Australian Occupational Therapy Journal最新文献

{"title":"Being present and heard: The pivotal role of leadership, responsiveness, and future-focussed thinking in policy advocacy","authors":"Carolyn M. Murray,&nbsp;Stephen Isbel,&nbsp;Carol McKinstry","doi":"10.1111/1440-1630.12955","DOIUrl":"10.1111/1440-1630.12955","url":null,"abstract":"<p>Given all health and social care sits within context, there is an imperative for occupational therapists to be socio-politically aware and advocate for both the occupational therapy profession and the consumers of occupational therapy services (Kirsh, <span>2015</span>). As such, occupational therapists need to be heard and present where key effectual decisions are being made about how to prioritise and allocate resources at global, national, state, and local levels (Lane et al., <span>2019</span>; Zwolsman, <span>2020</span>). Effective policy advocacy work in occupational therapy must be strategic and occur through the lens of our values and philosophy (Berndt, <span>2017</span>). This editorial will focus on the role of leadership, responsiveness to societal trends, issues, and needs and future-focussed thinking in policy advocacy.</p><p>In 2010, members of state divisions of the Australian Association of Occupational Therapists voted to join Occupational Therapy Australia Limited, thus creating national leadership and a voice for collective advocacy. One of the roles of peak bodies or professional associations is to lobby and advocate to influence policy and system design. In 2012, Sylvia Rodger asked all occupational therapists to ‘confidently take up and lead causes, being confident in the uniform voice that Occupational Therapy Australia provides’ (Rodger, <span>2012</span>, p. 178). This voice is one method to provide a strategic focus on influencing change that is likely to have a systemic effect and raise the profile of occupational therapy within powerful entities. This advocacy may in turn lead to future invitations to contribute and be involved in decision making. Consistent with decisions being made at all levels of government, so too should advocacy leadership occur at all levels of practice (Bissett et al., <span>2021</span>; Rodger, <span>2012</span>).</p><p>Advocacy functions may include speaking up in decision making meetings and in multi-disciplinary teams (Brian et al., <span>2015</span>), responding to discussion papers, making representation to government bodies and funding organisations, preparing consultation papers and submissions in response to proposed government policy changes or to reviews, such as Royal Commissions, and raising issues of concerns regarding the policy stances of the different parties before elections. Some examples of leadership from Occupational Therapy Australia include (1) advocating against the introduction of independent assessments for those people seeking to have NDIS funding for the first time. This avoided the replacement of functional assessments by occupational therapists with assessments by non-clinicians to determine need for services (Occupational Therapy Australia, <span>2021b</span>). (2) Lobbying to increase occupational therapy fees for services to veterans which had remained the same for many years and this advocacy continues (Occupational Therapy Australia, <span>2021a</span>).","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140839131","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":"Timepoint for return to occupations post-burn injury using the Canadian Occupational Performance Measure (COPM)","authors":"Andrea Mc Kittrick,&nbsp;Amber Jones,&nbsp;Lachlan T. Morgan","doi":"10.1111/1440-1630.12948","DOIUrl":"10.1111/1440-1630.12948","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The Canadian Occupational Performance Measure (COPM) was implemented at a state-wide burns service to ensure compliance with current best evidence as outlined by the Australian and New Zealand Burns Association ‘burn trauma rehabilitation: allied health practice guidelines’- Chapter 7 Measuring Post-Burn Recovery, as a standard outcome measure for individuals with an admission time greater than 24 h. The primary aim of this study is to determine if individuals have a minimal important change in performance and satisfaction with activities that were identified as problematic on the COPM prior to their acute discharge.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;Previous research confirmed the feasibility of using the COPM in the acute burn ward and recommended the most appropriate timepoint for re-measurement be confirmed, which is the secondary objective of this study. The benefits of confirming this timepoint include ensuring efficient use of clinicians' time without compromising the accuracy of the assessment and ensuring effective translation of the guidelines' recommendation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A prospective longitudinal study was undertaken, where all individuals who previously completed a COPM prior to acute discharge were sought to complete a re-assessment while accessing outpatient services. Time frames for re-assessment were open. Only individuals who were actively receiving occupational therapy outpatient services were included. COPM assessments were completed in person where possible, particularly for participants who required an interpreter, with phone and video calls also used when needed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 37 participants were included, with the timeframe between initial and post-COPM assessment ranging from 2 to 643 days. Outcomes plateaued at approximately 12 months (365 days) post-initial measurement (prior to discharge from acute ward). The most common occupational performance goals that participants identified were returning to work, sport, and driving. 