British Journal of Occupational Therapy最新文献_第2页

Is the Morriston Occupational Therapy Outcome Measure (MOTOM) an appropriate tool for reablement services? 莫里斯顿职业治疗结果测量法（MOTOM）是否适合用于康复服务？

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-08-06 DOI: 10.1177/03080226241269255

Sophie Tooke, Julia Warrener, Tamsin Leah, Joanna Ward, Jeremy Dearling

{"title":"Is the Morriston Occupational Therapy Outcome Measure (MOTOM) an appropriate tool for reablement services?","authors":"Sophie Tooke, Julia Warrener, Tamsin Leah, Joanna Ward, Jeremy Dearling","doi":"10.1177/03080226241269255","DOIUrl":"https://doi.org/10.1177/03080226241269255","url":null,"abstract":"Introduction:The Care Act (2014) requires local authorities to provide reablement services but does not standardise how to do this, leading to different services utilising different outcome measures. This article investigates the Morriston Occupational Therapy Outcome Measure, which has been under researched in community reablement settings.Method:A questionnaire was distributed to the staff working within one local authority to seek their experience of using the Morriston Occupational Therapy Outcome Measure. The questionnaire consisted of closed and open-ended questions to gain insights into their understanding and experience of the Morriston Occupational Therapy Outcome Measure.Findings:Quantitative findings showed that staff felt they understood the Morriston Occupational Therapy Outcome Measure, and most respondents agreed that the Morriston Occupational Therapy Outcome Measure was an effective tool for reablement services. However, staff provided contradictory responses as to whether the Morriston Occupational Therapy Outcome Measure was applied consistently or that service users understand the assessment.Qualitative:Findings showed the Morriston Occupational Therapy Outcome Measure is a service user tool, service provider tool, and it provides quality assurance. However, the Morriston Occupational Therapy Outcome Measure can have restricted applicability and within this local authority, more training was needed to improve the consistency of goal-scoring.Conclusion:The Morriston Occupational Therapy Outcome Measure does have strengths within reablement services; however, to ensure it is an effective tool, this research highlights the need for a high level of training.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141935695","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

Book of Abstracts 摘要集

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-08-01 DOI: 10.1177/03080226241265797

引用次数: 0

Development of a driving clinical decision pathway for non-driver trained occupational therapists 为未接受过驾驶培训的职业治疗师制定驾驶临床决策路径

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-07-27 DOI: 10.1177/03080226241261185

Hayley M Scott, Anne M Baker, Carolyn A Unsworth

{"title":"Development of a driving clinical decision pathway for non-driver trained occupational therapists","authors":"Hayley M Scott, Anne M Baker, Carolyn A Unsworth","doi":"10.1177/03080226241261185","DOIUrl":"https://doi.org/10.1177/03080226241261185","url":null,"abstract":"While a small number of occupational therapists have additional training as driver assessors, all occupational therapists have a duty of care to address driving as an occupation. This study aimed to develop a resource to support Australian non-driver trained occupational therapists in daily practice to address driving with clients who may require on-road assessment due to a health concern. A literature review and comprehensive process for the development of a driving clinical decision pathway was followed using four phases. A virtual nominal group technique was used to investigate the content validity of the driving clinical decision pathway. Purposive sampling was used to recruit two groups of occupational therapists to participate in a virtual nominal group technique. A driving clinical decision pathway was developed with five key sections. The 11 participants attended 1 of 2 virtual nominal group technique for 120 minutes each, where 100% consensus was achieved with both groups relating to the content validity of the clinical decision pathway content, and ease of use. Driving is a meaningful goal for all adults who have health-related challenges. A comprehensive driving clinical decision pathway has been developed and made available that supports Australian non-driver trained occupational therapists to address driving as an occupation that maintains individuals’ independence and public safety.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141797461","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

Causal pathways of potential factors affecting participation level of individuals with unilateral cerebral palsy 影响单侧大脑性麻痹患者参与水平的潜在因素的因果路径

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-07-27 DOI: 10.1177/03080226241265254

H. Bingol, Hande Fidan, Sinem Asena Sel, Eda Burç, M. Gunel

{"title":"Causal pathways of potential factors affecting participation level of individuals with unilateral cerebral palsy","authors":"H. Bingol, Hande Fidan, Sinem Asena Sel, Eda Burç, M. Gunel","doi":"10.1177/03080226241265254","DOIUrl":"https://doi.org/10.1177/03080226241265254","url":null,"abstract":"Although most children with unilateral cerebral palsy can achieve independent mobility levels with or without assistive devices, they remain susceptible to decreased participation. This study aimed to explore the potential factors affecting participation of children with unilateral cerebral palsy. Fifty children with unilateral cerebral palsy were enrolled. The degree of spasticity in the upper limb muscles was assessed using the Modified Ashworth Scale, active range of motion of the upper limb joints was assessed using a universal goniometer, and activity performance was measured using the ABILHAND-Kids and Gross Motor Function Measure. Environmental factors and mental health were evaluated using the European Child Environment Questionnaire and Strength and Difficulties Questionnaire. The Child and Adolescent Scale of Participation was used to assess participation. Path analysis showed that upper limb impairment had both direct (β = −0.41; p < 0.05) and indirect (β = 0.64; p < 0.001) effects on participation. Most importantly, it was found that the participation of children with unilateral cerebral palsy was notably influenced by environmental factors and mental health (β2 = −0.42; p < 0.05, and β2 = −0.36; p < 0.05). Participation of children with unilateral cerebral palsy is affected by a combination of functioning and contextual factors.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141797248","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

