards were identified, and modifications recommended were bathrooms, toilets and backyards. Gardens were commonly identified as potentially requiring modifications in the future. Participants were more likely to consider moving to new housing if additional modifications were needed to their homes. CONCLUSION Affordable and accessible age-friendly housing is required to support an ageing population. Education on age-friendly housing for healthy middle and older aged people is required enabling proactive planning rather than awaiting health crises.
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Affiliation(s)
- Roslyn Aclan
- College of Medicine and Public Health, Flinders University, Flinders Medical Centre, Adelaide, South Australia
| | - Stacey George
- Healthy Ageing Support and Care, Australia
- Caring Futures Institute, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia
| | - Kate Laver
- College of Medicine and Public Health, Flinders University, Flinders Medical Centre, Adelaide, South Australia
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Gustafsson L, Cox R, Miller E. Enhancing inclusive and visible consumer authorship: Recommendations for research and publishing practice. Aust Occup Ther J 2024; 71:209-212. [PMID: 38497212 DOI: 10.1111/1440-1630.12946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 03/07/2024] [Indexed: 03/19/2024]
Affiliation(s)
| | - Ruth Cox
- Queen Elizabeth II Jubilee Hospital, Coopers Plains, Australia
| | - Elizabeth Miller
- Queen Elizabeth II Jubilee Hospital, Coopers Plains, Australia
- Consumer Co-Researcher
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Licciardi L, Olver J, Lalor A, Callaway L. Occupational therapy scope of practice in the rehabilitation of adults experiencing persistent post-concussion symptoms following traumatic brain injury: a scoping review protocol. JBI Evid Synth 2024; 22:727-736. [PMID: 38018871 PMCID: PMC10986781 DOI: 10.11124/jbies-23-00176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
OBJECTIVE The objective of the review is to identify, categorize, and examine literature describing occupational therapy scope of practice in the rehabilitation of adults experiencing persistent post-concussion symptoms (PPCS). INTRODUCTION PPCS are symptoms experienced by adults a minimum of 2 to 4 weeks after a traumatic brain injury (TBI), and include vestibular, neuropsychiatric, visual, and cognitive issues. Enduring PPCS may result in disability, affecting a person's independence and/or participation in daily activities. Despite growing recognition of the role occupational therapy can offer in TBI rehabilitation, evidence is limited regarding the scope of practice occupational therapists have in the rehabilitation of adults experiencing PPCS. INCLUSION CRITERIA Literature that includes adults (aged 18 to 65 years) experiencing PPCS that describes the occupational therapy scope of practice in concussion programs will be considered for inclusion in this review. Sources reporting on participants aged under 18 years, classified with non-persistent symptoms, and receiving care in acute health care settings will be excluded. Non-English publications or gray literature from civil society or disabled persons organizations or other representative bodies in the field of brain injury will also be excluded. METHODS The scoping review will follow the JBI methodology for scoping reviews. Five electronic databases will be searched for literature published between 2013 and the present: MEDLINE, Embase, Emcare, PsycINFO, and CINAHL. Two reviewers will independently conduct title and abstract screening of the results and, upon consensus, independently screen full texts to confirm final sources for inclusion. Any disagreements will be resolved by discussion with a third reviewer. Data will be extracted from included sources and we will then map occupational therapy scope of practice (inclusive of assessments and interventions) against the World Health Organization's International Classification of Functioning One-Level Classification. Results will be presented in tabular or narrative format. REVIEW REGISTRATION Open Science Framework osf.io/qxgzj.
