{"title":"Leisure-time Physical Activity of Polish White-collar Workers: A Cross-sectional Study","authors":"Agnieszka Nawrocka , Arkadiusz Mynarski , Jarosław Cholewa , Wiesław Garbaciak","doi":"10.1016/j.hkjot.2017.01.001","DOIUrl":"10.1016/j.hkjot.2017.01.001","url":null,"abstract":"<div><h3>Objective/background</h3><p>The aim of this study was to assess the leisure-time physical activity of Polish white-collar workers in relation to various health recommendations.</p></div><div><h3>Methods</h3><p>The study used a cross-sectional design with a convenience sample of 482 white-collar workers from Poland. Researchers recorded the leisure-time physical activity logs for 7 consecutive days of the week. Physical activity level was interpreted in relation to the World Health Organization and the American College of Sports Medicine recommendations.</p></div><div><h3>Results</h3><p>Among the workers, 42% of women and 53% of men declared moderate physical activity for at least 150 minutes per week, but only 23% of women and 18% men undertook activity in at least 5 days.</p></div><div><h3>Conclusion</h3><p>The results of the physical activity identified were significantly different from the American College of Sports Medicine and World Health Organization recommendations. The lower percentage of workers who met American College of Sports Medicine recommendations was caused by insufficient frequency of physical efforts.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"29 ","pages":"Pages 19-25"},"PeriodicalIF":0.4,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2017.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36463829","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}
Yu-ting Zhang , Cecilia W.P. Li-Tsang , Ricky K.C. Au
{"title":"A Systematic Review on the Effect of Mechanical Stretch on Hypertrophic Scars after Burn Injuries","authors":"Yu-ting Zhang , Cecilia W.P. Li-Tsang , Ricky K.C. Au","doi":"10.1016/j.hkjot.2016.11.001","DOIUrl":"10.1016/j.hkjot.2016.11.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>To review the effect of mechanical stretch on hypertrophic scars after burn injuries.</p></div><div><h3>Methods</h3><p>A systematic review of all controlled trials related to the effect of mechanical stretch on post burn hypertrophic scars was conducted. Studies of conservative scar managements that applied mechanical forces parallel to the scar surface, including stretching exercise, massage, and splinting, were appraised. Eligible studies published in English between 1995 and 2016 were extracted from The Cochrane Library, MEDLINE, CINAHL, Science direct, SPORTDiscus, and Physiotherapy Evidence Database Scale (PEDro). The journals were further screened with inclusion and exclusion criteria. PEDro was selected for further analysis and appraisal.</p></div><div><h3>Results</h3><p>There were 853 articles identified. After a standardized screening mechanism stipulated, only nine full-text articles were selected for critical appraisal using PEDro. There were five articles of high quality, two of fair quality, and two of poor quality. Detailed training regime and outcomes of nine studies were summarised, including two studies with stretching exercise, six studies with massage, and one study with splinting. The physical parameters of scar assessments and the range of motion on affected areas were compared.</p></div><div><h3>Conclusion</h3><p>From extensive literature search, there was no strong evidence indicating the positive effect of mechanical stretch using stretching exercise, massage, or splinting on hypertrophic scars. A firm conclusion cannot be drawn for the discrepancy of outcome measures and varied effectiveness. Most of the included studies lacked objective evaluation or control group for comparison. Further high quality studies with larger sample size and using standardized measurements are needed.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"29 ","pages":"Pages 1-9"},"PeriodicalIF":0.4,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36463827","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}
Andy S.K. Cheng , Lauren O.C. Lau , Yvonne N.H. Ma , Rain H. Ngai , Sanne S.L. Fong
{"title":"Impact of Cognitive and Psychological Symptoms on Work Productivity and Quality of Life among Breast Cancer Survivors in Hong Kong","authors":"Andy S.K. Cheng , Lauren O.C. Lau , Yvonne N.H. Ma , Rain H. Ngai , Sanne S.L. Fong","doi":"10.1016/j.hkjot.2016.11.002","DOIUrl":"10.1016/j.hkjot.2016.11.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>Employed breast cancer survivors (BCS) may experience residual symptoms that can impact their work productivity and quality of life (QoL), but it is unclear whether such associations exist among BCS in Hong Kong. Therefore, this study was designed to explore the symptom burden (cognitive limitation and psychological distress) of employed BCS in HK, and to investigate whether such factors are related to work productivity and QoL.</p></div><div><h3>Methods</h3><p>A cross-sectional study including employed BCS (<em>n</em> <em>=</em> 30), women with musculoskeletal conditions (<em>n</em> <em>=</em> 30), and healthy women (<em>n</em> <em>=</em> 30) was conducted. Participants completed a questionnaire covering their sociodemographics, the Hospital Anxiety and Depression Scale, Cognitive Symptom Checklist, Work Limitation Questionnaire, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30.