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Using Electronic Health Record Data for Occupational Therapy Health Services Research: Invited Commentary 将电子健康记录数据用于职业治疗健康服务研究：特邀评论
IF 1.4 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-16 DOI: 10.1177/15394492241246544
Alison M. Cogan, Pamela Roberts, Trudy Mallinson
{"title":"Using Electronic Health Record Data for Occupational Therapy Health Services Research: Invited Commentary","authors":"Alison M. Cogan, Pamela Roberts, Trudy Mallinson","doi":"10.1177/15394492241246544","DOIUrl":"https://doi.org/10.1177/15394492241246544","url":null,"abstract":"Health services research (HSR) is a field of study that examines how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to health care, the quality and cost of health care, and health and well-being. HSR approaches can help build the occupational therapy evidence base, particularly in relation to population health. Data from electronic health record (EHR) systems provide a rich resource for applying HSR approaches to examine the value of occupational therapy services. Transparency about data preparation procedures is important for interpreting results. Based on our findings, we describe a six-step cleaning protocol for preparing EHR and billing data from an inpatient rehabilitation facility for research and provide recommendations for the field based on our experience. Using and reporting similar strategies across studies will improve efficiency and transparency, and facilitate comparability of results.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"84 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140614205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preferences for Participation Measurement Among Individuals Diagnosed With Cancer: A Qualitative Content Analysis. 癌症患者对参与测量的偏好：定性内容分析。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-06-24 DOI: 10.1177/15394492231181104
Allison J L'Hotta, Taniya E Varughese, Kathleen D Lyons, Audrey Trebelhorn, Annamayil Manohar, Allison A King
{"title":"Preferences for Participation Measurement Among Individuals Diagnosed With Cancer: A Qualitative Content Analysis.","authors":"Allison J L'Hotta, Taniya E Varughese, Kathleen D Lyons, Audrey Trebelhorn, Annamayil Manohar, Allison A King","doi":"10.1177/15394492231181104","DOIUrl":"10.1177/15394492231181104","url":null,"abstract":"<p><p>Individuals with cancer experience occupational participation restrictions, but there is no consensus on how to measure this construct. The objective of this study is to describe the perspectives and preferences of individuals with cancer regarding participation measurement. Forty individuals with brain, breast, colorectal, and lung cancer provided feedback on three participation measures in semi-structured interviews. Through an iterative, team-based content analysis approach, interview text was coded using the study codebook and organized into themes. Core themes included (a) participation measures highlighted occupational priorities, (b) measuring participation can identify supportive care needs, (c) measures must balance thoroughness with speed of completion, (d) measurement timeframe varies by treatment phase, and (e) evaluating community engagement is not a priority for some individuals with cancer. Integrating participation measures into cancer care can support referrals to occupational therapy and supportive services. It is essential to consider time since cancer diagnosis and client priorities when selecting participation measures.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"244-254"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10748790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10294541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Food Allergy Management and Food-Related Social Occupations in Elementary School-Aged Children. 探索小学生的食物过敏管理和与食物相关的社会职业。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-06-28 DOI: 10.1177/15394492231181091
Ashley Elizabeth Mason, Lindsey Benson, Victoria Hale, Meagan Oslund, Ashlyn Robinson
{"title":"Exploring Food Allergy Management and Food-Related Social Occupations in Elementary School-Aged Children.","authors":"Ashley Elizabeth Mason, Lindsey Benson, Victoria Hale, Meagan Oslund, Ashlyn Robinson","doi":"10.1177/15394492231181091","DOIUrl":"10.1177/15394492231181091","url":null,"abstract":"<p><strong>Rationale: </strong>Elementary school-aged children with food allergies face barriers to navigating safe food practices in concert with socializing while eating. Little research examines children's role in managing their health (i.e., a food allergy).</p><p><strong>Objectives: </strong>This qualitative descriptive study explores the experiences of preadolescent children with food allergies relating to food allergy management and socialization in various foodscapes in the United States.</p><p><strong>Method: </strong>Data gathering strategies included interviews, diaries, and photo elicitation. The analysis involved coding, discussion, and thematic development.</p><p><strong>Findings: </strong>Participants shared food allergy management with caregivers depending on the environment. They learned to educate others, respond to emergencies, and prepare daily relating to food allergies. They faced conflict with managing food allergies with peers but overall perceived food allergy management as a low burden.</p><p><strong>Conclusion: </strong>When provided with positive social and environmental supports, school-aged children with food allergies can learn to safely manage social food environments without direct parental involvement.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"287-295"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leisure Engagement Among People Living With Acquired Brain Injury: A Scoping Review. 获得性脑损伤患者的休闲参与：范围审查。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2024-01-18 DOI: 10.1177/15394492231221962
