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Amaba EJ, Escuadra CJ, Choi JE, An SJL. The Occupational Challenges and Responses of International Graduate Students in South Korea: A Scoping Review. Occup Ther Int 2025; 2025:6967523. [PMID: 40230784 PMCID: PMC11996278 DOI: 10.1155/oti/6967523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2024] [Accepted: 03/08/2025] [Indexed: 04/16/2025] Open
Abstract
Background: Humans, as occupational beings, are inherently driven to achieve mastery and adaptation. This drive is evident in international graduate students who face unique academic and sociocultural challenges when adapting to unfamiliar environments, such as South Korea. These challenges can hinder their occupational participation, yet there is a notable gap in the literature addressing the specific occupational issues faced by international students in this context. Aim: This study is aimed at exploring the unique occupational challenges encountered by international graduate students in Korea and their general adaptive responses, analyzed through the lens of the occupational adaptation (OA) model. Additionally, this study proposed interventions for educational institutions and occupational therapy practitioners to support students in achieving OA. Method: A scoping review was conducted following the PRISMA guidelines. Systematic searches across global (Web of Science, Scopus, and PubMed) and Korean (RISS and KISS) databases identified qualitative studies published in English or Korean over the past 10 years. ChatGPT-4 assisted with data extraction, which was reviewed for accuracy. Study characteristics were summarized using descriptive statistics, and thematic analysis identified key themes related to occupational challenges. Results: The review identified 3 articles and 6 dissertations exploring the occupational challenges of 59 international graduate students in Korea. Most participants were master's students, primarily from China, Uzbekistan, and Laos. Two main themes emerged: (1) the hierarchical nature of Korean culture, which impeded academic and social engagement, and (2) the fast-paced lifestyle, which disrupted occupational balance. These challenges led to stress, isolation, and reduced participation, affecting role competence and quality of life. While students attempted adaptive strategies, they were often insufficient, highlighting the need for targeted interventions. Conclusions: International graduate students in Korea faced significant pressure to achieve mastery in a demanding environment. Culturally sensitive interventions, combined with strategies like cognitive behavioral therapy (CBT) and lifestyle redesign, can improve stress management, self-advocacy, and occupational balance, leading to greater academic success.
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Affiliation(s)
- Elaine Judith Amaba
- Department of Rehabilitation Science, Graduate School of Inje University, Gimhae-si, Republic of Korea
| | - Catherine Joy Escuadra
- Physical Therapy Department, College of Rehabilitation Sciences, University of Santo Tomas, Manila City, Philippines
| | - Ji-Eun Choi
- HOPE Parent Training Center, Seoul, Republic of Korea
| | - Sun-Joung Leigh An
- Department of Rehabilitation Science, Graduate School of Inje University, Gimhae-si, Republic of Korea
- HOPE Parent Training Center, Seoul, Republic of Korea
- Department of Occupational Therapy, Inje University, Gimhae-si, Republic of Korea
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Nakamura M, Yokoi K, Tanimura H, Hwang EJ. Psychometric Properties of the Japanese Version of the Health Enhancement Lifestyle Profile (HELP-J) Using Rasch Analysis: A Preliminary Study. Occup Ther Health Care 2025; 39:448-465. [PMID: 38497364 DOI: 10.1080/07380577.2024.2326922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 03/02/2024] [Indexed: 03/19/2024]
Abstract
The Health Enhancement Lifestyle Profile (HELP) was an assessment instrument for health-related behaviors and was translated into Japanese (HELP-J) using subjective rating scales. This study investigated the internal validity of the HELP-J using a Rasch analysis. Snowball and purposive sampling were used for data collection. The data obtained from the 109 respondents were subjected to Rasch analysis to assess their internal validity. The rating scale analysis supported a 3-category scale; five of the seven subscales showed unidimensionality. Thus, this study presents essential information on the possibility of translating the original HELP into Japanese and converting it into a unidimensional scale.
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Affiliation(s)
- Megumi Nakamura
- Functioning, Disability and Health Course, Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino, Japan
- Department of Occupational Therapy, Faculty of Rehabilitation, Morinomiya University of Medical Sciences, Osaka, Japan
| | - Katsushi Yokoi
- Occupational Therapy, Graduate School of Rehabilitation Science, Osaka Metropolitan University, Habikino, Japan
| | - Hiroko Tanimura
- Occupational Therapy Department, Kyoto Iken Senmon Gakko, Kyoto, Japan
| | - Eric J Hwang
- Department of Occupational Therapy, California State University, Dominguez Hills, Carson, CA, USA
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Roberts P, Ouellette D, Giles GM, Mroz TM, Furniss J, Malloy J, Mallinson T. Occupational Therapy Assessment Practice Patterns for Core Domains in Adult Populations. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2025:15394492251320089. [PMID: 40016922 DOI: 10.1177/15394492251320089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2025]
Abstract
Practitioners need to demonstrate the value of occupational therapy services in achieving effective patient outcomes. To intervene effectively, we must have adequate assessment practices. This study examines variation in occupational therapy assessment practices by facility type, areas addressed, and types of instruments. The study characterizes commonly and frequently used assessment practices in core occupational domains and identifies potential practice gaps related to assessment. A cross-sectional online survey across six domains central to adult occupational therapy practice (activities of daily living [ADL], instrumental activities of daily living [IADL], fear of falling, functional cognition, psychosocial, and vision) was administered to practitioners in various settings. Surveys were obtained from 1,198 respondent. Survey responses identified differences in domains being assessed and assessment methods used by occupational therapy practitioners across hospital inpatient post-acute care facilities and community settings. There is variability in the methods used to assess domains critical to occupational therapy practice and the degree to which occupational therapists evaluate domains in practice settings.
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Affiliation(s)
| | - Debra Ouellette
- Casa Colina Hospital and Centers for Healthcare, Pomona, CA, USA
| | | | | | - Jeremy Furniss
- American Occupational Therapy Association, North Bethesda, MD, USA
| | - Julie Malloy
- American Occupational Therapy Association, North Bethesda, MD, USA
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Philpott-Robinson K, Blackwell D, Regan C, Leonard C, Haracz K, Lane AE, Wales K. Conflicting Definitions of Self-Regulation in Occupational Therapy: A Scoping Review. Phys Occup Ther Pediatr 2024; 45:318-357. [PMID: 39632664 DOI: 10.1080/01942638.2024.2434468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 10/17/2024] [Accepted: 11/19/2024] [Indexed: 12/07/2024]
Abstract
AIMS To understand how occupational therapy literature conceptualizes, discusses, describes, implies, and operationalizes self-regulation. METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and JBI methodology guided the review. MEDLINE, Embase, CINAHL, PsychInfo and ERIC databases were searched with studies from 2000 - June 2023 deemed eligible. Two reviewers extracted data with results presented in figurative, tabular, and narrative synthesis. Critical appraisal was conducted using the Mixed Methods Appraisal Tool and the Critical Appraisal Skills Programme checklist for systematic reviews. Content analysis of construct descriptions was conducted. RESULTS A total 4159 articles were screened for eligibility, and eighty-one assessed at full text. Nine additional studies were retrieved through hand-searching. Sixty-four studies were included and underwent critical appraisal. Content analysis revealed five self-regulation constructs and associated terms in the occupational therapy literature, including self-regulation, executive function, emotion regulation, interoception and social-emotional learning. CONCLUSIONS Five distinct self-regulation constructs were analyzed in the occupational therapy literature, with various terms used to describe and define these. Self-regulation and executive function were often described as linked constructs. Similarly, lack of congruence between self-regulation measures, identified interventions and the underlying self-regulation construct was identified.
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Affiliation(s)
- Kelsey Philpott-Robinson
- Olga Tennison Autism Research Centre, School of Psychology and Public Health, College of Science, Heath & Engineering, La Trobe University, Melbourne, Victoria, Australia
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
| | - Dianne Blackwell
- Olga Tennison Autism Research Centre, School of Psychology and Public Health, College of Science, Heath & Engineering, La Trobe University, Melbourne, Victoria, Australia
| | - Casey Regan
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
| | - Carl Leonard
- School of Education, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
| | - Kirsti Haracz
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
| | - Alison E Lane
- Olga Tennison Autism Research Centre, School of Psychology and Public Health, College of Science, Heath & Engineering, La Trobe University, Melbourne, Victoria, Australia
| | - Kylie Wales
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
- Department of Neuroscience, Monash University, Melbourne, Australia
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Bailliard AL, Carroll A, D'Agostino EM. Predictors of Population Mental Health in Montana: An Occupational Justice Perspective. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2024; 44:617-624. [PMID: 38369726 DOI: 10.1177/15394492241230906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024]
Abstract
Population-level analyses can demonstrate occupational injustices and their impact on population health. The objective of this article is to examine whether population-level occupational factors are related to the mental health of Montanans. We used linear regression models of the 2021 Montana County Health Rankings to examine the association between occupational justice and mental health, adjusting for covariates. Predictor variables were access to exercise, insufficient sleep, healthy food access, food insecurity, proximal jobs, and social support. Outcome variables were frequent mental health distress and poor mental health days. Adjusted models showed significant associations between both insufficient sleep (β = 0.25, 95% confidence interval [CI] = [0.0.11, 0.40]; Table 2) and food insecurity (β = 0.32, 95% CI = [0.22, 0.43]) and poor mental health days z scores. Adjusted models also showed significant associations between insufficient sleep (β = 0.18, 95% CI = [0.10, 0.26]) and food insecurity (β = 0.19, 95% CI = [0.12, 0.25]) and frequent mental health distress. Future research should study whether targeting sleep and food security can enhance Montanans's mental health.
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Silva Godínez JC, Minisha F, Russo Hortencio TD, Innocenzi A, Dos Santos Kasai CC, Povoa-Correa M, Fregni F, Pacheco-Barrios K. Impact of disabilities in activities of daily living on opioid use for chronic pain in older adults: an exploratory secondary analysis from ELSI-Brazil. Public Health 2024; 235:102-110. [PMID: 39089092 DOI: 10.1016/j.puhe.2024.06.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2024] [Revised: 06/06/2024] [Accepted: 06/27/2024] [Indexed: 08/03/2024]
Abstract
OBJECTIVES Problematic use of opioids by older adults is associated with adverse effects and has become a public health crisis worldwide. Ageing-related disabilities in activities of daily living (ADL) could promote unnecessary use of opioids in this population. This study evaluates the association between ADL disability and opioid consumption in Brazilian older adults. STUDY DESIGN Study design- cross-sectional secondary data analysis of the second wave of the Brazil Longitudinal Study of Ageing (ELSI-Brazil). METHODS Data from the second wave of the Brazil Longitudinal Study of Ageing (ELSI-Brazil) were used. Older adults with chronic pain were included. ADL disability was measured using the Katz Index. The primary outcome was opioid consumption for chronic pain. The primary association was explored using logistic regression models adjusting for predetermined confounders. Sensitivity analyses evaluating model performance were done by calibrating and validating the model using randomly split equal sets. RESULTS In those who reported presence of chronic pain (n = 2865), the prevalence of opioid use was 29% (95% CI:23.1%-35.6%). In adjusted models, participants with moderate and severe ADL disability had 1.6 (95% CI:1.13-2.32; P = 0.009) and 3.8 (95% CI: 1.80-7.90; P < 0.001) times higher odds of opioid consumption compared to no disability, respectively. Being female, alcohol consumption, higher pain intensity, history of dementia, fractures, and presence of ≥2 comorbidities were significantly associated with increased opioid use (P < 0.05). CONCLUSION Nearly one-third of the Brazilian elderly population experiencing chronic pain reported using opioids. The functional decline during the process of ageing appears to be a risk factor for pain intolerance and opioid use. Multidisciplinary approaches to detect early ADL disabilities and improve mobility and access to assistive technologies need to be established to prevent opioid overuse and addiction in elderly populations.