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Affiliation(s)
- Lisa Licciardi
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia
| | - John Olver
- Rehabilitation Services, Epworth HealthCare, Melbourne, Vic, Australia
- Victor Smorgon Epworth Institute of Education and Research, Monash University, Melbourne, Vic, Australia
| | - Aislinn Lalor
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Vic, Australia
| | - Libby Callaway
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Vic, Australia
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L’Hotta AJ, Varughese TE, Lyons KD, Trebelhorn A, Manohar A, King AA. Preferences for Participation Measurement Among Individuals Diagnosed With Cancer: A Qualitative Content Analysis. OTJR (Thorofare N J) 2024; 44:244-254. [PMID: 37354019 PMCID: PMC10748790 DOI: 10.1177/15394492231181104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/25/2023]
Abstract
Individuals with cancer experience occupational participation restrictions, but there is no consensus on how to measure this construct. The objective of this study is to describe the perspectives and preferences of individuals with cancer regarding participation measurement. Forty individuals with brain, breast, colorectal, and lung cancer provided feedback on three participation measures in semi-structured interviews. Through an iterative, team-based content analysis approach, interview text was coded using the study codebook and organized into themes. Core themes included (a) participation measures highlighted occupational priorities, (b) measuring participation can identify supportive care needs, (c) measures must balance thoroughness with speed of completion, (d) measurement timeframe varies by treatment phase, and (e) evaluating community engagement is not a priority for some individuals with cancer. Integrating participation measures into cancer care can support referrals to occupational therapy and supportive services. It is essential to consider time since cancer diagnosis and client priorities when selecting participation measures.
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Affiliation(s)
| | | | | | | | | | - Allison A. King
- Washington University, St. Louis, MO, USA
- St. Louis Children’s Hospital, MO, USA
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To'mah V, du Toit SHJ. Potential of virtual reality to meaningfully engage adults living with dementia in care settings: A scoping review. Aust Occup Ther J 2024; 71:313-339. [PMID: 38140733 DOI: 10.1111/1440-1630.12916] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 10/29/2023] [Accepted: 11/01/2023] [Indexed: 12/24/2023]
Abstract
INTRODUCTION Older adults living with dementia in residential aged care homes receive physical care but may have limited access to meaningful engagement. Due to its multimodal and versatile nature, virtual reality (VR) is speculated to be an effective means of meaningfully engaging residents individually and/or in groups. However, there is little evidence regarding its efficacy as a means of meaningfully engaging older adults living with dementia. The objective of this scoping review is to identify and synthesise published research investigating the use of VR technology in promoting the meaningful engagement of older adults living with dementia in residential aged care facilities. METHODS A scoping review following Arksey and O'Malley's (2005) established process was conducted and included identifying and selecting relevant studies from seven databases (i.e., AgeLine, CINAHL, Medline, Cochrane, Embase, PsycINFO and Scopus), data charting, and collating, summarising and reporting findings. Two independent reviewers used Covidence and Excel to support data extraction and analysis. RESULTS The 20 eligible studies revealed discrepancies in the classification of VR and strengths, weaknesses, opportunities and threats associated with its implementation. Findings indicate that the most influential factor in eliciting meaningful engagement is when VR use facilitates interpersonal interactions and opportunities for human connection. CONCLUSION Although VR seems to be a promising medium in engaging older adults living with dementia, the efficacy of implementing VR technology within care facilities should be considered alongside potential environmental enablers and barriers. The apparent strength of implementing VR as a means of encouraging restoration, pleasure and productivity in older adults living with dementia lies in the fact that it creates opportunities for meaningful engagement on social and occupational levels.
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Affiliation(s)
- Vivianne To'mah
- The University of Sydney, Sydney, New South Wales, Australia
| | - Sanetta Henrietta Johanna du Toit
- Faculty of Medicine and Health Sciences, Sydney School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia
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Rettinger L, Klupper C, Hauser C, Schönthaler E, Kerschbaumer A, Werner K, Werner F. Participatory design and needs assessment for a pressure-sensitive pen and mobile application (SensoGrip) for children with handwriting problems. Disabil Rehabil Assist Technol 2024; 19:975-981. [PMID: 36301725 DOI: 10.1080/17483107.2022.2138994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 09/13/2022] [Accepted: 10/17/2022] [Indexed: 10/31/2022]
Abstract
PURPOSE Problems with handwriting are a common referral to occupational therapy in children and are often associated with inadequate pen grip and tip pressure. Technologies providing immediate feedback on applied forces are currently not available. Therefore, the aim was to identify user's perspectives on the optimal functionality of a pressure-sensitive pen with an integrated feedback system. METHODS To ensure that the product meets the requirements of the users, user needs of paediatric occupational therapists, elementary or special education teachers and children were collected in two focus groups and a children's workshops before starting the technical development process. Focus group transcripts were analyzed and rephrased as user stories to identify user-centred requirements. In a second step, user stories were merged and ranked regarding importance and feasibility. RESULTS 120 user story requirements were generated from the focus groups and children's workshops, indicating requirements regarding design and functionality for the pen and mobile application. Visual feedback, appropriate size and weight, customizability, ease of settings and usability of the pen were pivotal. CONCLUSIONS This study comprehensively researched the requirements for a device that may facilitate children in adjusting their handwriting pressure and can guide further research and evaluation.