Implementing constraint-induced movement therapy into practice in sub-acute stroke: Experiences and perceptions of stroke survivors and therapists 在亚急性中风的实践中实施约束诱导运动疗法：中风幸存者和治疗师的经验和看法

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-07-26 DOI: 10.1177/03080226241261183

Kathryn A Jarvis, Nicola MJ Edelstyn, Susan M Hunter

{"title":"Implementing constraint-induced movement therapy into practice in sub-acute stroke: Experiences and perceptions of stroke survivors and therapists","authors":"Kathryn A Jarvis, Nicola MJ Edelstyn, Susan M Hunter","doi":"10.1177/03080226241261183","DOIUrl":"https://doi.org/10.1177/03080226241261183","url":null,"abstract":"Introduction:Constraint-induced movement therapy has been shown to be effective in a sub-group of sub-acute stroke survivors but has not been widely implemented in the United Kingdom. This study explored therapist and stroke survivor perceptions and experiences of constraint-induced movement therapy and explored the non-agreement (incongruence) and agreement (congruence) of these perspectives.Method:Consenting occupational therapists ( n = 3) and physiotherapist ( n = 5) participated in a focus group discussion. Four-stroke survivors undertook pre- and post-constraint-induced movement therapy interviews. Stroke survivor participants selected and undertook an evidence-based constraint-induced movement therapy protocol. Focus groups and interview audio recordings were independently analysed thematically. Therapist and stroke survivor views were subsequently synthesised using meta-ethnographic principles.Findings:Four over-arching themes were identified: motivation and determination to participate in constraint-induced movement therapy; who benefits; which protocol; making constraint-induced movement therapy feasible. The final over-arching theme comprised five sub-themes: fatigue and sleep; pain; transport; need for support; training, support and mentorship for therapists. Stroke survivors and therapists held contrasting views on three themes.Conclusion:Participating stroke survivors successfully undertook a self-selected, evidence-based constraint-induced movement therapy protocol. The identified enablers and barriers should inform future constraint-induced movement therapy protocol development. The contrasting views held by therapists and stroke survivors reinforce the need for collaborative communication and opportunity for choice during constraint-induced movement therapy.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141770548","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

Study repeats findings demonstrating in-person instruction improves empathic awareness: Curriculum emphasizes literary narratives, narrative reasoning, person-to person interaction, and close reading 该研究重复了有关亲自授课可提高移情意识的研究结果：课程强调文学叙事、叙事推理、人与人之间的互动和精读

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-07-25 DOI: 10.1177/03080226241265228

Cavenaugh Kelly, Kim McKeage

引用次数: 0

Exploring the impact of early-stage dementia on everyday activities 探索早期痴呆症对日常活动的影响

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-07-24 DOI: 10.1177/03080226241261178

Bethan M Edwards, Monica Busse, Teena J Clouston, Ben Hannigan

{"title":"Exploring the impact of early-stage dementia on everyday activities","authors":"Bethan M Edwards, Monica Busse, Teena J Clouston, Ben Hannigan","doi":"10.1177/03080226241261178","DOIUrl":"https://doi.org/10.1177/03080226241261178","url":null,"abstract":"Introduction:This paper explores the impact that early-stage dementia has on everyday activities from the perspective of people living with dementia, their supporters and occupational therapy practitioners.Method:People living with dementia and their supporters ( n = 10), and occupational therapy practitioners ( n = 21) took part in semi-structured interviews, with transcripts analysed thematically.Findings:Six primary themes were identified across participants, namely: (1) ‘Everybody seems to be different, [but] they are similar’; (2) An awareness of change: ‘Something’s not quite right’; (3) ‘ Changes’ and ‘ difficulties’ associated with complex and unfamiliar activities; (4) Social withdrawal and exclusion: ‘I’ve felt like I was a leper’; (5) Post-diagnostic mental health: ‘. . . a dark place’; and (6) A process of adaptation: ‘I’m still who I am, I can still do things. . .’Conclusion:Findings indicate that occupational therapy intervention programmes for people living with early-stage dementia should target difficulties associated with a broad range of activity types, and include components that target mental health and motivational needs. The study adds to existing knowledge about the need to personally tailor interventions to ensure that they meet individual needs, experiences, and circumstances. Findings will inform the development of an occupational therapy intervention programme theory (theory of change) for early-stage dementia.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141785158","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

What is the occupational impact of myalgic encephalomyelitis/chronic fatigue syndrome for adults living in Australia? 肌痛性脑脊髓炎/慢性疲劳综合征对澳大利亚成年人的职业影响有多大？

