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

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

The Concept of Oppression and Occupational Therapy: A Critical Interpretive Synthesis. 压迫的概念与职业疗法：批判性解释综述》。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-11-02 DOI: 10.1177/00084174211051168

Elizabeth A Pooley, Brenda L Beagan

{"title":"The Concept of Oppression and Occupational Therapy: A Critical Interpretive Synthesis.","authors":"Elizabeth A Pooley, Brenda L Beagan","doi":"10.1177/00084174211051168","DOIUrl":"10.1177/00084174211051168","url":null,"abstract":"Background. Occupational therapy and occupational science literature include growing attention to issues of justice, marginalization, and rights. In contrast, the concept of oppression has scarcely been employed. Purpose. This paper investigates how adding the concept of oppression may enhance occupational therapy approaches to injustice, prioritizing a focus on structural causes, and facilitating conscientious action. Method. A critical interpretive synthesis explored insights from authors who name oppressions in occupational therapy and occupational science literature. In total, a sample of 28 papers addressing oppression, ableism, ageism, classism, colonialism, heterosexism, racism, and/or sexism was selected for inclusion. Findings. Four themes were identified: oppression and everyday doing; effects of structures and power; responding and resisting; and oppression within occupational therapy. Implications. Incorporating oppression within the plurality of social discourse may help occupational therapists to avoid individualistic explanations, attend to relationships between social structures and constrained occupations, frame intersectional analysis, and engage in praxis.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"407-417"},"PeriodicalIF":1.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8640273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687547","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: 0

Sensory Modulation and Participation in Daily Occupations in Stroke Survivors. 脑卒中幸存者日常职业的感觉调节和参与。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-10-09 DOI: 10.1177/00084174211047372

Avivit Fuks Sharony, Batya Engel-Yeger

{"title":"Sensory Modulation and Participation in Daily Occupations in Stroke Survivors.","authors":"Avivit Fuks Sharony, Batya Engel-Yeger","doi":"10.1177/00084174211047372","DOIUrl":"https://doi.org/10.1177/00084174211047372","url":null,"abstract":"Background. Stroke may alter sensory modulation and restrict participation in daily occupations. Although studies highlight the relationship between altered sensory modulation and reduced participation, this relationship in stroke survivors has not been studied enough. Purpose. To examine the prevalence of altered sensory modulation among stroke survivors; to compare sensory modulation and participation between stroke survivors and healthy controls; to estimate the relationship between sensory modulation and participation among stroke survivors. Method. Thirty stroke survivors and 30 healthy controls, aged 18-70, completed the MoCA, the Adolescent-Adult Sensory Profile and the Activity Card Sort. Findings. Altered sensory modulation was more prevalent among stroke survivors. Their participation was significantly restricted as compared to healthy controls. Lower tendency to seek sensory input predicted lower participation in social activities. Implications. Occupational therapists should screen for altered sensory modulation in stroke survivors and understand their impacts on participation, in order to improve intervention outcomes.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"375-383"},"PeriodicalIF":1.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39505576","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: 4

Critiquing the Canadian Model of Client-Centered Enablement (CMCE) for Indigenous Contexts. 针对土著环境对加拿大以客户为中心的赋能模式（CMCE）进行批判。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-10-19 DOI: 10.1177/00084174211042960

Carly Hunter, Tara Pride

{"title":"Critiquing the Canadian Model of Client-Centered Enablement (CMCE) for Indigenous Contexts.","authors":"Carly Hunter, Tara Pride","doi":"10.1177/00084174211042960","DOIUrl":"10.1177/00084174211042960","url":null,"abstract":"Background. The Truth and Reconciliation Commission of Canada outlines the need for health care professionals to create more welcoming spaces for Indigenous Peoples. The scope of occupational therapy is continually expanding-yet the profession itself is grounded in and derived from a dominant Eurocentric worldview, and practice is designed to serve a homogenous Western populace. Purpose. To critically examine the Canadian Model of Client-Centered Enablement (CMCE) for its value within Indigenous contexts. Key Issues. The CMCE is positioned as a client-centered model, however there is a clear hierarchical client-professional relationship threaded throughout. Concepts such as enable, advocate, educate, coach, and coordinate demonstrate paternalistic authority, lacking reciprocity, knowledge-sharing, and power redistribution. Implications. Reimagining health care relationships as entrenched in social interconnectedness demands critical reflection and action. A model of practice that endorses social change and actively addresses colonial power inequities must root its paradigmatic foundations in postcolonial views of health care as a social relationship.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"329-339"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8733346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39530211","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: 0

