Kirsten Sarah Smith, Elizabeth Anne Kinsella, Sheila Moodie, Lisa McCorquodale, Gail Teachman
{"title":"Mindfulness and therapeutic relationships: A phenomenological inquiry into paediatric occupational therapists' practices.","authors":"Kirsten Sarah Smith, Elizabeth Anne Kinsella, Sheila Moodie, Lisa McCorquodale, Gail Teachman","doi":"10.1080/11038128.2023.2217670","DOIUrl":"10.1080/11038128.2023.2217670","url":null,"abstract":"<p><strong>Background: </strong>A growing body of literature points to the potential of mindfulness to support therapeutic relationships, and the importance of the therapeutic relationship when working with children and youth, yet little attention has been paid to this topic in occupational therapy.</p><p><strong>Aims/objectives: </strong>The aim of this study was to inquire into occupational therapists' experiences of mindfulness in the therapeutic relationship with children and youth.</p><p><strong>Materials and methods: </strong>Hermeneutic phenomenology was the methodological approach, with Heidegger's concepts of being-with and care as theoretical underpinnings of the study. Eight North American occupational therapists participated in semi-structured interviews that elicited first-hand accounts of mindfulness in the therapeutic relationship with children and youth. Interviews were transcribed verbatim and analysed using a phenomenological approach.</p><p><strong>Results: </strong>Four key themes were identified: fostering a safe space, enhancing presence, being authentic, and cultivating acceptance.</p><p><strong>Conclusions and significance: </strong>The findings offer insights regarding the potential affordances of mindfulness to support clinicians in the development of therapeutic relationships with children and youth. Further, this study highlights research priorities for future inquiry.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9902857","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}
Mush Marie Clare Perrins Gendron, Lana Van Niekerk, Lizahn Cloete
{"title":"The use and value of play: Perspectives from the continent of Africa - a scoping review.","authors":"Mush Marie Clare Perrins Gendron, Lana Van Niekerk, Lizahn Cloete","doi":"10.1080/11038128.2022.2043433","DOIUrl":"10.1080/11038128.2022.2043433","url":null,"abstract":"<p><strong>Background: </strong>Published play knowledge predominantly originates outside Africa. This review was undertaken to summarize sources on play originating from the continent of Africa.</p><p><strong>Objective: </strong>To locate and summarize sources on the use and value of play in human development and learning from the African continent.</p><p><strong>Material and method: </strong>Following the PRISMA Extension - Scoping Reviews guidelines, the initial search yielded 17,004 sources. Title and abstract screening identified 263 sources which were evaluated for eligibility namely; sources originating from the African continent, in any language, focussing on play as occupation.</p><p><strong>Results: </strong>A total of 127 sources were included; 76 qualitative, 28 quantitative and 23 mixed design sources; 100 from Southern Africa. Nine themes emerged: Who plays, why, where and how individuals play, intentional use of play, play and adult-related work skills, what is used in play, time/duration of play and barriers to play.</p><p><strong>Conclusions: </strong>Play was used effectively in human development and learning. Withholding play as a form of discipline, emphasized how adults and children valued play. Adults still loved playing. Safety concerns contributed to the reasons play occurred indoors more than outdoors, despite outdoor play being preferred.</p><p><strong>Significance: </strong>The review provides a reference for play as an occupation which may promote learning and development.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48243211","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":"Exploring communication in families affected by parental chronic pain: An occupational perspective.","authors":"Catherine Swift, Clare Hocking, Margaret Jones","doi":"10.1080/11038128.2022.2051601","DOIUrl":"10.1080/11038128.2022.2051601","url":null,"abstract":"Abstract Background Family communication about pain is an important therapeutic target when a parent lives with chronic pain. Occupational therapy literature about communication in families affected by parental chronic pain is currently lacking. Aims/Objectives To bring an occupational perspective to communication within families affected by parental chronic pain, to generate insights for practice. Materials and Methods Five families (total n = 19 family members) were recruited into this collective case study. The gathered data included interviews, observations, and personal documents/artefacts. A cross-case analysis of similarities and differences between families was conducted to distil insights about the relationship between occupation and communication