</p></div><div><h3>Results</h3><p>The self-perceived cognitive limitations at work of BCS were significantly higher than that of the healthy control group (5.33 vs. 2.60; <em>p</em> <em><</em> .05). The cognitive limitations in BCS were significantly associated with their QoL (β <em>=</em> –0.320; <em>p</em> <em>=</em> .032). A negative relationship between depression and QoL in BCS was also observed in this study.</p></div><div><h3>Conclusion</h3><p>This exploratory study provides local evidence that BCS experience greater work-task related cognitive limitations and that is related to QoL. Similar to findings in other countries, this provides insight for the consideration of early identification of cognitive problems in this particular patient group. Further studies may be needed to further substantiate such findings and to examine the effectiveness of potential cognitive interventions.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"28 ","pages":"Pages 15-23"},"PeriodicalIF":0.4,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36463823","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}
Takeshi Shimada , Ai Nishi , Tomotaka Yoshida , Sachie Tanaka , Masayoshi Kobayashi
{"title":"Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study","authors":"Takeshi Shimada , Ai Nishi , Tomotaka Yoshida , Sachie Tanaka , Masayoshi Kobayashi","doi":"10.1016/j.hkjot.2016.10.002","DOIUrl":"10.1016/j.hkjot.2016.10.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This longitudinal study explored factors influencing the rehospitalisation of patients with schizophrenia in Japan.</p></div><div><h3>Methods</h3><p>Participants comprised patients with schizophrenia who were discharged from a psychiatric hospital in Japan. The investigations were conducted at the time of discharge and one year later. Demographics and clinical characteristics included the following: the type of occupational therapy (OT) interventions (group and individualized or group only); the assessment scales’ scores on hospitalisation; the community living conditions after discharge; and the contents of outpatient treatment (outpatient OT, day-care treatment, home-visit nursing, and adherence to outpatient treatment and medication). All variables were examined in a binomial logistic regression analysis to identify the factors for rehospitalisation.</p></div><div><h3>Results</h3><p>The rehospitalisation rate was 31.8%, as 14 of 44 participants were rehospitalised within one year after discharge. The type of OT interventions (OR = 7.05, 95% CI = 1.36–36.69, <em>p</em> = .020) and the adherence to outpatient treatment and medication (OR = 9.48, 95% CI = 1.82–49.33, <em>p</em> = .008) were significant contributing factors to rehospitalisation.</p></div><div><h3>Conclusion</h3><p>This study provided preliminary support for the finding that individualized occupational therapy and proper adherence to outpatient treatment and medication are associated with reducing the rehospitalisation of patients with schizophrenia in Japan.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"28 ","pages":"Pages 7-14"},"PeriodicalIF":0.4,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36465483","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}
Se-Yun Kim , Eun-Young Yoo , Min-Ye Jung , Soo-Hyun Park , Jae-Shin Lee , Ji-Yeon Lee
{"title":"Reliability and Validity of the Activity Participation Assessment for School-age Children in Korea","authors":"Se-Yun Kim , Eun-Young Yoo , Min-Ye Jung , Soo-Hyun Park , Jae-Shin Lee , Ji-Yeon Lee","doi":"10.1016/j.hkjot.2016.08.001","DOIUrl":"10.1016/j.hkjot.2016.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>This pilot study examined the internal consistency, test–retest reliability, construct validity, and discriminant validity of the Activity Participation Assessment (APA) for school-age children in Korea.</p></div><div><h3>Methods</h3><p>The construct validity of the APA was first established by factor analysis on the response of 134 nondisabled children. Internal consistency was evaluated for each of the factors. A test–retest study was conducted on 22 nondisabled children. Discriminant validity was established by comparing the participation of 56 nondisabled children and 56 children with intellectual disabilities and examining sex differences of 61 boys and 61 girls.</p></div><div><h3>Results</h3><p>Analysis of the APA revealed five factors, which were labeled as instrumental activities of daily living (IADL), sports and outdoor activities, hobbies and school activities, social activities, and personal care. The factors showed acceptable levels of internal reliability (Cronbach's alpha = .63–.89). The intraclass correlation coefficient (ICC) for the five factors were all in the good range (ICC = .86–.92). We found statistically significant difference between nondisabled children and children with intellectual disabilities in five factors. We also found that girls participated in significantly more IADL, hobbies and school activities, and social activities. However, boys participated in significantly more sports and outdoor activities.</p></div><div><h3>Conclusion</h3><p>The APA shows good internal reliability, test–retest reliability, discriminant validity, and construct validity. However, evidence of psychometric properties was limited by a small sample size. Psychometric properties such as interrater reliability as well as concurrent validity and construct validity need to be tested using a larger sample size with representative demographics.