British Journal of Occupational Therapy最新文献_第10页

Removing environmental barriers to independent living: A feasibility randomised controlled trial targeting people ageing with long-term physical disabilities. 消除独立生活的环境障碍：一项针对长期身体残疾老年人的可行性随机对照试验。

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI: 10.1177/03080226241280803

Szu-Wei Chen, Melissa J Krauss, Emily Somerville, Brianna Holden, Megen Devine, Susan Stark

{"title":"Removing environmental barriers to independent living: A feasibility randomised controlled trial targeting people ageing with long-term physical disabilities.","authors":"Szu-Wei Chen, Melissa J Krauss, Emily Somerville, Brianna Holden, Megen Devine, Susan Stark","doi":"10.1177/03080226241280803","DOIUrl":"10.1177/03080226241280803","url":null,"abstract":"Introduction: People ageing with long-term physical disabilities face unique challenges to maintaining independence. We developed a novel, evidence-based intervention - Removing Environmental Barriers to Independent Living - to support participation and reduce falls.Methods: To examine Removing environmental barriers to independent living's feasibility and estimate its magnitude of efficacy, we conducted a single-blinded randomised controlled trial. Fifty participants who were aged 45-65 years with a physical disability for at least 5 years were randomised to intervention (n = 24) or control (n = 26). Activity performance, environmental barriers to performance, community participation, environmental fall hazards and fall prevention behaviours were assessed at baseline and at 6-month follow-up. Dose, adherence, fidelity and cost were examined. Linear mixed-effects models for repeated measures were used to assess the effects of time, group and group by time interaction on the continuous outcomes.Results: Removing environmental barriers to independent living had high fidelity and adherence and a low implementation cost. There were trends for greater improvements in activity limitations and activity performance among intervention versus control participants.Conclusion: Removing environmental barriers to independent living is a feasible intervention with high fidelity and adherence. Findings trended towards greater improvements in activity performance for intervention participants. Results could inform future planning for a larger pragmatic trial.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 1","pages":"5-16"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004379","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

Key elements of Goal-Directed Training for children with cerebral palsy: A qualitative content analysis. 脑瘫儿童目标导向训练的关键要素：定性内容分析。

IF 0.9 4区医学

British Journal of Occupational Therapy Pub Date : 2025-01-01 Epub Date: 2024-10-08 DOI: 10.1177/03080226241269239

Louise Ogilvie, Simon Garbellini, Leanne Sakzewski, Sue-Anne Davidson, Catherine Elliottt

{"title":"Key elements of Goal-Directed Training for children with cerebral palsy: A qualitative content analysis.","authors":"Louise Ogilvie, Simon Garbellini, Leanne Sakzewski, Sue-Anne Davidson, Catherine Elliottt","doi":"10.1177/03080226241269239","DOIUrl":"10.1177/03080226241269239","url":null,"abstract":"Background: Goal-directed training is an evidence-based occupational therapy intervention for children with cerebral palsy targeting motor performance and goal attainment. There is variability and limited description on goal-directed training delivery within the studies who found it a successful intervention. The aim of this study was to establish the who, what, why and how of goal directed training according to practicing occupational therapists.Methods: Occupational therapists currently delivering goal-directed training to children with cerebral palsy were recruited. Qualitative data were collected from structured, open-ended interviews and analysed through content analysis. Themes and consensus answers were elicited and mapped to the Template for Intervention Description and Replication checklist.Results: Four key elements were identified as essential for goal-directed training: goal setting, task analysis, active intervention and evaluation. Within each area, occupational therapists provided rich descriptions of what these elements looked like in practice. Despite having a clear understanding of goal-directed training, some barriers to implementation were identified.Conclusion: Occupational therapists identified key elements and barriers to implementing goal-directed training in their practice. It is recommended that further support and training is provided to ensure that occupational therapists deliver goal-directed training with high fidelity.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 1","pages":"17-24"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027778","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

Using intervention mapping to develop an occupational therapy informed intervention for adolescents experiencing mental health difficulties. 使用干预绘图为经历心理健康困难的青少年开发一种职业治疗知情干预。

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-12-01 Epub Date: 2024-08-19 DOI: 10.1177/03080226241269228

