Dulce Romero-Ayuso, Alejandra Jara-Urzúa, Roger Ramírez-Ramírez, Araceli Ortiz-Rubio, Rafael Prieto-Moreno, José Matías Triviño-Juárez
{"title":"Relationship between engagement in meaningful activities, self-efficacy, and quality of life in healthy young adults: An exploratory study.","authors":"Dulce Romero-Ayuso, Alejandra Jara-Urzúa, Roger Ramírez-Ramírez, Araceli Ortiz-Rubio, Rafael Prieto-Moreno, José Matías Triviño-Juárez","doi":"10.1080/11038128.2023.2218573","DOIUrl":"10.1080/11038128.2023.2218573","url":null,"abstract":"<p><strong>Background: </strong>The use of meaningful activities promotes health and well-being. There is no study with a healthy adult Spanish population that tries to determine how people engage in meaningful activities and the relationship between self-efficacy and quality of life.</p><p><strong>Aims: </strong>This study aimed to 1) confirm the construct validity of the Engagement in Meaningful Activities Survey (EMAS) with a healthy population; 2) evaluate the internal consistency of the EMAS for a non-clinical population, and 3) examine convergent validity with self-efficacy (General Self-Efficacy) and health-related quality of life.</p><p><strong>Material and methods: </strong>The methodology for construct validation and reliability of health questionnaires was conducted. A total of 177 non-clinical adults participated, between 18 and 60 years old. Confirmatory factor analysis was performed, and Cronbach's alpha was obtained to measure internal consistency for EMAS. A correlation analysis was performed with the other variables of interest: self-efficacy and quality of life.</p><p><strong>Results: </strong>The two-dimensional structure of the EMAS for the non-clinical adult population is confirmed: personal emotional competence versus the social experiential component. In addition, the results indicate a moderate association between engagement in meaningful activities and self-efficacy.</p><p><strong>Conclusion: </strong>The EMAS is a valid questionnaire to be used in the Spanish adult population.</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":"9933473","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":"Occupation as means and ends in paediatric occupational therapy - A systematic review.","authors":"E Fischer, D Green, F Lygnegård","doi":"10.1080/11038128.2023.2188253","DOIUrl":"10.1080/11038128.2023.2188253","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of evidence-based knowledge in paediatric occupational therapy about the effectiveness of interventions using daily activities as a treatment modality in improving children's participation.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of occupation-based and occupation-focused interventions in improving participation in everyday occupations for young children with a disability.</p><p><strong>Material and methods: </strong>A systematic review based on Joanna Briggs Institute methodology and critical appraisal tools was conducted. Six databases were searched for quantitative intervention studies aimed at improving participation in everyday occupations of young children with a disability through the use of everyday occupation.</p><p><strong>Results: </strong>The search yielded 3732 records, of which 13 studies met inclusion criteria. Ten studies met methodological quality criteria and were included in the synthesis, five randomised controlled trials and five quasi-experimental studies, involving a total of 424 children with a mean age of 6.5 years. The studies were classified into cognitive (<i>n</i> = 5), context-focussed (<i>n</i> = 2) and playgroup interventions (<i>n</i> = 3). Study quality ranged from low to moderate, only one study was rated high quality.</p><p><strong>Conclusions and significance: </strong>Occupation-based and occupation-focused interventions may have a positive effect on participation in everyday occupations for young children with a disability, but study design, risk of bias and insufficient reporting limit confidence in the body of evidence.</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":"9215117","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 Bensen Joensen, Line Lindahl-Jacobsen, Marianne Lindahl, Jesper Larsen Maersk
{"title":"Making meaning of everyday life in the context of lung cancer treatment-a qualitative study of outpatients' perspectives.","authors":"Maria Bensen Joensen, Line Lindahl-Jacobsen, Marianne Lindahl, Jesper Larsen Maersk","doi":"10.1080/11038128.2023.2249043","DOIUrl":"10.1080/11038128.2023.2249043","url":null,"abstract":"<p><strong>Background: </strong>The increasing survival after a lung cancer diagnosis implies that patients live longer with the disease, which means that symptoms and side effects of the treatment become part of everyday life.</p><p><strong>Aim: </strong>The study explored how older adults make meaning of everyday life when undergoing treatment for their lung cancer.</p><p><strong>Material and methods: </strong>A qualitative study using semi-structured interviews was conducted with 12 older adults with lung cancer undergoing various treatments. The analysis followed Giorgi's phenomenologic five-step method.