Shane Trevorrow, Louise Gustafsson, Tenelle Hodson
{"title":"Leisure Engagement Among People Living With Acquired Brain Injury: A Scoping Review.","authors":"Shane Trevorrow, Louise Gustafsson, Tenelle Hodson","doi":"10.1177/15394492231221962","DOIUrl":"10.1177/15394492231221962","url":null,"abstract":"<p><p>Return to previously valued occupations is a common goal of individuals following acquired brain injury (ABI). However, the focus of rehabilitation is often on self-care and productivity occupations. Return to leisure should be a priority of rehabilitation to support a person's physical, cognitive, social, and emotional well-being. Consequently, the aim of this article was to review the research evidence on engagement in leisure occupations among community-dwelling adults living with ABI. A six-step scoping review was conducted searching five databases. Articles were included if they focused on leisure engagement post-stroke or traumatic brain injury. Seventeen studies were included. Leisure engagement decreased post-ABI with engagement primarily in solitary, sedentary, cognitively inactive, home-based leisure. Leisure engagement was impacted by personal and contextual factors. The findings identify a need to focus on and address changes to leisure following ABI, with exploration of why these changes have occurred beyond personal factors.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"263-277"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Focus Group With Parents of Children With Mental and Behavioral Health Concerns. 与有心理和行为健康问题的儿童家长进行焦点小组讨论。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-09-22 DOI: 10.1177/15394492231200904
Brittney Stevenson, Tiffany Bolton, Nathaniel Dare
{"title":"Focus Group With Parents of Children With Mental and Behavioral Health Concerns.","authors":"Brittney Stevenson, Tiffany Bolton, Nathaniel Dare","doi":"10.1177/15394492231200904","DOIUrl":"10.1177/15394492231200904","url":null,"abstract":"<p><strong>Background: </strong>Scholars from multiple fields have shown that parents raising a child with mental and behavioral health concerns (MBHC) need additional support. We need parents to self-identify necessary supports as a basis for intervention planning.</p><p><strong>Objectives: </strong>In this study, we examined what parents say they need from professionals to support their families.</p><p><strong>Methodology: </strong>Occupational therapy faculty and students employed a strengths-based coaching approach to conduct a focus group with five parents. We conducted qualitative thematic analysis and used inductive coding to identify themes related to unmet self-identified needs of families. We refined themes through an iterative process and achieved 93% agreement after three rounds of coding.</p><p><strong>Results: </strong>Four themes emerged from the transcript analysis: External Control, Internal Competence, Relating to Others, and Role of Self-Care.</p><p><strong>Conclusion: </strong>Professionals must consider the unique needs identified by parents who have children with MBHC when planning interventions within our education and health care systems.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"187-195"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inclusivity in Occupational Participation: Life Stories of Bangladeshi With Spinal Cord Injury. 职业参与的包容性：孟加拉国脊髓损伤患者的生活故事。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-11-09 DOI: 10.1177/15394492231206994
Yeasir Arafat Alve, Salma Begum, Myrna Yousuf, Moses N Ikiugu, Peter Bontje
{"title":"Inclusivity in Occupational Participation: Life Stories of Bangladeshi With Spinal Cord Injury.","authors":"Yeasir Arafat Alve, Salma Begum, Myrna Yousuf, Moses N Ikiugu, Peter Bontje","doi":"10.1177/15394492231206994","DOIUrl":"10.1177/15394492231206994","url":null,"abstract":"<p><p>This research aimed to describe the process of occupational participation among persons with spinal cord injury (SCI) discharged from the only SCI rehabilitation hospital in Bangladesh. We analyzed seven participants' interview transcripts and observations using the trajectory equifinality model. Study participants demonstrated the following occupational participation trajectories: (a) employing a strategy or difficulty in occupational participation; (b) performing solidarity or experiencing deprivation; (c) creating identity or divergence; and (d) being included in or excluded from everyday life. There are four pathways: (I) discouraging conditions that minimized daily performance; (II) reinforcing obligatory connections to optimization of daily performance; (III) reciprocity to facilitate social activities; and (IV) manipulating mastery in occupational participation. Occupational therapists can consider the trajectory phases and pathways of occupational participation when facilitating the inclusion of service users after discharge from the hospital.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"205-217"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences of Introduction to and Participation in Quad Rugby: A Grounded Theory Approach. 介绍和参与四人橄榄球的经验：基础理论方法。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-06-28 DOI: 10.1177/15394492231182063
Darkhishan Ali, John V Rider
