Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie最新文献_第10页

Self-Perceived ADL/IADL Function is Influenced by Residual Neurological Impairment, Aphasia, and Anxiety 自我感知的ADL/IADL功能受残余神经损伤、失语和焦虑的影响

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-05-09 DOI: 10.1177/00084174221098876

Ashley R Juniper, L. Connor

{"title":"Self-Perceived ADL/IADL Function is Influenced by Residual Neurological Impairment, Aphasia, and Anxiety","authors":"Ashley R Juniper, L. Connor","doi":"10.1177/00084174221098876","DOIUrl":"https://doi.org/10.1177/00084174221098876","url":null,"abstract":"Background. Self-perceptions of performance of activities of daily living (ADL) and instrumental activities of daily living (IADL) are reduced following stroke. Research investigating contributing factors is lacking. Purpose: We examined the extent to which aphasia status, neurological impairment and poststroke depression, and anxiety contribute to self-perceived ADL/IADL function. Method: Seventy-six community-dwelling individuals at least 6 months poststroke, 44 with and 32 without aphasia, participated in the cross-sectional study. The Stroke Impact Scale (SIS) ADL/IADL domain was the primary outcome measure with aphasia status, residual neurological impairment, depressive symptoms, and anxiety as predictor variables. Findings: Aphasia status, residual neurological impairment, and anxiety were independent predictors of self-perceived ADL/IADL function, together accounting for more than half the variance. Depression was not associated with ADL/IADL. Implications: Clinician awareness of the influence of anxiety on self-perceived ADL/IADL function, particularly for people with aphasia, may lead to future interventions that improve self-perceived ADL/IADL function.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"45 1","pages":"307 - 314"},"PeriodicalIF":1.8,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81471173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 2

Unbecoming change agents 不合适的变革推动者

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-04-18 DOI: 10.1177/00084174221089708

K. Hammell, D. Rudman, H. Zafran, Julia Schmidt, Katie Lee Bunting, L. Bulk, Marie-Lyne

引用次数: 1

The Performance Assessment of Self-Care Skills to Predict Adverse Events Post-Discharge 自我护理技能预测出院后不良事件的绩效评估

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-11 DOI: 10.1177/00084174221084459

Ariane Grenier, C. Viscogliosi, N. Delli-Colli, W. Mortenson, H. Macleod, Annie-Claude Lemieux-Courchesne, V. Provencher

{"title":"The Performance Assessment of Self-Care Skills to Predict Adverse Events Post-Discharge","authors":"Ariane Grenier, C. Viscogliosi, N. Delli-Colli, W. Mortenson, H. Macleod, Annie-Claude Lemieux-Courchesne, V. Provencher","doi":"10.1177/00084174221084459","DOIUrl":"https://doi.org/10.1177/00084174221084459","url":null,"abstract":"Background. The Performance Assessment of Self-Care Skills (PASS) is a standardized assessment of the ability to perform daily activities. Purposes. This preliminary exploratory study aimed to 1) explore the ability of four PASS tasks to predict adverse events (readmissions and injuries) in older adults following hospitalization; 2) compare PASS's predictive validity to that of a generic tool (SMAF) and OT clinical judgement. Method.Twenty-two older patients were assessed in hospital at discharge and at home one week later. Adverse events were documented for six months post-discharge. Sensitivity and specificity analyses (ROC curves, Fisher's exact tests) were performed. Findings. Two PASS tasks (telephone, medication), the SMAF-Social and OT clinical judgement could identify individuals at risk of readmission (AUC > 0.7; p < 0.05). Implications. Using the PASS to assess more cognitively demanding tasks could be a promising way to predict adverse events after discharge, as a complement to clinical judgment.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"2 1","pages":"190 - 200"},"PeriodicalIF":1.8,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84461655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Role of Occupational Therapy and Forced Migration in Canada 探索职业治疗在加拿大强迫移民中的作用

