Scandinavian Journal of Occupational Therapy最新文献

{"title":"Comprehensive assessment as part of the assistive technology service delivery process.","authors":"Rina Juel Kaptain, Michelle Riisager, Christina Juul, Morten Rye Olsen, Eva Ejlersen Wæhrens","doi":"10.1080/11038128.2025.2451287","DOIUrl":"https://doi.org/10.1080/11038128.2025.2451287","url":null,"abstract":"<p><strong>Background: </strong>The assistive technology (AT) service delivery process is complex and includes a comprehensive assessment of the citizen's situation to inform decision making. This assessment is required by Danish law to ensure that citizens receive solutions matched to their needs, including other services than the AT.</p><p><strong>Aim: </strong>To investigate how Danish occupational therapists, involved in the AT service delivery process, perform the comprehensive assessment.</p><p><strong>Material and methods: </strong>The study is a cross-sectional survey. The target population was occupational therapists providing AT through the AT service delivery process in municipal units. Data were analysed using descriptive statistics.</p><p><strong>Results: </strong>The sample included <i>n</i> = 206 Danish occupational therapists completing the questionnaire. Participants represented the five regions in Denmark. Variations were seen across age, years of working experience, and years in current position. Fifty nine percent of the participants often used telephone interviews, and 74% reported to do home visits to gather information as part of the assessment process. During home visits, participants typically combined methods of interview and observation. Most participants reported not using standardised assessment tools, or not using them in their full length. Almost 80% reported having no guidelines about tool(s) to be used at their workplace. Overall, participants were satisfied with the assessment process.</p><p><strong>Conclusions: </strong>When Danish occupational therapists perform comprehensive assessments to ensure that citizens receive solutions matched to their needs, including other services than the AT, the assessment approach and methods employed vary across therapists, since local guidelines for assessment and the use of standardised assessment tools are sparse.</p><p><strong>Significance: </strong>To support a high-quality comprehensive assessment process, also ensuring a sustainable client-centred process, a standard minimum guideline is recommended within the Danish AT service delivery system.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2451287"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957826","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}

{"title":"Recovery experiences among mental health service users going through the Balancing Everyday Life^™ intervention - A deductive qualitative study.","authors":"Mona Eklund, Elisabeth Argentzell","doi":"10.1080/11038128.2025.2451267","DOIUrl":"https://doi.org/10.1080/11038128.2025.2451267","url":null,"abstract":"<p><strong>Background: </strong>The occupational therapy intervention Balancing Everyday Life (BEL)^TM aims to support mental health service users towards improved occupational balance and personal recovery. Yet, no research has specifically addressed recovery experiences among BEL^TM participants.</p><p><strong>Aim: </strong>To investigate how the recovery process was experienced by mental health services users who had participated in BEL^TM.</p><p><strong>Methods: </strong>The study was based on qualitative interviews with 11 participants. A deductive content analysis was performed based on the CHIME framework, a research-based tool for characterising the recovery process.</p><p><strong>Results: </strong>All categories and most subcategories described in the CHIME framework could be found in the participants' experiences. The most prominent categories were Sense of connectedness and Empowerment. Most subcategories were identified as well. Additionally, two subcategories not covered in CHIME were distinguished - occupational balance, and self-esteem and self-confidence - which may be specific to an occupational therapy intervention like BEL^TM.</p><p><strong>Conclusion: </strong>The study showed that CHIME was relevant for characterising the recovery process among BEL^TM participants and identifying the features shaping that process. The findings support CHIME, while also indicating that BEL^TM offers some additional avenues for personal recovery.</p><p><strong>Significance: </strong>An occupational therapy intervention can support mental health service users towards personal recovery.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2451267"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041906","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}