86.5% of participants increased their satisfaction with these activities. The results of this study demonstrate improvements across the domains of performance and satisfaction occur for individuals with burns at approximately 3 months and 12 months post-injury.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Based on this study, it is suggested that when using the COPM assessment in a tertiary burn setting, re-measurement be completed no earlier than 3 months and later than 12 months from burn injury, or upon discharge from the service. The findings from this study wi","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584786","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":"Associations between physical activity, sedentary behaviour and cognitive domain performance of people living with mild cognitive impairment in the community","authors":"Jane Hopkins,&nbsp;Joanne McVeigh,&nbsp;Keith Hill,&nbsp;Kathryn A. Ellis,&nbsp;Angela Jacques,&nbsp;Elissa Burton","doi":"10.1111/1440-1630.12944","DOIUrl":"10.1111/1440-1630.12944","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Physical activity is known to positively influence cognitive performance. For adults with mild cognitive impairment (MCI), the relationship between physical activity levels and cognitive performance is unknown. This cross-sectional study aimed to determine if cognitive performance [as measured by the Montreal Cognitive Assessment (MoCA)] of people living in the community with MCI is associated with their physical activity levels or sedentary behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>ActivPAL™ accelerometers were used to objectively measure physical activity and sedentary behaviour for seven full days. Cognitive performance was measured using the MoCA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>No involvement other than as research participants</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty-two participants from the Balance on the Brain randomised controlled trial were included. Most participants were retired (88%), with 33 (40%) reporting a fall in the last year. The median MoCA score was 24 (IQR 22–26). Participants achieved a mean of 6296 (±2420) steps per day and were sedentary for 10.6 (±2) hours per day. The only physical activity outcomes that had a fair, positive correlation were moderate- to vigorous-intensity physical activity measures of total stepping time and total number of steps (with a cadence of ≥100 steps/min) with the orientation MoCA domain score (<i>r</i>(82) = 0.36, <i>p</i> ≤ 0.001 and <i>r</i>(82) = 0.37, <i>p</i> ≤ 0.001, respectively). Higher total sedentary time had a weak, positive correlation with better visuospatial/executive performance (<i>r</i>(82) = 0.23, <i>p</i> = 0.041). The orientation outcomes remained significant when analysed in an adjusted logistic regression model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study found that performance in the MoCA orientation domain had a fair-positive correlation with moderate-intensity physical activity (i.e., stepping time and step count with a cadence of ≥100 steps/min) as measured by a thigh-worn accelerometer for community-dwelling older adults with MCI. When considering the relationship between cognitive domains and sedentary behaviour, consideration may be needed regarding whether cognitive enhancing activities (such as crosswords and other brain games) are being performed, which may confound this relationship. Further investigation is required to confirm these re","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584835","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 ability of government policy to further promote the progression of enabling technologies for people living with disability","authors":"Natalie Chu,&nbsp;Rosalind Bye,&nbsp;David Lim","doi":"10.1111/1440-1630.12951","DOIUrl":"10.1111/1440-1630.12951","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713010","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":"Occupational Performance Coaching for parents of picky eaters: A mixed methods study","authors":"Laine B. Chilman,&nbsp;Pamela J. Meredith,&nbsp;Nicole Southon,&nbsp;Ann Kennedy-Behr,&nbsp;Thuy Frakking,&nbsp;Libby Swanepoel,&nbsp;Michèle Verdonck","doi":"10.1111/1440-1630.12947","DOIUrl":"10.1111/1440-1630.12947","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background/Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Picky eating is a common childhood phenomenon that impacts many families' occupations surrounding mealtimes. Evidence of the effectiveness of Occupational Performance Coaching (OPC) for caregivers of children suggests it may represent a useful occupation-focused intervention for parents of picky eaters. Using an OPC-targeted intervention, this study aims to report preliminary effectiveness, explore the experience of parents' participation, and investigate factors that influence the OPC intervention.