Optimizing a Halfway House to Meet Mental Health Care Users' Occupational Needs. 优化中途之家以满足心理健康护理使用者的职业需求。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-10-28 DOI: 10.1177/00084174211044896

Itumeleng Augustine Tsatsi, Nicola Ann Plastow

{"title":"Optimizing a Halfway House to Meet Mental Health Care Users' Occupational Needs.","authors":"Itumeleng Augustine Tsatsi, Nicola Ann Plastow","doi":"10.1177/00084174211044896","DOIUrl":"https://doi.org/10.1177/00084174211044896","url":null,"abstract":"Background. Halfway houses (HwH) may support community reintegration of mental health care users and can be effective in meeting occupational needs of residents. However, they are not optimally used in South Africa. Purpose. This study aimed to improve the functioning of a HwH so that it better meets occupational needs of the resident mental health care users. It draws on Doble & Santha (2008); seven occupational needs. Method. A four-phase Participatory Action Research methodology was used. We conducted thematic analysis to describe met and unmet needs within PAR phases. Findings. Occupational needs of accomplishment, renewal, pleasure and companionship were being met. However, coherence, agency and affirmation needs were not being met. An additional occupational need for interdependence, based on the African ethic of Ubuntu, was identified. Implications. HwH functioning affected residents' experiences of health and wellbeing. Engagement in collective occupations can contribute to meeting the occupational need of interdependence.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"352-364"},"PeriodicalIF":1.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39567531","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

Vision Evaluation Tools for Adults With Acquired Brain Injury: A Scoping Review. 成人获得性脑损伤的视力评估工具：范围综述。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-10-18 DOI: 10.1177/00084174211042955

Camille Dubé, Yu Jin, Brienne G Powers, Ginny Li, Amélie Labelle, Meghan S Rivers, Ivy M Gumboc, André E Bussières

{"title":"Vision Evaluation Tools for Adults With Acquired Brain Injury: A Scoping Review.","authors":"Camille Dubé, Yu Jin, Brienne G Powers, Ginny Li, Amélie Labelle, Meghan S Rivers, Ivy M Gumboc, André E Bussières","doi":"10.1177/00084174211042955","DOIUrl":"10.1177/00084174211042955","url":null,"abstract":"Background. Unrecognized visual deficits (VDs) following an acquired brain injury (ABI) may impact clients' rehabilitation. Little is known about evaluation tools used in vision rehabilitation. Purpose. To systematically explore the literature describing evaluation tools used for VD on adults with ABI. Method. Using a scoping review methodology, we searched in MEDLINE(Ovid), Embase, CINAHL, PsycINFO, and the grey literature from inception to 2020. Quantitative and thematic analyses were performed. Findings. Of the 83 studies reporting on 86 evaluation tools, 47% used multiple tools to assess VD. Tools were mostly used by occupational therapists and psychologists to evaluate intermediate, intermediate to high, and high-level visual skills. Clinicians tend to select specific tools that focus on different levels of the hierarchy of visual skills. Implications. Future research should investigate the optimal timeframe for assessment of VD and the psychometric properties of tools to ensure comprehensive VD evaluation.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"340-351"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8640270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39527676","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: 0

Thank You ! Merci ! 谢谢你！谢谢!

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 DOI: 10.1177/00084174211045786

引用次数: 0

Evaluating a Therapeutic Powered Mobility Camp for Children with Severe Cerebral Palsy. 评估重度脑瘫儿童治疗性动力活动营。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-08-26 DOI: 10.1177/00084174211034938