{"title":"Effectiveness of the PRPP Intervention after brain injury in home-based rehabilitation: Single-case experimental designs with multiple baselines.","authors":"M Ø Lindstad, A Obstfelder, U Sveen, L Stigen","doi":"10.1080/11038128.2024.2444591","DOIUrl":"10.1080/11038128.2024.2444591","url":null,"abstract":"<p><strong>Background: </strong>Occupational therapists strive to provide evidence-based cognitive rehabilitation for everyday functional activities in community-based rehabilitation.</p><p><strong>Objective: </strong>In this study, we investigated the effectiveness of the Perceive, Recall, Plan and Perform (PRPP) Intervention in enhancing and maintaining task performance and cognitive strategy use during home-based rehabilitation for individuals with cognitive challenges following acquired brain injury.</p><p><strong>Material and methods: </strong>This study is a systematic replication of a single-case experimental designs using multiple baselines applied to three participants (67+ years old) undergoing nine PRPP Intervention sessions. The participants completed repeated measurements during baseline, intervention, post-intervention and follow-up phases. They were compared to their baseline phases, which was a control. Outcome measures included PRPP Assessment Stages 1 and 2. The analysis involved visual inspection of graphed data and the Tau-<i>U</i> method.</p><p><strong>Results: </strong>The analysis revealed that all three participants showed positive changes in task mastery and effective cognitive strategy use after receiving PRPP Intervention, including maintenance immediately after intervention and 4 weeks later. A weighted Tau-U across participants indicated a very large effect (0.94) on task mastery.</p><p><strong>Conclusions and significance: </strong>The PRPP Intervention showed promising results in improving real-world task mastery and effective cognitive strategy use during home-based rehabilitation.</p><p><strong>Trial reg.no: </strong>NCT05148247.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2444591"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916126","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}

{"title":"Ambitions and obstacles for evidence-based municipal primary healthcare - a mixed- methods study.","authors":"Monica Gustafsson, Magnus Zingmark, Susanne Iwarsson, Lisa Ekstam","doi":"10.1080/11038128.2025.2451265","DOIUrl":"https://doi.org/10.1080/11038128.2025.2451265","url":null,"abstract":"<p><strong>Background: </strong>Research is limited on registered healthcare professionals (RHCP) usage of research and evidence-based practice (EBP) in Swedish municipal primary healthcare work.</p><p><strong>Aim/objectives: </strong>The aim of this study was to increase the understanding of experiences, attitudes, and conditions of usage of research and implementation of EBP among RHCPs in a Swedish municipality setting. Further, the study aimed to explore whether those attitudes and conditions were associated with RHCP basing their work on research.</p><p><strong>Material and methods: </strong>The study was a mixed- methods study of a convergent design with five dialogue meetings and a web-based survey. Participants were RHCP recruited from one large size municipality.</p><p><strong>Findings: </strong>Registered healthcare professionals struggled between personal and organisational conditions to use research and work according to EBP. They were torn between personal ambitions and lack of skills to use research, whereas having an advanced level education was significantly associated with basing work on research. Lack of organisational resources and support made usage of research and implementation of EBP difficult.</p><p><strong>Conclusion: </strong>There is a need to strengthen the RHCP competence in using research evidence in clinical practice. Managemental support, education and clinical goals could improve the conditions for usage of research and implementation of EBP.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2451265"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015171","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}

{"title":"Mental health service users' experiences of everyday occupations while attending day centres during the transition into retirement age.","authors":"Carina Tordai, Steven M Schmidt, Mona Eklund, Elisabeth Argentzell","doi":"10.1080/11038128.2024.2444594","DOIUrl":"https://doi.org/10.1080/11038128.2024.2444594","url":null,"abstract":"<p><strong>Background: </strong>Existing research has shown that those ageing with severe mental illness face significant challenges in daily life. Attendance at community-based day centres (DCs) is offered to support daily structure and break isolation. However, little is known about the experiences of those receiving this type of support while transitioning into retirement age.</p><p><strong>Aim: </strong>To explore experiences of everyday occupations among older mental health service users attending DC while transitioning into retirement age.</p><p><strong>Materials/methods: </strong>Fourteen older DC attendees were interviewed on three occasions, spanning a time frame of four and a half years. The material was analyzed using grounded theory.</p><p><strong>Results: </strong>An overarching theme emerged; <i>A sense of belonging - creating, recreating, and maintaining my occupational identity while ageing,</i> with three underlying categories: <i>Enablers helping to pave a pathway to social contacts and occupations, Struggling through changing conditions</i>, and <i>Recreating and maintaining my occupations and occupational identity.</i></p><p><strong>Conclusions/significance: </strong>Attending DC contributed with enablers that helped to maintain an occupational identity, despite ageing with complex health conditions. This study can be useful when planning optimal support focusing on occupational identity.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2444594"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899848","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}