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Affiliation(s)
- J C Silva Godínez
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico
| | - F Minisha
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Women's Wellness and Research Centre, Hamad Medical Corporation, Doha, Qatar
| | - T D Russo Hortencio
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Faculdade São Leopoldo Mandic, Instituto de Pesquisa São Leopoldo Mandic, Campinas, Brazil
| | - A Innocenzi
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Federal University of Rio de Janeiro, Macaé, RJ, Brazil; D'Or Institute for Research and Education (IDOR), Rio de Janeiro, RJ, Brazil
| | - C C Dos Santos Kasai
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Pontifícia Universidade Católica do Paraná- Campus Londrina, Londrina, Brazil
| | - M Povoa-Correa
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; D'Or Institute for Research and Education (IDOR), Rio de Janeiro, RJ, Brazil; Federal Institute of Cardiology (INC), Rio de Janeiro, RJ, Brazil
| | - F Fregni
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
| | - K Pacheco-Barrios
- Harvard T. H. Chan School of Public Health, ECPE Department-PPCR Program Boston, MA, USA; Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Peru.
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Miyauchi T, Sasaki S, Tanemura R. Behavioral Problems and Self-Feeding Independence Among Patients With Acute Stroke: A Single-Center Study. Am J Occup Ther 2024; 78:7805205080. [PMID: 39054681 DOI: 10.5014/ajot.2024.050644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2024] Open
Abstract
IMPORTANCE Self-feeding independence is often the first goal in acute stroke rehabilitation. Attention deficits appear frequently after stroke, but neuropsychological tests may be difficult to perform in the acute phase, and the effect on self-feeding activities may be difficult to detect. Therefore, we aimed to clarify behavioral problems with self-feeding using the Moss Attention Rating Scale (MARS), a behavioral observational rating scale of attentional function, for a better understanding of the effects of self-feeding. OBJECTIVE To identify behavioral problems caused by attention deficits among patients with acute stroke who need assistance in self-feeding, using the MARS. DESIGN Cross-sectional single-center study. SETTING St. Marianna University Yokohama Seibu Hospital, Kanagawa, Japan. PARTICIPANTS A total of 96 patients (42 women and 54 men) were admitted to the hospital for stroke treatment. Patients' median age was 75.0 yr. The date of evaluation was a median of 3.0 days from admission. OUTCOME AND MEASURES The primary outcome was the FIM® eating subscore. The secondary outcome was the MARS score. RESULTS Significant differences were noted in the total raw MARS, logit, and three-factor scores for self-feeding independence (p < .01). The effect size of the consistent or sustained factor on independence was large (r = .83). CONCLUSIONS AND RELEVANCE Behavioral problems related to self-feeding dependence include the inability for sustained attention. Our results suggest that sustained concentration during self-feeding is necessary for eating independence. Rehabilitation focused on sustained attention is important for independent self-feeding. Plain-Language Summary: A patient's self-feeding independence is often the first goal in acute stroke rehabilitation. Patients frequently experience attention deficits after a stroke, but neuropsychological tests may be difficult to perform in the acute phase of rehabilitation, and the effect of attention deficits on self-feeding may be difficult to identify. To have a better understanding of the effects on self-feeding, this study aimed to identify behavioral problems using the Moss Attention Rating Scale (MARS). The study found that the MARS can be used to identify behavioral problems related to self-feeding independence, which can help occupational therapists to develop rehabilitation programs for their clients who have experienced a stroke.
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Affiliation(s)
- Takayuki Miyauchi
- Takayuki Miyauchi, OT, Msc, is Assistant Professor, Department of Rehabilitation, Faculty of Medical Sciences, Shonan University of Medical Sciences, Kanagawa, Japan, and Graduate Student, Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Hyogo, Japan;
| | - Shotaro Sasaki
- Shotaro Sasaki, OT, PhD, is Chief Clerk, Department of Rehabilitation, St. Marianna University Yokohama Seibu Hospital, Kanagawa, Japan
| | - Rumi Tanemura
- Rumi Tanemura, OT, PhD, is Professor, Department of Rehabilitation, Kansai Medical University, Osaka, Japan
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Ackerman IN, Restoux L, Dobo B, Slater H, Ross MH, Briggs AM. Holistic Care for People Living With Chronic Musculoskeletal Pain: The Relevance and Importance of Sexual Function. Phys Ther 2024; 104:pzae083. [PMID: 39014294 PMCID: PMC11367674 DOI: 10.1093/ptj/pzae083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 02/15/2024] [Accepted: 04/18/2024] [Indexed: 07/18/2024]
Abstract
People living with chronic primary or secondary musculoskeletal pain conditions such as low back pain, fibromyalgia, and inflammatory arthritis typically experience wide-ranging impacts on their physical function, activity participation, and psychosocial wellbeing. These can extend to negative impacts on a person's sexual function and their intimate relationships. While sexual function is an important component of wellbeing, it is often not considered within musculoskeletal pain care. Without awareness or targeted training, physical therapists may lack the confidence and skills to screen, assess, and manage the impacts that pain may be having on a person's sexual function and can miss the opportunity to tailor their care and optimize wellbeing. This article seeks to raise awareness among physical therapists of how living with chronic musculoskeletal pain can impact a person's sexual function and intimate relationships, and provide guidance on how to consider these issues within a person-centered approach to care. It describes why considering sexual function and intimate relationship issues as part of a person's lived musculoskeletal pain experience may be relevant, outlines the use of validated patient-reported outcome measures to assess sexual dysfunction, and suggests practical strategies for sensitively raising sexual function in consultations. Management approaches and possible referral pathways are also presented, to assist physical therapists in understanding available care options. This article seeks to support holistic care by improving physical therapists' knowledge and understanding of sexual dysfunction and its management in people living with chronic musculoskeletal pain. IMPACT Considering sexual function as a valued functional activity, together with other activities of daily living, will assist physical therapists to provide more holistic and person-centered care. This article covers the main considerations for raising sexual function and intimate relationship issues with people living with chronic musculoskeletal pain, as well as management options and potential referral pathways. Physical therapists are encouraged to seek targeted training to improve their confidence and skills in this area, and to use inclusive, respectful language for discussions around sexual function and intimate relationships.
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Affiliation(s)
- Ilana N Ackerman
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Laura Restoux
- Physiotherapy Department, Central Coast Local Health District, Central Coast, New South Wales, Australia
| | - Brooke Dobo
- Vera Women’s Wellness, Mount Samson, Queensland, Australia
- The Wesley Hospital, Brisbane, Queensland, Australia
| | - Helen Slater
- Curtin School of Allied Health and Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Megan H Ross
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
| | - Andrew M Briggs
- Curtin School of Allied Health and Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
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Dahake R, Geller JE, Jung L, Choron RL, Iacono S, Patel P, Englert ZP, Schonzeit M, Narayan M, Teichman AL. Role of Occupational Therapy Cognitive Assessment in Mild Traumatic Brain Injury: Is Universal Consultation Required? J Surg Res 2024; 300:241-246. [PMID: 38824854 DOI: 10.1016/j.jss.2024.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 04/03/2024] [Accepted: 05/08/2024] [Indexed: 06/04/2024]
Abstract
INTRODUCTION Mild traumatic brain injury (mTBI) or concussion is prevalent among trauma patients, but symptoms vary. Assessing discharge safety is not standardized. At our institution, occupational therapy (OT) performs cognitive assessments for mTBI to determine discharge readiness, potentially increasing resource utilization. We aimed to describe characteristics and outcomes in mTBI trauma patients and hypothesized that OT consultation was associated with increased length of stay (LOS). METHODS This is a retrospective study at a level 1 trauma center over 17 mo. All patients with mTBI, without significant concomitant injuries, were included. We collected data regarding OT assessment, LOS, mechanism of injury, Glasgow coma score, injury severity score (ISS), concussion symptoms, and patient disposition. Statistical analysis was performed, and significance was determined when P < 0.05. RESULTS Two hundred thirty three patients were included. Median LOS was 1 d and ISS 5. Ninety percent were discharged home. The most common presenting symptom was loss of consciousness (85%). No symptoms were associated with differences in LOS or discharge disposition (P > 0.05). OT consult (n = 114, 49%) was associated with longer LOS and higher ISS (P < 0.01). Representation with concussive symptoms, discharge disposition, mechanism of injury, and patient demographics were no different regardless of OT consultation (P > 0.05). CONCLUSIONS mTBI is common and assessment for discharge safety is not standardized. OT cognitive assessment was associated with longer LOS and higher injury severity. Despite institutional culture, OT consultation was variable and not associated with improved concussion-related outcomes. Our data suggest that OT is not required for mTBI discharge readiness assessment. To improve resource utilization, more selective OT consultation should be considered. Further prospective data are needed to identify which patients would most benefit.
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Affiliation(s)
- Richa Dahake
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Jennifer E Geller
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Linda Jung
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Rachel L Choron
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Stephen Iacono
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Priya Patel
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Zachary P Englert
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Miriam Schonzeit
- Department of Occupational Therapy, Rutgers Robert Wood Johnson University Hospital, New Brunswick, New Jersey
| | - Mayur Narayan
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Amanda L Teichman
- Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
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Salazar-Frías D, Rodríguez-Bailón M, Ricchetti G, Navarro-Egido A, Funes MJ. The Cognitive Awareness Scale for Basic and Instrumental activities of daily living to measure self-awareness after acquired brain injury: Preliminary evidence of its validity. Clin Neuropsychol 2024; 38:1133-1155. [PMID: 37941388 DOI: 10.1080/13854046.2023.2278822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 10/29/2023] [Indexed: 11/10/2023]
Abstract
Objective: There is a crucial need for reliable tools to measure impaired self-awareness (ISA) in patients with acquired brain injury (ABI) across cognitive-functional domains. The aim of this study was to assess the psychometric properties of the Cog-Awareness ADL Scale, which is a novel self-proxy discrepancy method for measuring ISA in both basic and instrumental activities of daily living. Methods: This multicenter study included 54 patients (no-low ISA n = 33; severe ISA, n = 21) from four outpatient rehabilitation units in Málaga-Granada, Spain, and 51 healthy controls. The participants and proxy raters completed the Cog-Awareness ADL Scale and the Patient Competency Rating Scale (PCRS). Agreement between both scales was assessed using Spearman's correlations and the Bland-Altman plot. Group comparisons were made on measures of SA, cognitive abilities and demographic variables. Sensitivity and specificity were analysed by ROC curve analysis. Results: Convergent validity was supported by strong correlations with the PCRS and its subscales (rho's ranging from 0.51 to 0.80, p < 0.01 for all). The Bland-Altman plot confirmed measurement agreement (only 3.70% of the scores were outside the 95% limits). External validity was demonstrated by effectively discriminating between healthy controls and ABI patients with no-low and severe ISA on each discrepancy index while controlling for cognitive/demographic variables. The Cog-Awareness ADL Scale showed optimal diagnostic accuracy (AUC = 0.95, sensitivity = 0.90, specificity = 0.90). Conclusions: The Cog-Awareness ADL Scale proved to be a feasible, valid, and clinical tool to assess ISA across different cognitive-functional domains, in Spanish ABI-patients.
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Affiliation(s)
- Daniel Salazar-Frías
- Mind, Brain and Behaviour Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
| | - María Rodríguez-Bailón
- Physiotherapy (Occupational Therapy) Department, Health Science School, University of Málaga, Málaga, Spain
| | - Giorgia Ricchetti
- Mind, Brain and Behaviour Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
| | - Alba Navarro-Egido
- Mind, Brain and Behaviour Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
| | - María Jesús Funes
- Mind, Brain and Behaviour Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
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11
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Barreca J, Wagner A. A Pilot Survey of Pediatric Occupational and Physical Therapy Providers' Confidence, Attitudes, Barriers, and Education Regarding Trauma-Informed Care. Phys Occup Ther Pediatr 2024; 44:765-782. [PMID: 38845534 DOI: 10.1080/01942638.2024.2360457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 05/06/2024] [Accepted: 05/20/2024] [Indexed: 10/11/2024]
Abstract
AIM Trauma-informed care (TIC) is a strengths-based organizational approach which recognizes the prevalence and impact of trauma on an individual's neurological, sensorimotor, and emotional responses and development. There is limited research on pediatric occupational therapy providers' (OTPs) and physical therapy providers' (PTPs) perceptions on incorporating TIC into their practice. This pilot study aims to describe the confidence, attitudes, barriers, and education of pediatric OTPs and PTPs regarding TIC. METHOD OTPs and PTPs (n = 87) working in pediatric settings in the U.S. completed an electronic survey regarding their perceptions of TIC. RESULTS OTPs reported higher confidence in TIC compared to PTPs. Most participants reported favorable attitudes toward TIC, yet no statistical significance was identified between the two professions' overall attitudes toward TIC. Collectively, participants reported lack of time and training as barriers. There was a statistically significant difference between how the two professions rated competency, training, and concern over clients' retraumatization. There was significant association between years of professional experience and TIC education. CONCLUSION Preliminary findings indicate an overall agreement of OTPs and PTPs with principles of TIC and common barriers to TIC practice. There are implications to further integrate opportunities for TIC training into foundational education and professional practice.
