Navigating Cognitive Screening and Service Delivery for Sensory Impairment in Occupational Therapy.

IF 1.7 3区 医学 Q2 REHABILITATION
Shirley Dumassais, Jennifer Campos, Margaret Kathleen Pichora-Fuller, Joseph B Orange, Marie Savundranayagam, Paul Mick, Natalie A Phillips, Walter Wittich
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Abstract

Background. Cognitive screening tools rely on vision and hearing. However, sensory impairments, alone or in combination, can hinder the accurate identification of cognitive difficulties. Purpose. We investigated how occupational therapists adapt the administration of cognitive screening tests to clients who present with vision and/or hearing impairments as well as their self-perceived satisfaction with comprehensive service delivery with this population. Method. An online survey of Canadian occupational therapists gathered cross-sectional data on their approaches in their practice. Results. Occupational therapists reported a range of environmental and person-level accommodations. However, the type and number of accommodations provided, as well as satisfaction with service delivery, did not vary by years of experience or work setting, regardless of the sensory group (hearing, vision, or both). More challenges were observed when screening the cognition of clients with dual sensory impairment, as indicated by fewer reported assessment modifications and lower self-satisfaction with service-delivery skills. Conclusion. The results of the current study highlight the need to develop standardized and effective strategies to enhance cognitive screening for individuals with sensory impairments, along with initiatives for education and training for occupational therapists.

导航认知筛选和服务提供的感觉障碍的职业治疗。
背景。认知筛查工具依赖于视觉和听觉。然而,感觉障碍,单独或联合,可以阻碍准确识别认知困难。目的。我们调查了职业治疗师如何调整认知筛查测试的管理,以适应患有视力和/或听力障碍的客户,以及他们对为这一人群提供综合服务的自我感知满意度。方法。一项针对加拿大职业治疗师的在线调查收集了他们在实践中使用的方法的横断面数据。结果。职业治疗师报告了一系列环境和个人层面的住宿。然而,所提供的住宿的类型和数量,以及对服务的满意度,并没有因工作经验或工作环境的不同而变化,无论感官群体(听觉、视觉或两者)如何。当筛选双重感觉障碍患者的认知时,观察到更多的挑战,正如报告的评估修改较少和对服务提供技能的自我满意度较低所表明的那样。结论。目前的研究结果强调需要制定标准化和有效的策略来加强对有感觉障碍的个体的认知筛查,以及对职业治疗师的教育和培训。
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来源期刊
CiteScore
2.80
自引率
11.10%
发文量
46
审稿时长
>12 weeks
期刊介绍: The Canadian Journal of Occupational Therapy was first published in September 1933. Since that time, it has fostered advancement and growth in occupational therapy scholarship. The mission of the journal is to provide a forum for leading-edge occupational therapy scholarship that advances theory, practice, research, and policy. The vision is to be a high-quality scholarly journal that is at the forefront of the science of occupational therapy and a destination journal for the top scholars in the field, globally.
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