{"title":"Fostering social participation among older adults: Perspectives of stakeholders.","authors":"Maria Löfgren, Anneli Nyman, Ellinor Larsson, Gunilla Isaksson","doi":"10.1080/11038128.2024.2384405","DOIUrl":"10.1080/11038128.2024.2384405","url":null,"abstract":"<p><strong>Background: </strong>Fostering social participation for active and healthy ageing among older adults is an urgent issue in a changing society that requires new approaches from occupational therapists as well as from society at large.</p><p><strong>Aim: </strong>To explore possibilities to foster social participation for older adults in society from the perspective of stakeholders.</p><p><strong>Material and methods: </strong>A qualitative design was applied. 18 key informants, engaged in supporting older adults in their organisational roles as either professionals or volunteers, participated in five different focus groups discussions.</p><p><strong>Results: </strong>The results involved two overarching themes that reflects different perspectives on key informants' possibilities to foster social participation for older adults. The first theme describes how they direct their attention towards their roles within the organisations to foster social participation in their own context. The second theme describes the broader societal perspectives that they address to establish a common ground for collaboration and knowledge-sharing among different stakeholders.</p><p><strong>Conclusions: </strong>The findings emphasise how addressing common challenges and developing collaboration are essential to foster older adults' social participation. It is therefore necessary to involve policy-makers and decision-makers. Occupational therapists and researchers should consider the value of occupational justice to drive collective and social approaches.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":" ","pages":"2384405"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789638","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}

{"title":"'<i>A new sense of my former self' -</i> transforming the self through vocational rehabilitation for people with acquired brain injury.","authors":"Pia Kold, Hanne Peoples, Hanne Kaae Kristensen, Jesper Larsen Maersk","doi":"10.1080/11038128.2024.2384401","DOIUrl":"10.1080/11038128.2024.2384401","url":null,"abstract":"<p><strong>Background: </strong>Acquired Brain injury (ABI) causes ripples throughout the occupational and social fabric. It enters people's lives at a significant personal cost, encroaching on people's sense of self. Vocational rehabilitation is a viable venue to regain control of their life and support them in forming a new sense of self. From an occupational perspective, little is known about how vocational rehabilitation can support people through transforming their sense of self.</p><p><strong>Aim: </strong>This study aims to explore how vocational rehabilitation may influence the relationship between sense of self and occupational engagement for persons with ABI. Material and Methods: Six persons with ABI were purposely sampled. Data were collected using semi-structured individual interviews and analysed using a hermeneutic approach.</p><p><strong>Results: </strong>The analysis resulted in three themes: a new sense of my former self, engaging in occupations as transformation, and the significance of support.</p><p><strong>Conclusions: </strong>Participating in vocational rehabilitation can enable persons with ABI to form a new sense of self. Engaging in occupations and professional support is significant in the transformation process.</p><p><strong>Significance: </strong>From an occupational perspective, the knowledge gained in this study stresses the essential role occupational engagement and proper targeted support have for people struggling to return to work after ABI.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":" ","pages":"2384401"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789637","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}