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Affiliation(s)
- Lena Rettinger
- Health Assisting Engineering, University of Applied Sciences FH Campus Wien, Vienna, Austria
| | - Carissa Klupper
- Health Assisting Engineering, University of Applied Sciences FH Campus Wien, Vienna, Austria
| | - Carina Hauser
- Health Assisting Engineering, University of Applied Sciences FH Campus Wien, Vienna, Austria
| | - Erna Schönthaler
- Occupational Therapy, University of Applied Sciences FH Campus Wien, Vienna, Austria
| | - Andrea Kerschbaumer
- Health Assisting Engineering, University of Applied Sciences FH Campus Wien, Vienna, Austria
| | - Katharina Werner
- Human Interaction Group, Institute of Visual Computing and Human-Centered Technology, TU Wien, Vienna, Austria
| | - Franz Werner
- Health Assisting Engineering, University of Applied Sciences FH Campus Wien, Vienna, Austria
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Pizzi MA, Damiao J. Inter-Rater Reliability of the Pizzi Health and Wellness Assessment (PHWA). Occup Ther Health Care 2024; 38:414-423. [PMID: 35703067 DOI: 10.1080/07380577.2022.2088916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 05/30/2022] [Accepted: 06/04/2022] [Indexed: 10/18/2022]
Abstract
The objective of this study is to determine the inter-rater reliability of the Pizzi Health and Wellness Assessment (PHWA) by comparing the consistency in scores between clients and their caregivers in the following areas of participation: social, physical, family, occupational, mental/emotional, and spiritual. A retrospective inter-rater correlational design was used to analyze the agreement of scores from a convenience sample consisting of two groups: clients with disabilities (n = 19) and their healthy caregivers (n = 19). Inter-rater reliability was calculated using correlations for the PHWA as a whole, and for the current level of participation and wishing to improve participation subsections. Inter-rater reliability as calculated by an Intraclass Correlation Coefficient, and either the Pearson or Spearman rho correlation and found to be reliable between clients and caregivers (rICC = .636, p < .001; rho = .642, p < .001). More specifically, current level of participation demonstrated acceptable reliability (rICC = .513, p < .001; r = .521, p < .001) as did wishing to improve participation (rICC = .689, p < .001; r = .725, p < .001). This supports the PHWA as a clinically relevant health and wellness occupational therapy assessment.
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Affiliation(s)
- Michael A Pizzi
- Occupational Therapy, New York Institute of Technology, Old Westbury, NY, USA
| | - John Damiao
- Occupational Therapy, Pace University, Pleasantville, NJ, USA
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Tay MC, Rider JV. Pediatric Complex Regional Pain Syndrome and Occupational Therapy Intervention: A Scoping Review. OTJR (Thorofare N J) 2024; 44:168-178. [PMID: 37710963 DOI: 10.1177/15394492231197612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/16/2023]
Abstract
Complex regional pain syndrome (CRPS) is an increasingly recognized pain condition in the pediatric population. Occupational therapy (OT) is a crucial component of a multidisciplinary approach to treating pediatric CRPS. Yet, there is limited evidence detailing these OT interventions. This review aimed to explore the existing literature on OT interventions and delivery methods for pediatric CRPS. We performed a scoping review of peer-reviewed articles that included pediatric participants with CRPS with no limitation on publication date. Most of the 11 included studies described OT interventions that addressed pain, functional disability, motor and sensory function, social participation, and psychological well-being. Interventions included sensory reeducation programs, exercises, functional use of affected extremities, psychoeducation, and client and family education. To facilitate engagement in meaningful occupations, OT practitioners treating pediatric CRPS should provide evidence-based interventions and age-appropriate client education and include caregivers in the care plan.