Jackie Parsonage-Harrison, Helen Dawes

{"title":"Using intervention mapping to develop an occupational therapy informed intervention for adolescents experiencing mental health difficulties.","authors":"Jackie Parsonage-Harrison, Helen Dawes","doi":"10.1177/03080226241269228","DOIUrl":"https://doi.org/10.1177/03080226241269228","url":null,"abstract":"Introduction: Current interventions provide limited success in managing mental health in adolescents with emerging difficulties. We describe using the Intervention Mapping framework to co-develop a novel occupational therapy theory-informed intervention for adolescents with emerging mental health difficulties, addressing the need for interventions tackling activity-related determinants.Methods: We describe a mixed-method, multiphase, sequential study design informed by the six-step Intervention Mapping framework, to develop the Activity Time Use intervention. Involving a systematic scoping review, time-use survey, qualitative focus groups and Delphi consensus process informing the construction of an intervention logic model of the problem, the logic model of change and creation of an intervention programme.Results: An eight-session intervention addresses three behavioural change outcomes: improving the balance of daily activities, improving occupational choice making abilities and improving occupational performance. The programme was positively reviewed through Patient and Public Involvement (PPI) consultation against the seven aspects of acceptability (Sekhon et al., 2017). Next steps include exploring the environmental determinants affecting implementation in different intervention delivery settings and full user acceptability.Conclusions: This study has provided a real-world example of intervention-mapping, systematically developing an occupational therapy intervention to empower adolescents to adopt healthier time-use behaviours to improve their mental health.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"87 12","pages":"730-741"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051646","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

Men's experiences of the transition to fatherhood during the first postnatal year: A qualitative systematic review. 男性在出生后第一年过渡为父亲的经历：一项定性的系统回顾。

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-11-01 Epub Date: 2024-06-17 DOI: 10.1177/03080226241258577

Catherine White, Kathryn Jarvis

{"title":"Men's experiences of the transition to fatherhood during the first postnatal year: A qualitative systematic review.","authors":"Catherine White, Kathryn Jarvis","doi":"10.1177/03080226241258577","DOIUrl":"10.1177/03080226241258577","url":null,"abstract":"Introduction: Fatherhood is a significant transition in a man's life, introducing new challenges. Yet men's experiences of this period remain poorly understood. Occupational therapists possess skills and knowledge to support individuals during transition. This study explored the experiences of men during the transition to fatherhood over the first postnatal year.Method: Underpinned by an occupational therapy theoretical perspective, a systematic review was conducted. Following searches of databases: AMED, CINAHL, Medline and PsycINFO, qualitative studies meeting selection criteria were retrieved and quality assessed. Data was extracted and synthesised using an established meta-ethnographic approach.Findings: Seven articles were included in the review. Four interconnected themes: (1) A New Occupational Identity, (2) Relationship Changes, (3) Challenges and Impact, (4) Unmet Occupational Needs, and four subthemes: Roles and Responsibilities, and Adjusting Priorities (theme 1); An Emotional Journey and Exhaustion (theme 3) were identified.Discussion: Fathers' postnatal transitional experiences were reflective of a journey of adjustment and growth. Experiences indicated the requirement for greater support of fathers throughout the antenatal and postnatal transition. Occupational therapists have the skills to work with fathers to balance occupations, manage fatigue and adjust to new roles. Further research should focus on understanding experiences of men in under-represented groups.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"87 11","pages":"661-672"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043088","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

Research priority 8: What is the role or impact of occupational therapy in reducing hospital admissions? 研究重点8:职业治疗在减少住院率方面的作用或影响是什么?

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-10-01 Epub Date: 2023-08-10 DOI: 10.1177/03080226231190311

Georgia Harding, Sarah Markham

引用次数: 0

Activities of daily living interventions on activity performance of inpatients post-stroke: A systematic review and meta-analysis. 日常生活干预对住院患者脑卒中后活动表现的影响：系统回顾和荟萃分析。