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"28 ","pages":"Pages 33-42"},"PeriodicalIF":0.4,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36463825","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":"Tactile Perception for Stroke Induce Changes in Electroencephalography","authors":"Si-Nae Ahn , Jeong-Weon Lee , Sujin Hwang","doi":"10.1016/j.hkjot.2016.10.001","DOIUrl":"10.1016/j.hkjot.2016.10.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>Tactile perception is a basic way to obtain and evaluate information about an object. The purpose of this study was to examine the effects of tactile perception on brain activation using two different tactile explorations, passive and active touches, in individuals with chronic hemiparetic stroke.</p></div><div><h3>Methods</h3><p>Twenty patients who were diagnosed with stroke (8 right brain damaged, 12 left brain damaged) participated in this study. The tactile perception was conducted using passive and active explorations in a sitting position. To determine the neurological changes in the brain, this study measured the brain waves of the participants using electroencephalography (EEG).</p></div><div><h3>Results</h3><p>The relative power of the sensory motor rhythm on the right prefrontal lobe and right parietal lobe was significantly greater during the active tactile exploration compared to the relative power during the passive exploration in the left damaged hemisphere. Most of the measured brain areas showed nonsignificantly higher relative power of the sensory motor rhythm during the active tactile exploration, regardless of which hemisphere was damaged.</p></div><div><h3>Conclusion</h3><p>The results of this study provided a neurophysiological evidence on tactile perception in individuals with chronic stroke. Occupational therapists should consider an active tactile exploration as a useful modality on occupational performance in rehabilitation training.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"28 ","pages":"Pages 1-6"},"PeriodicalIF":0.4,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36465482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Earmuffs and Noise-cancelling Headphones for Coping with Hyper-reactivity to Auditory Stimuli in Children with Autism Spectrum Disorder: A Preliminary Study","authors":"Nobuhiko Ikuta , Ryoichiro Iwanaga , Akiko Tokunaga , Hideyuki Nakane , Koji Tanaka , Goro Tanaka","doi":"10.1016/j.hkjot.2016.09.001","DOIUrl":"10.1016/j.hkjot.2016.09.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The purpose of this pilot study was to examine the effectiveness of standard earmuffs and noise-cancelling (NC) headphones in controlling behavioural problems related to hyper-reactivity to auditory stimuli in children with autism spectrum disorder (ASD).</p></div><div><h3>Methods</h3><p>Twenty-one children with ASD aged 4–16 years (16 boys and 5 girls), after a 2-week nonwearing baseline period, were asked to use standard earmuffs and NC headphones for 2 weeks, in a random order. Parents or teachers rated participants' behaviours that were related to their reaction to auditory stimuli.</p></div><div><h3>Results</h3><p>Four participants refused to wear either the earmuffs or the NC headphones. It was found that the T-score on the Goal Attainment Scaling was significantly higher during the earmuff period than that in the baseline period (Z = 2.726, <em>p</em> = .006). The behaviours of 5 children with ASD improved during the NC headphone period as compared with those in the baseline period; there were no differences in the T-scores on the Goal Attainment Scaling between the NC headphone period and the baseline period (Z = 1.689, <em>p</em> = .091) and between the earmuff and NC headphone periods (Z = −0.451, <em>p</em> = .678).</p></div><div><h3>Conclusion</h3><p>This study demonstrated the effectiveness of standard earmuffs and NC headphones in helping children with ASD to cope with problem behaviours related to hyper-reactivity to auditory stimuli, therefore, children with ASD could use earmuffs to help to deal with unpleasant sensory auditory stimuli.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"28 ","pages":"Pages 24-32"},"PeriodicalIF":0.4,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36463824","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":"Theory of Mind Deficit Is Associated with Pretend Play Performance, but Not Playfulness, in Children with Autism Spectrum Disorder","authors":"Ping-Chen Chan , Cheng-Te Chen , Hua Feng , Ya-Chen Lee , Kuan-Lin Chen","doi":"10.1016/j.hkjot.2016.09.002","DOIUrl":"10.1016/j.hkjot.2016.09.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This study aimed to examine the relationships of theory of mind (ToM) to both pretend play and playfulness in children with autism spectrum disorder (ASD).</p></div><div><h3>Methods</h3><p>Twenty children with ASD aged between 3 years and 7.11 years were assessed with the ToM test, and then placed in a free play condition and a pretend play condition to assess pretend play and playfulness with the Child-Initiated Pretend Play Assessment and Test of Playfulness, respectively. In addition, the children's symptom severities of ASD and verbal abilities were also assessed with the Childhood Autism Rating Scale (CARS) and Receptive and Expressive Vocabulary Test—second edition, respectively.