Lori Rosenberg, Adina Maeir, Yafit Gilboa

{"title":"Evaluating a Therapeutic Powered Mobility Camp for Children with Severe Cerebral Palsy.","authors":"Lori Rosenberg, Adina Maeir, Yafit Gilboa","doi":"10.1177/00084174211034938","DOIUrl":"https://doi.org/10.1177/00084174211034938","url":null,"abstract":"Background. Children and youth with severe cerebral palsy (CP) have limited independent mobility, which affects opportunities for overall development. Purpose. To examine the effectiveness of Power Fun, a therapeutic powered mobility summer camp. Methods. A quasi-experimental, repeated-measure design was used, with participants acting as their own control. Twenty-four participants with severe CP (aged 7-20 years) attended Power Fun for three weeks, five days/week. Assessments of powered mobility skills and functional mobility goals were conducted three weeks before the camp (T1), at baseline (T2), postintervention (T3), and at three-week follow-up (T4). Findings. An analysis of variance results indicated significant improvements in powered mobility skills (F(1,22) = 56.61, p < 0.001, η2p = 0.74) and functional mobility goals (F(1,58) = 80.17, p < 0.001, η2p = 0.74), with 70% of goals achieved postintervention. A descriptive analysis revealed three learning profiles. Implications. This study provides initial evidence supporting the effectiveness of Power Fun as an intervention promoting powered mobility for children with severe CP, across a range of abilities.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"294-305"},"PeriodicalIF":1.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/23/10.1177_00084174211034938.PMC8640274.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39360294","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: 6

Occupational Therapy in the Emergency Department: Patient Frailty and Unscheduled Return Visits. 急诊科的职业治疗:病人虚弱和不定期回访。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-12-01 Epub Date: 2021-10-23 DOI: 10.1177/00084174211051165

Jessie R Trenholm, Dr Grace Warner, Dr Debra Eagles

{"title":"Occupational Therapy in the Emergency Department: Patient Frailty and Unscheduled Return Visits.","authors":"Jessie R Trenholm, Dr Grace Warner, Dr Debra Eagles","doi":"10.1177/00084174211051165","DOIUrl":"https://doi.org/10.1177/00084174211051165","url":null,"abstract":"Background. Occupational therapy facilitates care for complex frail emergency department (ED) patients who may have unscheduled return visits (URVs). Purpose. To determine the prevalence of frailty amongst ED patients referred to occupational therapy and if frailty affected the rates and reasons for URVs. Methods. A mixed-methods health records review was conducted of older adults referred to an ED-based occupational therapy program. Findings. Most patients were frail (60.6%). 31.0% of patients discharged home had a URV within 30 days, with no difference in URV rates between frail and non-frail populations. Providing occupational therapy education reduced the frequency of URVs. Frail patients had complex reasons for their URVs, including functional, social/environmental, safety concerns, and/or \"failure to thrive\". Occupational therapy ED patients were typically vulnerable to moderately frail, dependent in some activities of daily living, and complex. Implications. ED-based occupational therapists must be aware of their patient's frailty and risk of URVs.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"395-406"},"PeriodicalIF":1.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39554483","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

Ethical Tensions in Occupational Therapy Practice: Conflicts and Competing Allegiances. 职业治疗实践中的伦理紧张:冲突和竞争忠诚。

IF 1.8 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2021-09-01 DOI: 10.1177/00084174211021707

Evelyne Durocher, Elizabeth Anne Kinsella

{"title":"Ethical Tensions in Occupational Therapy Practice: Conflicts and Competing Allegiances.","authors":"Evelyne Durocher, Elizabeth Anne Kinsella","doi":"10.1177/00084174211021707","DOIUrl":"https://doi.org/10.1177/00084174211021707","url":null,"abstract":"Background.: Ethical tensions inevitably arise in practice in light of diverse agendas embedded in practice contexts. Such tensions can contribute to moral distress and lead to professional burnout and attrition. Despite potentially serious implications, little work has been done to examine how various allegiances in occupational therapy practice can set up ethical tensions.Purpose.: In this article, we present findings of an exploratory study examining conflicting allegiances in occupational therapy.Method.: Using collective case study methodology, we examined ethical tensions reported by seven occupational therapists practicing in different settings in Southwestern Ontario.Findings.: Ethical tensions were seen to arise in ways that highlighted competing allegiances to participants' own values, clients, others in the context, colleagues, employers, and regulatory colleges.Implications.: The findings open a discussion informing how practice settings can better facilitate practice directed at responding to client needs while also meeting the various demands imposed on occupational therapists.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 3","pages":"244-253"},"PeriodicalIF":1.8,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8899815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39476819","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: 1