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Zhang L, Zhou L, Ye Q, Zhang L, Kong Y, Xia S. Impact of transcranial direct current stimulation combined with motor-cognitive intervention on post-stroke cognitive impairment. Neurol Sci 2024; 45:1581-1588. [PMID: 37923844 DOI: 10.1007/s10072-023-07156-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 10/17/2023] [Indexed: 11/06/2023]
Abstract
OBJECTIVE In this study, it was explored whether the efficacy on applying transcranial direct current stimulation (tDCS) combined with motor-cognitive intervention for post-stroke cognitive impairment (PSCI) was greater than that on applying each method alone. METHODS A total of 90 patients with PSCI admitted to Zhejiang Provincial People's Hospital, China, from April 2021 to June 2022 were randomly divided into a tDCS group (n = 30), a motor-cognitive intervention group (n = 30), and a combination group (n = 30). All three groups received conventional rehabilitation therapy. The tDCS group was given tDCS therapy. The motor-cognitive intervention group received motor-cognitive intervention, whereas the combination group received tDCS combined with motor-cognitive intervention. The treatment duration was 4 weeks. The general data of patients were recorded before treatment. The Montreal Cognitive Assessment (MoCA) Scale and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) Scale were used to evaluate the cognitive function of patients in three groups before and after treatment. Further, within- and between-groups comparisons were performed to determine differences in cognitive function. RESULTS Before treatment, there was no significant difference between the baseline scores of the three groups (P > 0.05). After 4 weeks of treatment, except for the score for the LOTCA motor praxis subtest of the tDCS group, the MoCA and LOTCA scores of the three groups significantly improved compared with the corresponding scores before treatment (P < 0.05), and there was no drop-out case. After treatment, the MoCA and LOTCA scores of the three groups were compared in pairs. The results showed that except for the attention domain in MoCA, the method used for the combination group had more efficacy than those used for the other two groups (P < 0.05). Further, there was no statistical difference in efficacy between the tDCS and the motor-cognitive intervention groups (P > 0.05). CONCLUSION The combination of tDCS and motor-cognitive intervention is safe and can help improve the cognitive function of patients with PSCI.
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Affiliation(s)
- Liya Zhang
- Center for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou, Zhejiang, China.
| | - Liang Zhou
- Center for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou, Zhejiang, China
| | - Qing Ye
- Center for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou, Zhejiang, China
| | - Li Zhang
- Center for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou, Zhejiang, China
| | - Yurou Kong
- Center for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou, Zhejiang, China
| | - Siying Xia
- Center for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou, Zhejiang, China
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Aviles LZJ, Dajao PBG, Uy ABD, Bulan PMP. Backbone of Care: Lived Experiences of Family Caregivers of Stroke Survivors in Guadalupe, Cebu City. Occup Ther Health Care 2024; 38:276-290. [PMID: 37043486 DOI: 10.1080/07380577.2023.2200048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Accepted: 04/02/2023] [Indexed: 04/13/2023]
Abstract
This study explored the lived experiences of five family caregivers of stroke survivors in a village in Cebu City, Philippines. Data was gathered through individual in-depth interviews and underwent interpretative phenomenological analysis. Three themes emerged: (1) Altruism of caregiving: Of self and family, (2) Victories in caregiving, and (3) Burdens of caregiving. Themes illustrated the duality of roles, overcoming difficulties of caregiving, and sources of motivation in caregiving. Findings indicate that a need for collaborative efforts and active involvement between the communities and occupational therapy with the healthcare system to provide programs and support to family caregivers.
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Affiliation(s)
| | | | - Airam Blanche D Uy
- Department of Occupational Therapy, Velez College, Cebu City, Philippines
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Kwok WM, Bourke-Taylor H, Carey S, McKenzie M. Occupational Therapy Observation Tool-Adjustment Support Details for autistic children: Investigation of content validity and clinical utility. Aust Occup Ther J 2024; 71:251-264. [PMID: 38148581 DOI: 10.1111/1440-1630.12924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 11/29/2023] [Accepted: 12/05/2023] [Indexed: 12/28/2023]
Abstract
INTRODUCTION Standardised testing is crucial for autistic children to receive appropriate interventions, necessary services, and funding. Behaviours associated with autism can hinder children's test performance and participation. The 18-item, two-page Occupational Therapy Observation Tool-Adjustment Support Details (OTOT-ASD) is used in conjunction with standardised assessments. The OTOT-ASD enables the recording of autism-related behaviours and the reasonable assessment accommodations made to support participation in testing. The current study aims to investigate the content validity and clinical utility of the OTOT-ASD from occupational therapists' perspectives. METHOD A specifically designed online questionnaire was distributed Victoria-wide to occupational therapists with clinical experience with autistic children. The questionnaire was designed in line with the COnsensus-based Standards for selection of health Measurement INstruments (COSMIN), including relevance, comprehensiveness, and comprehensibility of items evaluated for content validity. Applicability and clinical usefulness were also investigated. Quantitative data were analysed using descriptive statistics. RESULTS Seventy-one occupational therapists responded to the questionnaire and 46 provided a full dataset. Over 96% of the respondents considered documenting behaviours and testing accommodations as important, yet less than 45% reported having resources to record this information. Ninety-five percent of the respondents perceived the OTOT-ASD to be useful in clinical practice. Over 70% agreed that OTOT-ASD items were significantly relevant to practice and comprehensive. To improve comprehensibility, identified items were altered following feedback. CONCLUSION The findings suggest that the OTOT-ASD is clinically useful and content validity is sound. Further research on other psychometric properties of the OTOT-ASD and users' qualitative experiences in utilising the tool is recommended.
