Chih-Ying Li , LyInn Chung , Ping-Chuan Hsiung , Tsyr-Jang Chen , Shu-Kai Liu , Ay-Woan Pan
{"title":"A Psychometric Study of the Kinetic-House-Tree-Person Scoring System for People with Psychiatric Disorders in Taiwan","authors":"Chih-Ying Li , LyInn Chung , Ping-Chuan Hsiung , Tsyr-Jang Chen , Shu-Kai Liu , Ay-Woan Pan","doi":"10.1016/j.hkjot.2014.03.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.03.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The Kinetic-House-Tree-Person (KHTP) drawing test is widely used by psychiatric occupational therapists in Taiwan; however, very little support has been provided through studies examining its psychometric properties. The aim of the study is to validate a scoring system for the KHTP on a group of people with psychiatric disorders.</p></div><div><h3>Methods</h3><p>A total of 66 individuals with psychiatric disorders were recruited for this study along with 53 college students as a comparative group. Each participant completed the KHTP test. Half of the individuals with psychiatric disorders (33 people) completed the KHTP again following a 2-week period. The KHTP scoring system contains 54 items representing drawing characteristics. Two independent raters determined the score of the drawings, with the validity and reliability of the KHTP scoring system being subsequently examined by the Rasch and traditional analysis.</p></div><div><h3>Results</h3><p>The results reveal both validity and unidimensionality of the KHTP scoring system, demonstrating acceptable test–retest reliability. The intraclass correlation coefficient of the scoring system's inter-rater reliability was .76, with significant statistical differences found between the KHTP scores of college students and individuals with psychiatric disorders.</p></div><div><h3>Conclusion</h3><p>The KHTP scoring system has acceptable construct validity, inter-rater reliability, and test–retest reliability. Because drawing tests have the advantage of expressing nonverbal characteristics, the scoring system should prove to be very useful for those who are unwilling or unable to communicate verbally. This study therefore provides valuable information for clinical application, particularly for the psychiatric rehabilitation professions.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"24 1","pages":"Pages 20-27"},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255817","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":"Effects of Productive Activities with Reminiscence in Occupational Therapy for People with Dementia: A Pilot Randomized Controlled Study","authors":"Toshimichi Nakamae , Kayano Yotsumoto , Eri Tatsumi , Takeshi Hashimoto","doi":"10.1016/j.hkjot.2014.01.003","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.01.003","url":null,"abstract":"<div><h3>Objective/Background</h3><p>Although a number of studies have considered the effects of reminiscence therapy, none have examined whether a therapy that combines reminiscence with productive activity has a beneficial effect on elderly dementia patients. This study tests our hypothesis that productive activities with reminiscence in occupational therapy (PAROT) can alleviate depressive symptoms and improve task performance of elderly dementia patients.</p></div><div><h3>Methods</h3><p>Thirty-six patients with dementia were randomly divided into two groups, namely, an intervention group (<em>n</em> = 17) and a control group (<em>n</em> = 19). The intervention group had six activity sessions (making rice balls and cakes; one session/week) while reminiscing about the activity. Measurements were performed using the Cornell Scale for Depression in Dementia (CSDD), Multidimensional Observation Scale for Elderly Subjects (MOSES), Vitality Index, and Mini-Mental State Examination (MMSE). The performance of the patients was assessed based on photographs of the products after the first and sixth sessions.</p></div><div><h3>Results</h3><p>Six patients dropped out while the study was in progress, thus leaving 15 patients in the intervention group and 15 patients in the control group. The scores of depression symptoms in CSDD and MOSES were significantly improved for the intervention group, while within-group comparison showed no significant differences in CSDD, MOSES, or MMSE total scores. In terms of task performance, 88% of the patients in the intervention group, including two patients with severe dementia, showed significant improvement in making the product.</p></div><div><h3>Conclusion</h3><p>Our study suggests that PAROT may alleviate depressive symptoms and improve the task performance of elderly people with dementia.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"24 1","pages":"Pages 13-19"},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255818","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}
Serena S.W. Ng, Dora Y.L. Chan, Marko K.L. Chan, Kathy K.Y. Chow
