Rachele Simeon, Giovanni Galeoto, Donatella Valente, Antonella Conte, Gina Ferrazzano, Giorgio Leodori, Anna Berardi
{"title":"Fatigue management effects on social participation and environment management in individuals with multiple sclerosis: Quasi-experimental study.","authors":"Rachele Simeon, Giovanni Galeoto, Donatella Valente, Antonella Conte, Gina Ferrazzano, Giorgio Leodori, Anna Berardi","doi":"10.1177/03080226241280860","DOIUrl":"https://doi.org/10.1177/03080226241280860","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to evaluate the effect of an occupation-focused and occupation-based group intervention for fatigue management on the perception of environment barriers and social participation, and secondarily the impact on quality of life and sleep quality.</p><p><strong>Material and methods: </strong>For this quasi-experimental study, 19 participants with a mean age of 45 (13.7), with 84.2% having Relapsing-Remitting Multiple Sclerosis with Expanded Disability Status Scale mean 2.6, were recruited. The outcome measures were administering pre-post test, and the follow-up was at 3 months using <i>T</i>-test for inferential analysis. The outcome measures used for the primary outcomes were the Craig Hospital Inventory of Environmental Factors scale, the Community Integration Questionnaire, and the Impact on Participation and Autonomy.</p><p><strong>Results: </strong>All outcomes showed statistically significant improvement after treatment. At 3-month follow-up, the results maintained positive results except for the General Sleep Disturbance Scale and the MSQoL-54, which showed a slight worsening in total scores with respect to post-treatment.</p><p><strong>Conclusion: </strong>This study fits into a widely studied context, emphasizing the importance of implementing occupation-focused group interventions for fatigue management. Furthermore, this study showed that this type of intervention leads to an improvement on the perception of environmental barriers and social participation.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 2","pages":"93-104"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034395","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}
Fiona Maclean, Jenna P Breckenridge, Anthony Schrag, Joanna Gray, Brendan McCormack, Sarah Kantartzis
{"title":"Learn@Lunch: Developing a continuing professional development programme to raise knowledge and awareness of drinking alcohol as an occupation in later life.","authors":"Fiona Maclean, Jenna P Breckenridge, Anthony Schrag, Joanna Gray, Brendan McCormack, Sarah Kantartzis","doi":"10.1177/03080226241280725","DOIUrl":"https://doi.org/10.1177/03080226241280725","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapists in acute practice are increasingly likely to work routinely with people in later life who drink alcohol. Therefore, this knowledge translation study aimed to evaluate the development of a continuing professional development Learn@Lunch programme, designed to enhance awareness and understanding of occupational therapists who work in an acute hospital setting, of drinking alcohol as an occupation in later life.</p><p><strong>Method: </strong>Guided by the Promoting Action of Research Implementation in Health Sciences framework, the continuing professional development programme was developed, and a qualitative evaluation undertaken. This included pre- and post-focus groups with occupational therapists (<i>n</i> = 8) in an acute setting, where the programme was delivered, pre- and post-programme delivery interviews with the research champion recruited from the site, and one interview with the Allied Health Professions Service Lead.</p><p><strong>Findings: </strong>Findings indicate the Learn@Lunch continuing professional development programme enhanced therapist knowledge and understanding of the changing patterns of drinking alcohol in later life. However, practical barriers exist impacting how participants perceived the value and delivery of the programme.</p><p><strong>Conclusion: </strong>Learn@Lunch was an effective continuing professional development programme and supported enhanced knowledge and awareness of drinking alcohol as an occupation in later life, leading to changes in local acute occupational therapy practice.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 1","pages":"54-64"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992258","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}
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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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 (<i>n</i> = 24) or control (<i>n</i> = 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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
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":"https://doi.org/10.1177/03080226241269239","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 1","pages":"17-24"},"PeriodicalIF":1.3,"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}
{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}
{"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":"https://doi.org/10.1177/03080226241258577","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Discussion: </strong>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.</p>","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}
{"title":"Research priority 8: What is the role or impact of occupational therapy in reducing hospital admissions?","authors":"Georgia Harding, Sarah Markham","doi":"10.1177/03080226231190311","DOIUrl":"10.1177/03080226231190311","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":"595-597"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42032771","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":"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":"https://doi.org/10.1177/03080226241255021","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
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}