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study used an explanatory mixed-method design. Parent participants (n = 8) were recruited via purposive sampling and engaged in three sessions of OPC delivered via an online platform between October and December 2022. Standardised assessments were completed before and after OPC and a qualitative semi-structured interview two weeks after the final OPC session. Variables were analysed descriptively, and independent &lt;i&gt;t&lt;/i&gt; tests were performed to compare scores on each standardised assessment pre- and post-intervention. Pearson's correlation analyses were conducted to consider associations between resistance to change and the extent of change in each outcome measure. Reflexive thematic analysis was conducted on postintervention interview transcripts.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Consumer and Community Involvement&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Consumer invovlement was limited to parents feedback on their experiences of the intervention.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Improvements in occupational performance as measured by the COPM change score were statistically significant (&lt;i&gt;p&lt;/i&gt; = &lt;0.001). Child eating behaviours, as measured by the CEBQ Food Fussiness subscale change score (&lt;i&gt;p&lt;/i&gt; = 0.01) and BPFAS change score (&lt;i&gt;p&lt;/i&gt; = 0.02), demonstrated significant improvements. The extent to which parents viewed these behaviours as problematic as measured by the BPFAS problem change score, showed a significant reduction (&lt;i&gt;p&lt;/i&gt; = &lt;0.001). Three themes emerged from interviews with parents: small changes beyond nutrition, parents supported as the experts, and what parents value within an intervention.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Targeted OPC intervention delivered online by an occupational therapist may be an effective intervention for parents of picky eaters. Future studies using randomised controls are required before OPC can be routinely re","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307914","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":"Exploring the role of palliative care occupational therapists in supporting compassionate communities in end-of-life care","authors":"Samantha Smith,&nbsp;Daniel Lowrie,&nbsp;Nathan Dawes","doi":"10.1111/1440-1630.12945","DOIUrl":"10.1111/1440-1630.12945","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The compassionate communities' movement is a public health approach to end-of-life care that emphasises the integral role of communities in supporting and caring for dying persons and their informal carers. Although occupational therapists have well-established roles in palliative care teams, little is known about their potential in assisting in the formation and maintenance of compassionate communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data were gathered via semi-structured interviews with nine Australian occupational therapists with experience in specialist palliative care. Interview questions were based around the British Columbia Compassionate Community Ideal framework. Key themes were derived through qualitative descriptive analysis, blending deductive, and inductive reasoning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Interviewees indicated that occupational therapists have a role in supporting compassionate communities that centres on the facilitation of networks and connections between palliative care professionals and in the promotion of informal care networks. The importance of education and awareness raising were also discussed as valuable to the development of community capacity. It was also suggested that occupational therapists have important skills to support dying persons and their caregivers to remain engaged and safe in their homes and communities, in a meaningful and sustainable way. However, many interviewees maintained a profession-centric view on control within compassionate communities, as opposed to approaches that are community led.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings offer early insights into the promise and potential of occupational therapists in supporting the compassionate communities' movement. However, education regarding the ethos of the compassionate communities' movement so as to facilitate a shift away from professionally oriented modes of practice may be needed to maximise success.