Occupational Therapy International最新文献

{"title":"Mapping Effectiveness Studies of Occupational Therapy in Africa: A Scoping Review.","authors":"Nicola Ann Plastow, Monique de Wit, Megan Brown, Monica de Kock, Patricia Pretorius, Saskia Pienaar, Wernice Venter","doi":"10.1155/2023/6688222","DOIUrl":"10.1155/2023/6688222","url":null,"abstract":"<p><strong>Background: </strong>Contextual relevance is an important consideration for evidence-based practice, especially in low- and middle-income countries where the nature of practice may differ from high-income countries. Resources and access to rehabilitation are constrained, and service-users face a range of intersecting challenges to activity and participation.</p><p><strong>Aim: </strong>To evaluate the body of evidence for the effectiveness of occupational therapy in Africa, and to determine if systematic reviews with meta-analysis and/or meta-synthesis are feasible. <i>Methods and Analysis</i>. We conducted a systematic scoping review of published and grey literature by following PRISMA-ScR guidelines across 13 databases and through personal contact with occupational therapists across Africa. Covidence software was used to manage a blind review process by at least three reviewers per included article. The McMaster Quantitative Review Form, NHMRC levels of evidence, the Cochrane PROGRESS-Plus health equity criteria, and the TIDieR checklist informed data extraction using Microsoft Forms.</p><p><strong>Results: </strong>The search yielded 4199 articles, of which 45 were included. Evidence in six fields of practice included paediatrics, mental health, physical rehabilitation, hand therapy, work practice, and community development, although the evidence was largely limited to South Africa (93% studies). Levels of evidence varied but included 13 RCTs. In all, 1957 participants were included, ranging in age from 25 days to 99 years, with a wide range of health conditions. Most studies reported a positive outcome for occupational therapy.</p><p><strong>Conclusion: </strong>Findings suggest a moderate body of evidence to support occupational therapy in Africa. Systematic review with meta-analysis, assessment of risk of bias, and in-depth analysis of specific areas of practice are now required. All effectiveness studies in occupational therapy should include measures of occupational performance or participation, minimum reporting standard checklists should be used more consistently, and effect sizes should be consistently calculated and reported in effectiveness research.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"6688222"},"PeriodicalIF":1.3,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463915","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":"Effectiveness of Robotics in Stroke Rehabilitation to Accelerate Upper Extremity Function: Systematic Review.","authors":"Cora Carrillo,&nbsp;Devyn Tilley,&nbsp;Kaitlyn Horn,&nbsp;Michelle Gonzalez,&nbsp;Cassidy Coffman,&nbsp;Claudia Hilton,&nbsp;Karthik Mani","doi":"10.1155/2023/7991765","DOIUrl":"https://doi.org/10.1155/2023/7991765","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effectiveness of robot-assisted therapy (RAT) combined with conventional therapy (CT) compared to CT alone in accelerating upper extremity (UE) recovery poststroke. <i>Data Sources</i>. We searched five databases: Ovid, MEDLINE, CINAHL, PubMed, and Scopus Study Selection. Studies were selected for this review using the following inclusion criteria: randomized controlled trials of adults, RAT combined with CT compared to CT, and Fugl-Meyer Assessment (FMA) as an outcome measure. Studies focused on children with neurological impairments, and studies that used RAT to facilitate lower extremity recovery and/or improve gait were excluded. <i>Data Extraction</i>. The initial search yielded 3,019 citations of articles published between January 2011 and May 2021. Fourteen articles met the inclusion criteria. Randomization, allocation sequence concealment, blinding, and other biases were assessed. <i>Data Synthesis</i>. Current evidence suggests that the use of RAT along with CT may accelerate upper extremity recovery, measured by FMA, in the beginning of rehabilitation. However, the progress fades over time. More empirical research is needed to validate this observation. Also, the findings related to cost-benefit analyses of RAT are inconclusive.</p><p><strong>Conclusions: </strong>It is unclear whether RAT accelerates UE recovery poststroke when used in conjunction with conventional therapy. Given the capital and maintenance costs involved in developing and delivering RAT, more controlled studies examining the effectiveness and cost-benefit analysis of RAT are needed before it can be used widely. This trial is registered with CRD42021270824.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"7991765"},"PeriodicalIF":1.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487874","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":"The Lived Experience of Persons with Spinal Cord Injuries Engaging in Remote Work: A South African Perspective.","authors":"Alicia Swart,&nbsp;Jerome Peter Fredericks,&nbsp;Lee-Ann Juliana Jacobs-Nzuzi Khuabi","doi":"10.1155/2023/8671123","DOIUrl":"https://doi.org/10.1155/2023/8671123","url":null,"abstract":"<p><p>In South Africa, traumatic SCI cases are disproportionately high in comparison to other countries. Low retention and maintenance of work for persons with SCIs are further exasperated by structural barriers and societal stigma. Persons with SCIs have the ability to contribute to the labour market, and doing so could lead to the improvement of their quality of life and socioeconomic status. Addressing engagement in work as a meaningful occupation for persons with SCIs is essential to mitigate occupational risk factor and uphold occupational justice. Currently, there is a paucity of literature on remote work practices for persons with SCIs. This study seeks to add to this body of knowledge to increase occupational therapists' awareness of the possibility of remote work to facilitate the inclusion of persons with SCIs in the open labour market. This phenomenological study explored the facilitators and barriers of engaging in remote work in the open labour market for paid employment, as experienced by persons with SCI within the Gauteng metropole, South Africa. Data was collected via semistructured interviews from four participants and analysed thematically. Four themes were generated from the data: (1) intrinsic facilitators of remote work, (2) extrinsic facilitators of remote work, (3) intrinsic barriers to remote work, and (4) extrinsic barriers to remote work. Remote work can be utilised to include persons with SCIs in their chosen occupation of work and is a holistic and client-centred approach. Remote work should not be seen as the sole method of inclusion but can also be used in conjunction with traditional office work to accommodate persons with SCIs in the workplace.