Mary Ann McColl, Celine Boyer Denis, Kate-Lin Douglas, Justin Gilmour, Nicole Haveman, Meaghan Petersen, Brittany Presswell, Mary Law
{"title":"A Clinically Significant Difference on the COPM: A Review.","authors":"Mary Ann McColl, Celine Boyer Denis, Kate-Lin Douglas, Justin Gilmour, Nicole Haveman, Meaghan Petersen, Brittany Presswell, Mary Law","doi":"10.1177/00084174221142177","DOIUrl":"10.1177/00084174221142177","url":null,"abstract":"<p><p><b>Background.</b> The Canadian Occupational Performance Measure (COPM) assists occupational therapists to identify occupational performance problems using a client-centred approach. Since its first publication in 1991, there has been abundant evidence of the ability of the COPM to detect a <i>statistically</i> significant difference as an outcome measure. There has also been a tacit understanding that a difference of 2 points from pre-test to post-test on either Performance or Satisfaction COPM score represents a clinically significant difference. There is however, some confusion about the origins of this claim. <b>Purpose.</b> To ascertain empirical evidence for the claim that a clinically significant difference is a change score ≥2 points. <b>Method.</b> We conducted a scoping review of peer-reviewed literature (1991-2020) for intervention studies using the COPM as an outcome measure and examined intervention type and change scores. <b>Findings.</b> One hundred studies were identified. The COPM was used to assess effectiveness of eight types of occupational therapy interventions. The common belief, however, was not empirically supported that clinical significance can be asserted on the basis of a two-point change in COPM scores. <b>Implications.</b> Further research is needed to test alternative approaches to asserting clinical significance or a minimal clinically important difference.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"90 1","pages":"92-102"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/be/10.1177_00084174221142177.PMC9923202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10704011","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}
{"title":"Thank You ! Merci !","authors":"","doi":"10.1177/00084174221129663","DOIUrl":"https://doi.org/10.1177/00084174221129663","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 4","pages":"344-345"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9098328","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}
Sungha Kim, Nadine Larivière, Ilana Bayer, Rebecca Gewurtz, Lori Letts
{"title":"Occupational therapists' application of the Do-Live-Well framework: A Canadian health promotion approach.","authors":"Sungha Kim, Nadine Larivière, Ilana Bayer, Rebecca Gewurtz, Lori Letts","doi":"10.1177/00084174221117717","DOIUrl":"https://doi.org/10.1177/00084174221117717","url":null,"abstract":"<p><p><b>Background.</b> The Do-Live-Well (DLW) framework is an occupation-focused health promotion approach. Online and in-person DLW educational workshops were offered to encourage occupational therapists to apply the DLW concepts. <b>Purpose.</b> The purpose of this study was to understand workshop participants' experiences of and perspectives on using the DLW framework to support its application in the future. <b>Method.</b> Interpretative description was used to understand workshop participants' perspectives on benefits, facilitators, and challenges of using DLW. Semi-structured interviews were conducted and analysed using a thematic analysis. <b>Findings.</b> Eight themes were identified as follows: (a) environmental factors of practice settings, (b) co-workers' support, (c) DLW enhanced occupational therapy practice, (d) confidence in using DLW, (e) nature of the DLW framework, (f) DLW promoted healthy occupational engagement, (g) DLW was not suitable for everyone, and (h) pandemic effects. <b>Implications.</b> The DLW framework supports occupationally focused practices, and continuous learning support will be needed.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 4","pages":"417-426"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9074604","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}
{"title":"Expanding Occupational Therapy Perspectives with Family Caregivers.","authors":"Louise Demers","doi":"10.1177/00084174221103952","DOIUrl":"https://doi.org/10.1177/00084174221103952","url":null,"abstract":"<p><p><b>Background</b>. Family caregivers are ever-present and crucial collaborators in the work of occupational therapists but are rarely the focus of their efforts. <b>Purpose</b>. This lecture will discuss the greater inclusion of family caregivers in occupational therapy and the exciting possibilities that emerge from this change. <b>Key issues</b>. Family caregivers are a unique client population. This position statement is supported by recent research on occupational therapists' values and shifts towards an occupational participation approach in the profession. Working with this client population requires a nuanced understanding of their experience. Caregiving can be burdensome, but it can also create positive effects many of which can be identified and understood through a relational lens. <b>Implications</b>. Through a three-fold approach, occupational therapists can work with caregivers to locate and mitigate negative caregiving effects, discover, and build on positive effects, and further develop positive outcomes by encouraging and balancing caregiving and non-caregiving occupations.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 3","pages":"223-237"},"PeriodicalIF":1.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33469871","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}