about parental pain. Results Each family develops its own style of communicating about a parent’s pain. On a day-to-day basis, pain-related communication is prompted by experienced, observed and/or anticipated occupational disruption brought about by parental pain. Conclusions Occupational disruption and occupational responses need to be components of interest, when designing assessments and interventions targeted at communication in families affected by parental chronic pain. Significance The findings from this study point to the importance of communication through occupation in families affected by parental chronic pain and suggest novel targets for occupational therapy intervention.","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42118521","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":"Assessment of motor and process skills in Danish occupational therapy practice.","authors":"Annette Forsberg Jørgensen Vinge, Mette Egelund Mondrup, Kristina Tomra Nielsen, Eva Ejlersen Wæhrens","doi":"10.1080/11038128.2023.2220910","DOIUrl":"10.1080/11038128.2023.2220910","url":null,"abstract":"<p><strong>Background: </strong>The demand for employment of standardized evaluations is increasing. In Denmark, approximately 25% of all occupational therapists (OTs) are trained to use the standardized occupational therapy instrument Assessment of Motor and Process Skills (AMPS).</p><p><strong>Aims: </strong>To investigate the use of AMPS within Danish occupational therapy practice and determine factors supporting or hindering the use.</p><p><strong>Material and methods: </strong>An online cross-sectional survey was conducted among OTs from various settings.</p><p><strong>Results: </strong>Overall, 844 calibrated OTs participated in the survey. Of these, 540 (64%) met the inclusion criteria and 486 (90%) completed the questionnaire. Forty percent of the participants used the AMPS in a standardized way during a one-month period and 56% reported being dissatisfied with the low number of AMPS evaluations completed. Five supporting and nine hindering factors were found to significantly influence the use of standardized AMPS evaluations.</p><p><strong>Conclusions/significance: </strong>Despite demands for standardized evaluations, the AMPS is not regularly used in a standardized way within Danish occupational therapy practice. Use of AMPS in clinical practice seems to be facilitated by an acknowledgement from the management and the OT's ability to develop habits and routines. Time restraints were reported, however, time to conduct evaluations was not a statistically significant influencing factor.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9601338","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}
Patrik Arvidsson, Gunnel Janeslätt, Birgitta Wennberg, Kajsa Lidström-Holmqvist, Marie Holmefur, Afsaneh Hayat Roshanay
{"title":"Evaluation of the group intervention \"Let's Get Organized\" for improving time management, organisational, and planning skills in people with mild intellectual disability.","authors":"Patrik Arvidsson, Gunnel Janeslätt, Birgitta Wennberg, Kajsa Lidström-Holmqvist, Marie Holmefur, Afsaneh Hayat Roshanay","doi":"10.1080/11038128.2023.2217545","DOIUrl":"10.1080/11038128.2023.2217545","url":null,"abstract":"<p><strong>Background: </strong>Limited time management skills cause problems in daily life for people with mild intellectual disability (ID) and \"Let's Get Organized\" (LGO) is a promising manual-based occupational therapy group intervention aiming to support management skills.</p><p><strong>Aims/objectives: </strong>To evaluate the applicability of the Swedish version of LGO-S by i) exploring enhancements in time management skills, satisfaction with daily occupations, and aspects of executive functioning in people with time-management difficulties and mild ID, and ii) describing clinical experiences of using the LGO-S for people with mild ID.</p><p><strong>Material and methods: </strong>Twenty-one adults with mild ID were included. Data were collected pre-/post-intervention and at 3- and 12-month follow-ups with: Swedish version of Assessment of Time Management Skills (ATMS-S), Satisfaction with Daily Occupation (SDO-13), and Weekly Calendar Planning Activity (WCPA-SE). There were few follow-up participants (<i>n</i> = 6-9).</p><p><strong>Results: </strong>Significant change in time management skills that maintained at 12-months follow-ups. Significant increase in regulation of emotions at 12-month follow-up. Results at 12-months follow-up indicated sustainability in outcomes as measured by ATMS-S. A non-significant positive trend was observed in other outcomes between pre- and post-intervention.</p><p><strong>Conclusions and significance: </strong>LGO-S seems applicable for improving skills in time management, organisation and planning also for people with mild ID.