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1177/03080226241255021

Elyse Triantis, Karen Py Liu

{"title":"Activities of daily living interventions on activity performance of inpatients post-stroke: A systematic review and meta-analysis.","authors":"Elyse Triantis, Karen Py Liu","doi":"10.1177/03080226241255021","DOIUrl":"10.1177/03080226241255021","url":null,"abstract":"Introduction: Inpatient rehabilitation is the best time window to improve patient performance post-stroke. Little is known about the type and effectiveness of activity interventions. This study aims to review activities of daily living interventions and evaluate their effectiveness on activity performance for stroke inpatients.Method: MEDLINE, Embase, CINAHL and Web of Science were searched. Randomised controlled trials investigating the effects of activities of daily living interventions for stroke inpatients were included. Two reviewers independently selected the studies and extracted data. Meta-analysis was conducted on relevant data with a random effect model with 95% CI.Results: Fourteen randomised controlled trials involving 602 stroke inpatients, were included. Both experimental and control groups offered activities of daily living interventions. Thirteen experimental groups offered added components, such as imagery and repetitive practice. Five studies reported significant improvement in activity performance within experimental and control groups. A meta-analysis of 12 randomised controlled trials with 512 participants revealed non-significant results for activity performance between the two groups.Conclusion: Both experimental and control groups in the included studies provided activities of daily living interventions. Added components were included in 13 out of 14 experimental groups. Meta-analysis revealed no significant difference between the two groups as they both offered activities of daily living interventions.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"87 10","pages":"598-613"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001888","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

Doing, being, becoming and belonging in forging professional identity: Lived experiences of occupational therapists' professional identity currently working in physical health community roles in the UK. 做，是，成为和归属在锻造职业身份：职业治疗师的职业身份的生活经验，目前在英国的身体健康社区的角色工作。

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-10-01 Epub Date: 2024-06-19 DOI: 10.1177/03080226241258714

Emily Rosalyn French, Channine Clarke

{"title":"Doing, being, becoming and belonging in forging professional identity: Lived experiences of occupational therapists' professional identity currently working in physical health community roles in the UK.","authors":"Emily Rosalyn French, Channine Clarke","doi":"10.1177/03080226241258714","DOIUrl":"https://doi.org/10.1177/03080226241258714","url":null,"abstract":"Introduction: Professional identity is a multifaceted conceptual term combining behaviours, knowledge, skills, values, beliefs, contextual and socio-cultural factors with personal and group identity. The historical underpinning of occupational therapy is partly attributed to the difficulties occupational therapists face articulating their unique identity and the profession being misunderstood by others. Little is known about how occupational therapists working in community physical health settings experience their professional identity.Method: Interpretative phenomenological analysis was used to understand how five occupational therapists interpreted and made sense of their experiences of professional identity working in community UK physical health settings. Interviews were carried out following social media recruitment and analysed using interpretative phenomenological analysis guidance.Findings: Participants identified that their professional identity was forged through experiences over time developing skills, confidence and their inner understanding of who they were as an occupational therapists. Maintaining a secure professional identity was attributed to building their community of practice and creating a sense of belonging.Conclusion: Professional identity was forged through time and experience of 'doing', 'being' and 'becoming' occupational therapists. Building a community of practice and creating a sense of 'belonging' were key components of how these occupational therapists working in community physical health roles sustained their professional identity.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"87 10","pages":"614-624"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056664","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

Daily living skills in adolescents with and without language disorder, measured using the WHEEL OF INDEPENDENCETM framework 使用独立之轮框架测量有语言障碍和无语言障碍青少年的日常生活技能

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-09-14 DOI: 10.1177/03080226241280732

Debbie Burridge, Lucy Hughes, Jill Titterington, Nicola Dawson, Susan Ebbels

{"title":"Daily living skills in adolescents with and without language disorder, measured using the WHEEL OF INDEPENDENCETM framework","authors":"Debbie Burridge, Lucy Hughes, Jill Titterington, Nicola Dawson, Susan Ebbels","doi":"10.1177/03080226241280732","DOIUrl":"https://doi.org/10.1177/03080226241280732","url":null,"abstract":"Introduction:Developing daily living skills, such as self-care, cooking and managing money, is a key priority for adolescents with special educational needs. Previous studies investigated the emergence of daily living skills in young people with a range of neurodevelopmental conditions. However, none focused on adolescents with language disorders, including developmental language disorder.Method:Two groups of 16-year-olds participated in this study: a typically developing group ( n = 88) and a developmental language disorder group ( n = 78), which was subdivided into participants with co-occurring motor difficulties ( n = 56) versus typical motor development ( n = 22). Data were collected using the WHEEL OF INDEPENDENCE™ framework, a daily living skills measurement tool. Between-group comparisons assessed whether there were significant differences in daily living skills between typically developing and developmental language disorder participants and between those with and without motor difficulties within the developmental language disorder group.Results:Findings revealed that typically developing participants had significantly better daily living skills than the developmental language disorder group. Within the developmental language disorder group, participants with motor difficulties showed marginally significantly lower daily living skills than those without.Conclusion:Adolescents with developmental language disorder experience challenges developing their daily living skills, compared to typically developing peers. This may be compounded if they have co-occurring motor difficulties. Further research could inform understanding of the mechanisms underlying these differences in order to develop tailored and effective interventions.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"17 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142250703","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