{"title":"Experiences of Introduction to and Participation in Quad Rugby: A Grounded Theory Approach.","authors":"Darkhishan Ali, John V Rider","doi":"10.1177/15394492231182063","DOIUrl":"10.1177/15394492231182063","url":null,"abstract":"<p><p>Individuals with spinal cord injuries (SCI) report low physical activity participation levels. A lack of physical activity can lead to increased secondary health concerns, such as cardiovascular, psychological, genitourinary, and musculoskeletal complications. Adaptive sports, such as quad rugby, allow individuals with SCI to maintain appropriate physical activity levels. This grounded theory study aimed to explore the experiences of individuals learning about and participating in quad rugby after SCI in the United States. Twelve participants from seven states across the United States completed semistructured interviews. Four themes emerged: benefits of quad rugby participation, enabling quad rugby participation, barriers to quad rugby participation, and motivation for continued participation in quad rugby. This study highlights the importance of an early introduction to quad rugby after SCI and the biopsychosocial benefits of participation. Occupational therapy practitioners can address barriers identified in this study through innovative approaches and advocacy efforts.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"218-226"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9696405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Play Interactions of Children With Autism Spectrum Disorders and Their Pets. 探索自闭症谱系障碍儿童与宠物的游戏互动。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-07-24 DOI: 10.1177/15394492231188311
Caitlin Lisk, Lisa Mische Lawson, Bri Sugiura, Devin Humpherys, Gabbi Rao
{"title":"Exploring Play Interactions of Children With Autism Spectrum Disorders and Their Pets.","authors":"Caitlin Lisk, Lisa Mische Lawson, Bri Sugiura, Devin Humpherys, Gabbi Rao","doi":"10.1177/15394492231188311","DOIUrl":"10.1177/15394492231188311","url":null,"abstract":"<p><p>The purpose of this secondary qualitative analysis was to explore the play interactions of children with autism (<i>n</i> = 10) and their pets in the home environment. Researchers coded 115 minutes of video of children playing with their pets at home and transcripts from eight caregiver interviews. Thematic analysis revealed six codes which represented three themes, including <i>children with ASD play with pets in a variety of ways, playing with pets supports child development</i>, and <i>playing with pets yields benefits for children with ASD</i>. Findings suggest playing with pets may be beneficial for developing responsibility and social skills of children with ASD, particularly in how they interact with animals. Future research should examine perspectives of families who do not own or who have relinquished pets and perspectives of adults with ASD to better understand positive and negative aspects of pet play.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"179-186"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
College Students' Adaptations of Activities and Experiences During the Pandemic Occupational Disruption. 大学生在大流行病职业中断期间对活动和经历的适应。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-12-30 DOI: 10.1177/15394492231216353
Karen E Atler, Sheama Krishnagiri
{"title":"College Students' Adaptations of Activities and Experiences During the Pandemic Occupational Disruption.","authors":"Karen E Atler, Sheama Krishnagiri","doi":"10.1177/15394492231216353","DOIUrl":"10.1177/15394492231216353","url":null,"abstract":"<p><p>During life disruptions, people adapt their activities responding to environmental stressors, resulting in new routines that support well-being. To explore college students' daily life experiences during the pandemic. Thirty students completed three time-use diaries, and responded to a survey on activity change during Coronavirus Disease 2019, satisfaction with social/leisure occupations, and well-being. Survey questions, duration of activities, and levels of were analyzed across 3 days. Exercise, school, socializing, and work were the most changed, often eliminating the activity, or modifying the activity, social context, or location. Time-use data indicated participants engaged in similar types of activities compared with nonpandemic times, but experienced different levels of pleasure and productivity related to some activities. Participants adjusted their activities/experiences to support their well-being. Examination of students' occupations and experiences uncovered the dynamic interaction between all levels of context-the macro (pandemic) and the micro (place to study).</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"296-305"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occupational Therapy Practice: Time From Stroke Onset to Outpatient Upper Limb Rehabilitation. 职业治疗实践：从中风发作到门诊上肢康复的时间。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2024-04-01 Epub Date: 2023-07-19 DOI: 10.1177/15394492231183671
Pamela S Roberts, Debra Ouellette, Sara Benham, Rachel Proffitt
{"title":"Occupational Therapy Practice: Time From Stroke Onset to Outpatient Upper Limb Rehabilitation.","authors":"Pamela S Roberts, Debra Ouellette, Sara Benham, Rachel Proffitt","doi":"10.1177/15394492231183671","DOIUrl":"10.1177/15394492231183671","url":null,"abstract":"<p><p>Upper limb stroke rehabilitation has been understudied in usual occupational therapy. The study's purpose was to describe the timing and amount of usual occupational therapy in the stroke population for hospital-based outpatient upper limb rehabilitation. A multi-site study of timing and amount of occupational therapy was calculated for mild and moderate upper limb stroke impairments using the Fugl-Meyer Assessment-Upper Extremity (FMA-UE). Mild stroke participants (<i>n</i> = 58) had a mean of 164.25 days, and the moderate stroke participants (<i>n</i> = 64) had a mean of 106.75 days from the date of stroke onset to first treatment which was significantly different (<i>p</i> = .047). There were no significant differences in the amount of therapy between mild or moderate stroke patients. Mild stroke patients experience a longer delay in receiving outpatient occupational therapy compared with moderate impairments which may be attributed to the subtlety of the impairments that impact participation in daily activities.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"255-262"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9832213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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