Hong Kong Journal of Occupational Therapy最新文献

{"title":"An Investigation of the Satisfaction and Perception of Fieldwork Experiences Among Occupational Therapy Students","authors":"Hsin-Yu Ariel Chiang,&nbsp;Chu-Hou Pang,&nbsp;Wan-Shan Li,&nbsp;Yi-Nuo Shih,&nbsp;Chia-Ting Su","doi":"10.1016/j.hkjot.2012.04.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2012.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>Fieldwork practice is an essential part of education in occupational therapy (OT). For an OT educator, it is crucial to understand students' perceptions and satisfaction of fieldwork practice to raise its overall quality.</p></div><div><h3>Methods</h3><p>Students' perceptions and satisfaction of their fieldwork were measured with the students' fieldwork satisfaction assessment. The assessment contains three subscales: the degree of satisfaction with the clinical setting, supervisors, and the improvement of professional knowledge. A total of 67 senior-year OT students from six universities in Taiwan were recruited. The students' overall perceptions of and satisfaction with their fieldwork were obtained.</p></div><div><h3>Results</h3><p>Results indicated that the level of satisfaction was high among students (mean<!--> <!-->±<!--> <!-->standard deviation<!--> <!-->=<!--> <!-->3.94<!--> <!-->±<!--> <!-->0.52). In addition, students had relatively lower satisfaction with the hospital environment (3.57<!--> <!-->±<!--> <!-->0.48). Students who considered pre-fieldwork preparation to be necessary often had higher satisfaction (4.05<!--> <!-->±<!--> <!-->0.51) with fieldwork experience than those who considered it unnecessary (3.61<!--> <!-->±<!--> <!-->0.47; <em>p</em> <!-->=<!--> <!-->.004). Our results showed that students practicing in the field of physical disabilities were more satisfied with their fieldwork than were students in the field of psychiatric disabilities (<em>p</em> <!-->=<!--> <!-->.003). Students' perception of OT was a significant predictor for students' degree of satisfaction with fieldwork (<em>p</em> <!-->&lt;<!--> <!-->.001).</p></div><div><h3>Conclusion</h3><p>To elevate the quality of the clinical education of OT students, educators may improve the facilities and spaces in the hospital departments.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"22 1","pages":"Pages 9-16"},"PeriodicalIF":0.4,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2012.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136557640","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":"On Positioning the HKJOT","authors":"Kenneth Fong (Editor-in-Chief)","doi":"10.1016/j.hkjot.2012.08.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2012.08.001","url":null,"abstract":"","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"22 1","pages":"Pages 1-2"},"PeriodicalIF":0.4,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2012.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136557683","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":"Physical Activity Patterns and Quality of Life of Overweight Boys: A Preliminary Study","authors":"Chung-Ying Lin ,&nbsp;Chia-Ting Su ,&nbsp;Hui-Ing Ma","doi":"10.1016/j.hkjot.2012.06.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2012.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>We compared the physical activity (PA) patterns and the quality of life (QoL) between overweight and normal-weight boys, and examined the relationship between PA and QoL of overweight boys.</p></div><div><h3>Methods</h3><p>Eighteen overweight boys (age range: 8–10 years, mean ± standard deviation: 9.36 ± 0.82 years) and 18 age-matched, normal-weight counterparts (age range: 8–10 years, mean ± standard deviation: 9.01 ± 0.65 years) participated in this study. All participants were in the 3^rd or 4^th grade. Each boy completed a QoL questionnaire and wore an accelerometer on his waist for a week to measure his PA during that period. Independent <em>t</em> tests were used to examine the differences in QoL and PA between the overweight and normal-weight boys. Paired <em>t</em> tests were used to test the differences in PA between weekdays and weekend days for each group. Finally, Pearson correlations were used to analyze the relationships between PA and QoL in overweight boys.</p></div><div><h3>Results</h3><p>Overweight boys reported a significantly lower QoL, and participated in significantly less PA on weekends than did normal-weight boys. A moderate and marginally significant correlation was found between PA on weekends and QoL in overweight boys.</p></div><div><h3>Conclusion</h3><p>Our findings suggest the importance of increasing weekend PA for overweight boys. Occupational therapists should encourage overweight boys to engage in PA that the boys are interested in on weekends, and conduct a PA program for overweight boys.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"22 1","pages":"Pages 31-37"},"PeriodicalIF":0.4,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2012.