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-03 DOI: 10.1177/00084174221084463

Thivisa Krishnakumaran, Meera Bhatt, Konstantina Kiriazis, Carla Giddings

{"title":"Exploring the Role of Occupational Therapy and Forced Migration in Canada","authors":"Thivisa Krishnakumaran, Meera Bhatt, Konstantina Kiriazis, Carla Giddings","doi":"10.1177/00084174221084463","DOIUrl":"https://doi.org/10.1177/00084174221084463","url":null,"abstract":"Background. In response to increasing forced migration across the globe, Canadian occupational therapists are returning to the profession's social justice roots by exploring this emergent area of practice. Purpose. This research explores occupational therapy practices with forced migrants in a Canadian context. Method. Grounded in critical epistemologies, the researchers conducted 12 semi-structured interviews with occupational therapists, students, and researchers connected to displacement. Data were analyzed using thematic analysis. Findings. Four themes describe current occupational therapy practices related to forced migration: 1) engaging clients in new environments, 2) translating the everyday, 3) connecting and networking, and 4) advocating for occupational justice. Implications. This research contributes to the advancement of occupational therapy and forced migration by documenting the diverse and fluid nature of occupational therapy roles. Further, the paper outlines promising reflexive practices while forwarding advocacy priorities for (occupational) justice.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"91 1","pages":"238 - 248"},"PeriodicalIF":1.8,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83772203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Systemic Racism in Canadian Occupational Therapy: A Qualitative Study with Therapists. 加拿大职业治疗中的系统性种族主义:对治疗师的定性研究。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-01 Epub Date: 2022-01-05 DOI: 10.1177/00084174211066676

Brenda L Beagan, Kaitlin R Sibbald, Stephanie R Bizzeth, Tara M Pride

{"title":"Systemic Racism in Canadian Occupational Therapy: A Qualitative Study with Therapists.","authors":"Brenda L Beagan, Kaitlin R Sibbald, Stephanie R Bizzeth, Tara M Pride","doi":"10.1177/00084174211066676","DOIUrl":"https://doi.org/10.1177/00084174211066676","url":null,"abstract":"Background. Research on racism within occupational therapy is scant, though there are hints that racialized therapists struggle. Purpose. This paper examines experiences of racism in occupational therapy, including coping strategies and resistance. Method. Ten therapists from racialized groups (not including Indigenous peoples) were recruited for cross-Canada, in-person or telephone interviews. Transcripts were coded and inductively analysed, with data thematically organized by types of racism and responses. Findings. Interpersonal racism involving clients, students, colleagues and managers is supported by institutional racism when incidents of racism are met with inaction, and racialized therapists are rarely in leadership roles. Structural racism means the experiences of racialized people are negated within the profession. Cognitive sense-making becomes a key coping strategy, especially when resistance is costly. Implications. Peer supports and community building among racialized therapists may be beneficial, but dismantling structures of racism demands interrogating how whiteness is built into business-as-usual in occupational therapy.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 1","pages":"51-61"},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8941711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 17

Cognitive Orientation to Daily Occupational Performance (CO-OP) in Children with Cerebral Palsy: A Systematic Review with Meta-analysis. 脑瘫儿童对日常职业表现的认知取向:一项meta分析的系统综述。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-01 Epub Date: 2022-01-19 DOI: 10.1177/00084174211066651