{"title":"Long-term Efficacy of Occupational Lifestyle Redesign Programme for Strokes","authors":"Serena S.W. Ng, Dora Y.L. Chan, Marko K.L. Chan, Kathy K.Y. Chow","doi":"10.1016/j.hkjot.2013.09.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.09.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>To devise an Occupational Lifestyle Redesign Programme (OLSR), in addition to the existing conventional therapy programme, in a local rehabilitation hospital in order to help stroke outpatients improve their self-efficacy and commitment in self-management after a stroke attack using goal-oriented, challenging, and well-being building activities. The long-term effect on the poststroke quality of life (QOL) and community integration has to be explored.</p></div><div><h3>Methods</h3><p>This is a retrospective study performed to compare two groups of matched samples of participants (25 each) who have or have not joined the OLSR programme. A telephonic interview was performed to gather the participants' responses. Self-reported outcome measures, including sickness impact [Stroke Adapted Sickness Impact Profile-30 (SA-SIP30)], motivation for general activity [General Activity Motivation Measure (GAMM)], community integration (Community Integration Questionnaire), and subjective well-being [World Health Organization Well-Being Index (WHO-5)] scores were assessed.</p></div><div><h3>Results</h3><p>Subjective well-being measures had significantly higher scores in the OLSR group (<em>F</em> = 5.52; <em>p</em> = .023). The OLSR group also reported a significantly better score in social integration (<em>F</em> = 4.302; <em>p</em> = .043). The SA-SIP30 mean score of the OLSR group [mean = 6.64; standard deviation (SD) = 4.35] was much lower, however, with significant difference in Mobility (<em>F</em> = 4.47; <em>p</em> = .04) and Household Management (<em>F</em> = 6; <em>p</em> = .015) subscores. The mean score of GAMM was also high in the OLSR group (mean = 41.32; SD = 11.98; <em>p</em> = .06). Improving “productive activity,” “social interaction,” “home management,” and “emotion” scores (based on factor analysis) are important goals to be achieved in a stroke rehabilitation programme so as to extend its scope from just physical restoration to building a better poststroke life.</p></div><div><h3>Conclusion</h3><p>The positive effect of OLSR programme has been shown to be effective in filling the gap of psychosocial adaptation in conventional stroke rehabilitation programmes. The patients in the OLSR programme had improved motivation levels and predicted better QOL in long term.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Pages 46-53"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137433238","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":"Cynthia Tang Occupational Therapy Promotion Fund and Memorial Scholarship","authors":"Kenneth Fong (Editor-in-Chief)","doi":"10.1016/j.hkjot.2014.01.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.01.001","url":null,"abstract":"","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Page 45"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137433239","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":"A Systematic Review on the Effectiveness of Tai Chi Exercise in Individuals with Parkinson's Disease from 2003 to 2013","authors":"Sharon Fong Mei Toh","doi":"10.1016/j.hkjot.2013.11.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.11.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This study aims to review the current evidence on the effectiveness of Tai Chi exercise in individuals with Parkinson's disease (PD) in the past 10 years.</p></div><div><h3>Methods</h3><p>A systematic review of studies published in English from 2003 to 2013, retrieved from three electronic databases—MEDLINE, Cumulative Index to Nursing and Allied Health Literature, and ScienceDirect—was performed. The review selected only those studies that investigated the effects of Tai Chi exercise on individuals with PD and had a full-length publication. Methodological qualities of the randomized control trials were appraised based on the modified Jadad scale.</p></div><div><h3>Results</h3><p>Of the 702 articles, eight publications, including four randomized controlled trials, two single-arm intervention studies, and two case reports, were reviewed. Results of this review show that there is an inconsistency of strong empirical evidence to support the efficacy of Tai Chi exercise in the PD population. Furthermore, this review reveals that there is a lack of scientific rigor in the experimental designs of the trials conducted to examine the effects of Tai Chi intervention on the PD population.</p></div><div><h3>Conclusion</h3><p>Because of the small sample and inconclusive results, this review cannot provide a firm conclusion to support or refute the effectiveness of Tai Chi in improving motor or nonmotor performance in patients with PD. Further research is required to investigate whether there are specific benefits of Tai Chi for people with PD in these areas and future review should include non-English studies, which examine the use of Tai Chi with this type of population.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Pages 69-81"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137433235","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 Flow State Scale for Occupational Tasks: Development, Reliability, and Validity","authors":"Kazuki Yoshida , Kiyoshi Asakawa , Taro Yamauchi , Satoshi Sakuraba , Daisuke Sawamura , Yui Murakami , Shinya Sakai","doi":"10.1016/j.hkjot.2013.09.002","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.09.