British Journal of Occupational Therapy最新文献

{"title":"The effect of self-management program performed via telerehabilitation on occupational performance and satisfaction of individuals with systemic sclerosis.","authors":"Emirhan Karakuş, Fulden Sari, Aslıhan Avanoğlu Güler, Deran Oskay, Çiğdem Öksüz","doi":"10.1177/03080226241283288","DOIUrl":"https://doi.org/10.1177/03080226241283288","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with systemic sclerosis experience difficulties in perceived occupational performance and satisfaction in daily life activities, largely due to the various symptoms associated with the disease.</p><p><strong>Methods: </strong>Twenty-nine individuals with systemic sclerosis participated in the study. Occupational performance and satisfaction levels were evaluated before and after the program were performed using the Canadian Occupational Performance Measure. The self-management program, guided by the COPM activities, was tailored to the patients' needs and informed by relevant literature. The program consisted of eight sessions over 8 weeks, with one 45-minute session per week.</p><p><strong>Results: </strong>A statistically significant increase was found in Canadian Occupational Performance Measure performance and satisfaction scores before and after the guided training (<i>p</i> < 0.001). Analysis of the occupation distributions revealed that self-care constituted 31.97%, productivity 45.90%, and leisure time 22.13%.</p><p><strong>Conclusion: </strong>The self-management program delivered via telerehabilitation positively impacted the perceived occupational performance and satisfaction of individuals with systemic sclerosis. It is believed that self-management intervention can be effectively used to enhance the occupational performance and satisfaction of these individuals.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 3","pages":"185-192"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056105","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}

{"title":"Comprehending self-compassion manifestations and their relationships among adults diagnosed with ADHD: A foundation for recovery-based interventions.","authors":"Tamar Paley, Adina Maeir, Ron Shor","doi":"10.1177/03080226241296684","DOIUrl":"https://doi.org/10.1177/03080226241296684","url":null,"abstract":"<p><strong>Background: </strong>Enhancing self-compassion (<i>SC</i>) was found to enhance Quality of Life (<i>QoL</i>). There is a need to comprehend <i>SC</i> manifestations among adults with attention deficit hyperactivity disorder (ADHD) who experience low <i>QoL</i> to provide a foundation for Recovery-based interventions aiming to enhance <i>SC</i> and <i>QoL</i> among adults with ADHD.</p><p><strong>Objective: </strong>To explore <i>SC</i> manifestations and their relationships with ADHD symptoms and ADHD related QoL.</p><p><strong>Methods: </strong>A cross-sectional survey used self-rated questionnaires for ADHD symptoms, <i>QoL</i> and <i>SC</i> among 32 adults with ADHD, recruited by a volunteer community sampling.</p><p><strong>Results: </strong>Moderate overall <i>SC</i> was noted. Negative <i>SC</i> means were found to be higher than the positive <i>SC</i> means. The positive <i>SC</i> subscale <i>common humanity</i> had the lowest mean while the negative <i>SC</i> subscale <i>overidentification</i> had the highest mean. Overall <i>SC</i> level was found to significantly contribute to ADHD symptoms in predicting <i>QoL</i> variance. <i>Overidentification</i> was found to be a significant partial mediator between ADHD symptoms and <i>QoL</i>.</p><p><strong>Conclusion: </strong>Recovery-based interventions aiming to decrease the tendency of adults with ADHD to overidentify with their negative thoughts and feelings and to enhance their realization that their difficulties are shared by others, may have the potential to enhance <i>SC</i> and <i>QoL</i>.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 3","pages":"142-148"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056138","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}