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289774","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":"Prevalence of musculoskeletal pain and dysfunction in electrical utility workers: Practical considerations for prevention and rehabilitation in the workplace","authors":"Shane Rogerson,&nbsp;Mike Climstein,&nbsp;Rudi Meir,&nbsp;Zachary Crowley-McHattan,&nbsp;Neil Chapman","doi":"10.1111/1440-1630.12939","DOIUrl":"10.1111/1440-1630.12939","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study assessed the prevalence and associations of musculoskeletal pain and dysfunction in electrical utility workers, with the aim of applying the findings to better prevent and rehabilitate workplace musculoskeletal disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Employees completed an online survey recording their musculoskeletal symptoms across nine anatomical locations for the preceding 12 months. A total of 565 employees, working across eight different electrical utility organisational work units, completed the survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>The study was collaborative and conducted in Australia's largest, wholly government owned electricity company. The study originated from the participating organisation wanting to better understand their musculoskeletal disorder (MSD) risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Employees who experienced high job stress were 4.06 times (95% confidence interval [CI] = 1.78–9.29) more likely to report musculoskeletal symptoms in the shoulder compared with employees with lower reported job stress. Employees that perceived their work to have high physical demands report lower back musculoskeletal symptoms at 2.64 times the rate of those perceiving their job to be of low physical demand (95% CI = 1.44–4.84). There were significant differences in the lower back musculoskeletal symptoms according to work unit membership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Understanding the prevalence of MSDs is critical to implementing practical prevention and rehabilitation strategies in the workplace. This anonymous survey highlighted that a large proportion of electrical utility workers reported that musculoskeletal symptoms had impacted their ability to perform their job, housework and/or hobbies in the preceding 12 months. Early access to rehabilitation services is essential. However, many workers report barriers to disclosing MSDs; therefore, workplace rehabilitation services may need to be broadened to account for these barriers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177904","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":"Enhancing inclusive and visible consumer authorship: Recommendations for research and publishing practice","authors":"Louise Gustafsson,&nbsp;Ruth Cox,&nbsp;Elizabeth Miller","doi":"10.1111/1440-1630.12946","DOIUrl":"10.1111/1440-1630.12946","url":null,"abstract":"<p>As the research community increasingly partners with consumers and community in the design and conduct of research, there should be a corresponding increase in visibility of consumers as authors of published papers. Recent studies have explored the perceptions of Editor-in-Chiefs regarding the acceptability for consumer co-researchers to be authors on papers (Cobey et al., <span>2021</span>), the diversity in consumer authors (Woolley et al., <span>2023</span>), and the identification of consumer-authored papers (Arnstein et al., <span>2020</span>; Cox et al., <span>2021</span>; Oliver et al., <span>2022</span>). Although these studies suggest a changing direction in publishing, they also collectively highlight that continuing work is required to achieve inclusionary consumer authorship practices. With this editorial, we aim to synthesise the current recommendations for publishing with consumer authors while highlighting further considerations based on our experiences. We will use the following terms: consumer and community, as used within Australia, in lieu of patient and public involvement, and co-researcher in lieu of partner or collaborator.</p><p>Consistent with recommendations, it is important that we first identify ourselves and our respective positionality. Louise Gustafsson is Editor-in-Chief of the <i>Australian Occupational Therapy Journal</i> (AOTJ) and has a commitment to partnering with consumers in research. She has written this editorial from two perspectives, as editor of a journal with a commitment to partnership with consumers and as a researcher with experiences of publishing with consumer co-researchers. Ruth Cox is a Director of Occupational Therapy in a public health service and recently completed her PhD regarding consumer partnerships in quality improvement and research. Her passion for promoting and supporting consumer partnerships aligns with her personal and professional ethics. Elizabeth Miller was a co-researcher across Ruth's PhD and has collaborated on many other studies, co-authoring 13 papers. She has a degenerative health condition that affects her mobility and believes that when patients, caregivers, and researchers work together collaboratively, outcomes are greatly enhanced.</p><p>Guidelines for authorship were developed by the scientific community to ensure appropriate attribution for the work based on two common criteria ‘(1) substantial contribution to the work and (2) accountability for the work that was done and its presentation in a publication’ (COPE, <span>2019</span>). Our research and experiences have demonstrated that manuscript authorship inclusive of consumers is important not only as a means to ethically acknowledge the collaboration but as an essential element of consumer reward and recognition (Cox et al., <span>2023</span>). Hence, we must ensure that interpretation of authorship policies embraces the diversity of our consumer partners and supports people who have lower literacy levels, wh","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144661","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":"Occupations and occupational therapy practice with Chinese older adults living with life-limiting illnesses in Singapore: A focus group study","authors":"Geck Hoon Lim,&nbsp;Celine Yong,&nbsp;Lauren J. Breen,&nbsp;Sharon Keesing,&nbsp;Angus Buchanan","doi":"10.1111/1440-1630.12942","DOIUrl":"10.1111/1440-1630.12942","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>While Singapore is rapidly ageing and the need for palliative care services is projected to rise, there has been limited exploration of the occupations of Chinese older adults with life-limiting conditions. This study is the third in a series of three studies aimed to address this issue. This study also sought to discuss future directions for occupational therapy practice with Chinese older adults living with life-limiting illnesses in Singapore.