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Affiliation(s)
- Jessica Barreca
- Center for Interprofessional Education and Research, Saint Louis University, Saint Louis, MO, USA
| | - Ashley Wagner
- Program of Occupational Therapy, Maryville University, Town and Country, MO, USA
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12
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Cohen EJ, Righi G, Conti C, De Santis C, Sciarrone G, Del Popolo G. Quantification of hand functional recovery in spinal cord injury patients. J Spinal Cord Med 2024; 47:387-394. [PMID: 35500066 PMCID: PMC11044745 DOI: 10.1080/10790268.2022.2066384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
STUDY DESIGN A prospective cohort study. OBJECTIVES To examine the use of a circle-tracing task in quantifying hand functional recovery in cervical spinal cord injury patients. METHODS Ten cervical spinal cord injury (SCI) patients and 10 healthy age-matched controls performed a circle-tracing task, using a computerized tablet at the beginning of the study and after 4 weeks. Data relative to performance accuracy as well as pen pressure throughout the performances were collected, and clinical assessment for all patients was performed at the beginning and at the end of the study. RESULTS Significant differences were found in pen pressure profiles in the SCI patients between the initial assessment and after 4 weeks of assessment. SCI patients, when compared with controls, apply less pressure during the execution, though no significant differences were found for the other parameters. Examination of pen pressure profiles of both controls and SCI patients reveals that, in addition to the lower pressure registered, SCI patients present a more oscillating pressure profile which is direction-dependent. No significant correlations were found between clinical assessments and pen pressure, both within the initial assessment as well as after 4 weeks. CONCLUSIONS This study emphasizes the potential of simple computerized means for quantifying upper limb functions in SCI patients. These results of this study could be helpful for both highlighting specific functional deficits in patients as well tailoring specific interventions.
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Affiliation(s)
- Erez James Cohen
- Department of Experimental and Clinical Medicine, Physiological Sciences Section, University of Florence, Florence, Italy
| | - Gabriele Righi
- Spinal Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Claudia Conti
- Spinal Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Claudia De Santis
- Spinal Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Giorgia Sciarrone
- Spinal Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Giulio Del Popolo
- Spinal Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
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13
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Ullal A, Tauseef M, Watkins A, Juckett L, Maxwell C, Tate J, Mion LC, Sarkar N. An Iterative Participatory Design Approach to Develop Collaborative Augmented Reality Activities for Older Adults in Long-Term Care Facilities. PROCEEDINGS OF THE SIGCHI CONFERENCE ON HUMAN FACTORS IN COMPUTING SYSTEMS. CHI CONFERENCE 2024; 2024:1009. [PMID: 39015130 PMCID: PMC11251005 DOI: 10.1145/3613904.3642595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/18/2024]
Abstract
Over four million older adults living in long-term care (LTC) communities experience loneliness, adversely impacting their health. Increased contact with friends and family is an evidence-based intervention to reduce loneliness, but in-person visits are not always possible. Augmented Reality (AR)-based telepresence activities can offer viable alternatives with increased immersion and presence compared to video calls. However, its feasibility as an interaction technology for older adults is not known. In this paper, we detail the design of two dyadic collaborative AR activities that accommodate diminished physical and cognitive abilities of older adults. The findings include a general design framework based on an iterative participatory design focusing on preferred activities, modes of interaction, and overall AR experience of eight older adults, two family members, and five LTC staff. Results demonstrate the potential of collaborative AR as an effective means of interaction for older adults with their family, if designed to cater to their needs.
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Affiliation(s)
| | | | | | | | | | - Judith Tate
- The Ohio State University, Columbus, Ohio, USA
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14
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Asmuri SN, Kadar M, Razaob NA, Chui CS, Mohd Rasdi HF. The effectiveness of the buddy program training module to enhance the daily living function, social participation and emotional status of older adults in residential aged care homes. PLoS One 2024; 19:e0301544. [PMID: 38568914 PMCID: PMC10990167 DOI: 10.1371/journal.pone.0301544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 03/18/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND The Compeer Model, which was originally designed to match individuals recovering from mental illness with volunteers from their community, served as the basis for the development of the buddy program. However, limited research was available related to the buddy program among older adults in a Malaysian context. AIM The study aimed to identify the effectiveness of the buddy program training module to enhance the daily living function, social participation and emotional status of older adults in residential aged care homes. METHODS A quasi-experimental study was conducted with 30 pairs of buddies and older adults for both the experimental group and control group in two randomly selected residential aged care homes. The buddies in the experimental group received the buddy program training module related to activities of daily living (basic and instrumental) while the buddy-older adults pairs in the control group continued to perform their usual daily life activities in residential aged care homes. Baselines were performed before intervention and at eight weeks post-intervention. RESULTS Over the eight weeks, for the older adults in the experimental group, there was a significant main effect of time after the intervention on BADL (p = 0.010). There were no significant interaction effects for the experiment group and control group on IADL and social participation. Also, there were no significant interaction effects for all domains in emotional status: depression, anxiety and stress. For buddies, there was a significant interaction effect for depression (p = 0.045) in the control group. CONCLUSIONS The buddy program training module can be used as a guideline for older adults with more significant disabilities in residential aged care homes in managing activities of daily living. Future studies could be implemented to explore the intergenerational buddy program among older adults and young children in the community.
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Affiliation(s)
- Siti Noraini Asmuri
- Faculty of Medicine and Health Sciences, Department of Rehabilitation Medicine, Universiti Putra Malaysia, Seri Kembangan, Malaysia
- Faculty of Health Sciences, Occupational Therapy Program, Centre for Rehabilitation and Special Needs Studies, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Masne Kadar
- Faculty of Health Sciences, Occupational Therapy Program, Centre for Rehabilitation and Special Needs Studies, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Nor Afifi Razaob
- Faculty of Health Sciences, Occupational Therapy Program, Centre for Rehabilitation and Special Needs Studies, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Chai Siaw Chui
- Faculty of Health Sciences, Occupational Therapy Program, Centre for Rehabilitation and Special Needs Studies, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Hanif Farhan Mohd Rasdi
- Faculty of Health Sciences, Occupational Therapy Program, Centre for Rehabilitation and Special Needs Studies, Universiti Kebangsaan Malaysia, Bangi, Malaysia
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15
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Kasar U, Dwivedi AK, Khandare PM. Impact of Occupational Therapy Interventions on Sexual Dysfunction in Epilepsy: A Case Report. Cureus 2023; 15:e51153. [PMID: 38283457 PMCID: PMC10811611 DOI: 10.7759/cureus.51153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2023] [Indexed: 01/30/2024] Open
Abstract
Epilepsy is a chronic neurological disorder characterized by recurrent seizures, necessitating lifelong medication management. One common side effect of these medications is sexual dysfunction. In this case report, a 37-year-old male epilepsy patient who was an office clerk by occupation presented at the outpatient department (OPD) of occupational therapy with the chief complaints of anxiety, depression, and sexual dysfunction primarily reporting of anorgasmia, which required longer foreplay to reach an effective erection leading to delayed ejaculation. The patient reported a nine-year history of complicated, partial, and generalized seizures for which he consulted the physician who prescribed him AED (antiepileptic drug) carbamazepine twice a day; however, the symptoms persisted, and the medication was changed to pregabalin. In addition to this, the patient was advised for occupational therapy intervention by the physician. In the occupational therapy department, the patient was assessed for various parameters that involved sexual functioning using the Changes in Sexual Functioning Questionnaire-Male (CSFQ-M), for anxiety using the Generalised Anxiety Disorder-7 (GAD-7) questionnaire, for depression using the Patient Health Questionnaire-9 (PHQ-9), and quality of life (QOL) using the Quality of Life in Epilepsy Inventory - 31 (QOLIE-31) questionnaire. As part of the intervention, occupational therapy was provided to the patient for four months, which mainly focused on three major areas: health promotion, remediation, and modification. Each of these methods was used at all levels of the intervention, as outlined by the EX-Permission, Limited Information, Specific Suggestions, and Intensive Therapy model (P-LI-SS-IT), which reflected positive results, as there was enhanced sexual functioning, reduced symptoms of depression, and anxiety, and improved quality of life. In conclusion, occupational therapists along with doctors and other practitioners should focus on addressing intimacy and sexuality within their practice for epilepsy patients demonstrating symptoms of sexual dysfunction, which will consequently impact an individual's QOL. Additionally, screening and monitoring of sexual dysfunction should be included during the routine assessment of patients with epilepsy.
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Affiliation(s)
- Usha Kasar
- Department of Occupational Therapy, Maharaj Vinayak Global University, Jaipur, IND
| | - Amitabh K Dwivedi
- Department of Occupational Therapy, JSS (Jagadguru Sri Shivarathreeshwara) Medical College, JSS Academy of Higher Education and Research, Mysuru, IND
| | - Prashant M Khandare
- Department of Occupational Therapy, INHS (Indian Naval Hospital Ship) Asvini Early Intervention Centre, Mumbai, IND
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16
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Soref B, Robinson GL, Bart O. The Effect of a Short-Term Occupational Therapy Intervention on the Participation and Personal Factors of Preschoolers with Developmental Disabilities. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1401. [PMID: 37628400 PMCID: PMC10453018 DOI: 10.3390/children10081401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 08/14/2023] [Accepted: 08/15/2023] [Indexed: 08/27/2023]
Abstract
BACKGROUND Preschoolers with developmental disabilities are referred to occupational therapy due to their decreased participation in daily life occupations. The purpose of this study was to evaluate the improvement in preschoolers' participation and sensory-motor abilities following an occupational therapy intervention. MATERIALS AND METHODS A prospective cohort study of 38 preschoolers and their parents was conducted using an interrupted time-series design, including assessments at three time points: base line (upon referral to an occupational therapy assessment), pre-intervention, and post-intervention after 9-12 sessions of occupational therapy interventions. Children were evaluated with the Developmental Test of Visual-Motor Integration, as well as the balance and fine motor precision sub tests of the Bruininks-Oseretsky Test of Motor Proficiency. Parents completed the Children's Participation Questionnaire and the Child Performance Skills Questionnaire. Each intervention session was documented by the therapists using the Documentation of Occupational Therapy Session Intervention form. RESULTS Significant improvement in children's sensory-motor abilities were found in balance, visual integration, and fine motor precision post-intervention. There were also improvements in the measures of diversity, children's independence, and parental satisfaction. CONCLUSIONS A short-term occupational therapy intervention applied to preschoolers with developmental disabilities is effective in improving their sensory-motor abilities, as well as in promoting their participation in daily activities.
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Affiliation(s)
- Bosmat Soref
- Department of Occupational Therapy, School of Health Professions, Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel;
- The Child Developmental Unit, Clalit Health Services, Tel Aviv 6816323, Israel;
| | - Gary L. Robinson
- The Child Developmental Unit, Clalit Health Services, Tel Aviv 6816323, Israel;
| | - Orit Bart
- Department of Occupational Therapy, School of Health Professions, Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel;
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17
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Hwang NK, Park JS, Shim SH. Occupational therapists views on addressing the sexuality of adult clients in rehabilitation settings: A qualitative focus group study. Medicine (Baltimore) 2023; 102:e34760. [PMID: 37565848 PMCID: PMC10419709 DOI: 10.1097/md.0000000000034760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 07/24/2023] [Indexed: 08/12/2023] Open
Abstract
Sexuality is a common concern among people with disabilities or chronic conditions, and failure to address sexuality can lead to poorer rehabilitation outcomes. To explore the factors affecting addressing the sexuality of adult clients in clinical practice as perceived by Korean Occupational Therapists (OTs) and the perspective on what needs to be established to address sexuality in occupational therapy practice. This descriptive qualitative study using focus group interviews was conducted with 15 OTs providing rehabilitation services for adult clients in the post-onset maintenance phase or for outpatients in Seoul, South Korea. Data collected through focus groups were analyzed using the constant comparative method. The main factors influencing addressing clients sexuality in clinical practice were identified: "absence of institutional system for addressing sexuality in rehabilitation setting" for environmental factors; "lack of professional competency" for therapist-related factors; and "repressed sexuality" for client-related factors. Moreover, recognizing that "sexual health is one of the goals of rehabilitation" and prioritizing it in rehabilitation settings are essential. OTs must be "experts with knowledge and skills" to access the client's sexuality, and "education and publicity" should be actively conducted to raise awareness of sexual health for clients. To deal with clients sexuality, institutional preparation should be prioritized under the recognition that sexual health is one of the goals of rehabilitation. In addition, it is necessary to prepare a relevant curriculum for OTs and create awareness so that clients can recognize improving sexual activity as a role of OTs.