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"8671123"},"PeriodicalIF":1.5,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428287","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":"Retracted: Assistive Relief Tool for Early Childhood and Special Psychological Symptom Groups during the Pandemic: Clothing Design Based on the Virtual Contact Principle.","authors":"Occupational Therapy International","doi":"10.1155/2023/9851308","DOIUrl":"10.1155/2023/9851308","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/9701630.].</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"9851308"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231930","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":"Retracted: Occupational Therapy Practice Based on New-Generation Information Technology for Employee Emotion Analysis and Management.","authors":"Occupational Therapy International","doi":"10.1155/2023/9863210","DOIUrl":"10.1155/2023/9863210","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/3536911.].</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"9863210"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231932","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":"Retracted: Research on the Design of Interactive Children's Vocal Enlightenment Toys Based on Audiovisual Association Experience.","authors":"Occupational Therapy International","doi":"10.1155/2023/9824371","DOIUrl":"10.1155/2023/9824371","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/7686818.].</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"9824371"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231934","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":"\"Being Holistic Is a Lot to Ask\": A Qualitative, Cross-National Exploration of Occupational Therapists' Perceptions and Experiences of Holistic Practice.","authors":"Mona Asbjørnslett,&nbsp;Lisebet S Skarpaas,&nbsp;Linda Stigen","doi":"10.1155/2023/2432879","DOIUrl":"10.1155/2023/2432879","url":null,"abstract":"<p><p>Being holistic is often used by occupational therapists to describe their practice and philosophy worldwide. This study explores the perspectives of 33 occupational therapists, working in 13 different countries, on their understanding of holistic epistemology and practice and how they seek to incorporate holism in their work. On the basis of a qualitative study design, individual interviews were conducted with the participants by 18 Norwegian undergraduate occupational therapy students, supported by their supervisors. The authors subsequently analyzed the transcribed data, using a thematic analysis approach. Three principal themes emerged: (1) holism as a broad and narrow concept, (2) being holistic spans from treating body parts to teaching marginalized children, and (3) being holistic is a lot to ask. When talking about holism and holistic practice, participants described their holistic practices in various ways, and their accounts reflected different understandings and cultural contexts. Participants characterized a holistic approach as one emphasizing the importance of occupations and activities and helping patients regain independence in their everyday lives. However, they also highlighted the specific challenges they faced, including cultural factors and inadequate resources. Significantly, participants from both Western and non-Western contexts emphasized the importance of holistic practice, suggesting that a dichotomous understanding of Eastern versus Western philosophical approaches does not necessarily make sense in occupational therapy interventions. Therapists' degree of commitment to client-centered practice appears of greater relevance. With its international perspective, our study sheds light on important areas of contemporary occupational therapy practice, including the difficulties occupational therapists face when seeking to cover \"everything\" in an effort to be more holistic.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"2432879"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231928","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":"Retracted: Analysis of Rehabilitation Occupational Therapy Techniques Based on Instrumental Music Chinese Tonal Language Spectrogram Analysis.","authors":"Occupational Therapy International","doi":"10.1155/2023/9861902","DOIUrl":"10.1155/2023/9861902","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/1064441.].</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"9861902"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231929","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":"Retracted: Research and Implementation of Distributed Computing Management System for College Students' Sports Health Based on Integrated Regional Collaborative Medical Care.","authors":"Occupational Therapy International","doi":"10.1155/2023/9825793","DOIUrl":"10.1155/2023/9825793","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/9306200.].</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"9825793"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231933","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":"Retracted: Occupational Therapy and Prevention of Common Sports Injuries for Special Physical Training.","authors":"Occupational Therapy International","doi":"10.1155/2023/9798163","DOIUrl":"10.1155/2023/9798163","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/6227377.].</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2023 ","pages":"9798163"},"PeriodicalIF":1.5,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231931","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}