{"title":"Sjögren's disease, occupational performance and quality of life.","authors":"Beatriz Carneiro Cintra, Mateus Maia Marzola, Regina Yoneko Dakuzaku Carretta, Fabíola Reis Oliveira, Eduardo Melani Rocha","doi":"10.1177/03080226241284727","DOIUrl":"https://doi.org/10.1177/03080226241284727","url":null,"abstract":"<p><strong>Introduction: </strong>Sjögren's disease is an autoimmune disease with dry eyes and mouth and chronic pain, more frequent in middle-aged women. The aim of this study is to understand the impact of Sjögren's disease on quality of life and occupational health.</p><p><strong>Method: </strong>Quantitative and qualitative comparative study, with 20 Sjögren's disease and 25 healthy controls. Questionnaires and interviews were applied to assess occupational performance, quality of life, mood disorders, and sleep.</p><p><strong>Results: </strong>The combined major diagnostic parameters for Sjögren's disease (focus score and anti-SSA/Ro positivity) were present in 85% of the Sjögren's disease group. There was a correlation between the sicca symptom measured by the European League Against Rheumatism Sjögren's Syndrome Patient Reported Index (ESSPRI), anxiety, and depression measured by the Hospital Anxiety and Depression Scale (HADS; <i>r</i> = 0.56; <i>p</i> = 0.009), as well as fatigue measured by the Profile of fatigue and discomfort questionnaire (PROFAD) (<i>r</i> = 0.78; <i>p</i> < 0.0001). Sjögren's disease patients reported a loss of physical abilities, sleep disturbance, change in mood, social and occupational participation, and lower quality of life.</p><p><strong>Conclusions: </strong>Sjögren's disease patients have poorer quality of life, loss of competencies, and sleep disturbances compared to controls. Novel strategies are necessary to improve occupational health in SjD.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 3","pages":"177-184"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001804","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}

{"title":"Achieving Inter-Rater Agreement and Inter-Rater Reliability to Assess Fidelity of an Occupation-Based Coaching (OBC) Clinical Trial Intervention.","authors":"Amy Ann Abbott, Julia Shin, Kathryn Carlson, Marion Russell, Yongyue Qi, Hannah Storm, Vanessa Dawn Jewell","doi":"10.1177/03080226241283292","DOIUrl":"https://doi.org/10.1177/03080226241283292","url":null,"abstract":"<p><strong>Introduction: </strong>Establishing inter-rater agreement and reliability ascertains that multiple raters consistently evaluate observed interventions to ensure that clinical research protocols are delivered as intended by the trial protocol.</p><p><strong>Purpose: </strong>Using the Guidelines for Reporting Reliability and Agreement Studies, we (a) exemplified the steps to establish inter-rater reliability and inter-rater agreement on the occupation-based coaching Video Evaluation Tool and (b) evaluated best practices that promoted high inter-rater reliability and inter-rater agreement between blinded raters prior to starting a pilot randomized controlled trial. The randomized controlled trial examined the preliminary effectiveness of occupation-based coaching via telehealth for rural families with children living with type 1 diabetes to improve family quality of life, participation, self-efficacy, and child health outcomes.</p><p><strong>Method: </strong>We created a library of 13 occupation-based coaching videos portraying a range of evaluations, scores, and ratings. The inter-rater agreement and reliability on the occupation-based coaching Video Evaluation Tool were established through the iterations of (a) blinded rater training, (b) data collection using the tool, and (c) statistical analysis using Cohen's kappa and Cronbach's alpha.</p><p><strong>Findings: </strong>Occurrence and Non-Occurrence Checklist (κ = 0.881, <i>p</i> < 0.001); \"Caregiver Talk\" and \"Interventionist Talk Analysis\" (ICC = 0.991-0.999, <i>p</i> < 0.001); Evidence of Independent Capacity Rating (ICC = 0.867 <i>p</i> = 0.006).</p><p><strong>Conclusion: </strong>Strong inter-rater reliability and inter-rater agreement was established by engaging two blinded raters through multifaceted training, integrating real-life clients and contexts into the instrumentation and training, and precisely defined rubric criteria. By employing such practices, high inter-rater reliability and agreement can be achieved in clinical research involving interventions and instruments that are highly subjective and individualized. To ascertain greater scientific confidence in the intervention effect, developing a multidomain fidelity framework and establishing high inter-rater agreement and reliability in the instruments a priori to implementation of clinical trials are necessary.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 3","pages":"133-141"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005280","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}