Alis V Moores, Karina M Dancza, Merrill J Turpin, Jodie A Copley
{"title":"The Nature of Theory Used in Practice Education: A Scoping Review.","authors":"Alis V Moores, Karina M Dancza, Merrill J Turpin, Jodie A Copley","doi":"10.1177/00084174221093466","DOIUrl":"10.1177/00084174221093466","url":null,"abstract":"<p><p><b>Background.</b> Placements are key contexts for occupational therapy students to connect theoretical knowledge (theory) with practice. Theory relates to the prevailing ideas and concepts used by a profession. It can be derived within and outside the profession (discipline-specific knowledge and related knowledge, respectively). <b>Purpose.</b> This scoping review aimed to identify what is known about the nature of theoretical knowledge used in occupational therapy practice education. <b>Method.</b> A search of 4 electronic databases identified 19 relevant publications, data from which was extracted deductively. <b>Findings.</b> Inconsistent descriptions related to discipline-specific knowledge while related knowledge was often presented as not integrated with, or complementing, discipline-specific knowledge. Some authors referred to educational knowledge and methods informing student's theory use during placements. <b>Implications.</b> Educational methods need to provide a foundational platform, enabling novice learners to structure their thinking about ways discipline-specific and related knowledge can be used within an occupational framework on placement.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"249 1","pages":"261-282"},"PeriodicalIF":1.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80685814","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}
Christina Lamontagne, Nathalie Cyr, Claire-Jehanne Dubouloz Wilner, Josée Séguin
{"title":"Pour une communication inclusive en français dans le domaine de l’ergothérapie.","authors":"Christina Lamontagne, Nathalie Cyr, Claire-Jehanne Dubouloz Wilner, Josée Séguin","doi":"10.1177/00084174221123873","DOIUrl":"https://doi.org/10.1177/00084174221123873","url":null,"abstract":"Dans un contexte canadien, les communications officielles sont souvent écrites simultanément en anglais et en français. Traditionnellement dans la langue française, le masculin générique désignait « une universalité de fait, voire une certaine neutralité, mais ce n’est plus le cas » (Université de Montréal, 2019, p. 3). Certaines recherches démontrent que le masculin générique implique des biais cognitifs et renforce les stéréotypes de genre (p. ex. Gygax et al., 2019). Le Bureau de la traduction recommande alors « d’éliminer autant que possible les marques de genre » quand on s”adresse à des personnes dont on ne le connaît pas, à des personnes non binaires, ou à un groupe diversifié (Gouvernement du Canada, 2021). Au Canada, « [u]ne personne sur 300 âgée de 15 ans et plus est transgenre ou non binaire » (Statistiques Canada, 2022). Il est donc important d’avancer vers une communication inclusive en français pour combattre les préjugés implicites du sexisme et de la transphobie. Dans cet éditorial, nous explorerons l’importance de la communication inclusive en français dans le domaine de l’ergothérapie, les implications pour la traduction et l’utilisation des formulations épicènes en ergothérapie, tel que vécu par les pairs réviseurs du livre L’ergothérapie axée sur les relations collaboratives pour promouvoir la participation occupationnelle (Egan et Restall, 2022). Nous utiliserons le terme communication inclusive afin de signifier la communication écrite, orale et visuelle (p. ex. CDEC de Québec, 2020; Université du Québec, 2022). Afin d’illustrer les différences, le Tableau 1 démontre les procédés syntaxiques communs dans la grammaire française et des exemples pratiques en ergothérapie. L’importance du langage inclusif en français dans le domaine de l’ergothérapie","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 3","pages":"217-222"},"PeriodicalIF":1.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33469870","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}
Julia Shin, Vanessa D Jewell, Amy A Abbott, Marion Russell, Kathryn Carlson, Madison Gordon
{"title":"Fidelity Protocol Development for a Telehealth Type 1 Diabetes Occupation-Based Coaching Intervention.","authors":"Julia Shin, Vanessa D Jewell, Amy A Abbott, Marion Russell, Kathryn Carlson, Madison Gordon","doi":"10.1177/00084174221078644","DOIUrl":"https://doi.org/10.1177/00084174221078644","url":null,"abstract":"<p><p><b>Background.</b> Preserving fidelity ascertains that the intervention is delivered as intended in occupational therapy (OT) contexts. The process of conceptualizing and developing fidelity standards, however, is seldom documented in the existing literature. <b>Purpose.</b> The purpose of this methodological description paper was to (a) describe the process of generating a comprehensive fidelity plan based on the National Institutes of Health Behavioral Change Consortium's five-domain fidelity framework and (b) evaluate the development process and utility of the end product, the Occupation-Based Coaching (OBC) Fidelity Protocol. <b>Key Issues.</b> There is no known research that documents the process of developing fidelity standards and tools to support the OBC intervention. <b>Implications.</b> The OBC Fidelity Protocol proposes an example of how a comprehensive fidelity plan and tools can be developed from a well-established scientific framework. This can also inform OT practitioners and researchers to deliver OBC sessions with consistency across clients, providers, and interventions/studies.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 2","pages":"159-169"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39651011","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}