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9571195","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":"Content validity of the instrument 'Picture My Participation' for measuring participation of children with and without autism spectrum disorder in mainland China.","authors":"Liya Li, Berit Møller Christensen, Marita Falkmer, Yue Zhao, Karina Huus","doi":"10.1080/11038128.2023.2220911","DOIUrl":"10.1080/11038128.2023.2220911","url":null,"abstract":"<p><strong>Background: </strong>Picture My Participation (PMP) is a valid instrument for measuring participation of children with disabilities, but it has not yet been evaluated for its content validity for children with autism spectrum disorders (ASD) in mainland China.</p><p><strong>Aim: </strong>To explore the content validity of the simplified Chinese version of PMP (PMP-C; Simplified) for children with ASD and typically developing (TD) children in mainland China.</p><p><strong>Methods: </strong>A sample of children with ASD (<i>n</i> = 63) and TD children (<i>n</i> = 63) recruited through purposive sampling were interviewed using the PMP-C (Simplified), which contains 20 items of everyday activities. Children rated attendance and involvement on all activities and selected three most important activities.</p><p><strong>Results: </strong>Children with ASD selected 19 of 20 activities as the most important activity while TD children selected 17 activities. Children with ASD used all scale points for rating attendance and involvement on all activities. TD children used all scale points for rating attendance and involvement in 10 and 12 of 20 activities, respectively.</p><p><strong>Conclusion: </strong>The contents of 20 activities of PMP-C (Simplified) were relevant for all children and especially for children with ASD for assessing participation in community, school and home activities.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9950878","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}
Marjolijn I Bal, Sander R Hilberink, Pepijn P D M Roelofs, Wilma M A van der Slot, Lizanne Bentvelsen, Harald S Miedema, Marij E Roebroeck
{"title":"Effect evaluation of a vocational rehabilitation program for young adults with chronic physical conditions at risk for unemployment: A controlled clinical trial.","authors":"Marjolijn I Bal, Sander R Hilberink, Pepijn P D M Roelofs, Wilma M A van der Slot, Lizanne Bentvelsen, Harald S Miedema, Marij E Roebroeck","doi":"10.1080/11038128.2023.2228019","DOIUrl":"10.1080/11038128.2023.2228019","url":null,"abstract":"<p><strong>Background: </strong>The work participation of young adults with chronic physical conditions lag behind compared to healthy age-mates. 'At Work' is a vocational rehabilitation intervention provided by occupational therapists, that supports them for entering the competitive labour market after graduating post-secondary education.</p><p><strong>Aim: </strong>To evaluate the effects of 'At Work' on self-efficacy, work-ability and employment status as compared to usual care.</p><p><strong>Materials and methods: </strong>In total, 88 young adults were included in a multicentre controlled trial; 49 entered 'At Work', 39 received usual care. GEE-analyses were applied.</p><p><strong>Results: </strong>Scores on all outcome measures substantially improved over time in the intervention group, but no significant effects were found as compared to the control group. The effect on general self-efficacy showed a positive trend in favour of the intervention group.</p><p><strong>Conclusions and significance: </strong>Unlike previous study results pointing to positive outcomes of At Work', the current study did not support the effectiveness of this program on work-related self-efficacy, work-ability and paid employment, as compared to usual care. Yet, we did find an indication for positive intervention effect on general self-efficacy, which is known to be an important capacity to achieve social participation.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690761","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}
Jennifer Gothilander, Anna Ullenhag, Henrik Danielsson, Anna Karin Axelsson
{"title":"Reliability of FUNDES-Child-SE - measuring participation and independence of children and youths with disabilities.","authors":"Jennifer Gothilander, Anna Ullenhag, Henrik Danielsson, Anna Karin Axelsson","doi":"10.1080/11038128.2023.2237214","DOIUrl":"10.1080/11038128.2023.2237214","url":null,"abstract":"<p><strong>Background: </strong>There is a need for an instrument to measure participation and independence in children with disabilities. FUNDES-Child-SE has its origin in the participation questionnaire Child and Adolescent Scale of Participation.</p><p><strong>Aims: </strong>Test the psychometric properties of internal consistency and test-retest reliability.</p><p><strong>Material and methods: </strong>This cross-sectional study included caregivers of 163 children with disability aged 6-18 years, 59 of whom were also included in the test-retest study. Descriptive statistics were used to evaluate the proportions of valid ratings. Internal consistency and test-retest reliability were tested through Cronbach's alpha and the intra-class correlation coefficient.