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Affiliation(s)
- Na-Kyoung Hwang
- Department of Occupational Therapy, Seoul North Municipal Hospital, Seoul, Republic of Korea
| | - Ji-Su Park
- Research Institute for Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Sun-Hwa Shim
- Department of Occupational Therapy, College of Medical Science, Jeonju University, Jeonju, Republic of Korea
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18
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Jang WH, Jang JS, Bang JH. Time usage analysis and satisfaction comparison by occupational area according to the sex of single-parent families. World J Clin Cases 2023; 11:5097-5107. [PMID: 37583857 PMCID: PMC10424026 DOI: 10.12998/wjcc.v11.i21.5097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 03/23/2023] [Accepted: 07/03/2023] [Indexed: 07/26/2023] Open
Abstract
BACKGROUND Single-parent families are burdened with dual roles as parents amidst economic poverty due to the lack of a spouse. Single parents also face the complications of time poverty. AIM To examine the time use of single-parent families by dividing their time into occupational area and explore the differences in time deficiency and life satisfaction. METHODS In this study, the time usage in the '2019 time of life survey' data of the National Statistical Office is classified based on the fourth edition of the Occupational Therapy Practice Framework, and the time use and satisfaction of single-parent families classified according to sex. In the '2019 time of life survey' of the National Statistical Office, the subjects who selected single-parent families in the 'single parent-parent-grandchild households' item were first selected. The data of 404 parents from single-parent families were selected next. The time usage, time deficiency, and life satisfaction were analyzed by occupational area. RESULTS The subjects spent the most time resting and sleeping, followed by engaging in instrumental activities of daily living (IADLs), work, and health management. As a result of comparing the subjects by sex, it was found that the male subjects spent more time on work than the female subjects, and the female subjects spent more time on IADLs, education and social participation. As a result of comparing time deficiency and life satisfaction, the male subjects felt that they lacked time compared to the female subjects. There was no significant difference in life satisfaction. By examining whether single-parent families' time use by occupational area affected the time deficiency, it was found that male's working time make them feel they have less time, while female's leisure time makes them feel they have more time. CONCLUSION This study made it possible to determine the characteristics of single-parent households' time use and sex differences. Furthermore, it is expected to be used as basic data for measures to solve not only time poverty, but also economic poverty in single-parent families.
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Affiliation(s)
- Woo-Hyuk Jang
- Department of Occupational Therapy, College of Health Science, Kangwon National University, Samcheok-si 25949, Gangwon-do, South Korea
| | - Jong-Sik Jang
- Department of Occupational Therapy, College of Health Science, Kangwon National University, Samcheok-si 25949, Gangwon-do, South Korea
| | - Jin-Hyuk Bang
- Department of Occupational Therapy, College of Health Science, Kangwon National University, Samcheok-si 25949, Gangwon-do, South Korea
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19
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Hwang Y, Kwon JY, Cho J, Choi J. Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure. CHILDREN (BASEL, SWITZERLAND) 2023; 10:985. [PMID: 37371217 DOI: 10.3390/children10060985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 05/19/2023] [Accepted: 05/29/2023] [Indexed: 06/29/2023]
Abstract
The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure that facilitates the prioritization of individualized interventions. Given the rising emphasis on individualized intervention in pediatric intensive care units (PICUs), this cross-sectional study aimed to explore caregivers' perspectives on their children's functional goals within PICUs. From 1 September 2020 to 26 June 2022, caregivers of 41 children aged 1-18 years completed the COPM within 48 h of PICU admission. The study also explored the clinical variables predicting a high number of occupational performance goals (≥4/5). Out of 190 goals proposed by caregivers, 87 (45.8%) pertained to occupational performance, while 103 (54.2%) were related to personal factors. Among the occupational performance goals, the majority were associated with functional mobility (55; 28.9%), followed by personal care (29; 15.2%) and quiet recreation (3; 1.6%). Among personal goals, physiological factors (68; 35.8%) were most common, followed by physical factors (35; 18.4%). We found caregiver anxiety, measured by the State-Trait Anxiety Inventory-State, to be a significant predictor of the number of occupational performance goals. These findings underscore the importance of caregiver psychological assessment in the PICU to facilitate personalized goal setting and improve rehabilitation outcomes.
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Affiliation(s)
- Youngsub Hwang
- Department of Health Sciences and Technology, Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Seoul 06355, Republic of Korea
| | - Jeong-Yi Kwon
- Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul 06351, Republic of Korea
| | - Joongbum Cho
- Department of Critical Care Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul 06351, Republic of Korea
| | - Jaeyoung Choi
- Department of Critical Care Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul 06351, Republic of Korea
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20
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Babaei M, Rafiey H, Karbalaee-Nouri A, Rassafiani M, Haghgoo H, Biglarian A. Spirituality as a Neglected Core in Occupational Therapy Practice: An Iranian Exploratory Survey. JOURNAL OF RELIGION AND HEALTH 2023; 62:1207-1222. [PMID: 35305223 DOI: 10.1007/s10943-022-01541-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/20/2021] [Indexed: 06/14/2023]
Abstract
Spirituality has received more attention in recent decades from different health disciplines. Occupational Therapy (OT), as a health discipline, believes that all aspects of human experience, including physical, psychological, social, and spiritual, are considered essential aspects of health. OT supports the fact that incorporating spirituality can promote health, well-being, and quality of life. Various researchers have attempted to investigate and explain occupational therapists' views on spirituality. In Iran's OT curriculum, spirituality has not been incorporated directly. The purpose of this study is to acquire information about the knowledge and opinions of Iranian occupational therapists about spirituality. This is a cross-sectional exploratory descriptive survey study in which 125 occupational therapists participated through convenience sampling. Inclusion criteria were, namely (a) at least one-year clinical experience of OT, (b) being educated in Iran, and (c) working in Iran. The Occupational Therapy Assessment of Spirituality (OTAS) questionnaire was used for data collection. The answers to the quantitative questions were analyzed through descriptive statistics. Most of the participants believed that spirituality should be incorporated by occupational therapists, but more than half of the participants disagreed that formal education prepared them to pay any attention to spirituality in their practice. Analyzing qualitative data by frequencies of their repetitions, led to four categories and sixteen subcategories, accordingly. The four categories are (1) the barriers to applying spirituality in OT, (2) the need to acquire knowledge and apply spirituality in OT, (3) the benefits of incorporating spirituality for a client, and (4) the benefits of incorporating spirituality for the occupational therapist. The findings indicate that academic education has failed to prepare Iranian occupational therapists to meet spiritual needs of their clients. However, OTs tend to get information about spirituality from other sources and find it helpful for themselves and their clients. There are also barriers to applying spirituality; therefore, an educational package is needed to address these problems.
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Affiliation(s)
- Masoud Babaei
- Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hassan Rafiey
- Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
| | - Ashraf Karbalaee-Nouri
- Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehdi Rassafiani
- Occupational Therapy Department, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, Kuwait
- Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hojjatollah Haghgoo
- Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Akbar Biglarian
- Department of Biostatistics, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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21
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Valdes K, Lunsford D, Castelli J. Financial Acumen Improves After Financial Literacy Training in Individuals With Substance Use Disorder. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2023; 43:296-302. [PMID: 35754348 DOI: 10.1177/15394492221101846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Financial literacy is a skill that may be affected by decreased cognitive processes that arise from substance use disorder. The aim of this mixed-methods study was to determine change in financial acumen after participating in a financial literacy program. Study participants were recruited from a drug and alcohol treatment center in the Southeastern United States. A total of 31 males participated. A t-test was conducted to compare the scores on the financial tests. There was a significant difference between the financial literacy pretest (M = 74, SD = 13.58) and posttest (M = 84, SD = 10.50) scores; t(30) = -3.14, p = .003. Categories that emerged when participants were asked how the information would help manage their finances included: goal setting, saving, and understanding financial institutions. This study "provides preliminary evidence" that supports financial literacy program for this population and indicates that occupational therapy is a profession suited to do so.
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22
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Basic Activity of Daily Living Evaluation of Children with Autism Spectrum Disorder: Do-Eat Washy Adaption Preliminary Psychometric Characteristics. CHILDREN 2023; 10:children10030514. [PMID: 36980072 PMCID: PMC10047672 DOI: 10.3390/children10030514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 02/27/2023] [Accepted: 03/03/2023] [Indexed: 03/08/2023]
Abstract
This preliminary study aims to demonstrate the reliability and validity of the adapted Do-Eat Basic activities of daily living (BADL) assessment for children with autism spectrum disorder (ASD). Participants were 53 children ages 6–10 years: 17 diagnosed with high-severity ASD (HS-ASD) and 16 with low-severity ASD according to the DSM-5 and based on the CARS-2, and 20 controls with typical development. Measurement tools were the adapted Do-Eat Washy (Washy), Participation in Childhood Occupations Questionnaire (PICO-Q), and Pediatric Evaluation of Disability Inventory (PEDI). The Washy domains exhibited high internal consistency (α = 0.841–0.856). Significant differences were found between the HS-ASD and other groups in the Washy domains, exhibiting discriminant validity. The Washy convergent and concurrent validity indicated good results. A highly substantial negative correlation was shown between the Washy and three PICO-Q ADL difficulty-in-performance items (p < 0.001): bathing (−0.550), hygiene (−0.571), and handwashing (−0.733). The Washy performance scores and the PEDI total score demonstrated a strong correlation. (r = 0.799, p < 0.001). Primary results indicate that, following further research on larger representative samples, the Washy may be a reliable and valid tool for assessing BADL among children with ASD.
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23
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Paltrinieri S, Bressi B, Mazzini E, Fugazzaro S, Rondini E, Giorgi Rossi P, Costi S. Activities Carried Out during the First COVID-19 Lockdown by Italian Citizens. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3906. [PMID: 36900917 PMCID: PMC10001561 DOI: 10.3390/ijerph20053906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 02/09/2023] [Accepted: 02/20/2023] [Indexed: 06/18/2023]
Abstract
The SARS-CoV-2 pandemic has altered how citizens engage in activities. This study describes the new activities citizens engaged in during the first lockdown, factors that helped them cope with the confinement, the supports they used the most, and which supports they would have liked to receive. This cross-sectional study consists of an online survey made of 49 questions that was completed by the citizens of the province of Reggio Emilia (Italy) from 4 May until 15 June 2020. The outcomes of this study were explored by focusing on four of the survey questions. Of the 1826 citizens who responded, 84.2% had started new leisure activities. Males, participants who lived in the plain or foothills, and those who experienced nervousness engaged less in new activities, while those whose employment status changed, whose lifestyle worsened, or whose use of alcohol increased engaged in more activities. The support of family and friends, leisure activities, continuing to work, and an optimistic attitude were perceived to be of help. Grocery delivery and hotlines providing any type of information and mental health support were used frequently; a lack of health and social care services and of support in reconciling work with childcare was perceived. Findings may help institutions and policy makers to better support citizens in any future circumstances requiring prolonged confinement.
