{"title":"Impact of a Pilot Adaptive Sports Intervention on Residents at a Skilled Nursing Facility","authors":"L. Bedini, L. Kelly, K. McKenzie, K. Mitchell","doi":"10.18666/trj-2019-v53-i4-9755","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-9755","url":null,"abstract":"The purpose of this pilot study was to measure the im-pact of an adaptive sports intervention on several out-comes including the components of self-determination (i.e., autonomy, competence, relatedness), loneliness, and mobility for residents of a skilled nursing facility (SNFs). This study employed a physician-prescribed, 4-week adaptive sports intervention specifically adapted for the residents of a SNF. The program was administered by Certified Therapeutic Recreation Specialists® (CTRS), and facilitated six participants in weekly practice (basket-ball, baseball, golf, shuffleboard) and competition against residents in other local facilities. This mixed-methods study employed pre-test/post-test outcome evaluation using the UCLA Loneliness Scale, Basic Psychological Needs Satisfaction Scale (BPNSS) (competence, autono-my, relatedness), Timed Up and Go Test, as well as struc-tured qualitative interviews. Results of this study showed improvements for all participants across most or all cog-nitive, physical, emotional, and/or social domains and all measures showed positive movement. Results also sug-gested improvements in identity, belonging, importance, and the potential for transfer of these benefits to greater social engagement, lower fall risk, and decreased depression. Practical recommenda-tions are provided. In addition, replication and expansion of this design is warranted. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43579587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effects of Therapeutic Horseback Riding on Balance","authors":"S. K. Anderson","doi":"10.18666/TRJ-2019-V53-I4-9773","DOIUrl":"https://doi.org/10.18666/TRJ-2019-V53-I4-9773","url":null,"abstract":"The purpose of this study was to determine the effects of therapeutic horseback riding (THR) as an interven-tion to improve the balance of 30 individuals who par-ticipated in a Professional Association of Therapeutic Horsemanship International (PATH INTL) therapeutic riding member program. The study lasted 10 weeks, with each participant receiving the intervention once a week for thirty minutes. The therapeutic riding program in-cluded several standard components in each session to challenge the balance of riders with disabilities. A quasi-experimental one-group pre-test-post-test design was used to examine the effects of THR for a single session, short-term 10-week period, and sustained effects after the program ended. The Multi-Directional Reach Test (MDRT; Newton, 2001) was used to quantify balance during the study. Paired t -tests were conducted to exam-ine a relationship between THR and balance outcomes. Recreational therapy applications and research implica-tions are also discussed. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46186340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding Administrators’ Perceptions of Recreational Therapy in Long-Term Care","authors":"Tarah Loy, Brent L. Hawkins, Jasmine A. Townsend","doi":"10.18666/trj-2019-v53-i4-9754","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-9754","url":null,"abstract":"Although research continues to suggest that recreational therapy benefits elderly residents in long-term care (Buettner & Fitzsimmons, 2011; Fitzsimmons, Sardina, & Buettner, 2014; Kolanowski, Fick, Frazer, & Penrod, 2010; Seitz et al., 2012), administrators often remain unfamiliar with the profession and the abilities of the Certified Therapeutic Recreation Specialist (CTRS) (Bedini & White, 2018; Harkins & Bedini, 2013). Through the use of semi-structured interviews, this qualitative study sought New England administrators’ perceptions of recreational therapy in the long-term care (LTC) industry. Thematic analysis of the data indicated three overarching themes: financial support, facility culture, and knowledge of recreational therapy. These three themes are suggested to influence administrators’ decisions to utilize recreational therapy (RT) in their facilities. Recommendations for the profession include administrator education on the benefits of recreational therapy; continuing with evidence-based research to advocate for the Centers for Medicare and Medicaid Services (CMS) coverage; and creating a facility culture through family, resident, and staff education where RT is considered a necessity in LTC. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44118806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Em V. Adams, B. Crowe, M. V. Puymbroeck, Claire K. Allison, A. Schmid
{"title":"Yoga as a Community-Based Recreational Therapy Intervention for Older Adults: A Pilot Study","authors":"Em V. Adams, B. Crowe, M. V. Puymbroeck, Claire K. Allison, A. Schmid","doi":"10.18666/trj-2019-v53-i4-9728","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-9728","url":null,"abstract":"The purpose of this multi-method pilot study was to ex-plore the efficacy of a yoga intervention on the leisure constraints and functional fitness of community-dwell-ing older adults. Seven community-dwelling older adults engaged in 16, 60-minute sessions of hatha yoga con-ducted twice a week for eight weeks at a local continuing education center. Individuals enrolled in either a seated yoga class ( n =4) or a standing yoga class ( n =3). Pre-/ post-measures included physical measures and a sur-vey of leisure constraints. A focus group was conducted with each group to determine their perspectives of par-ticipation. Results indicated significant improvement in lower-body strength and endurance. Balance, upper and lower body flexibility, upper-body strength, and self-re-ported leisure constraints did not show significant im-provements. Qualitative data showed that participants perceived psychosocial and physical benefits to yoga participation including increased energy and motivation to engage in other types of physical activities. Findings indicate the potential for the use of yoga to increase participation in other forms of leisure-time physical activity, but further evaluation of the influence of yoga on leisure constraints is warranted. Implications for recreational therapists are discussed, includ-ing helping clients identify community yoga classes that will best meet their needs based on class size, accessibility, and pace. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48281828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kirstin L. Whitley, S. Lynch, C. L. Franssen, Lindsey S. Sparrock