{"title":"Impact of Long COVID symptoms on individuals in Hong Kong: Implications for occupational therapy practices.","authors":"Chi-Man Tsui, Sze-Chit Chan, Ling-Fung Lam, Man-Kit Jadon Lam, Tsz-Yan Lee, Kelly Leung","doi":"10.1177/03080226241295599","DOIUrl":"https://doi.org/10.1177/03080226241295599","url":null,"abstract":"<p><strong>Introduction: </strong>From occupational therapy perspective, this study investigates the nature and impact of Long COVID symptoms on individuals in Hong Kong according to their gender, age, and occupation and to understand their treatment needs.</p><p><strong>Method: </strong>A total of 193 participants with an acute COVID-19 episode 3 months ago and having recovered from it who were experiencing subjective symptoms of Long COVID were recruited through snowball sampling from local COVID-19 support groups and healthcare facilities to participate in a cross-sectional design via an online survey assessing their symptoms and the impact on daily activities, and exploring their treatment preferences.</p><p><strong>Findings: </strong>Respiratory, systemic, sleep, and cognitive symptoms were found to be the most prevalent, with significant variations in symptom severity and impact on daily life across different age and occupational status groups. The treatment preference was quite strongly inclined to traditional Chinese medicine.</p><p><strong>Conclusion: </strong>This study has uncovered the critical and yet recognized roles of occupational therapy in managing Long COVID impact by identifying the potential gaps of occupational therapy in its management and calling for advocating promotion in the community and interdisciplinary collaboration with traditional Chinese medicine. Implications about occupational therapy management and the healthcare policies for tailoring treatment programs are discussed.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 3","pages":"158-165"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993033","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}

{"title":"User perceptions of aspects related to the use of the activity chair: A descriptive cross-sectional study.","authors":"Stina Bjørnskov, William Ben Mortenson, Tina Helle","doi":"10.1177/03080226241296361","DOIUrl":"https://doi.org/10.1177/03080226241296361","url":null,"abstract":"<p><strong>Introduction: </strong>Little is known about the use and aspects impacting the use of the activity chair, which is a device supporting seated activities in everyday life. The aim was to understand (a) purpose of provision, (b) frequency and magnitude of use, (c) barriers impacting use, (d) instruction provided and (e) overall satisfaction with the activity chair.</p><p><strong>Method: </strong>This is a cross-sectional study involving 141 adult activity chair users. Data were collected through telephone interviews using a study-specific questionnaire with 21 items. Descriptive statistics were used to summarise the quantitative results, and data-driven text analysis was conducted to analyse open-ended question responses.</p><p><strong>Results: </strong>Most respondents (87%) were provided the activity chair for kitchen work, 87% used the device on a daily basis, 75% used the device for additional activities beyond the provision purpose, 65% experienced barriers impacting use, instructions varied, with 28% receiving none and 16% had received activity-based training, 85% were satisfied with the activity chair.</p><p><strong>Conclusion: </strong>The activity chair appears to be regularly utilised and appreciated by respondents. However, improved device provision, particularly concerning activity-based training in relevant context and systematic follow up, may be required to reduce barriers impacting use. Findings emphasise the importance of learning from users.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 3","pages":"149-157"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051624","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}

{"title":"Exploring occupational therapy practice with children who are picky eaters and their families.","authors":"Luca C Holland, Michèle Verdonck, Pamela J Meredith, Laine B Chilman","doi":"10.1177/03080226241284888","DOIUrl":"https://doi.org/10.1177/03080226241284888","url":null,"abstract":"<p><strong>Introduction: </strong>Picky eating is a complex phenomenon, impacting family routines and relationships. Occupational therapists often work with picky eaters and their families, yet little is understood about the occupational therapy process and reasoning in this context. This study was guided by the following research question: How do Australian occupational therapists choose and deliver interventions for children with picky eating and their families?</p><p><strong>Method: </strong>This qualitative interpretive descriptive study used in-depth semi-structured online interviews with 10 Australian-based occupational therapists working with children who are picky eaters. Data was analysed inductively following a thematic analysis process, and emergent themes were identified.</p><p><strong>Findings: </strong>Participants indicated that they used a complex reasoning process, with 'Tailoring Occupational Therapy for Picky Eating' emerging as the central finding. Key factors underpinning these tailored interventions were finding the why; addressing the why; and practising within context.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first qualitative study to investigate occupational therapists' reasoning processes when working with families impacted by picky eating. Occupational therapists described the complexity of picky eating, and the subsequent reasoning to find suitable interventions. Findings may guide occupational therapists' clinical practice when working with children with picky eating and their families.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 2","pages":"105-115"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989453","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}