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Affiliation(s)
- Sara Paltrinieri
- Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy
- Public Health Sciences PhD Program, Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Barbara Bressi
- Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy
- PhD Program in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41124 Reggio Emilia, Italy
| | - Elisa Mazzini
- Scientific Directorate Hospital Network, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy
| | - Stefania Fugazzaro
- Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy
| | - Ermanno Rondini
- Lega Italiana Contro i Tumori-LILT Reggio Emilia, 42123 Reggio Emilia, Italy
- Regional Center for Education in Health Promotion-Luoghi di Prevenzione, 42122 Reggio Emilia, Italy
| | - Paolo Giorgi Rossi
- Epidemiology Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy
| | - Stefania Costi
- Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy
- Department of Surgery, Medicine, Dentistry and Morphological Sciences, Università di Modena e Reggio Emilia, 41124 Modena, Italy
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24
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Bonn MM, Dickey JP, Moran B, McGuire S, Graham L. Completing an interdisciplinary outpatient intervention improves patient rehabilitation goals following a mild traumatic brain injury. Physiother Theory Pract 2023; 39:310-316. [PMID: 35001810 DOI: 10.1080/09593985.2021.2022046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND Individualized and interdisciplinary rehabilitation programs are recommended following a mild traumatic brain injury (mTBI), but often have long waitlists. Accordingly, innovative evidence-based programs are needed. OBJECTIVES The first objective of this study was to determine the number and types of rehabilitation goals chosen by individuals completing an interdisciplinary outpatient rehabilitation intervention (BrainEx90) for persisting symptoms following an mTBI. The second objective was to investigate whether completing BrainEx90 or choosing specific types of goals influenced performance and satisfaction ratings of these goals. METHODS 217 individuals (44.4 ± 13.5 years old) with persisting symptoms following an mTBI completed BrainEx90, a 16-session interdisciplinary group outpatient rehabilitation intervention at Parkwood Institute between November 2013 and September 2019. Performance and satisfaction ratings of self-identified goals before and after BrainEx90 were assessed using the Canadian Occupational Performance Measure, and changes in ratings were analyzed using a linear mixed effects model. RESULTS 1008 goals were identified and categorized as: productivity (45%); leisure (37%); and self-care (18%). Satisfaction ratings were significantly higher for all goal types following BrainEx90. Satisfaction with self-care goals improved significantly more than leisure [t(151) = 3.24, p < .01] and productivity [t(144) = 2.97, p < .01] goals. Performance ratings were also significantly greater following BrainEx90 [2.4, 95% CI [2.27, 2.53], p < .01)]. CONCLUSION Performance and satisfaction of self-identified rehabilitation goals significantly improved following BrainEx90. Satisfaction with self-care goals demonstrated the greatest improvements, yet the most identified goal type was productivity.
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Affiliation(s)
- Marquise M Bonn
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, ON, Canada.,Lawson Health Research Institute, London, ON, Canada
| | - James P Dickey
- School of Kinesiology, Faculty of Health Sciences, Western University, London, ON, Canada
| | - Becky Moran
- Regional Acquired Brain Injury Outpatient Program, Parkwood Institute, London, ON, Canada
| | - Shannon McGuire
- Regional Acquired Brain Injury Outpatient Program, Parkwood Institute, London, ON, Canada
| | - Laura Graham
- Lawson Health Research Institute, London, ON, Canada.,School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada
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Galof K. Ageing in place - exploring the safety of the environment of Slovenian older adults. SAGE Open Med 2023; 11:20503121221150959. [PMID: 36741937 PMCID: PMC9893396 DOI: 10.1177/20503121221150959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 12/26/2022] [Indexed: 01/25/2023] Open
Abstract
Objective The importance of subjective and objective living environment was investigated. Methods A new questionnaire was developed, validated and distributed to community-dwelling adults in various Slovenian counties. Data were analysed using descriptive statistics and t-tests in SPSS Statistics 24. Older adults (N = 358), 33% men and 67% women, mean age 74.3 years, participated in the cross-sectional study. Results Statistically significant differences (at 5% significance level) in subjective opinions of older adults regarding views on appropriate design of the living environment between the group with and without risk factors exist only for the statement that a thermostat to regulate room temperature should be placed in a visible and accessible location (p = 0.014). Conclusion The living environment has some risk factors, but they are not statistically significant between groups. The results may prompt occupational therapists to develop innovative strategies to facilitate occupational participation of users, increase participation in preventive services and obtain policy support.
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Affiliation(s)
- Katarina Galof
- Department of Occupational Therapy, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
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26
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Gonzalez AV, Eikenberry J, Griess C, Jaegers L, Baum CM. Evaluation of an occupational therapy reentry program: Achieving goals to support employment and community living after incarceration. Work 2023:WOR220035. [PMID: 36641720 DOI: 10.3233/wor-220035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Individuals released from prisons to community supervision often experience unstable housing, unemployment, substance misuse, mental ill-health, and lack of support systems contributing to high rates of recidivism. Occupational therapy practitioners have distinct value in promoting engagement in new habits and routines to support "occupation," or development of daily living skills to support community reentry. OBJECTIVE We developed an occupational therapy (OT) program within a Department of Corrections (DOC) Community Supervision Center in the Midwest United States. The purpose of this study was to determine feasibility and efficacy of an OT program for community reentry. METHOD The program was piloted with a sample of five justice-involved men received OT interventions. Pre- and posttest assessments included a behavioral health interview, demographic survey, five Patient-Reported Outcomes Measurement Information System (PROMIS) assessments, the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT) and Activity Card Sort-Advancing Inclusive Assessment. Descriptive analyses were performed to determine goal attainment and compare pre- and post-test scores over time and to a reference population (PROMIS). Staff of the DOC were also interviewed to assess perceived feasibility and efficacy of this pilot. RESULTS Significant health changes were reported in participant self-efficacy, managing emotions, anxiety, and sleep disturbances (1 > SD). Moderate changes were seen in reduced feelings of social isolation (0.5 > 1SD). CONCLUSION It was feasible to implement an OT program with tailored reentry interventions based on unique needs of criminal justice involved individuals. Initial findings suggest OT offers health promotion benefits to reduce risk of recidivism and prepare individuals for community reentry following incarceration.
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Affiliation(s)
- Ariana V Gonzalez
- Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.,Ariana Gonzalez is Now Executive Director and Founder of LAITR, LLC Based in Metro-Detroit, MI, USA
| | - Jacob Eikenberry
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
| | - Cole Griess
- Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Lisa Jaegers
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA.,Department of Occupational Science and Occupational Therapy, Saint Louis University, St. Louis, MO, USA
| | - Carolyn M Baum
- Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
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27
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Suder R, DeBoth KK, Carrick A, Davis J, Farrar B. A Systematic Review of Occupational Therapy-Related Interventions for Pediatric Chronic Pain. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2023; 43:61-73. [PMID: 35872657 DOI: 10.1177/15394492221110544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Occupational therapists have distinct value providing pediatric chronic pain interventions (e.g., pain management, normalizing sensory responses, increasing participation); however, limited evidence exists. This review appraised empirical studies on occupational therapy pediatric chronic pain management. Three reviewers independently screened 2,401 titles, 250 abstracts, and 71 full-text sources for studies published in English, after 2008, and with sample sizes >10, participants <18 years, with chronic pain >3 months, and outcomes related to pain/function. Studies were assessed for risk of bias. The review included 23 studies on psychological, interprofessional, virtual/telehealth, or biomechanical management, demonstrating significant decreases in pain/disability. Most studies had high risk of bias for lack of randomization and control groups, and homogeneous sampling. The occupational therapists' role in chronic pain interventions is still unclear. Research including larger, heterogenous samples is warranted to examine occupational therapy's specific role providing pain interventions as part of a team.
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Affiliation(s)
- Ryan Suder
- Cleveland Clinic Children's Hospital, Cuyahoga Falls, OH, USA
| | | | | | - Julia Davis
- Cleveland State University, Cleveland, OH, USA
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Zawadzka D, Ratajczak-Szponik N, Ostrowska B. Interdisciplinary Cooperation in Technical, Medical, and Social Sciences: A Focus on Creating Accessibility. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16669. [PMID: 36554549 PMCID: PMC9779253 DOI: 10.3390/ijerph192416669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 11/30/2022] [Accepted: 12/07/2022] [Indexed: 06/17/2023]
Abstract
Accessibility and Universal Design (UD) is an area of professional interest for architects and occupational therapists, but college curricula rarely include both broader and collaborative education in this area. This article presents the experience of the inter-university, interdisciplinary project "Joint Architecture Initiative" (JAI), with the participation of students from the University of Science and Technology, University of Health and Sport Science, and Academy of Fine Arts in Wroclaw (Poland). The JAI project is a response of the university community of Wroclaw to the social-urban campaign "Life Without Barriers" and the needs of residents-the elderly and people with disabilities-for adaptation and modification of housing. The paper presents the theoretical background of the problem, the stages of implementation of the JAI project from the perspective of the model-human-environment-occupation-the tasks of project team members, and the justification for the need to create interdisciplinary teams from the area of technical and health sciences, with particular emphasis on occupational therapy practice (OTP).
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Affiliation(s)
- Dominika Zawadzka
- Zakład Terapii Zajęciowej, Wydział Fizjoterapii, Akademia Wychowania Fizycznego, 51-612 Wrocław, Poland
| | - Natalia Ratajczak-Szponik
- Innovation and Business Center, Wrocław University of Science and Technology, 50-370 Wrocław, Poland
| | - Bożena Ostrowska
- Zakład Terapii Zajęciowej, Wydział Fizjoterapii, Akademia Wychowania Fizycznego, 51-612 Wrocław, Poland
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Bouaziz G, Brulin D, Campo E. Technological Solutions for Social Isolation Monitoring of the Elderly: A Survey of Selected Projects from Academia and Industry. SENSORS (BASEL, SWITZERLAND) 2022; 22:8802. [PMID: 36433398 PMCID: PMC9697645 DOI: 10.3390/s22228802] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 11/07/2022] [Accepted: 11/08/2022] [Indexed: 06/16/2023]
Abstract
Social isolation is likely to be one of the most serious health outcomes for the elderly due to the COVID-19 pandemic, especially for seniors living alone at home. In fact, two approaches have been used to assess social isolation. The first is a self-reported survey designed for research purposes. The second approach is the use of monitoring technology. The objective of this paper is to provide some illustrative publications, works and examples of the current status and future prospects in the field of monitoring systems that focused on two main activities of daily living: meal-taking activity (shopping, cooking, eating and washing dishes) and mobility (inside the home and the act of going out). These two activities combined seem relevant to a potential risk of social isolation in the elderly. Although current research focuses on identifying only ADLs, we propose to use them as a first step to extract daily habits and risk level of social isolation. Moreover, since activity recognition is a recent field, we raise specific problems as well as needed contributions and we propose directions and research opportunities to accelerate advances in this field.
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Affiliation(s)
- Ghazi Bouaziz
- LAAS-CNRS, Université de Toulouse, CNRS, UPS, UT2J, 31400 Toulouse, France
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30
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Schmiesing A, Liang Y, Turner BJ. Association of nonpharmacologic chronic pain management with function in a low-income population: Evidence from a survey of a sample of Latinos from five states. PM R 2022; 14:1343-1350. [PMID: 34464031 DOI: 10.1002/pmrj.12701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Revised: 08/06/2021] [Accepted: 08/16/2021] [Indexed: 12/31/2022]
Abstract
BACKGROUND Low-income minority populations often confront barriers to professional nonpharmacologic management of chronic pain and, without this care, may have poorer daily function. OBJECTIVE To examine the association of professional nonpharmacologic chronic pain management in the past year categorized as physical interventions or mind-body interventions with current functional status. DESIGN Online, population-based survey. SETTING Community-dwelling Latinos from five southwestern states (California, Texas, Arizona, Nevada, and New Mexico). PARTICIPANTS The survey was offered to all Latino online panel members aged 35 to 75 years in 5 states (N = 1007). With weights, this sample represented 11,016,135 persons. Of 516 respondents (51%), 486 (94%) had valid surveys and, of these, 102 members (21%) had chronic noncancer pain. With weights, they represented 1,140,170 persons with chronic pain. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Daily impairment in mobility and in activities of daily living (ADLs). RESULTS Of the weighted sample, 37.2% reported daily impairment in mobility and 29.4% in ADLs. Professional physical interventions for chronic pain were received by 41.2% and mind-body interventions received by 33.4% but usually with physical interventions. Adjusted odds ratios (AOR) of daily mobility impairment for respondents who used physical interventions with mind-body interventions or alone were both less than 0.10 (p < .01) versus none. Only professional physical intervention was associated with decreased odds for daily impairment in ADLs (AOR = 0.07; 95% confidence interval = 0.01 to 0.94; p = .045). CONCLUSIONS In a weighted sample of Latinos with chronic pain, professional physical interventions reduced the likelihood of daily impairment in mobility and ADLs.