{"title":"Occupational therapists' experiences of intra-professional collaboration during the discharge process from inpatient care to home healthcare.","authors":"Elin Hellman, Maria Lindström","doi":"10.1080/11038128.2024.2433101","DOIUrl":"https://doi.org/10.1080/11038128.2024.2433101","url":null,"abstract":"<p><strong>Introduction: </strong>Swedish healthcare has undergone significant changes since the transferral of home healthcare from a regional to municipal responsibility, and since the new 2018 law regulating discharge from hospital. This meant changes to ways of working for Occupational Therapists (OTs), as OTs play a key role in planning for discharging patients, a crucial process before patients return home, and in the transition between care givers.</p><p><strong>Aim: </strong>The aim of this study is to illuminate how OTs experience the intra-professional collaboration during the discharge process between inpatient care and home healthcare.</p><p><strong>Methods: </strong>Interviews were conducted with OTs (<i>N</i> = 12), with even distribution between inpatient care and home healthcare, in three geographical locations in Sweden. Data analysis was performed according to qualitative content analysis.</p><p><strong>Results: </strong>A central theme ran through all categories; <i>the multi faces of intra-professional communication are challenging, intertwined and emotional.</i> The categories illuminate experiences in terms of important but neglected patient participation and safety, different forms of mind-set depending on setting, complex rapid communication, unpredictable paths of discharge, unclear responsibility and organisational guidelines and, impact on work health and OT emotions.</p><p><strong>Conclusion: </strong>Intra-professional communication is complex with many aspects and perspectives of importance for collaboration to run smoothly, but also the many individuals involved in the collaboration process of discharging a patient. This situates high demands on the professionals involved to distinguish and identify necessary information to make the discharge sound and safe for patient, as well as for relatives, involved services, and manageable for OTs.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"31 1","pages":"2433101"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789690","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}

{"title":"Cognitive interviews on the Swedish occupational balance questionnaire.","authors":"Petra Wagman, Linnea Karlsson, Nina Ekblad, Carita Håkansson","doi":"10.1080/11038128.2024.2413144","DOIUrl":"https://doi.org/10.1080/11038128.2024.2413144","url":null,"abstract":"<p><strong>Background: </strong>The Occupational Balance Questionnaire (OBQ11) is a commonly used instrument for measuring self-rated occupational balance. It needs further development, and therefore an additional 11 tentative items have been developed. One aspect of this is studying the interpretations and reasoning of people responding to the items/instrument.</p><p><strong>Aim: </strong>The aim of this study was to explore and describe how adults interpret and reason in relation to OBQ11 overall, the individual items in the instrument as well as the new tentative items.</p><p><strong>Method: </strong>Cognitive interviews were conducted with eight participants varying in age, gender, living situation, education, native language, and self-reported disability. They were included using a combination of purposive and convenience sampling. The interviews were analysed using a content analysis with an inductive approach.</p><p><strong>Results: </strong>The analysis resulted in three main categories: 'Difficulties understanding the items' (with two subcategories), 'Structure of the instrument' (with four subcategories) and 'Missed perspectives in the instrument' (with four subcategories).</p><p><strong>Conclusions: </strong>The participants considered the items and the instrument relevant for assessing occupational balance. However, the results also revealed the need for more clarifications and changed item order prior to introducing a potential new version of the instrument.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"31 1","pages":"2413144"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401761","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}

{"title":"Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change.","authors":"Hayley M Scott, Anne M Baker, Carolyn A Unsworth","doi":"10.1080/11038128.2024.2423712","DOIUrl":"https://doi.org/10.1080/11038128.2024.2423712","url":null,"abstract":"<p><strong>Background: </strong>Few evidence-based resources exist to support generalist occupational therapists address driving in practice. This pilot study aimed to evaluate whether a driving clinical decision pathway can assist generalist occupational therapists to address driving with clients.</p><p><strong>Methods: </strong>Using a before (Timepoint-1) and after (Timepoint-2) design, data were collected at a multi-site outpatient community rehabilitation service. Medical record audits documenting how driving was addressed in practice and descriptive surveys of therapist's perceptions of pathway use were collected at Timepoints 1 and 2. A driving clinical decision pathway was implemented over 6 months. Descriptive statistics and content analysis were used to analyse and compare data over time.</p><p><strong>Results: </strong>Timepoint-1 data from 102 client medical records, and 13 clinician surveys were compared against Timepoint-2 data from 144 records and 8 surveys. Following implementation of the pathway, the number of assessments used by generalist occupational therapists increased three-fold, to inform driving process recommendations which increased two-fold. Clinicians' self-reported knowledge, skills and confidence also increased two-fold.</p><p><strong>Conclusion: </strong>A comprehensive driving clinical decision pathway provided clinicians with increased structure and support to guide practice change and promote role fulfilment in addressing return to driving with adults following a change in health status.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"31 1","pages":"2423712"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631301","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}