</p><p><strong>Results: </strong>The analysis revealed three partly overlapping themes: <i>meeting the health care system</i>, <i>losing identity,</i> and <i>struggling for meaning in everyday life</i>. The patients appreciate clear and coherent communication at the oncology clinic. They had different needs for support from organised support groups, friends, communities, or relatives to make meaning of everyday life.</p><p><strong>Conclusion: </strong>Creating meaning in everyday life is essential despite the disease and the treatments' side effects. Interpersonal relationships create meaningfulness in everyday life through a salutogenic perspective that makes everyday life comprehensible and manageable.</p><p><strong>Significance: </strong>The patients need an everyday life perspective on the disease and the side effects, which a salutogenic approach in the encounter with the health care system could support.</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":"10128358","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}
Suzanne Johanson, Lisa Gregersen Oestergaard, Ulrika Bejerholm, Carita Nygren, Maurits van Tulder, Magnus Zingmark
{"title":"Cost-effectiveness of occupational therapy return-to-work interventions for people with mental health disorders: A systematic review.","authors":"Suzanne Johanson, Lisa Gregersen Oestergaard, Ulrika Bejerholm, Carita Nygren, Maurits van Tulder, Magnus Zingmark","doi":"10.1080/11038128.2023.2200576","DOIUrl":"10.1080/11038128.2023.2200576","url":null,"abstract":"<p><strong>Background: </strong>Return-to-work (RTW) resources for persons with mental health disorders are limited and costs are typically shared by several stakeholders in society. Occupational therapists (OT) provide RTW interventions for this target group, however, increased knowledge of health, and employment effects, as well as costs are needed to better inform decision makers in their prioritisations.</p><p><strong>Aims/objectives: </strong>To identify and summarise evidence of cost-effectiveness of RTW interventions for persons with mental health disorders which OTs provide.</p><p><strong>Materials and methods: </strong>A systematic search was applied and resulted in 358 articles. After screening, nine articles met inclusion criteria and were reviewed. Quality assessment was conducted using the economic evaluation tool by Joanna Briggs Institute.</p><p><strong>Results: </strong>Supported employment, Individual Placement and Support was cost-effective in several contexts while three studies showed larger effects and higher costs. An OT intervention added to treatment for major depression was indicated to be cost-beneficial and an advanced supported employment was cost-saving. The methodological quality varied considerably between studies.</p><p><strong>Conclusions and significance: </strong>The results of the included studies are promising, however, to further strengthen the economic perspective in OT RTW interventions, the need for conducting more and methodologically robust economic evaluations is crucial in future studies.</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":"9365738","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}
Melissa H Black, Maya Hayden-Evans, Sarah McGarry, Helen Lindner, Emma Clarkson, Lisa Vale, Tanya Picen, Rebecca Kuzminski, Torbjorn Falkmer
{"title":"Safe transport of children with disabilities and medical conditions: Caregiver experiences.","authors":"Melissa H Black, Maya Hayden-Evans, Sarah McGarry, Helen Lindner, Emma Clarkson, Lisa Vale, Tanya Picen, Rebecca Kuzminski, Torbjorn Falkmer","doi":"10.1080/11038128.2023.2210801","DOIUrl":"10.1080/11038128.2023.2210801","url":null,"abstract":"<p><strong>Background: </strong>Road vehicle transportation is essential to support community access and participation for all children. However, little is known about the transport patterns of children with disabilities and medical conditions and their caregivers' experiences supporting them to be transported safely in road vehicles in Australia.</p><p><strong>Aim: </strong>To understand the transport needs of children with disabilities and medical conditions and the transport needs of their caregivers.</p><p><strong>Materials and methods: </strong>A large-scale national survey was undertaken online to explore the experiences and perspectives of 193 caregivers, identifying the challenges and needs associated with providing and supporting safe road transportation for their children.</p><p><strong>Results: </strong>Caregivers believed their child was missing out on participating in everyday life due to their transportation needs, with caregivers experiencing multiple challenges and barriers to transporting their child safely.</p><p><strong>Conclusions and significance: </strong>There is a need to provide knowledge and support to caregivers who are primarily responsible for the safe transportation of their children with disabilities and medical conditions.</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":"9489271","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 Lindström, Ann-Charlotte Bäckström, Catharina Henje, Gunilla Stenberg