Meysam Roostaei, Hamid Dalvand, Mehdi Rassafiani, Greg Kelly, Bahman Razi

{"title":"Cognitive Orientation to Daily Occupational Performance (CO-OP) in Children with Cerebral Palsy: A Systematic Review with Meta-analysis.","authors":"Meysam Roostaei, Hamid Dalvand, Mehdi Rassafiani, Greg Kelly, Bahman Razi","doi":"10.1177/00084174211066651","DOIUrl":"https://doi.org/10.1177/00084174211066651","url":null,"abstract":"Background: Cognitive orientation to daily occupational performance (CO-OP) is a client-centered treatment approach that was developed in the 1990s by occupational therapists. Purpose: Exploring current evidence about the effectiveness of CO-OP on children with cerebral palsy (CP). Method: Major electronic databases were searched. A narrative synthesis of current literature and meta-analyses on randomized control trials (RCTs) were conducted on changes in occupational performance. Findings: Seven studies with 103 participants were included. Four studies were RCTs with moderate levels of evidence, and three studies had single-subject designs. Although beneficial effects of CO-OP on goal achievement and transferring learned skills were reported, meta-analyses showed that CO-OP had no significant effect on the performance (WMD = 1.52, 95% CI = -1.58 to 4.63, P = .33) and satisfaction domains (WMD = 1.71, 95% CI = -1.14 to 4.57, P = .24) of Canadian Occupational Performance Measure scores compared to alternative interventions. Implications: CO-OP improves occupational performance but not more than alternative interventions. Results are inconclusive due to small sample sizes and heterogeneity of alternative interventions and participants. Therefore, research with a larger number of participants with sound RCT methods is needed.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 1","pages":"72-91"},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39831476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 3

Hand Therapy Patients' Psychosocial Symptomology and Interests in Mindfulness: A Cross-Sectional Study. 手部治疗患者的心理社会症状与正念兴趣:一项横断面研究。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-01 Epub Date: 2021-11-16 DOI: 10.1177/00084174211060120

Mark E Hardison, Jennifer Unger, Shawn C Roll

{"title":"Hand Therapy Patients' Psychosocial Symptomology and Interests in Mindfulness: A Cross-Sectional Study.","authors":"Mark E Hardison, Jennifer Unger, Shawn C Roll","doi":"10.1177/00084174211060120","DOIUrl":"https://doi.org/10.1177/00084174211060120","url":null,"abstract":"Background: Psychosocial sequelae are common for individuals with physical injuries to the upper extremity. However, psychosocially oriented interventions are not common in this occupational therapy practice area. Purpose: This study implemented an online survey of hand therapy patients' psychological symptoms. Second, it explored patients' interest in one psychosocially oriented intervention: mindfulness meditation. Methods: The design was a cross-sectional survey of 120 consecutively recruited hand therapy patients. Survey measures included functioning, psychosocial factors, and trait mindfulness. Findings: Anxiety was prevalent in this sample, and moderately correlated with trait mindfulness (r = -0.542, p < .001). While most participants (77%) indicated mindfulness meditation would be an acceptable intervention, women were 2.8 times as likely to be interested (p = .044). Implications: Psychosocially oriented interventions are indicated in hand therapy based on the prevalence of these symptoms. Further examination of using mindfulness meditation in hand therapy is warranted due to patient interest.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 1","pages":"44-50"},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39628606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

Exploring the Praxis of Occupational Therapy-Community Development Practitioners. 探索职业治疗的实践-社区发展从业者。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-01 Epub Date: 2021-12-13 DOI: 10.1177/00084174211066662

Laura Irvine-Brown, Vicki-Ann Ware, Ana Paula Serrata Malfitano

{"title":"Exploring the Praxis of Occupational Therapy-Community Development Practitioners.","authors":"Laura Irvine-Brown, Vicki-Ann Ware, Ana Paula Serrata Malfitano","doi":"10.1177/00084174211066662","DOIUrl":"https://doi.org/10.1177/00084174211066662","url":null,"abstract":"Background. A growing body of occupational therapy knowledge and practice focuses not on health but on social transformation, and couples occupational therapy with community development. A tension in both these fields is the disconnect between what practitioners espouse and what they do, limiting the potential of practice. To address this, practitioners are encouraged to engage in praxis-the critical synthesis of theory and practice. Purpose. To explore whether and how Australian occupational therapy-community development practitioners engage in critical praxis. Method. A critical dialogical method was employed to complete multiple in-depth interviews with four occupational therapy-community development practitioners. Interviews were transcribed and analyzed using thematic analysis. Findings. Practitioners appeared capable of praxis but were not consistently employing it. Findings were grouped into themes: disjointed praxis, authentic praxis, supporting praxis, and praxis challenges and solutions. Implications. Occupational therapists need to be supported to develop, use, and maintain skills in critical praxis.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 1","pages":"26-35"},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39594825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