</p></div><div><h3>Results</h3><p>The results of the regression analysis confirmed that ToM significantly predicted pretend play variables, namely, Number of Object Substitutions (<em>R</em><sup>2</sup> = .158, <em>p</em> = .002) and Number of Imitated Actions (<em>R</em><sup>2</sup> = .175, <em>p</em> = .001), but not playfulness. The CARS score was a significant predictor of the Percentage of Elaborate Pretend Play Actions of pretend play (<em>R</em><sup>2</sup> = .075, <em>p</em> = .034), as well as the internal control (<em>R</em><sup>2</sup> = .125, <em>p</em> = .006) and framing (<em>R</em><sup>2</sup> = .071, <em>p</em> = .039) variables of playfulness.</p></div><div><h3>Conclusion</h3><p>The findings support the idea that children with ASD who have better ToM might be able to develop better pretend play, but not better playfulness, which might be more strongly related to their autistic severity.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"28 ","pages":"Pages 43-52"},"PeriodicalIF":0.4,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36463826","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}
Thuy Anh Giang , Alan Wei Guang Ong , Karthikeyan Krishnamurthy , Kenneth N.K. Fong
{"title":"Rehabilitation Interventions for Poststroke Hand Oedema: A Systematic Review","authors":"Thuy Anh Giang , Alan Wei Guang Ong , Karthikeyan Krishnamurthy , Kenneth N.K. Fong","doi":"10.1016/j.hkjot.2016.03.002","DOIUrl":"10.1016/j.hkjot.2016.03.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>To review the evidence of rehabilitation interventions for the management of poststroke hand oedema.</p></div><div><h3>Methods</h3><p>We conducted a systematic review of research articles in electronic databases published in English between 1999 and 2015. Two investigators working independently retrieved articles from the Cochrane Central Register of Controlled Trials, SCOPUS, Taylor & Francis Online, Wiley Online Library, CINAHL, Springer (MetaPress), ScienceDirect, PubMed, SAGE Journals Online, EBSCO, and Web of Science. Only controlled trials with outcome measures and interventions for poststroke hand oedema were included. Three investigators critically appraised the selected studies using the Physiotherapy Evidence Database Scale.</p></div><div><h3>Results</h3><p>Of the 189 articles identified, nine (5 randomized controlled trials, 3 nonrandomized controlled trials, and 1 crossover controlled trial) were selected. These studies are heterogeneous in terms of design and types of intervention for poststroke hand oedema. The interventions reducing hand oedema are Lycra pressure garments with glove splints, bilateral passive motion upper-limb exercises, laser therapy, and acupressure. However, due to these studies' short intervention periods and the fact that hand oedema is not their primary outcome measure, it is not possible to draw a firm conclusion on their clinical significance for managing poststroke hand oedema.</p></div><div><h3>Conclusion</h3><p>Further study needs to focus solely on interventions for poststroke hand oedema and their long-term effects. No conclusion can be made on the most effective management of poststroke hand oedema until much more evidence is available.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"27 ","pages":"Pages 7-17"},"PeriodicalIF":0.4,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36465477","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":"Adolescents with Cancer and Occupational Deprivation in Hospital Settings: A Qualitative Study","authors":"Pedro Moruno Miralles , Nieves Cedenilla Ramón , Sandra Aranda Valero","doi":"10.1016/j.hkjot.2016.05.001","DOIUrl":"10.1016/j.hkjot.2016.05.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The aim of this article was to analyze the needs of hospitalized adolescents with cancer in relation to the performance of meaningful activities as well as to explore the possible scenarios of occupational deprivation in hospital paediatric wards.</p></div><div><h3>Methods</h3><p>The study follows an ethnographical research approach using two techniques: participant observation and in-depth interviews, with constant comparison by data triangulation. Eight adolescents diagnosed with cancer aged between 15 years and 19 years (5 males and 3 females) were recruited from Toledo and Madrid in Spain.</p></div><div><h3>Results</h3><p>Five themes revealing the needs of adolescents with cancer in hospital environments were identified: (a) educational needs, (b) leisure needs, (c) physical space of the rooms, (d) interaction with medical personnel, and (e) lack of specific wards for adolescents.</p></div><div><h3>Conclusion</h3><p>The lack of variety and availability of educational activities and leisure, and the subsequent changes of the individual physical, social, and cultural environments could cause situations of occupational deprivation, and also affect the health and quality of life of the individuals.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"27 ","pages":"Pages 26-34"},"PeriodicalIF":0.4,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2016.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36465479","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}