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136557782","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 Effects of a Sensory Integration Programme with Applied Interactive Metronome Training for Children with Developmental Disabilities: A Pilot Study","authors":"Hyun Ho Kim ,&nbsp;Gak Hwang Bo ,&nbsp;Byung Kook Yoo","doi":"10.1016/j.hkjot.2012.05.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2012.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the effects of a sensory integration programme involving applied interactive metronome training in a group of children with developmental disabilities.</p></div><div><h3>Methods</h3><p>Ten children with various developmental disabilities participated in this study. Participants received sensory integration treatment in a group programme with applied interactive metronome training for 45 minutes a day for 4 weeks, exclusive of Saturday and Sunday. The treatments consisted of stimulations of the vestibular and tactile senses, and proprioceptive applied metronome training.</p></div><div><h3>Results</h3><p>The effects of the programme were evaluated via measurements of short sensory profile, Corner's teacher rating scale, and DeGangi-Berk test. The data obtained before and after the treatment were analyzed using Wilcoxon's test. The findings of this study were that there were significantly positive effects on sensory processing, concentration, motor control, bilateral coordination, and reflex integration in the study group.</p></div><div><h3>Conclusion</h3><p>Our results indicated that the sensory integration programme with applied interactive metronome training might be useful and improved the performance of the children with developmental disabilities. The results demonstrated the efficacy of this new approach. This pilot study provides new insights into the effective treatment of children with developmental disabilities.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"22 1","pages":"Pages 25-30"},"PeriodicalIF":0.4,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2012.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136557680","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":"Therapeutic Effects of Qigong in Patients with COPD: A Randomized Controlled Trial","authors":"Xiao-Dan Liu ,&nbsp;Hong-Zhu Jin ,&nbsp;Bobby Hin-Po Ng ,&nbsp;Yi-Huang Gu ,&nbsp;Yun-Chuan Wu ,&nbsp;Gan Lu","doi":"10.1016/j.hkjot.2012.06.002","DOIUrl":"https://doi.org/10.1016/j.hkjot.2012.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study was conducted to compare the therapeutic effects of health qigong (HQG) with conventional pulmonary rehabilitation (PR) exercise among patients with chronic obstructive pulmonary disease (COPD).</p></div><div><h3>Methods</h3><p>A total of 132 patients with confirmed diagnosis of COPD but no serious comorbidities were randomly allocated to the HQG group (<em>n</em> = 51), PR group (<em>n</em> = 32), or medical treatment group (<em>n</em> = 35). The HQG group received 1 week of HQG training under the supervision of professional coaches, and were then encouraged to participate in a peer-led weekly practice group thrice a week, lasting 1 hour each time, for 6 months. The conventional PR group received the same amount of professional coaching on breathing and aerobic exercises, and peer-led walking or ball game groups. The medical treatment group only received health education on self-exercise. Baseline data were taken before randomization, and outcomes were ascertained at the 6-month follow-up by blinded assessors.</p></div><div><h3>Results</h3><p>Overall, 118 patients with complete data were recruited into the final analysis. Irrespective of disease stages, both HQG and PR groups showed improving trends across 6-minute walk test and quality of life scores, while the medical treatment group demonstrated either no improvements or some deteriorations. When comparing HQG with PR, HQG appeared to have better effects on decreasing the frequency of exacerbation for patients with GOLD (Global Initiative for Chronic Obstructive Lung Disease) stage I and maintaining a stable tumor necrosis factor-alpha level for patients of GOLD stage II.</p></div><div><h3>Conclusion</h3><p>This study solidifies the concept that both HQG and PR produce positive effects on subjective symptoms and functions among COPD patients, and also provided evidence that HQG can induce additional effects compared to conventional PR.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"22 1","pages":"Pages 38-46"},"PeriodicalIF":0.4,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2012.