{"title":"'When I use the electric wheelchair, I can be myself' - real-life stories about occupational identity construction.","authors":"Maria Lindström, Ann-Charlotte Bäckström, Catharina Henje, Gunilla Stenberg","doi":"10.1080/11038128.2022.2093268","DOIUrl":"10.1080/11038128.2022.2093268","url":null,"abstract":"<p><strong>Background: </strong>Young and adult users of electric wheelchairs (EWs) describe how EWs have personal, functional, emotional, and symbolic values and are considered by some to be part of the self.</p><p><strong>Aim: </strong>The aim of this study was to increase our understanding of how occupational identity is constructed in the daily practices of EW users.</p><p><strong>Material and methods: </strong>Context-based, in-depth oral stories and filmed sequences of daily practice enactments of persons who have used an EW since childhood were the basis for the narrative analysis.</p><p><strong>Findings: </strong>The findings elucidate how the informants enact and tell about their identity-development in response to daily and relational practices, and its relevance to the informant's sense of self, belonging, competence, life-prospects, conduct, and awareness of shifting values, and this was likewise demonstrated in different appearances and roles related to social recognition. A model illustrating the findings is proposed.</p><p><strong>Conclusions and significance: </strong>Contextual values and exploring experiences, such as possibilities to develop competences and roles, along with encountering social recognition, but also hindering regulations and adversities, influence the development of occupational identities. Findings in this study can contribute to increased understanding, conscious political decisions, as well as a more person-centred approach within healthcare.</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":"40570666","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 Aagesen, Karen la Cour, May Aasebø Hauken, Marc Sampedro Pilegaard
{"title":"The 'Young Adult Taking Action' programme for young adult cancer survivors: A study protocol for a feasibility study.","authors":"Maria Aagesen, Karen la Cour, May Aasebø Hauken, Marc Sampedro Pilegaard","doi":"10.1080/11038128.2023.2244563","DOIUrl":"10.1080/11038128.2023.2244563","url":null,"abstract":"<p><strong>Background: </strong>Young adult cancer survivors (YACS) aged 18-39 report age-specific multifactorial challenges with self-care, leisure, work and education requiring multicomponent rehabilitation intervention. Therefore, the 'Young Adult Taking Action' (YATAC) programme was developed.</p><p><strong>Aims/objectives: </strong>To present a protocol for a feasibility study evaluating the acceptability of the YATAC programme and exploring implementation, mechanisms of impact and outcomes.</p><p><strong>Material and methods: </strong>A mixed-method feasibility study with a convergent research design will be conducted. The programme is an age-specific, multicomponent, goal-oriented, and peer-based rehabilitation programme delivered by an interdisciplinary staff consisting of nine components: 1) Goal setting, 2) Everyday life, 3) Physical activity, 4) Psychological issues, 5) Work and study, 6) Sexuality and relationship, 7) Rights and finance, 8) Peer-to-peer support and 9) Individual consultation. Quantitative and qualitative data about acceptability, implementation, mechanisms of impact and outcomes will be collected.</p><p><strong>Results: </strong>The results will provide essential knowledge about the programme's acceptability, implementation, mechanisms of impact and outcomes.</p><p><strong>Conclusion and significance: </strong>The study will inform adjustment of the programme and will provide knowledge of whether and how to deliver age-specific rehabilitation to YACS.</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":"9967148","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}
Erika Högstedt, Kajsa Igelström, Laura Korhonen, Pia Käcker, Ina Marteinsdottir, Mathilda Björk
{"title":"'It's like it is designed to keep me stressed'-Working sustainably with ADHD or autism.","authors":"Erika Högstedt, Kajsa Igelström, Laura Korhonen, Pia Käcker, Ina Marteinsdottir, Mathilda Björk","doi":"10.1080/11038128.2022.2143420","DOIUrl":"10.1080/11038128.2022.2143420","url":null,"abstract":"<p><strong>Background: </strong>Adults with attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) face multiple challenges in obtaining and maintaining employment.</p><p><strong>Aims: </strong>To identify and describe how adults with ADHD or ASD experienced their ability to work and what factors affected their ability to find a sustainable work situation over time.</p><p><strong>Methods: </strong>Individual in-depth interviews were performed with 20 purposively sampled participants with ADHD/ASD. Data were analysed inductively using reflexive thematic analysis.</p><p><strong>Results: </strong>Three themes were identified, describing (1) one's own cognitive abilities and challenges, (2) enablement by flexibility and acceptance in the work environment, and (3) accumulated stress that makes the work situation unsustainable over time.