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Affiliation(s)
- Allie Schmiesing
- Department of Rehabilitation, Stanford Healthcare, Stanford, California, USA
| | - Yuanyuan Liang
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Barbara J Turner
- Department of Medicine, Keck Medical Center of University of Southern California, Los Angeles, California, USA
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Feldhacker DR, Jewell VD, Jung LeSage S, Collins H, Lohman H, Russell M. Telehealth Interventions Within the Scope of Occupational Therapy Practice: A Systematic Review. Am J Occup Ther 2022; 76:23960. [DOI: 10.5014/ajot.2022.049417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Abstract
Importance: With the increasing use of telehealth, it is imperative to synthesize the existing evidence to examine the effectiveness of telehealth interventions and inform practitioners and reimbursement entities.
Objective: To examine the effectiveness of telehealth occupational therapy interventions across the lifespan, delivered either independently or as part of an interdisciplinary team.
Data Sources: MEDLINE, CINAHL, SAGE, PsycInfo, Cochrane Database of Systematic Reviews, OTseeker, and OT Search and hand searches of systematic reviews, relevant journals, and known occupational therapy telehealth research.
Study Selection and Data Collection: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we screened and appraised articles that included an occupational therapy intervention delivered via telehealth and that were peer reviewed, written in English, published between 2009 and 2019, and Levels 1b to 3b evidence.
Findings: Twenty full-text articles (8 Level 1b, 9 Level 2b, and 3 Level 3b) met the inclusion criteria. Strong strength of evidence supports the use of telehealth approaches for occupational therapy interventions for people with neurological and pain conditions. Moderate strength of evidence supports the use of telehealth interventions to support education outcomes. Low strength of evidence was found for other outcomes for children with developmental disorders and additional conditions.
Conclusions and Relevance: There is evidence to support that occupational therapy interventions delivered via telehealth are similarly effective as those delivered face-to-face, especially for neurological and pain conditions.
What This Article Adds: The findings include an updated synthesis of telehealth occupational therapy interventions provided separately and with interdisciplinary health care teams. They expand occupational therapy’s scope of practice to include interventions provided across the lifespan for rehabilitation and habilitation needs and include effectiveness by conditions.
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Affiliation(s)
- Diana R. Feldhacker
- Diana R. Feldhacker, PhD, OTD, OTR/L, BCPR, is Program Director, Department Chair, and Assistant Professor, Department of Occupational Therapy, Des Moines University, Des Moines, IA;
| | - Vanessa D. Jewell
- Vanessa D. Jewell, PhD, OTR/L, is Research Associate Professor, Division of Occupational Science and Occupational Therapy, University of North Carolina at Chapel Hill
| | - Sadie Jung LeSage
- Sadie Jung LeSage, OTD, OTR/L, is Occupational Therapist, Monkey Mouths LLC, Hurst, TX
| | - Haley Collins
- Haley Collins, OTD, OTR/L, is Occupational Therapist, Milestone Pediatric Therapy Services, Denver, CO
| | - Helene Lohman
- Helene Lohman, OTD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, Creighton University, Omaha, NE
| | - Marion Russell
- Marion Russell, OTD, MOTR/L, SCFES, is Assistant Professor, Department of Occupational Therapy, Creighton University, Omaha, NE
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Figueroa-Padilla I, Rivera Fernández DE, Cházaro Rocha EF, Eugenio Gutiérrez AL, Jáuregui-Renaud K. Body Weight May Have a Role on Neuropathy and Mobility after Moderate to Severe COVID-19: An Exploratory Study. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:1401. [PMID: 36295562 PMCID: PMC9610119 DOI: 10.3390/medicina58101401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 09/21/2022] [Accepted: 10/03/2022] [Indexed: 12/01/2022]
Abstract
Background and Objectives: Among the extra-pulmonary manifestations of COVID-19, neuromuscular signs and symptoms are frequent. We aimed to assess the correlation between neuromuscular abnormalities (electrophysiological) and mobility measures (Berg Balance Scale and Timed-Up-and-Go test) twice, at least 6 weeks after hospital discharge and 6 months later, taking into account cognitive performance, nutrition, muscle strength, and submaximal exercise capacity. Materials and Methods: 43 patients (51.4 ± 9.3 years old) accepted to participate in the study; they had a dyspnea score ≤ 3 (Borg scale), and no history of neurology/neuromuscular/orthopedic disorders, but high frequency of overweight/obesity and weight loss during hospital stay. The two evaluations included physical examination, cognitive assessment, nutritional evaluation, muscle strength (hand-grip and quadriceps dynamometry), electromyography, Barthel Index, Six-Minute- Walk-Test (6MWT), Berg Balance Scale and Timed-Up-and-Go test. Bivariate and repeated measures covariance analyses were performed (significance level of 0.05). Results: Electrophysiological abnormalities were evident in 67% of the patients, which were associated with diminished performance on the 6MWT, the Berg Balance Scale and the Timed-Up-and-Go test. At each evaluation and between evaluations, scores on the Berg Balance Scale were related to the body mass index (BMI) at hospital admission and the 6MWT (MANCoVA R ≥ 0.62, p = 0.0001), while the time to perform the Timed-Up-and-Go test was related to the electrophysiological abnormalities, weight loss during hospital stay, sex, handgrip strength, and the 6MWT (MANCoVA, R ≥ 0.62, p < 0.0001). We concluded that, after hospital discharge, patients with moderate to severe COVID-19 may have neuromuscular abnormalities that can be related to BMI/weight loss, and contribute to mobility decrease. In patients with moderate to severe COVID-19 and high BMI/ large weight loss, neuromuscular and intended mobility assessments could be required to provide early rehabilitation. Apart from the 6MWT, handgrip dynamometry and the Timed-Up-and-Go test were useful tools to quickly assess fitness and mobility.
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Affiliation(s)
- Ignacio Figueroa-Padilla
- Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico
- Hospital General Regional 72, Instituto Mexicano del Seguro Social, Tlalnepantla de Baz 54030, Mexico
| | - Dalia E. Rivera Fernández
- Hospital General Regional 72, Instituto Mexicano del Seguro Social, Tlalnepantla de Baz 54030, Mexico
| | - Erick F. Cházaro Rocha
- Hospital General Regional 72, Instituto Mexicano del Seguro Social, Tlalnepantla de Baz 54030, Mexico
| | - Alma L. Eugenio Gutiérrez
- Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico
| | - Kathrine Jáuregui-Renaud
- Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico
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Prieto-Botella D, Sánchez-Pérez A, Sánchez-Moreno S, Hurtado-Pomares M, Peral-Gómez P, Espinosa-Sempere C, Juárez-Leal I, Fernández-Pires P, Valera-Gran D, Navarrete-Muñoz EM. Identification and Use of Assessment Tools in Spanish Occupational Therapists: An Exploratory Study. Healthcare (Basel) 2022; 10:1902. [PMID: 36292349 PMCID: PMC9601930 DOI: 10.3390/healthcare10101902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 09/26/2022] [Accepted: 09/27/2022] [Indexed: 11/16/2022] Open
Abstract
The use of standardized assessment tools is essential for the occupational therapy intervention process to ensure clinical practice is appropriate and of high quality. This study aimed to explore which assessment tools Spanish occupational therapists use in their clinical practice. An ad hoc online questionnaire of 19 open and closed questions was used to collect information on assessment tools, socio-demographics, and academic background. The assessment tools were classified according to the main domains of occupational therapy using the last edition of the American Occupational Therapy Association framework. The survey was completed by 73 Spanish occupational therapists, of whom 86.3% were women; the median age was 31 years, and more than 60% treated people suffering from neurological and neurodegenerative disorders or worked in geriatric medicine. Of 147 assessment tools identified, those designed to assess activities of daily living, body functions, process skills, and motor skills were the instruments most frequently used. Specifically, the Barthel Index, Lawton Instrumental ADL Scale, Functional Independence Measure, Sensory Profile 2, and Mini-Examen Cognoscitivo were the tools most employed by Spanish occupational therapists. However, more than one third of the participants used assessment tools without knowing whether they were validated in the Spanish context and/or a specific target population. To our knowledge, this is the first time a study has examined the use and type of assessment tools in Spanish occupational therapists. Our results may constitute a positive step forward for developing strategies for enhancing evidence-based assessment in occupational therapy practice.
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Affiliation(s)
- Daniel Prieto-Botella
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
| | - Alicia Sánchez-Pérez
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain
| | - Sergio Sánchez-Moreno
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
| | - Miriam Hurtado-Pomares
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
| | - Paula Peral-Gómez
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
| | - Cristina Espinosa-Sempere
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
| | - Iris Juárez-Leal
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
| | - Paula Fernández-Pires
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
| | - Desirée Valera-Gran
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
| | - Eva-María Navarrete-Muñoz
- Department of Surgery and Pathology, Miguel Hernández University, 03550 Alicante, Spain
- Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain
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Buck K, Cochran A, Young H, Gordon MJ, Yuen HK, Tucker SC. The Facilitators and Barriers Faced When Transitioning Back into the Community Following a Prison Sentence. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2022; 66:1156-1174. [PMID: 33926289 DOI: 10.1177/0306624x211013518] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
This qualitative study explored ex-offender's community reintegration experiences following a prison sentence. Fourteen ex-offenders from the Offender Alumni Association participated in an in-person in-depth individual interview regarding their current roles, daily routines, living situation, activity participation, and current and future plans. A phenomenological approach using thematic analysis was employed for data collection and interpretation. The emerged themes were categorized under facilitators and barriers that influence healthy community reintegration. The facilitators included visualizing and committing to an ideal future, establishing a daily routine, upholding life balance, and discovering and connecting to external supports. The barriers included impediments to employment opportunities, lack of financial resources, social stigma, regulations imposed by the judicial system, disconnection from social advancements, and addiction to drugs and alcohol. The themes identified from the interviews suggest that current reintegration strategies and programs need to be improved in order to benefit ex-offenders seeking these services.
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Affiliation(s)
| | | | | | | | - Hon K Yuen
- University of Alabama at Birmingham, USA
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Abu Mostafa M, Plastow NA, Savin-Baden M, Ayele B. The Impact of an Evidence-Informed Spinal Cord Injury Activities of Daily Living Education Manual (SADL-eM): Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2022; 11:e30611. [PMID: 35867399 PMCID: PMC9356331 DOI: 10.2196/30611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 01/08/2022] [Accepted: 04/21/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Spinal cord injury (SCI) is a catastrophic injury associated with functional loss and life-threatening complications. Many people with SCI in the Gaza Strip of Palestine are discharged from inpatient rehabilitation to the community while still lacking many daily life skills. This randomized controlled trial (RCT) seeks to test the impact of the Spinal Cord Injury Activities of Daily Living Education Manual (SADL-eM)-an evidence-based occupational therapy patient educational intervention-on rehabilitation outcomes. OBJECTIVE The proposed trial aims to evaluate the SADL-eM intervention compared with standard treatment among people with SCI. METHODS This is a parallel RCT with two study arms: intervention and control. A total of 90 patients treated in inpatient rehabilitation settings will be randomly allocated to two study groups. Both groups will receive standard care. The intervention group will also use the SADL-eM with their treating occupational therapist during rehabilitation. The SADL-eM is a comprehensive activities of daily living (ADL) educational tool that was codeveloped with people with SCI and stakeholders across Gaza. The self-report version of the Spinal Cord Independence Measure will be used on admission (ie, baseline measure) and after 6 weeks as the primary outcome measure. Secondary outcomes include the third version of the Spinal Cord Independence Measure, the Private Religiousness Practices Scale, the Organizational Religiousness Short-Form, additional ADL domains covered by the education manual, and adherence to the intervention. The effect of the intervention will be determined using repeated-measures analysis of variance. RESULTS This study will be conducted from April 2021 through December 2022, with results expected to be available in January 2023. CONCLUSIONS If the SADL-eM is demonstrated as clinically effective, this will have significant implications for occupational therapy interventions in low- and middle-income countries. TRIAL REGISTRATION ClinicalTrials.gov NCT04735887; https://clinicaltrials.gov/ct2/show/NCT04735887.