{"title":"[Enabling Workers to Preserve Their Mental Health: What are Ocupational Therapists Doing?]","authors":"Alexandra Lecours, Charles Groleau","doi":"10.1177/00084174221076228","DOIUrl":"10.1177/00084174221076228","url":null,"abstract":"<p><p><b>Background.</b> Occupational therapists support workers who have experienced a mental health issue in their return-to-work process, but can also support the maintenance of long-term healthy participation. Little scientific literature exists to understand this emerging role. <b>Purpose.</b> To describe occupational therapists' interventions with respect to enabling workers to maintain their mental health. <b>Method.</b> Using a descriptive qualitative design, interviews were conducted with 19 occupational therapists working in socioprofessional rehabilitation. <b>Findings.</b> Occupational therapists reported to implemente 31 interventions, devided in eight categories. These interventions were mainly focused on the workers themselves; those involving the environment were less developed. <b>Implications.</b> The interventions described with specificity offer concrete levers that occupational therapists can use in their practice. However, research is needed to evaluate the effectiveness of these interventions.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 2","pages":"147-158"},"PeriodicalIF":1.6,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/92/10.1177_00084174221076228.PMC9136387.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39761949","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}
Victoria G Wilburn, Hannah B Stoll, Ashley C Rohr, Kelly Moring
{"title":"The Ambiguity of Parenting Adult Children With Substance Use Disorder.","authors":"Victoria G Wilburn, Hannah B Stoll, Ashley C Rohr, Kelly Moring","doi":"10.1177/00084174211073260","DOIUrl":"https://doi.org/10.1177/00084174211073260","url":null,"abstract":"<p><p><b>Background.</b> Substance Use Disorder can impede parent-child relationships. The Theory of Ambiguous Loss provides a structure for occupational therapy practitioners in developing interventions to support the parent-child relationship. <b>Purpose.</b> This study explores the roles of parents of adult children diagnosed with Substance Use Disorder in the context of the Theory of Ambiguous Loss. <b>Method.</b> Volunteer participants were recruited from three urban parental support groups. Inclusion criteria were involved in a support group and having an adult child diagnosed with Substance Use Disorder. Eight mothers and one father participated in semi-structured interviews using a phenomenological approach. Themes and structural descriptions were developed. <b>Findings.</b> Five themes were identified: hopeful coping, occupational interference, changes in social constructs and participation, burdenful caregiving and receiving, and blending of occupations. Themes offer intervention considerations for occupational therapy. <b>Implications.</b> Research provides additional conceptual consideration to build occupation-centered interventions for parents and their adult children in Substance Use Disorder recovery.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 2","pages":"127-134"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39827114","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}
Mary Vining Radomski, Mattie Anheluk, Ginger L Carroll, Kim Grabe, Jerry W Halsten, Kristina Kath, Robert A Kreiger, Meghan E Lunos, Stacey Rabusch, Karen K Swenson, Joette Zola
{"title":"Preliminary Efficacy of an Occupation-Oriented Purpose in Life Intervention After Breast Cancer.","authors":"Mary Vining Radomski, Mattie Anheluk, Ginger L Carroll, Kim Grabe, Jerry W Halsten, Kristina Kath, Robert A Kreiger, Meghan E Lunos, Stacey Rabusch, Karen K Swenson, Joette Zola","doi":"10.1177/00084174211073264","DOIUrl":"https://doi.org/10.1177/00084174211073264","url":null,"abstract":"<p><p><b>Background.</b> Purpose in life is important to health and well-being; purpose disruption often goes unidentified after breast cancer. <b>Purpose.</b> To evaluate the efficacy of a purpose renewal intervention and utility of a screening question for identifying people with purpose-related distress. <b>Method.</b> In this prospective pretest-posttest study, participants with breast cancer received an 8-session purpose renewal group intervention (n = 35). Participants completed standardized measures of meaning and purpose at pretest, posttest, and two-month follow-up and a forced-choice Purpose Status Question (PSQ) at pretest. <b>Findings.</b> Participants made statistically significant pretest-to-posttest and pretest-to-follow-up improvements. The PSQ demonstrated construct validity: 40% of participants lacked purpose direction at pretest and this subgroup made significantly greater improvements than participants who reported purpose direction at pretest. <b>Implications.</b> The PSQ warrants further study as a screener to identify people with purpose-related distress. Many breast cancer survivors may benefit from a purpose in life intervention; a subgroup may benefit more.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"89 2","pages":"115-126"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39828644","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}