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-06-24 DOI: 10.1177/03080226241254720

Roshni Thomas, Julie Hughes, Cheryl Kotzur

{"title":"What is the occupational impact of myalgic encephalomyelitis/chronic fatigue syndrome for adults living in Australia?","authors":"Roshni Thomas, Julie Hughes, Cheryl Kotzur","doi":"10.1177/03080226241254720","DOIUrl":"https://doi.org/10.1177/03080226241254720","url":null,"abstract":"Introduction:Occupational recovery for people living with myalgic encephalomyelitis/chronic fatigue syndrome requires better assessment and understanding of the occupational impact of this debilitating condition. This study explores the lived experience of Australian adults with myalgic encephalomyelitis/chronic fatigue syndrome using the Model of Human Occupation.Methods:The research design was a cross-sectional descriptive study, and participants were recruited via social media to complete an online survey. A Model of Human Occupation Tool, The Occupational Self-Assessment, captured an individual’s perceptions of occupational identity and competence.Results:Results were analysed using descriptive statistics and non-parametric tests. The free-text responses were summarised. Twenty-nine participants completed the Occupational Self-Assessment. A decrease in occupational participation across all domains was evident. Qualitative themes of loneliness, feeling confined, feeling like a burden and loss of previous life/roles were collated, showing an adverse impact on occupational identity. A lack of independence and control showed a reduction in occupational competence.Conclusions:The study confirmed the impact of myalgic encephalomyelitis/chronic fatigue syndrome on occupational identity and competence. These individuals struggled with occupational adaptation and would benefit from occupational support. Occupational therapists could use the Occupational Self-Assessment to identify areas of need, set goals and facilitate better occupational adaptation.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141505740","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

Assessing occupational participation among justice-involved people ‘with a personality disorder’: Quantitative assessments and their properties 评估 "有人格障碍 "的司法介入者的职业参与情况：定量评估及其特性

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-06-03 DOI: 10.1177/03080226241254768

Catriona Connell, E. McKay

{"title":"Assessing occupational participation among justice-involved people ‘with a personality disorder’: Quantitative assessments and their properties","authors":"Catriona Connell, E. McKay","doi":"10.1177/03080226241254768","DOIUrl":"https://doi.org/10.1177/03080226241254768","url":null,"abstract":"There is little evidence for what influences occupational participation for justice-involved people ‘with a personality disorder’ living in community contexts, and no validated occupational participation assessments specific to this group. We assessed a sample of justice-involved people ‘with a personality disorder’ to ascertain what influences occupational participation using commonly applied assessments and evaluated their construct validity. As part of a mixed-methods study, a purposive sample of 18 justice-involved people ‘with a personality disorder’ were scored on the Model of Human Occupational Screening Tool and Occupational Performance History Interview–Version Two scales. Mean scores were calculated per Model of Human Occupational Screening Tool (MOHOST) item and Occupational Performance History Interview–Version Two (OPHI-II) items and scales and compared to published data. Mann–Whitney U Tests were used to identify within-sample differences based on demographic characteristics. Participants had low scores on MOHOST items and OPHI-II items and scales. Differences were identified compared to published data. Within-sample differences were most apparent in comparisons by employment status and ethnicity. The OPHI-II scales did not operate as intended with this population and recommended adjustments impacted its construct validity. Replication is required with a larger random sample. Integrating these data with qualitative exploration would further elucidate factors influencing occupational participation in this population.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141271451","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

A meta-ethnography of identity formation among people with early-onset dementia 早期痴呆症患者身份形成的元民族志

IF 1.3 4区医学

British Journal of Occupational Therapy Pub Date : 2024-05-31 DOI: 10.1177/03080226241253699

Jesper Larsen Maersk, Hanne Peoples, Hanne Kaae Kristensen, Jeanette Præstegaard

{"title":"A meta-ethnography of identity formation among people with early-onset dementia","authors":"Jesper Larsen Maersk, Hanne Peoples, Hanne Kaae Kristensen, Jeanette Præstegaard","doi":"10.1177/03080226241253699","DOIUrl":"https://doi.org/10.1177/03080226241253699","url":null,"abstract":"Introduction:Living with dementia can be challenging, even more so for people diagnosed before age 65. Loss of identity is one of the main subjective consequences dementia poses at this stage in life due to the loss of social relations and daily activities. While a growing body of research is reporting the experienced impact of early-onset dementia on identity for this group, studies synthesizing this knowledge are very limited. Therefore, we have conducted a meta-ethnographic review to explain how people with early-onset dementia form their sense of identity.Method:A systematic review of literature from five databases was conducted. Ten original studies published between 2004 and 2020 were included and analyzed using an interpretive approach.Findings:A conceptual interpretation emerged from the analysis, showing that social arenas and activities of daily life, as well as assumptions about dementia and natural aging made by the participants and society, influenced the participants’ sense of identity.Conclusion:Being in nonjudgmental environments can support people with early-onset dementia in creating continuity and positive connections in their personal history. Providing such environments can be a viable venue for healthcare professionals to support people with early-onset dementia in maintaining a positive sense of identity.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141197460","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