Occupational Therapy Theory and School-Based Filial Therapy: Intervention Rationale and Formulation. 职业治疗理论与校本孝顺治疗:干预原理与制定。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-01 Epub Date: 2021-11-11 DOI: 10.1177/00084174211056588

Jane Cooper, Mong-Lin Yu, Ted Brown

{"title":"Occupational Therapy Theory and School-Based Filial Therapy: Intervention Rationale and Formulation.","authors":"Jane Cooper, Mong-Lin Yu, Ted Brown","doi":"10.1177/00084174211056588","DOIUrl":"https://doi.org/10.1177/00084174211056588","url":null,"abstract":"Background: Emotional-behavioural problems in children present a barrier to engagement and participation in school occupations. Applying practice theory is an essential process to explore the impact of clinical problems and to orient clinical thinking to the domain of occupation. Purpose: Occupational therapy practice theory and frameworks are applied to the formulation of School-Based Filial Therapy, a viable treatment response to emotional-behavioural problems in children. Key issues: Bowen family systems theory, the Occupational Therapy Practice Framework IV and the Canadian Model of Occupational Performance and Engagement are applied to intervention formulation. Implications: School-Based Filial Therapy engages the dynamic interaction of the person, the occupations he/she engages in and the environment via therapeutic medium of play. It is consistent with the Occupational Therapy Practice Framework IV and the Canadian Model of Occupational Performance and Engagement and provides new possibilities as an intervention for occupational therapists working in children's mental health.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 1","pages":"62-71"},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39611139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 2

Algo's Integrated Knowledge Translation Process in Homecare Services: A Cross-Sectional Correlational Study for Identifying its Level of Utilization and its Associated Characteristics. 家庭护理服务中Algo集成知识翻译过程:识别其利用水平及其相关特征的横断面相关性研究

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2022-03-01 Epub Date: 2021-12-14 DOI: 10.1177/00084174211064495

Mélanie Ruest, Guillaume Léonard, Aliki Thomas, Johanne Desrosiers, Manon Guay

{"title":"Algo's Integrated Knowledge Translation Process in Homecare Services: A Cross-Sectional Correlational Study for Identifying its Level of Utilization and its Associated Characteristics.","authors":"Mélanie Ruest, Guillaume Léonard, Aliki Thomas, Johanne Desrosiers, Manon Guay","doi":"10.1177/00084174211064495","DOIUrl":"https://doi.org/10.1177/00084174211064495","url":null,"abstract":"Background. Algo is an integrated knowledge translation (IKT)-based algorithm for supporting occupational therapists (OTs) with skill mix for selecting bathing equipment. While IKT approaches are increasingly valued in implementation science, their benefits with respect to the utilization of knowledge in clinical settings are scarcely documented. Purpose. To identify Algo's level of utilization and the characteristics associated with its level of utilization. Method. A cross-sectional correlational study was conducted with OTs working in homecare services (HCS) through an online survey based on Knott and Wildavsky's classification and the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Findings. Almost half (48%) of the OTs surveyed (n = 125; participation rate: 16%) reached one of the seven levels of utilization. While Evidence characteristics are perceived as facilitators to its utilization, Context statements indicate an unfavorable organizational climate to the implementation of change. Implications. Strategies should target additional stakeholders (e.g., HCS managers) and organizational adjustments in HCS to sustain Algo's utilization.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 1","pages":"13-25"},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8941716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 2