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Affiliation(s)
- WingKwan Michelle Kwok
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
| | - Helen Bourke-Taylor
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
| | - Stuart Carey
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
| | - Maria McKenzie
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
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Tse T, Skorik S, Fraser R, Munro A, Darzins S. Testing feasibility of relevant outcome measures in an inpatient setting to demonstrate the value of occupational therapy. Aust Occup Ther J 2024; 71:226-239. [PMID: 38058208 DOI: 10.1111/1440-1630.12920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 11/02/2023] [Accepted: 11/12/2023] [Indexed: 12/08/2023]
Abstract
INTRODUCTION Measures of participation restrictions in daily life occupations are not typically used and may aid discharge planning and demonstrate the impact of occupational therapy services in inpatient settings. The overall aim of this mixed-methods study was to test the feasibility of relevant outcome measures by (1) investigating which of the three identified measures-the Home Support Needs Assessment, the Personal Care Participation Assessment and Resource Tool, and the Functional Autonomy Measurement System-best identifies meaningful changes in participation restrictions in daily life occupations required for community life; and (2) investigating the acceptability, usefulness, and feasibility of each measure to support inpatient practice. METHODS Occupational therapists (n = 3) completed the three measures with patient participants (n = 12) at admission and discharge. Each occupational therapist participated in a semi-structured interview. Outcome measure responses were summarised statistically. Qualitative data were analysed using reflexive thematic analysis. FINDINGS Total scores on all three measures changed significantly between admission and discharge (P < 0.002). Three themes reflected the occupational therapist participants' perceptions of the acceptability, usefulness, and feasibility of the outcome measures: 'Clinically and Professionally Meaningful Tools', 'Becoming Familiar', and 'Fostering My Daily Work'. CONCLUSION Each measure demonstrated a meaningful change. Selection and successful implementation of an outcome measure depends on its local acceptability to occupational therapists and organisational practices. All three measures are promising tools to address a measurement gap in occupational therapy practice. Future research could embed one measure into practice using knowledge translation methods, with a large-scale evaluation of the value of occupational therapy.
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Affiliation(s)
- Tamara Tse
- Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia
- Occupational Therapy Department, St Vincent's Hospital, Melbourne, Australia
| | - Stefani Skorik
- School of Allied Health, Australian Catholic University, Melbourne, Australia
| | - Ruby Fraser
- School of Allied Health, Australian Catholic University, Melbourne, Australia
| | - Adrienne Munro
- Occupational Therapy Department, St Vincent's Hospital, Melbourne, Australia
| | - Susan Darzins
- School of Allied Health, Australian Catholic University, Melbourne, Australia
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Abstract
BACKGROUND Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited. OBJECTIVES We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists. METHODS Using the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), we examined outcomes using descriptive statistics and frequency distribution. We examined differences between covariates using Pearson correlation coefficients and two-sample t tests. RESULTS 79.1% of eligible older adults participated (reach); they experienced a 38% reduction in fall rates (effectiveness). Ninety percent of recommended strategies were completed (adoption), 99% of intervention elements were delivered (implementation), and 91% of strategies were still used at 12 months (maintenance). Participants received an average of 258.6 minutes of occupational therapy. An average of US$765.83 was spent per participant to deliver the intervention. CONCLUSIONS HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention.