Class of international functioning disability and health core sets for autism spectrum disorder: Occupational therapists’ perspective 自闭症谱系障碍的国际功能残疾和健康核心组类别：职业治疗师的观点

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-09-10 DOI: 10.1177/03080226241280465

Betül Üstün, Onur Altuntaş

{"title":"Class of international functioning disability and health core sets for autism spectrum disorder: Occupational therapists’ perspective","authors":"Betül Üstün, Onur Altuntaş","doi":"10.1177/03080226241280465","DOIUrl":"https://doi.org/10.1177/03080226241280465","url":null,"abstract":"Purpose:This study was conducted to examine the ICF Core Sets prepared for autism from the perspective of occupational therapists within the scope of the International Classification of Functioning, Disability, and Health.Materials and Methods:Data were collected from 70 occupational therapists working with children diagnosed with autism spectrum disorder. Opinions of the participants were collected using the three-stage Delphi technique.Results:In the first Delphi round in which 70 occupational therapists from our country participated, a total of 2952 concepts related to autism spectrum disorder were named. The collected responses were associated with 142 ICF categories, excluding personal factors, and then the number of categories was reduced to 132 because 10 of them were mentioned by less than 5% of the respondents. While consensus was achieved in 82% of the 111 categories in the comprehensive ICF Core Sets for autism spectrum disorder .Discussion and Conclusion:According to the results of this study, ICF-CSs prepared for autism spectrum disorder overlap with the perspective of occupational therapists to define the physiological, occupational, environmental, and personal factors affecting individuals with autism spectrum disorder . The high level of consensus among occupational therapists underscores the practical applicability and acceptance of ICF Core Sets in the field.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227159","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 the usefulness of real-time digitally supported fatigue monitoring in fatigue management: Perspectives from occupational therapists and brain injury survivors 探索实时数字支持疲劳监测在疲劳管理中的实用性：职业治疗师和脑损伤幸存者的观点

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-09-10 DOI: 10.1177/03080226241269247

Leisle Ezekiel, Harriet Wilding, Jeremy Dearling, Johnny Collett, Helen Dawes

{"title":"Exploring the usefulness of real-time digitally supported fatigue monitoring in fatigue management: Perspectives from occupational therapists and brain injury survivors","authors":"Leisle Ezekiel, Harriet Wilding, Jeremy Dearling, Johnny Collett, Helen Dawes","doi":"10.1177/03080226241269247","DOIUrl":"https://doi.org/10.1177/03080226241269247","url":null,"abstract":"Introduction:Persistent fatigue after acquired brain injury (ABI) needs long-term self-management. Self-monitoring supports self-management and informs the use of fatigue management strategies. Using ecological momentary assessment to monitor fatigue offers a data-driven approach to managing fatigue.Aims:To explore the usefulness of self-monitoring fatigue in real-time, using ecological momentary assessment to support self-management, from the perspective of people with ABI and occupational therapists.Methods:People with ABI monitoried their fatigue by wearing a Fitbit and completing six surveys a day on their phone for 6 days. Think aloud and semi-structured interviews elicited views on self-monitoring and the data generated. Transcripts were analysed using reflexive thematic analysis.Results:Four themes were developed from people with ABI ( n = 9): (1) Attending to experience, (2) making sense of data, (3) the relationship between fatigue and activity, (4) implications for daily life. Three themes from occupational therapists ( n = 5): (1) Challenges of using of data, (2) perceived benefits of self-monitoring, (3) viewing data in relation to their understanding of fatigue.Conclusion:Data generated in real-time challenged perspectives on fatigue and fatigue management. These insights may help people with ABI and their clinicians to plan personalised strategies for fatigue management and evaluate its impact on daily living.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"7 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227160","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