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136557679","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":"Transforming Mother-Infant Interaction Within Cultural and Caregiving Contexts: Home-Based Occupational Therapy for Preterm Infants","authors":"Teresa M.L. Chiu ,&nbsp;Susan Wehrmann ,&nbsp;Denise Reid ,&nbsp;Gerry Sinclair","doi":"10.1016/j.hkjot.2012.04.003","DOIUrl":"https://doi.org/10.1016/j.hkjot.2012.04.003","url":null,"abstract":"<div><h3>Background</h3><p>Developing positive interaction between preterm infants and their mothers is known to be a challenge because preterm infants are more fussy and difficult to soothe. Yet, little is known about what happens to the mother-infant interaction as the babies grow older in their natural environment and when and how the mother-infant dyads continue to need support for home care. This study aimed to explore the changes in mother-infant interaction of preterm infants and their mothers who received home care occupational therapy.</p></div><div><h3>Methods</h3><p>We video-recorded the interaction of 12 dyads of mothers and preterm infants during free play, feeding, and the mother positioning the infants for different movements. The mothers then reviewed the video recording and participated in an in-depth interview. Six months later, each dyad repeated the video recording and interview. In addition, Chinese and Tamil-speaking mothers of well babies were interviewed in focus groups. The focus group findings inform us of the meaning of culture in caregiving.</p></div><div><h3>Results</h3><p>The findings showed that the quality of interaction is shaped by the specific cultural beliefs and caregiving contexts in the home. Central to the concept is the transformation of the baby that triggers the mother to respond and then transform together. The occupational therapist who plays the supporting role facilitates the dyads to interact more harmoniously.</p></div><div><h3>Conclusion</h3><p>This study proposes a new conceptualisation that allows us to unfold the process of change in mother-infant interaction for preterm infants and their mothers within the contexts of cultural values and the caregiving environment.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"22 1","pages":"Pages 17-24"},"PeriodicalIF":0.4,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2012.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136557681","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 Development of a Scoring System for the Kinetic House-Tree-Person Drawing Test","authors":"Chih-Ying Li ,&nbsp;Tsyr-Jang Chen ,&nbsp;Christine Helfrich ,&nbsp;Ay-Woan Pan","doi":"10.1016/j.hkjot.2011.10.004","DOIUrl":"https://doi.org/10.1016/j.hkjot.2011.10.004","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The Kinetic House-Tree-Person Test (KHTPT) is already in widespread use amongst psychiatric occupational therapists in Taiwan, but the psychometric attributes of the test are somewhat limited. The primary aims of this study are to develop a quantitative scoring system for the KHTPT and carry out an assessment of its psychometric attributes.</p></div><div><h3>Methods</h3><p>Based on the test manual and the related literature, we identified 35 drawing characteristics relating to anxiety and depression, and we recruited 323 participants from two universities in northern Taiwan to participate in our study. These participants, who had a mean age of 20.1 years (SD = 3.0), were instructed to draw a KHTPT picture, and were then asked to complete related questionnaires. The data were subsequently analysed using WINSTEPS (Beavertown, Oregon: Winsteps.com) and SPSS (SPSS Inc., Chicago).</p></div><div><h3>Results</h3><p>The results revealed that all of the items of the scoring system provided a good fit with the Rasch measurement model, with the Cronbach’s alpha for the scale being .94. The Spearman correlation coefficients of the Rasch-transformed KHTPT scores with the Beck Anxiety Inventory, the Beck Depression Inventory-II, the Beck Hopelessness Scale, and the National Taiwan University Hospital Symptom Checklist were all found to be small, albeit with statistical significance (Spearman correlation coefficients, <em>r</em> = .140–.226).</p></div><div><h3>Conclusion</h3><p>This study demonstrates our proposed KHTPT scoring system has eminently acceptable construct validity and internal consistency. We suggest that future studies should include patients with psychiatric disorders at varying degrees of severity or functional level to examine the applicability and predictive validity of our proposed scoring system.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"21 2","pages":"Pages 72-79"},"PeriodicalIF":0.4,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2011.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137286132","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":"Reliability of the Chinese VALPAR Pro3000 Modular Assessment System for Assessing Persons with Mental Illness","authors":"Elena K.Y. Ngai ,&nbsp;Andrew M.H. Siu ,&nbsp;Bacon F.L. Ng","doi":"10.1016/j.hkjot.2011.10.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2011.