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The degree of a patient's absorption in tasks as a measure of rehabilitation effectiveness has yet to be studied. The objective of this study is to develop a scale that can measure a patient's flow state in a clinical situation such as occupational therapy (OT).</p></div><div><h3>Methods</h3><p>The final 14 items were determined from the comprehensive assessment of item analysis results by a preliminary experiment. A total of 240 participants engaged in computer games that induced three psychological states: flow, anxiety, and boredom. After performing each task, participants completed our flow scale and the State-Trait Anxiety Inventory (STAI). The reliability was calculated using Cronbach's alpha coefficient. The validity was confirmed from three viewpoints, namely, the correlation coefficient with the STAI, the discrimination power of each psychological state, and the accuracy of factor structure. An occupational analysis of various activities was also conducted to confirm that the computer game task was representative of measurable activities.</p></div><div><h3>Results</h3><p>Cronbach's alpha coefficient was .918. The total score of the scale was significantly negatively correlated with the total score of STAI (<em>r</em> = −.537, <em>p</em> < .01). A significant difference among each psychological state was observed (<em>p</em> < .01). Covariance structure analysis indicated that the model fit index showed an acceptable fit. The computer game task used in this experiment was closely related to games, crafts, learning, cooking, and playing an instrument.</p></div><div><h3>Conclusion</h3><p>Our flow scale appears to have satisfactory reliability and validity to verify quantitatively whether the occupational tasks used in OT can effectively provide a flow experience for patients.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Pages 54-61"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137433237","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}
Hsin-Yu (Ariel) Chiang, Chien-Hsiuo Liu, Yi Chen, Shih-Han Wang, Wei-Shan Lin, Fan-Ya Su, Chia-Ting Su, Chien-Hsuan Pan, Chieh-An Wang
{"title":"A Survey of How Occupational Therapy Fieldwork Influences Future Professional Preference","authors":"Hsin-Yu (Ariel) Chiang, Chien-Hsiuo Liu, Yi Chen, Shih-Han Wang, Wei-Shan Lin, Fan-Ya Su, Chia-Ting Su, Chien-Hsuan Pan, Chieh-An Wang","doi":"10.1016/j.hkjot.2013.09.003","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.09.003","url":null,"abstract":"<div><h3>Objective/Background</h3><p>Although fieldwork experience plays an important role in an occupational therapy (OT) student's choice of future area of practice, studies on the influences of fieldwork on the preference of practice areas remain limited. The goal of the study was to further understand how OT students choose their future areas of practice.</p></div><div><h3>Methods</h3><p>A questionnaire, “The preferred future practice areas of occupational therapy students”, was created by systematic review of the relevant literature and collection of opinions from occupational therapists, students, and faculty. In total, 152 OT students undergoing their Level II fieldwork participated in the survey. Reliability tests, factor analysis tests, and discrimination analysis were carried out.</p></div><div><h3>Results</h3><p>The questionnaire demonstrated good to moderate reliability and validity. The factorial analysis indicated that the most influential factors for the preference of future practice areas of senior occupational therapy students are as follows: fieldwork experiences with clinical supervisors, fieldwork experiences with peers, social factors, college courses, and pressure from future work. The discrimination analysis revealed that social factors and college courses are the best factors for discriminating the variable “Choosing physical dysfunction, paediatric, or psychiatric OT as the most preferred future practice area.”</p></div><div><h3>Conclusion</h3><p>The choice of future area of practice is proved to be influenced by the experience in fieldwork for OT students. The psychometric properties of the questionnaire used in this study are supported, and it is recommended for use in future studies.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Pages 62-68"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137433236","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}
Beibei Feng , Wing Yi Pao , Anna Wu , Hercy Chi Kong Li , Cecilia Wai Ping Li-Tsang
{"title":"Are “Smart Pressure Monitored Suits” “Smarter” than Conventional Garments in Clinical Applications?","authors":"Beibei Feng , Wing Yi Pao , Anna Wu , Hercy Chi Kong Li , Cecilia Wai Ping Li-Tsang","doi":"10.1016/j.hkjot.2013.11.002","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.11.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>There is still no standardized regime to prescribe pressure garments with quantifiable pressure dosage to patients with different medical conditions. This study aimed to examine the efficacy of a newly developed system [a smart pressure monitored suit (SPMS)] for pressure intervention when compared with the conventional method of pressure garment production (conventional garment or CG). The SPMS is designed with a set of standard methods of measurements and computerized pattern drafting software (YUKA) to adjust the pressure range through computation of the percentage of strain directly on the drafted pattern. The CG was fabricated by occupational therapists in clinical settings.