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Affiliation(s)
| | - Yan Yan
- Washington University in St. Louis, MO, USA
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Pociask FD, Adamo DE, DiZazzo-Miller R. Physical Fitness and Cognitive Function in Persons with Dementia and their Caregiver. Occup Ther Health Care 2024; 38:331-346. [PMID: 38385311 DOI: 10.1080/07380577.2024.2318567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 02/10/2024] [Indexed: 02/23/2024]
Abstract
A cross-sectional design investigated the physical attributes of 15 dyads of people with dementia and their caregivers. Physical and cognitive markers determined deviations from clinical thresholds for loss of functional independence, where 100% of participants performed below criterion-referenced threshold values for aerobic endurance. Walking distance for people with dementia was associated with bath/shower activity (p = .007), transfers (p < .001), and mobility (p = .013). Less distance walked was associated with more assistance with self-care tasks. Physical deficits associated with low aerobic endurance and lower body strength compromised independence, placing dyads at risk for falls and mobility-related health issues.
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Affiliation(s)
- Fredrick D Pociask
- Department of Health Care Sciences, Wayne State University, Detroit, MI, USA
| | - Diane E Adamo
- Department of Health Care Sciences, Wayne State University, Detroit, MI, USA
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Koh WQ, Heins P, Flynn A, Mahmoudi Asl A, Garcia L, Malinowsky C, Brorsson A. Bridging gaps in the design and implementation of socially assistive technologies for dementia care: the role of occupational therapy. Disabil Rehabil Assist Technol 2024; 19:595-603. [PMID: 35972877 DOI: 10.1080/17483107.2022.2111610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 07/06/2022] [Accepted: 08/05/2022] [Indexed: 10/15/2022]
Abstract
Dementia is a global health challenge, and people living with dementia (PLWD) are especially susceptible to reduced engagement in meaningful occupations, including social participation. In the past few decades, socially assistive technologies continue to be developed amidst a rapidly evolving technological landscape to support the social health of PLWD and their caregivers. Examples include social robots, virtual reality, smart home technology, and various digital technologies, such as mobile applications for tablets and smartphones. Despite an increasing body of research and interest in this field, several gaps relating to the design and implementation process of socially assistive technologies continue to undermine their relevance for PLWD in daily life. In this paper, some of these gaps are highlighted and the role of occupational therapy in the design and implementation of socially assistive technology is presented. In the design process, occupational therapists are uniquely skilled to advise and advocate for the tailoring and personalisation of technology to address the occupational needs of PLWD. In the implementation of socially assistive technologies, occupational therapists are skilled to educate, train, and conduct ongoing evaluations with PLWD and their caregivers, to incorporate socially assistive technologies into their routine and daily lives. We recommend that occupational therapists should continue to be acquainted with such technologies through continuous professional development and educational curricula. Moreover, we highlight the necessary collaboration between occupational therapists, technology developers, and researchers to enhance the process of designing and implementing socially assistive technology, so that their relevance for PLWD and their caregivers can be maximised.Implications for rehabilitationDevelopers and designers of socially assistive technology should consider the disease trajectory of different types of dementia, as well as the different needs, abilities, preferences, occupations and routines of people living with dementia (PLWD) and/or their caregivers.Collaborations between technology developers, researchers, and occupational therapists should take place iteratively throughout the process of designing and implementing socially assistive technology to maximise their relevance and applicability for people living with dementia and their caregivers.To continue enhancing the current role of occupational therapy in socially assistive technology provision, occupational therapists should keep up to date with socially assistive technology that are being developed to support the social health of PLWD.
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Affiliation(s)
- Wei Qi Koh
- School of Nursing and Midwifery, College of Nursing, Medicine and Health Sciences, National University of Ireland Galway, Galway, Ireland
| | - Pascale Heins
- Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands
| | | | - Aysan Mahmoudi Asl
- Biomedical Research Institute of Salamanca, University of Salamanca, Salamanca, Spain
| | - Lesley Garcia
- Department of Mental Health and Clinical Neurosciences, University of Nottingham, Nottingham, UK
| | - Camilla Malinowsky
- Department of Neurobiology, Care Sciences and Society (NVS), Huddinge, Sweden
| | - Anna Brorsson
- Department of Neurobiology, Care Sciences and Society (NVS), Huddinge, Sweden
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