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the accuracy of translated instructions, items, content relevance, test–retest reliability and interrater reliability of the Chinese version of three selected modules of the VALPAR Pro3000 Modular Assessment System for assessing persons with mental illness: (1) computerised assessment (COMPASS); (2) Physical, Environmental and Temperaments (PET) survey; and (3) spatial aptitude/nonverbal reasoning.</p></div><div><h3>Methods</h3><p>An expert panel of 12 experienced occupational therapists evaluated the translation and content validity. Twenty-nine participants completed all of the selected modules twice during a 10-day interval to assess the test–retest reliability. To assess interrater reliability, two raters assessed the COMPASS work-sample tests taken by another 30 participants.</p></div><div><h3>Results</h3><p>Most of the COMPASS subtests had moderate to good retest reliability. The PET survey and spatial aptitude/nonverbal reasoning modules showed good retest reliability. Interrater reliability of the work samples was good.</p></div><div><h3>Conclusion</h3><p>The results of this study provide preliminary support for the reliability of the selected Pro3000 system modules in evaluating the work capabilities of people with mental illness.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"21 2","pages":"Pages 50-55"},"PeriodicalIF":0.4,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2011.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137286118","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":"Convergent and Discriminant Validity of a Naturalistic Observational Assessment of Children’s Hand Skills","authors":"Chi-Wen Chien ,&nbsp;Ted Brown ,&nbsp;Rachael McDonald ,&nbsp;Sylvia Rodger","doi":"10.1016/j.hkjot.2011.10.003","DOIUrl":"https://doi.org/10.1016/j.hkjot.2011.10.003","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This study sought to investigate the convergent and discriminant validity of a new naturalistic observational Assessment of Children's Hand Skills (ACHS) in children with and without disabilities.</p></div><div><h3>Methods</h3><p>The participants were 134 children aged 2–12 years in Taiwan, and 70 had known disabilities. Outcome measures included the ACHS, one daily living skills questionnaire, and three instruments related to hand skills. Discriminant validity was assessed by comparing the ACHS scores between children with and without disabilities. Convergent validity was examined using a correlation analysis between the ACHS and daily living and hand skills measures.</p></div><div><h3>Results</h3><p>Children with disabilities had significantly lower ACHS scores than typically developing children. The ACHS correlated moderately to highly with the daily living skills questionnaire and demonstrated a varied range of correlations with the three related instruments.</p></div><div><h3>Conclusion</h3><p>Preliminary evidence for the convergent and discriminant validity of the ACHS was established. The findings indicate that the ACHS can be used with confidence in measuring and differentiating children’s hand skill performance in real-life contexts.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"21 2","pages":"Pages 64-71"},"PeriodicalIF":0.4,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2011.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137286120","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 Effectiveness of the Exercise Education Programme on Fall Prevention of the Community-dwelling Elderly: A Preliminary Study","authors":"Moonyoung Chang ,&nbsp;Yan-hua Huang ,&nbsp;Heyyoung Jung","doi":"10.1016/j.hkjot.2011.10.002","DOIUrl":"https://doi.org/10.1016/j.hkjot.2011.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose is to identify the effects of the exercise education programme on fall prevention of community-dwelling elderly.</p></div><div><h3>Methods</h3><p>A single blind preliminary randomized control trial was conducted. Participants (<em>N</em> = 10) in the experimental group was assigned to an exercise education programme which consisted of 28 sessions, 30∼40 minutes per day for 4 weeks and a self-management telephone monitoring programme once every two days. Participants (<em>N</em> = 8) in the control group received no intervention. The effectiveness of exercise education programme was measured by fall index, balance confidence scale, and balance scale.</p></div><div><h3>Results</h3><p>The fall risks decreased from moderate to minimum in the experimental group (<em>p</em> &lt; .001). Balance confidence scores increased, especially 6 items measured statistically significant increases (<em>p</em> &lt; .05). However, balance scores did not show statistically significant improvement.</p></div><div><h3>Conclusion</h3><p>The exercise education programme might be effective for fall prevention of community-dwelling elderly.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"21 2","pages":"Pages 56-63"},"PeriodicalIF":0.4,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2011.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137286119","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}