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Affiliation(s)
- Moussa Abu Mostafa
- Division of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
- Occupational Therapy Department, Hamad Rehabilitation Hospital, Khanyouniss, Occupied Palestinian Territory
| | - Nicola Ann Plastow
- Division of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Maggi Savin-Baden
- School of Education, University of Worcester, London, United Kingdom
| | - Birhanu Ayele
- Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
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Goldman S, Delore E, Flesh S, Langer D, Mazor-Karsenty T. Digital Exclusion and COVID-19: Does Communication Technology Correlate with Wellbeing? PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2022. [DOI: 10.1080/02703181.2022.2095073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Sharone Goldman
- School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel
| | - Elaina Delore
- School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel
| | - Sara Flesh
- School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel
| | - Danit Langer
- School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel
| | - Tal Mazor-Karsenty
- School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel
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Fernández-Pires P, Prieto-Botella D, Valera-Gran D, Hurtado-Pomares M, Espinosa-Sempere C, Sánchez-Pérez A, Juárez-Leal I, Peral-Gómez P, Moreno-Campos L, Navarrete-Muñoz EM. Reporting Quality in Abstracts of Randomized Controlled Trials Published in High-Impact Occupational Therapy Journals. Am J Occup Ther 2022; 76:23319. [PMID: 35772069 DOI: 10.5014/ajot.2022.042333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Adequate reporting in the abstracts of randomized controlled trials (RCTs) is essential to enable occupational therapy practitioners to critically appraise the validity of findings. OBJECTIVE To evaluate the reporting quality and characteristics of RCT abstracts published between 2008 and 2018 in the occupational therapy journals with the five highest impact factors in 2018. DESIGN A descriptive cross-sectional study. DATA SOURCES The American Journal of Occupational Therapy (AJOT), Australian Occupational Therapy Journal (AOTJ), Canadian Journal of Occupational Therapy (CJOT), Scandinavian Journal of Occupational Therapy (SJOT), and Physical and Occupational Therapy in Pediatrics (POTP) were identified using a Web of Science search. STUDY SELECTION AND DATA COLLECTION We searched Scopus for abstracts in the five included journals. We used a 17-point scale based on the CONSORT for Abstracts (CONSORT-A) checklist to assess reporting quality. We also identified characteristics of the abstracts. FINDINGS Seventy-eight RCT abstracts were assessed and showed moderate to low adherence to the CONSORT-A checklist (Mdn = 8, interquartile range = 7-9). Abstracts of articles with authors from a higher number of institutions, European first authors, and >200 words had higher CONSORT-A scores. The most underreported CONSORT-A items were trial design, blinding, numbers analyzed, outcome (results), harms, trial registration, and funding. CONCLUSIONS AND RELEVANCE Between 2008 and 2018, the reporting quality in RCT abstracts from the five highest impact occupational therapy journals was moderate to low. Inadequate reporting in RCT abstracts raises the risk that occupational therapy practitioners will make ineffective clinical decisions based on misinterpretation of findings. What This Article Adds: Reporting quality in RCT abstracts in occupational therapy journals is moderate to low. Journal editors should require authors of RCTs to use the CONSORT-A checklist to promote optimal reporting and transparency in abstracts.
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Affiliation(s)
- Paula Fernández-Pires
- Paula Fernández-Pires, MPH, is Occupational Therapist, Predoctoral Fellow, and Graduate Teaching Assistant, Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Daniel Prieto-Botella
- Daniel Prieto-Botella, MPH, is Occupational Therapist, Predoctoral Fellow, and Research Assistant, Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Desirée Valera-Gran
- Desirée Valera-Gran, MPH, PhD, is Assistant Professor, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain;
| | - Miriam Hurtado-Pomares
- Miriam Hurtado-Pomares, PhD, is Occupational Therapist and Associate Professor, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Cristina Espinosa-Sempere
- Cristina Espinosa-Sempere, PhD, is Occupational Therapist, Predoctoral Fellow, and Graduate Teaching Assistant, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Alicia Sánchez-Pérez
- Alicia Sánchez-Pérez, PhD, is Occupational Therapist and Associate Professor, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Iris Juárez-Leal
- Iris Juárez-Leal, OT, is Occupational Therapist, Predoctoral Fellow, and Graduate Teaching Assistant, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Paula Peral-Gómez
- Paula Peral-Gómez, PhD, is Occupational Therapist and Assistant Professor, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Leticia Moreno-Campos
- Leticia Moreno-Campos, OT, is Occupational Therapist, Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
| | - Eva-María Navarrete-Muñoz
- Eva-María Navarrete-Muñoz, MPH, PhD, is Assistant Professor, Occupational Therapy Research Group (InTeO), Department of Surgery and Pathology, Miguel Hernández University, Alicante, Spain
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38
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The Cognitive Scale of Basic and Instrumental Activities of Daily Living for Multidomain Mild Cognitive Impairment and Dementia Patients: Validation of its Extended Version. J Int Neuropsychol Soc 2022; 28:628-641. [PMID: 34125012 DOI: 10.1017/s1355617721000758] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To validate an informant-based tool - the extended version of the Cognitive Scale of Basic and Instrumental Activities of Daily Living (BADL and IADL) or Ext. Cog-ADL Scale - in a larger sample and with a broader range of cognitive-functional items related to activities of daily living (ADL). METHOD The Ext. Cog-ADL Scale was administered to family informants of 42 patients with dementia, 43 patients with multidomain mild cognitive impairment (mdMCI), and 23 healthy control participants. We analyzed the convergent and concurrent validity and external validity of this scale. RESULTS The Ext. Cog-ADL Scale demonstrated good psychometric properties. Episodic and working memory tests were the main predictors of most cognitive-functional items of the scale. While patients with dementia obtained lower scores in most error categories of the scale, affecting both BADL and IADL, mdMCI patients showed a more specific pattern of difficulties. Apart from the typical alterations in IADL, mdMCI patients also showed difficulties in several error categories related to BADL (i.e., error detection, problem solving, task self-initiation, distraction inhibition, and restore). CONCLUSIONS The Ext. Cog-ADL Scale seems to be an adequate tool to capture the specific pattern of cognitive alterations related to IADL and BADL that differentiates dementia from mdMCI and healthy aging; it shows that mdMCI can involve specific cognitive difficulties that affect even BADL.
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Ford E, Di Tommaso A, Gustafsson L, Molineux M. Describing the occupational nature of practice: A scoping review. Scand J Occup Ther 2022; 29:353-362. [PMID: 34455894 DOI: 10.1080/11038128.2021.1968949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 07/15/2021] [Accepted: 08/11/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Describing how occupation is used in practice can be challenging for occupational therapists. Occupation-centred, occupation-based, and occupation-focussed terminology are frequently used interchangeably and ambiguously to describe practice. However, ambiguous language creates confusion and inadequately demonstrates the value of occupation. AIMS/OBJECTIVES This scoping review aimed to identify how occupation-centred, occupation-based, and occupation-focussed terminology are defined and represented in occupational therapy literature. MATERIALS AND METHODS A five-step scoping review included papers published between 2014 and 2019 from four databases. Extracted data were summarised to outline how the terms were being used within the literature. RESULTS Initial searching yielded 819 articles and 35 papers met inclusion/exclusion criteria. Within current literature, occupation-focussed and occupation-based terminology were inconsistently described. A limited number of articles used occupation-centred and occupation-focussed terminology to describe practice, whilst occupation-based was more prominent. Occupation-based terminology was represented in numerous ways to describe assessments, practice tools, interventions, research, and theory. Discrepancies between the description and implementation of occupation-based practice were most prominent within interventions. CONCLUSION AND SIGNIFICANCE Findings demonstrated that occupation-based and occupation-focussed terminology were used interchangeably and inconsistently in literature. It is timely to consider how this is problematic for our professional identity and perceptions of occupation in practice.
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Affiliation(s)
- Ellie Ford
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
- Youthrive Integrated Therapy Services, Queensland, Australia
| | - Amelia Di Tommaso
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
| | - Louise Gustafsson
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
| | - Matthew Molineux
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
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40
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Seoane-Bouzas M, De-Rosende-Celeiro I, Meijide-Failde R. A pilot randomized controlled trial of aquatic-based activities in a group occupational therapy program for adults living with serious mental illness in Spain. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e1364-e1374. [PMID: 34402133 DOI: 10.1111/hsc.13544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 06/17/2021] [Accepted: 08/04/2021] [Indexed: 06/13/2023]
Abstract
Although aquatic-based interventions are increasingly used in the psychiatric rehabilitation services, the effects of this type of community program as an adjuvant therapy for psychosocial problems of people with serious mental illness (SMI) have been under-explored. This research evaluated the feasibility and outcomes of an occupational therapy program consisting of aquatic-based activities (AA-OT program) in the community in Spain. This study is the first randomized controlled trial (RCT) on this topic. This pilot trial was conducted with a sample of 16 adults with SMI who were randomly allocated to the AA-OT program plus treatment as usual or treatment as usual alone (eight in each group). The AA-OT program included activation of daily living skills, warm-up, group activities/tasks, and relaxation. It consisted of two sessions per week over 12 weeks. Outcomes were evaluated at week 0 and 12. A total of 14 participants (87.5%) completed the trial. No adverse events or side-effects were noted. Comparisons between the two groups on change scores showed that participants in the intervention group showed significant improvements in several outcome measures: psychosocial problems (HoNOS), two health-related quality of life scales (SF-36: Physical Functioning and Mental Health), and performance of social activities (Activity and Social Relations scale). Satisfaction with the program was high. In conclusion, the results support the feasibility and potential benefits of this occupational therapy program. 12 weeks of aquatic-based activities in a group intervention may enhance the outcomes of psychiatric rehabilitation improving the severity of psychosocial problems, patient-reported health status, and social relations. This community-based program may be beneficial as a non-pharmacologic method in the illness management and recovery of people with SMI. The findings from this pilot trial need to be confirmed in a large, fully-powered RCT.
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Affiliation(s)
- Mercedes Seoane-Bouzas
- Son Espases University Hospital, Health Service of the Balearic Islands, Palma de Mallorca, Spain
| | | | - Rosa Meijide-Failde
- Department of Physiotherapy, Medicine and Biomedical Sciences, University of A Coruña, A Coruña, Spain
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41
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Raj SE, Mackintosh S, Kernot J, Fryer C, Stanley M. Development and feasibility testing of an
evidence‐based
occupational therapy program for adults with both Down syndrome and dementia. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022. [DOI: 10.1111/jppi.12435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Sujatha E. Raj
- Allied Health and Human Performance University of South Australia Adelaide South Australia Australia
| | - Shylie Mackintosh
- Allied Health and Human Performance University of South Australia Adelaide South Australia Australia
| | - Jocelyn Kernot
- Allied Health and Human Performance University of South Australia Adelaide South Australia Australia
| | - Caroline Fryer
- Allied Health and Human Performance University of South Australia Adelaide South Australia Australia
| | - Mandy Stanley
- School of Medical and Health Sciences Edith Cowan University Joondalup Western Australia Australia
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42
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Auger LP, Masse J, Higgins J. Sexuality in Occupational Therapy: A Call to Action. Br J Occup Ther 2022. [DOI: 10.1177/03080226221107769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Louis-Pierre Auger
- Occupational Therapy Department, School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
| | - Julie Masse
- Occupational Therapy Department, School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
| | - Johanne Higgins
- Occupational Therapy Department, School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
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43
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Sawamura D, Ito A, Miyaguchi H, Nakamura H, Ishioka T. Different Impacts of COVID-19 on Quality of Therapy, Psychological Condition, and Work Life Among Occupational Therapists in Physical and Mental Health Fields. Front Public Health 2022; 10:887069. [PMID: 35719669 PMCID: PMC9204004 DOI: 10.3389/fpubh.2022.887069] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 05/04/2022] [Indexed: 11/28/2022] Open
Abstract
Background The negative impacts of the coronavirus disease 2019 (COVID-19) pandemic have worsened the quality of therapy, psychological condition, and work life of second-line healthcare workers and occupational therapists (OTs). However, no study has investigated whether the impact of COVID-19 varies among OTs working in different fields. This study aimed to investigate the differences on the impact of COVID-19 between OTs in the physical and mental health fields. Methods A cross-sectional online survey was conducted in Japan between January 20 and January 25, 2021. A total of 4,418 registered OTs who were members of the Japanese Association of Occupational Therapists volunteered for this study. After screening using the exclusion criteria, 1,383 participants were classified into two groups based on their field (mental health and physical health), and their quality of therapy, psychological condition, and work life were analyzed. Results OTs in the mental health field showed a greater decrease in therapy quality and increase in workload and a lower rate of decrease in working hours than those in the physical health field. In the multinomial logistic regression analysis, decreased and increased therapy quality and decreased therapy quality were significantly associated with depression in the physical health field, and decreased therapy quality was associated with insomnia in the mental health field. Furthermore, insomnia and anxiety were commonly associated with increased workload and working hours, respectively, in both fields, whereas anxiety and depression were associated with increased workload only in the physical health field. Conclusions These results demonstrate that COVID-19 differently impacted quality of treatment, workload, work time, and psychological condition in the physical and mental health fields; moreover, the relationships among these are different in these two fields. These results highlight the importance of investigating the field-specific negative impacts of COVID-19 on OTs and may provide helpful information for devising tailored and effective prevention and intervention strategies to address these challenges.