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study adopted a qualitative exploratory design using focus groups. Participants were recruited using convenience and snowball sampling. Inclusion criteria were occupational therapists who had attained full registration status with the Allied Health Professionals Council in Singapore, had two or more years of practice as an occupational therapist, and had a current or recent palliative care caseload.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Three focus groups with 16 participants were conducted, and three themes were constructed from the data through reflexive thematic analysis. <i>Reflections on culture and occupations</i> is about the impact of a collectivist culture on occupations, such as tensions new caregivers experience between keeping clients safe and respecting clients' choices. It also highlights that there will always be individual differences within any cultural group. <i>Challenges of occupational therapy practice in palliative care</i> describe the need for therapists to be comfortable with rest and ethical tensions participants faced with billing for sessions that mainly involved time spent conversing with clients and when clients and caregivers' goals differed. Finally, <i>Moving forward</i> is about the importance of having mentors and the learning needs of occupational therapists in palliative care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Occupational therapists experienced in providing services to palliative care clients in Singapore emphasised the collectivist nature of Singaporean Chinese families and contributed more information to its possible impact on occupations and occupational therapy practice and made suggestions for future practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12942","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159621","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 use of practice evidence by Australian occupational therapists: Perspectives and actions","authors":"Craig Greber,&nbsp;Stephen Isbel","doi":"10.1111/1440-1630.12941","DOIUrl":"10.1111/1440-1630.12941","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Evidence-based practice supports clinical decision-making by using multiple sources of evidence arising from research and practice. Research evidence develops through empirical study while practice evidence arises through clinical experience, client preferences, and the practice context. Although occupational therapists have embraced the paradigm of evidence-based practice, some studies have identified limits in the availability and use of research, which can lead to reliance on other forms of evidence. This study aimed to understand how Australian occupational therapists use practice evidence, manage potential bias, and enhance trustworthiness. Potential use of a critical appraisal tool for practice evidence was also explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 42-item questionnaire was developed to address the study aims. It consisted of a 7-point Likert scale, ordinal and free text questions. Likert scales were collapsed into binary scales and analysed using SPSS. Ordinal data were graphed and free text responses were analysed using manifest content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most respondents (82%) indicated that practice evidence was an important informant of practice and is used alongside research evidence. Almost all respondents (98%) expressed confusion when reconciling discrepancies between research and practice evidence. There was general acknowledgement that practice evidence is prone to bias (82%), yet 92% were confident in trusting their own practice evidence. Most respondents (74.5%) undertook some measures to appraise practice evidence, and almost all respondents (90%) agreed they would refer to a critical appraisal tool that helped them evaluate practice evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Occupational therapists in this study routinely use practice evidence arising from their own experience, client perspectives, and their practice context to inform clinical decision-making. While they agreed that practice evidence was prone to bias and misinterpretation, they generally trusted their own practice evidence. Participants indicated they needed guidance to critically appraise their practice evidence and supported the development of a critical appraisal tool for this purpose.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112302","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}