Hong Kong journal of occupational therapy : HKJOT最新文献

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The potential of place-based occupational therapy to support aging-in-place: A qualitative study. 基于地点的职业治疗支持原地衰老的潜力:一项定性研究。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-07-11 DOI: 10.1177/15691861251356633
Florence Cheong, Chou Chuen Yu
{"title":"The potential of place-based occupational therapy to support aging-in-place: A qualitative study.","authors":"Florence Cheong, Chou Chuen Yu","doi":"10.1177/15691861251356633","DOIUrl":"10.1177/15691861251356633","url":null,"abstract":"<p><strong>Introduction: </strong>Aging-in-place facilitate seniors to stay in their homes throughout the aging process. Place-based Occupational Therapy is a proposed service delivery model aimed at facilitating this. This study explores community occupational therapists' perspectives on how place-based Occupational Therapy could facilitate aging-in-place and the perceived enablers and barriers to this model of care.</p><p><strong>Method: </strong>The participants were occupational therapists working in the community setting. Data was collected through semi-structured interviews. An aging-in-place capability framework was employed to guide the interviews. A generic descriptive-interpretive qualitative research approach was used for the analysis.</p><p><strong>Results: </strong>Data saturation was reached at the seventh interview (n = 7). Six major themes were generated to explore the perspectives of occupational therapists on a place-based strategy to deliver Occupational Therapy services: (i) maintaining health and function, (ii) partnering with caregivers, (iii) ideal location within neighborhoods, (iv) understanding clients' environment strengthens intervention, (v) facilitating social connections and cognitive wellness, and (vi) enablers for service set-up. Besides financial support, key enablers include clinical expertise and program management experience.</p><p><strong>Conclusion: </strong>Findings from this study can facilitate future planning of place-based Occupational Therapy services. The services should be fuss-free, short-term and affordable. The service should be sited where many older adults gather in their neighbourhoods, within walkable distance from their homes. Occupational therapists can contribute to program planning to maintain health and function and facilitate relationship building between older adults. There is potential for place-based occupational therapists to contribute to health promotion due to the profession's unique focus on habits and environment.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251356633"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Changes in Attitudes Towards Mental Illness and Physical Disabilities After an Anti-Stigma Course for Occupational Therapy Students. 职业治疗专业学生参加反污名课程后对精神疾病和身体残疾态度的变化。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-07-09 DOI: 10.1177/15691861251357343
Hui-Ing Ma, Yu-Ling Huang, Chia-Han Yang, Chu-En Hsieh
{"title":"Evaluating the Changes in Attitudes Towards Mental Illness and Physical Disabilities After an Anti-Stigma Course for Occupational Therapy Students.","authors":"Hui-Ing Ma, Yu-Ling Huang, Chia-Han Yang, Chu-En Hsieh","doi":"10.1177/15691861251357343","DOIUrl":"10.1177/15691861251357343","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed changes in attitudes towards mental illness and physical disabilities in occupational therapy (OT) students after an anti-stigma course (AS group) and compared the changes in attitudes with a control (CT group) attending a sociology course.</p><p><strong>Methods: </strong>A quasi-experimental design was used in this study with 65 OT students across two academic years (AS group: <i>n</i> = 33; CT group: <i>n</i> = 32). Stigmatizing attitudes and social distance towards mental illness and physical disabilities were measured before and after course completion.</p><p><strong>Results: </strong>Compared with the CT group, the AS group showed a significantly greater reduction in social distance towards mental illness (<i>t</i> = 1.974, <i>p</i> = .027) and decreases in stigmatizing attitudes (<i>t</i> = 2.087, <i>p</i> = .021) and social distance (<i>t</i> = 2.512, <i>p</i> = .008) towards physical disabilities. In addition, both groups reported greater social distance towards mental illness than towards physical disabilities in both the pretest and posttest.</p><p><strong>Conclusions: </strong>A multimodal anti-stigma course may decrease social distance towards mental illness as well as stigmatizing attitudes and social distance concerning physical disabilities among OT students. However, further refinement of the anti-stigma course, with a particular emphasis on mental health stigma, is warranted.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251357343"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Descriptive evaluation of community based children's occupational therapy services using COPM. 基于社区的儿童职业治疗服务的COPM描述性评价。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-06-26 DOI: 10.1177/15691861251354878
Caroline Mills, Stephanie Ritchie, Annette Zucco, Kirralee Hazeltine, Jessica Sheaves, Karen P Y Liu