</p></div><div><h3>Methods</h3><p>A selected group of patients who required pressure therapy intervention was recruited through convenience sampling. They were provided with both a SPMS and a CG, each to be worn for 1 month. The interface pressure levels of both garments were measured before the implementation. Patients' feedback was collected using a standardized questionnaire on the comfort of wear, elasticity, and durability of the garments.</p></div><div><h3>Results</h3><p>There was a significant difference in the deterioration of pressure between the SPMSs and the CGs (<em>p</em> < .05) before and after 1 month of wear. The satisfaction on overall efficacy of the SPMSs was significantly higher than that of CGs (<em>p</em> < .05).</p></div><div><h3>Conclusion</h3><p>This standardized system using a SPMS appeared to provide a more accurate and consistent pressure range and long-lasting effect to the patients. It also appeared to be more efficient and effective in terms of production and fabrication.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Pages 82-88"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137434447","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":"Social Interaction and Atypical Sensory Processing in Children with Autism Spectrum Disorders","authors":"Kanae Matsushima, Toshihiro Kato","doi":"10.1016/j.hkjot.2013.11.003","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.11.003","url":null,"abstract":"<div><h3>Objective/Background</h3><p>Many children with autism spectrum disorders (ASDs) have sensory processing disorders (SPDs), which may limit many facets of daily life, including social interaction, an important domain of occupational therapy. Therefore, we examined the relationship between social interaction deficits and SPD in 4–6-year-old children with ASD without intellectual disorders.</p></div><div><h3>Methods</h3><p>The Social Responsiveness Scale (SRS) and the Japanese Sensory Inventory-Revised (JSI-R) questionnaires were administered to parents of children with ASD and children in the control group (<em>n</em> = 42 each).</p></div><div><h3>Results</h3><p>Response analyses revealed significant intergroup differences in scores for the questionnaires, with more atypical sensory processing patterns and social interaction deficits observed in children with ASD. Significant correlations were observed between the SRS total raw scores and subcategory scores of all sensory modalities of the JSI-R in the entire experimental group. The SPD symptoms were significantly associated with social interaction deficits in children with ASD.</p></div><div><h3>Conclusion</h3><p>It is important that occupational therapists consider SPD symptoms in children with ASD to provide early intervention for social interaction deficits.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 2","pages":"Pages 89-96"},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137434446","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":"Factors That Influence Functional Mobility Outcomes of Patients After Traumatic Brain Injury","authors":"Sameera Haffejee, Veronica Ntsiea, Witness Mudzi","doi":"10.1016/j.hkjot.2013.08.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.08.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The consequences of traumatic brain injury (TBI) include physical, cognitive, psychological, behavioural, and emotional deficits. Prognostic factors such as age, mechanism of injury, and severity of injury assist in determining the outcome of the patient. It is believed that predictors of recovery assist both the patient as well as family members in determining the potential outcomes for the patient. The objective of this study was to identify factors that influence functional mobility outcome of patients after TBI.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study. Participants were assessed predischarge. The Glasgow Coma Scale on admission was noted to establish the severity of the TBI. The Rivermead Mobility Index was used to establish the functional mobility outcome.</p></div><div><h3>Results</h3><p>The sample consisted of 60 participants of which 56 (93%) were males. The average age of the participants in the study was 28 ± 8.5 years. More than 50% of the participants were unable to walk outside and 37% were able to climb a flight of stairs without help at the time of discharge from the hospital. Younger age (<em>p</em> < .001), male gender (<em>p</em> = .001), Grade 12 education (<em>p</em> = .001), being self employed (<em>p</em> < .001), having bowel and bladder continence (<em>p</em> < .001), not smoking and drinking (<em>p</em> < .001), and having occupational therapy sessions (<em>p</em> = .002) had a positive impact on function after TBI.</p></div><div><h3>Conclusion</h3><p>Previous studies have identified a multitude of factors and this study has served to confirm factors that have a positive impact on physical function after TBI within this study group.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"23 1","pages":"Pages 39-44"},"PeriodicalIF":0.4,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136923424","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}