</p><p><strong>Conclusions: </strong>Over time, a lack of continuity and predictability of support measures caused great stress and exhaustion, with severe consequences for working life and in life in general. Adaptations needed to be individually tailored and include nonoccupational factors.</p><p><strong>Significance: </strong>The study shows that adults with ADHD/ASD need long-term interventions that flexibly adapt to individual needs, as they vary over time. The findings suggest that occupational therapists and other health care providers, employers, employment services and other involved agencies should pay a greater deal of attention to stability and predictability over time.</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":"40686323","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}
Cecilie von Bülow, Eva Ejlersen Wæhrens, Ulla Andersen, Kirstine Amris, Karen la Cour
{"title":"How a group-based occupational therapy program works in woman with fibromyalgia: A process evaluation of the ADAPT program.","authors":"Cecilie von Bülow, Eva Ejlersen Wæhrens, Ulla Andersen, Kirstine Amris, Karen la Cour","doi":"10.1080/11038128.2023.2242380","DOIUrl":"10.1080/11038128.2023.2242380","url":null,"abstract":"<p><strong>Background: </strong>The ADAPT Program have improved activities of daily living (ADL) in women with fibromyalgia. To understand the functioning of the program, it is relevant to evaluate how program theory components are linked to outcomes (mechanisms) and how the randomised controlled trial (RCT) context, influenced delivery and outcomes.</p><p><strong>Objective: </strong>To evaluate ADAPT in terms of dose, mechanisms of change and contextual factors.</p><p><strong>Material/methods: </strong>Dose was recorded on the <i>n</i> = 21 participants receiving ADAPT in the IMPROvE trial (NCT01352052). A subsample of <i>n</i> = 16 attended one of three 2-hour focusgroups, evaluating mechanisms of change and contextual factors. Interview questions explored participants' interaction with four program components, i.e. how the 'client-centred approach', 'group-based peer-exchange format', 'teaching-learning strategies' and 'long-term program format' triggered mechanisms facilitating/hindering outcomes. Moreover, how randomisation procedures influenced delivery and outcomes.</p><p><strong>Results: </strong>Attending a long-term educational peer-exchange program, in which participants experienced met by a health professional that legitimised difficulties, facilitated participants knowledge, insights and motivation for changing habits. With time and support, participants experienced increased acceptance of their situation and began to implement more effective ways to perform ADL tasks.</p><p><strong>Conclusions/significance: </strong>Results support previous findings of improved ADL ability post-ADAPT and provide initial evidence to support the ADAPT Program theory.</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":"9967152","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}
Vedrana Bolic Baric, Sofie Skuthälla, Malin Pettersson, Per A Gustafsson, Anette Kjellberg
{"title":"The effectiveness of weighted blankets on sleep and everyday activities - A retrospective follow-up study of children and adults with attention deficit hyperactivity disorder and/or autism spectrum disorder.","authors":"Vedrana Bolic Baric, Sofie Skuthälla, Malin Pettersson, Per A Gustafsson, Anette Kjellberg","doi":"10.1080/11038128.2021.1939414","DOIUrl":"10.1080/11038128.2021.1939414","url":null,"abstract":"<p><strong>Background: </strong>Attention deficit hyperactivity disorder (ADHD) and Autism Spectrum Disorder (ASD) are often accompanied by sleep problems influencing social, emotional and cognitive functioning in everyday activities.</p><p><strong>Aim: </strong>The aim of this study was to investigate whether the use of a weighted blanket has a positive impact on sleep and everyday activities in individuals with ADHD and/or ASD.</p><p><strong>Material and methods: </strong>The study included 85 individuals diagnosed with ADHD and/or ASD, 48 children aged ≤17 (57%) and 37 adults ≥18 years (44%), who were prescribed with a weighted blanket. The participants responded <i>via</i> a telephone interview.</p><p><strong>Results: </strong>Findings demonstrated that a weighted blanket improved abilities related to falling asleep, sleeping the whole night, and relaxing during the day. Using a weighted blanket improved morning/evening daily routine, including preparing/going to sleep and waking up in the morning.</p><p><strong>Conclusions: </strong>Weighted blankets showed positive impact on falling asleep, sleeping the whole night, and relaxing during the day, and they were used frequently by children and adults with ADHD and/or ASD. Findings indicate that a weighted blanket improved morning/evening routine, however this research area needs further investigation using both subjective and objective parameters.</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":"https://sci-hub-pdf.com/10.1080/11038128.2021.1939414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39118584","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}