{"title":"Strategy for BJOT development: Reviewing 2021-2024 and looking ahead to 2025-2028.","authors":"Rod Lambert, Sankeetha Nadarajah","doi":"10.1177/03080226241296759","DOIUrl":"https://doi.org/10.1177/03080226241296759","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 2","pages":"67-69"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992255","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}

{"title":"Co-design of an outcome measure for hand burn injuries.","authors":"Andrea Mc Kittrick, Louise Gustafsson, Tenelle Hodson, Amelia Di Tommaso","doi":"10.1177/03080226241288162","DOIUrl":"https://doi.org/10.1177/03080226241288162","url":null,"abstract":"<p><strong>Purpose: </strong>Measurement of postburn injury is important to assess impact of interventions, monitor symptoms, and direct treatment. Outcome measures are important to enable patients' views to be incorporated into their clinical care and direct healthcare. To date, there are few patient-reported outcome measures specific for the burn's population, only one specific patient reported questionnaire exists for hand burn injuries. For outcome measures to be person focused, it is important to have individuals who have experienced the injury join the development team to consult and advise on properties for inclusion. The aim of this study was to co-design a specific outcome measure for severe hand burn injuries.</p><p><strong>Methods: </strong>Participatory Action Research was used to co-design the outcome measure with experienced allied health professionals, individuals with hand burn injuries, and researchers. Participatory Action Research acknowledges the depth and breadth of experience of all co-researchers. Content analysis was used to systematically analyze meaning and relationships from each cycle.</p><p><strong>Results: </strong>In cycle 1-the constructs for measurement and activities for inclusion in the outcome measure were selected over a series of virtual meetings. The 18 activities included measure patterns of hand movement, pinch, and grip strength, which can be repeatedly measured over time across recovery. In cycle 2-two rating scales were developed one for clinicians and one for patients.</p><p><strong>Conclusion: </strong>The newly developed outcome measure will require further testing to determine psychometric properties.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 2","pages":"116-128"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058292","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}

{"title":"Factors affecting retention of occupational therapists in adult mental health service: A systematic review with narrative synthesis.","authors":"Wenting Yan, Sally Ohlsen, Emily Wood","doi":"10.1177/03080226241288157","DOIUrl":"https://doi.org/10.1177/03080226241288157","url":null,"abstract":"<p><strong>Introduction: </strong>There are over 43,000 occupational therapists across the United Kingdom, with mental health occupational therapists being acknowledged as a main workforce of OT services. However, staff shortages are occurring, and urgent action is needed to retain this important workforce.</p><p><strong>Methods: </strong>The systematic literature search was conducted in the CINAHL, PsycINFO and Scopus databases to identify research literature published since 2008. Due to the heterogeneity of the included studies, a narrative synthesis was utilized.</p><p><strong>Results: </strong>A total of 20 studies (21 papers) were included in the review. Five thematic factors - well-being at work, organizational work environment factors, job resources, supervision and staffing, along with various subtheme factors emerged from the synthesis. The findings suggest that retaining mental health occupational therapists is a complex issue, affected by many factors. The study emphasizes the triangular relationship among three aspects of well-being (job satisfaction, professional identity and burnout) at work and introduces the concept of a 'Retention Ecosystem'. This illustrates how subtheme factors interconnect and influence the retention of mental health occupational therapists.</p><p><strong>Conclusion: </strong>The retention of mental health occupational therapists is revealed to be a multifaceted challenge. There is a need for developing more targeted, meaningful and holistic strategies for retaining the current mental health occupational therapist workforce.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 2","pages":"70-84"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993034","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}