{"title":"The Feasibility of Collecting Salivary Cortisol for a Collaborative University- Public School Recreational Therapy Program","authors":"Kirstin L. Whitley, S. Lynch, C. L. Franssen, Lindsey S. Sparrock","doi":"10.18666/trj-2019-v53-i4-9750","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-9750","url":null,"abstract":"The purpose of this study was to determine whether sali-vary cortisol sampling would be a feasible effectiveness outcome measure for a community-based RT program serving children with disabilities. The program utilized in this study provides weekly RT interventions in three 10-week cycles over an 18-month period for 62 children aged 3-21 enrolled in a local public school special edu-cation program. Salivary cortisol sampling, a biomarker for stress response, was collected via bioswab pre/post-intervention on weeks 1, 6, and 10 of each cycle. In or-der to determine feasibility, the collection rate, measur-ability, and comparability of saliva samples were tracked over the study period. The first goal of collecting 75% of the possible cryovials was not met due to an actual col-lection rate of 56%. Participant absence was found to be responsible for 62% of the uncollected cryovials. How-ever, of those collected, 95% were measurable and 77% were comparable, which met the second prediction of achieving measurable samples as a rate of 50% or bet-ter. Researchers deemed cortisol sampling as feasible as correcting collection errors, which caused 17% loss of the overall possible sample, will allow for an adequate sample size for statistical analysis in future studies. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44210205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RT Belongs in Hospitals—A Response to Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital","authors":"Jo-Ellen Ross, Carol Graziano","doi":"10.18666/trj-2019-v53-i4-10194","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-10194","url":null,"abstract":"","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67738249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RT: Harnessing the Environment—A Response to Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital","authors":"Gretchen Snethen, J. Mitchell","doi":"10.18666/trj-2019-v53-i4-10193","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-10193","url":null,"abstract":"","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43784843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital","authors":"R. Dieser, K. Mobily","doi":"10.18666/trj-2019-v53-i4-9703","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i4-9703","url":null,"abstract":"The academic labor of Paul Haun, who wrote about recreation in hospital settings in the 1950s and 1960s, has consistently engaged the profession of therapeutic recreation. The purpose of this article is to present Haun’s practical application of recreation in modern hospital settings through two case examples: Mayo Clinic and the University of Iowa Hospital and Clinics/Stead Family Children’s Hospital. In keeping with Haun’s ecological ideology of recreation in hospital settings, this paper underscores that (1) a parks and recreation framework is valued and beneficial in hospital settings, and (2) therapeutic recreation professionals should focus services on basic leisure programming, while simultaneously providing specific therapy-oriented services. Practical implications include helping therapeutic recreation professionals see the value of a parks and recreation framework, rooted in leisure programming, in hospital settings and to be present and involved in such leisure programming approaches in hospital settings, which are often led by non-therapeutic recreation professionals. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48567969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha Bova Toms, Megan C. Janke, D. Loy, C. E. Watts
{"title":"Research in Recreational Therapy Practice: Findings and Lessons Learned from a Study of a Multisensory Environment for Adults with Autism Spectrum Disorder","authors":"Samantha Bova Toms, Megan C. Janke, D. Loy, C. E. Watts","doi":"10.18666/trj-2018-v53-i4-9744","DOIUrl":"https://doi.org/10.18666/trj-2018-v53-i4-9744","url":null,"abstract":"Little research has been conducted in practical settings by recreational therapists (RTs) to enhance evidence-based research in the field. There are many reasons for this, but one of these is the challenge of conducting research in a real-world, clinical setting. This study used a single subject research design to examine the effectiveness of using multisensory environments (MSE) to decrease repetitive behaviors in adults with autism spectrum disorder (ASD). The study included three adults diagnosed with an intellectual disability and ASD who demonstrate repetitive patterns of behavior. The outcomes of this study are presented, and the challenges and benefits of applied research in RT practice are discussed to provide “lessons learned” and guidance to other RT practitioners considering practice-based research studies. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47647541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Applicability of Therapeutic Recreation to Post-Disaster Lives: The Leisure and Well-Being Model Perspective","authors":"Shintaro Kono, S. Burton","doi":"10.18666/trj-2019-v53-i3-9664","DOIUrl":"https://doi.org/10.18666/trj-2019-v53-i3-9664","url":null,"abstract":"Disasters cause myriad physical, psychological, and social problems among survivors around the world. Although therapeutic recreation (TR) is theoretically important for survivors, few have supported this by using empirical data. This study examines the applicability of one of the leading TR models, the leisure and well-being model (LWM), to post-disaster life contexts. To this end, we re-analyzed qualitative, interview data from nine Japanese/Japanese American Katrina survivors living in New Orleans and 16 Japanese survivors of the Great East Japan Earthquake and Tsunami. Our findings based on thematic analysis suggested that each of the five leisure enhancement mechanisms specified in the LWM—savoring, gratification, authenticity, mindfulness, and virtuousness— were pertinent to survivors’ post-disaster experiences. Our results also show specific conditions under which these mechanisms can be particularly therapeutic. However, we also found parts of the model do not fit potentially due to cultural differences. Both theoretical and practical implications are discussed. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47524478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}