</p><p><strong>Results: </strong>The amount of not relevant/not applicable ratings was substantial but varied between items and subdomains. Internal consistency was acceptable (0.8-0.95), and the test-retest was marginal to excellent (0.73-0.95).</p><p><strong>Conclusions: </strong>The reliability together with the content validity support the use of the FUNDES-Child-SE to measure participation and independence in children with disabilities. However, results should be interpreted with caution due to the small sample size and possible selection bias. Modifications to reduce the not relevant/not applicable responses should be investigated together with the instrument's responsiveness.</p><p><strong>Significance: </strong>FUNDES-Child-SE can be used to facilitate a discussion of participation and independence and to plan interventions in a habilitation setting.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9960174","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":"Perceptions of and interactions with green neighbourhood environment - A qualitative study.","authors":"Kerstin Wadsö, Carita Håkansson","doi":"10.1080/11038128.2023.2217671","DOIUrl":"10.1080/11038128.2023.2217671","url":null,"abstract":"<p><strong>Background: </strong>Green environments have been shown to be important for health, although less is known about what, in the environment and the individual, leads to interaction and promotes engagement in activities.</p><p><strong>Aim: </strong>To explore some individuals' perceptions of their green neighbourhood environment and how the interaction with it promotes engagement in activities.</p><p><strong>Material and methods: </strong>A qualitative approach was used comprising eight semi-structured interviews and directed content analysis based on the Model of Human Occupation.</p><p><strong>Results: </strong>The green neigbourhood environment (GNE) offered opportunities to challenge the participants' performance capacity, develop habits and engage in activities. The GNE also gave stress relief and helped the participants experience balance. Experiences of interacting with green environments earlier in life and the cultural context seemed to be the main reason why the participants interacted with the GNE.<b>Conclusions and significance:</b> Norms and values from the childhood, previous experiences and interests were of particular importance for interaction with the GNE. Green environments gave perspective, a sense of being part of something larger and helped individuals achieve balance. Based on this knowledge, occupational therapists can enable individuals to interact with the green environment.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9627407","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}
Maria Wingren, Afsaneh Hayat Roshanai, Ulrika Fredriksson, Gunnel Janeslätt, Kajsa Lidström-Holmqvist
{"title":"A more active parenting after attending Let's Get Organized - Experiences of parents with ADHD.","authors":"Maria Wingren, Afsaneh Hayat Roshanai, Ulrika Fredriksson, Gunnel Janeslätt, Kajsa Lidström-Holmqvist","doi":"10.1080/11038128.2023.2225748","DOIUrl":"10.1080/11038128.2023.2225748","url":null,"abstract":"<p><strong>Background: </strong>Parenting demands a high degree of attention, planning, and problem-solving, including time management, demands that can be challenging for parents with ADHD. Let's Get Organized (LGO) is an occupational therapy group intervention aiming at developing skills in time management, organisation and planning. There is a need to investigate if LGO may have an impact also on parenting.</p><p><strong>Aim: </strong>To describe how parents with ADHD experienced the intervention, their time management strategies, parenting and family life after the occupational therapy group intervention LGO.</p><p><strong>Method: </strong>Interviews were performed with 15 parents with ADHD, after completing LGO. Data were analysed using qualitative content analysis.</p><p><strong>Results: </strong>The findings are described in one overarching main category, Active parenting and better relations within and outside the family through daily time management with three underlying generic categories: Let's Get Organized facilitates empowerment in daily life; The individual and family - both facilitators of and obstacles to implementation of time management strategies; and A changed parenting and family life.</p><p><strong>Conclusions and significance: </strong>Participants experienced a positive impact on time management skills after LGO, which generated more active parenting and better predictability in the whole family. LGO can be a valuable intervention for parents with ADHD.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9842930","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}