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Affiliation(s)
- Daisuke Sawamura
- Faculty of Health Sciences, Hokkaido University, Sapporo, Japan
- *Correspondence: Daisuke Sawamura
| | - Ayahito Ito
- Research Institute for Future Design, Kochi University of Technology, Kochi, Japan
- Ayahito Ito
| | - Hideki Miyaguchi
- Department of Human Behavior Science of Occupational Therapy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Haruki Nakamura
- Japanese Association of Occupational Therapists, Tokyo, Japan
| | - Toshiyuki Ishioka
- Department of Occupational Therapy, Saitama Prefectural University, Koshigaya, Japan
- Toshiyuki Ishioka
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Pituch E, Bindiu AM, Grondin M, Bottari C. Parenting with a physical disability and cognitive impairments: a scoping review of the needs expressed by parents. Disabil Rehabil 2022; 44:3285-3300. [PMID: 33295215 DOI: 10.1080/09638288.2020.1851786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 11/10/2020] [Accepted: 11/12/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE Parents, whose daily activities are limited by a disability, account for 6.2% of the American population with minor children. Considering the prevailing knowledge gaps concerning parents with a physical disability and cognitive impairments, there is an urgency to instigate an investigation of their unmet needs. In this study, we will examine the scope of literature relating to the specific needs of parents with a physical disability and cognitive impairments in early child rearing occupations. METHODS A scoping review of peer-reviewed literature was conducted by two independent raters in four databases (CINAHL, EMBASE, Medline, PsycINFO). Data were extracted and analyzed numerically and thematically using the International Classification of Functioning, Disability and Health (ICF). RESULTS Twenty-nine studies were included for review representing the needs of 113 parents. Emerging needs related to 15 ICF categories and three corresponding themes: parents' (1) needs when engaging with their young children, (2) personal needs in and outside the home, and (3) needs navigating the health system. CONCLUSIONS The unmet needs of parents with a physical disability and cognitive impairments legitimize the development of clinical services for this population. Future research should focus on developing assessments and interventions specific to parental needs in child rearing occupations.IMPLICATIONS FOR REHABILITATIONAdults with a physical disability and cognitive impairments who parent young children have unmet needs with regards to engaging in child rearing, meeting their personal needs, and navigating the health system.Studies reporting on the impact of impairments on parenting mostly focus on elucidating physical impairments and less so cognitive impairments.Developing a more comprehensive understanding of parental needs will inform further development of targeted assessments and interventions for parents with a physical disability and cognitive impairments.
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Affiliation(s)
- Evelina Pituch
- School of Rehabilitation, Faculty of Medecine, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Canada
| | - Anna Maria Bindiu
- School of Rehabilitation, Faculty of Medecine, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Canada
| | - Myrian Grondin
- Bibliothèque Marguerite-d'Youville, Université de Montréal, Montreal, Canada
| | - Carolina Bottari
- School of Rehabilitation, Faculty of Medecine, Université de Montréal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Canada
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45
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Park DS, Park HY. Development of Leisure Valuation Assessment Tool for the Elderly. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116678. [PMID: 35682261 PMCID: PMC9180673 DOI: 10.3390/ijerph19116678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/27/2022] [Accepted: 05/27/2022] [Indexed: 11/16/2022]
Abstract
This study aimed to develop a leisure valuation assessment tool to revitalize leisure activities for the elderly living in the community. The research method, literature review, and Delphi survey were conducted for the expert panel. Then, the leisure value and participatory leisure activity items were derived to form the assessment items. The two Delphi surveys revealed 38 leisure value assessment items and 41 participating leisure activity items. We attempted to verify the model suitability and validity of the leisure value assessment items through confirmatory factor analysis. The verification showed a good fit. Based on the intensive validity test result, AVE (average variance extracted) values were 66 for physical leisure activities, 65 for emotional leisure activities, and 65 for social leisure activities. The conceptual reliability was 0.96 for physical leisure activities, 0.95 for emotional leisure activities, and 0.96 for social leisure activities. Regarding the internal consistency for reliability verification, Cronbach’s alpha values for physical leisure, emotional leisure, and social leisure activities were 0.909, 0.925, and 0.955, respectively. Hence, the items were highly interrelated and homogeneous tests that measured the same characteristics. The assessment tool can be used to identify useful information on the leisure activities of the elderly and to activate leisure activities for the elderly.
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Affiliation(s)
- Da Sol Park
- Department of Occupational Therapy, Jeonju Kijeon College, Jeonju 54989, Korea;
| | - Hae Yean Park
- Department of Occupational Therapy, College of Software Digital Healthcare Convergence, Yonsei University, Wonju 26493, Korea
- Correspondence:
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Preoperative occupational therapy in children with neurogenic bladder: improving independence with bladder management and self-catheterization. CURRENT BLADDER DYSFUNCTION REPORTS 2022. [DOI: 10.1007/s11884-021-00643-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Madi HI, Ismael NT, Hamaideh SH, Jaber AF. Occupational performance and satisfaction of individuals with mental disorders in Jordan: A cross-sectional study. Br J Occup Ther 2022. [DOI: 10.1177/03080226221089853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction: Individuals with mental disorders face challenges while performing occupations. Existing evidence is limited to Western countries and certain daily life occupations that do not explore all factors related to occupational performance. This study aimed to explore occupational performance and satisfaction in individuals with mental disorders, explore the challenging occupations, investigate the relationship between demographic characteristics to occupational performance and satisfaction, and investigate the factors affecting the occupational performance of individuals with mental disorders. Methods: This was a descriptive correlational cross-sectional study that used the convenience sampling method. It included 95 individuals with mental disorders that had a mean age of (34.46 ± 12.22) years, and were from different mental health care facilities. Additionally, this study used the Canadian Occupational Performance Measure instrument. Results: Individuals with mental disorders had a low mean occupational performance and satisfaction scores (5.8 ± 1.7), (5.2 ± 2.0), respectively. Instrumental Activities of Daily Living were the most reported challenging occupations. There was a relationship between work status and both occupational performance and satisfaction (r = 0.243, p = 0.018), (r = 0.239, p = 0.020), respectively. Also, there was a relationship between the diagnosis and occupational performance (r =0.219, p = 0.033), and work status predicted occupational performance (α ≤ 0.05). Work status is a predictor of occupational performance in individuals with mental disorders.
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Affiliation(s)
- Hanan I Madi
- Lab Instructor and Clinical Supervisor, Physical and Occupational Therapy Department, Faculty of Applied Medical Sciences, The Hashemite University, Zarqa’a, Jordan
| | - Noor T Ismael
- Rehabilitation Sciences Department, Faculty of Applied Medical Sciences, The Jordan University of Science and Technology, Irbid, Jordan
| | - Shaher H Hamaideh
- Community and Mental Health Nursing Department, Faculty of Nursing, The Hashemite University, Zarqa’a, Jordan
| | - Ala’a F Jaber
- Rehabilitation Sciences Department, Faculty of Applied Medical Sciences, The Jordan University of Science and Technology, Irbid, Jordan
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Fan CW, Hazlett JN, Taylor RR. Perceiving Therapeutic Communication: Client-Therapist Discrepancies. Am J Occup Ther 2022; 76:23288. [PMID: 35671501 DOI: 10.5014/ajot.2022.047670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Few studies have examined differences in clients' and therapists' perspectives on therapeutic communication; this article contributes to the knowledge base. OBJECTIVE To examine clients' and therapists' real-time perceptions of therapeutic communication. DESIGN Observational, quantitative, cross-sectional study. SETTING Inpatient and outpatient units of a large urban teaching hospital. PARTICIPANTS Clients (n = 110) and rehabilitation therapists (n = 38; occupational, physical, and speech). OUTCOMES AND MEASURES Demographic characteristics, Clinical Assessment of Modes (CAM). RESULTS Clients perceived that therapists communicated by instructing more, and therapists reported empathizing more. CONCLUSIONS AND RELEVANCE The findings suggest that clients and therapists may perceive therapeutic communication differently. What This Article Adds: This article supports therapists' use of the CAM to examine multiple perspectives on their communication mode use, as described in the Intentional Relationship Model.
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Affiliation(s)
- Chia-Wei Fan
- Chia-Wei Fan, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, AdventHealth University, Orlando, FL;
| | - Jillian N Hazlett
- Jillian N. Hazlett, MS, is Occupational Therapy Student, Department of Occupational Therapy, University of Illinois Chicago
| | - Renée R Taylor
- Renée R. Taylor, PhD, is Professor, Department of Occupational Therapy, University of Illinois Chicago
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da Silva Araujo A, Anne Kinsella E, Thomas A, Demonari Gomes L, Quevedo Marcolino T. Clinical Reasoning in Occupational Therapy Practice: A Scoping Review of Qualitative and Conceptual Peer-Reviewed Literature. Am J Occup Ther 2022; 76:7603205070. [PMID: 35648118 DOI: 10.5014/ajot.2022.048074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE The occupational therapy clinical reasoning literature includes a large proportion of peer-reviewed qualitative and conceptual articles. Although these articles can contribute to the understanding of how clinical reasoning has been conceptualized in occupational therapy, they have not yet received in-depth analytic attention. To address this gap, we conducted a scoping review. OBJECTIVE To examine how qualitative and conceptual literature has addressed clinical reasoning in occupational therapy. DATA SOURCES Database searches were conducted in Scopus, Web of Science, PsycINFO, Embase, and MEDLINE. STUDY SELECTION AND DATA COLLECTION Included articles were published between 2010 and 2019, were peer reviewed, addressed clinical reasoning in occupational therapy, were qualitative or conceptual articles, focused on practitioners, and were in English. Twenty-six articles met the inclusion criteria. Data were extracted according to relevant categories and were analyzed numerically and thematically. FINDINGS Four themes were identified: clinical reasoning processes, factors influencing clinical reasoning, new models or frameworks to guide clinical reasoning, and emergent perspectives on clinical reasoning. CONCLUSIONS AND RELEVANCE This review advances knowledge about how clinical reasoning has been conceptualized in occupational therapy and has been applied in a range of practice contexts. The review highlights discussions about types of reasoning, the dynamic and iterative nature of reasoning, contextual dimensions of reasoning, client-centered and occupation-based approaches, new frameworks and models, and emergent and innovative perspectives on clinical reasoning in occupational therapy. What This Article Adds: This scoping review represents an important contribution to knowledge about how clinical reasoning has been conceptualized in occupational therapy by mapping key themes and illuminating scholarly conversations in the qualitative and conceptual clinical reasoning literature.
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Affiliation(s)
- Angelica da Silva Araujo
- Angelica da Silva Araujo, MSc, BSc, is PhD Student, Postgraduate Program in Occupational Therapy, Federal University of São Carlos, São Paulo, Brazil;
| | - Elizabeth Anne Kinsella
- Elizabeth Anne Kinsella, PhD, MAEd, BSc(OT), is Professor and Director, Institute of Health Sciences Education, and Associate Member, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
| | - Aliki Thomas
- Aliki Thomas, PhD, is Associate Professor, School of Physical and Occupational Therapy and Institute of Health Sciences Education, Centre for Interdisciplinary Research in Rehabilitation, McGill University, Montreal, Quebec, Canada
| | - Laysla Demonari Gomes
- Laysla Demonari Gomes, BSc, MSc, is PhD Student, Department of Occupational Therapy, Federal University of São Carlos, São Paulo, Brazil
| | - Tais Quevedo Marcolino
- Tais Quevedo Marcolino, PhD, MSc, BSc, is Associate Professor, Department of Occupational Therapy, Federal University of São Carlos, São Paulo, Brazil
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The effect of using three dimensional (3D)-printed assistive devices for clients with physical disabilities to increase self-independency in daily activities. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-020-01362-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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