{"title":"Descriptive evaluation of community based children's occupational therapy services using COPM.","authors":"Caroline Mills, Stephanie Ritchie, Annette Zucco, Kirralee Hazeltine, Jessica Sheaves, Karen P Y Liu","doi":"10.1177/15691861251354878","DOIUrl":"10.1177/15691861251354878","url":null,"abstract":"<p><strong>Background: </strong>Community occupational therapy forms a critical primary health service in supporting the development of young children. This study aims to explore characteristics of service provision, parent rated outcomes and the relationship between dosing and service outcomes.</p><p><strong>Methods: </strong>A retrospective file review was completed to examine the services received by 60 children, aged 0-6 (mean age 3.8 years). Characteristics of service provision were described. Parent-reported performance and satisfaction scores of the Canadian Occupational Performance Measure (COPM) before and after the intervention were compared. Spearman rank order correlation was used to explore the relationship between intervention \"dose\" and therapy outcomes.</p><p><strong>Results: </strong>Most children (<i>n</i> = 51; 85%) received individual therapy for handwriting and motor skills. The average wait time was 26.4 weeks (SD = 19.0). Results of COPM showed improvements in both performance and satisfaction scores (<i>ps</i> < 0.001). Spearman rank order correlation showed no relationship between dosing and outcomes. This study has reported the predominant service provision around handwriting and motor skills with a long wait time.</p><p><strong>Conclusion: </strong>Findings may assist in future service development, including the service to be provided, considering wait times and equity considerations. Further work is needed to explore what dosage yields the best outcomes.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251354878"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the impact of COVID-19 on the occupational burnout among shift workers in Hong Kong. COVID-19对香港轮班工人职业倦怠影响的评估。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-06-19 DOI: 10.1177/15691861251348480
Sze Wan Wong, Anthony Wai Leung Kwok
{"title":"Evaluation of the impact of COVID-19 on the occupational burnout among shift workers in Hong Kong.","authors":"Sze Wan Wong, Anthony Wai Leung Kwok","doi":"10.1177/15691861251348480","DOIUrl":"10.1177/15691861251348480","url":null,"abstract":"<p><strong>Background/objectives: </strong>During the COVID-19 pandemic, workforce across the globe had experienced an unprecedent change in work mode under the quarantine and social distancing policies. Shift work workers, who were at higher risk of burnout, upheld their roles and kept the essential operation of society maintained amidst the pandemic time. The objectives of this study are to evaluate the association between impact of COVID-19 and burnout among shift workers in Hong Kong, and to investigate if there is any association between the infection history and burnout among shift workers.</p><p><strong>Methods: </strong>Five hundred and thirty eight shift workers (297 males and 241 females of age 33+9) were recruited in this cross-sectional study. Self-administered questionnaire addressing respondents' demographic information, shift characteristic, anxiety level, perception towards COVID-19 and the burnout situation of the respondent were distributed.</p><p><strong>Results: </strong>The prevalence of burnout among shift workers during pandemic was 39.4%. Engagement in more shifts (aOR = 2.608), 9 to 15-night shift/month (aOR = 1.654), history of frequent infection of COVID-19 (aOR = 2.076), high anxiety level (aOR = 8.599) was associated with higher probability of burnout. Increase in anxiety level correlated to increase in exhaustion <i>(β</i> <sub><i>0</i></sub> = 0.042) and decrease in personal efficacy. <i>( β</i> <sub><i>0</i></sub> = -0.081).</p><p><strong>Conclusion: </strong>Impacts by COVID-19 were associated with burnout of shift workers in terms of older age, single status, long shift pattern, night shift, anxiety level as well as infection history. Although World Health Organization has declared the end of COVID-19 pandemic, the post-pandemic burnout situation emerged as an alarming occupational hazard.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251348480"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of the number of ATDs used by community-dwelling people recovering from stroke with mild cognitive impairments: A path analysis. 社区居民脑卒中伴轻度认知障碍康复者ATDs使用数量的决定因素:一项通径分析
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-06-10 DOI: 10.1177/15691861251339211
Young-Myoung Lim, Hee Kim
{"title":"Determinants of the number of ATDs used by community-dwelling people recovering from stroke with mild cognitive impairments: A path analysis.","authors":"Young-Myoung Lim, Hee Kim","doi":"10.1177/15691861251339211","DOIUrl":"10.1177/15691861251339211","url":null,"abstract":"<p><p><b>Objective:</b> This study examined the associative relationships among age, cognition, anxiety, and participation in explaining the number of Assistive Technology Devices (ATDs) used by stroke survivors through path analysis. <b>Methods:</b> A cross-sectional study was conducted with 196 community-dwelling stroke survivors. Data on ATD usage, cognitive function (Montreal Cognitive Assessment), anxiety (Beck Anxiety Inventory), and participation (Utrecht Scale for Evaluation of Rehabilitation-Participation) were analyzed using SPSS 22.0 and Amos 24.0. <b>Results:</b> The modified path model demonstrated a good fit to the data. Age, anxiety, and participation had direct effects on the number of ATDs used, while cognition did not show a statistically significant effect. Anxiety also had an indirect effect through participation, indicating a dual role of participation in either increasing or reducing ATD reliance. Age influenced anxiety and participation both directly and indirectly. <b>Conclusions:</b> This study identified the pathways through which age, anxiety, and participation influence ATD usage among stroke survivors. Given the complexity of interplay of psychological and functional factors, ATD prescriptions should adopt a user-centered approach, considering participation levels, psychological responses, and environmental factors to optimize effectiveness and long-term use.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251339211"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repetitive peripheral magnetic stimulation for hemiparetic hand edema in stroke patients: A randomized crossover trial. 反复外周磁刺激治疗脑卒中患者偏瘫性手水肿:一项随机交叉试验。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-05-15 DOI: 10.1177/15691861251341483
Kenta Fujimura, Hitoshi Kagaya, Takuya Suzuki, Hiroki Tanikawa, Kazuhiro Tsuchiyama, Hirofumi Maeda
{"title":"Repetitive peripheral magnetic stimulation for hemiparetic hand edema in stroke patients: A randomized crossover trial.","authors":"Kenta Fujimura, Hitoshi Kagaya, Takuya Suzuki, Hiroki Tanikawa, Kazuhiro Tsuchiyama, Hirofumi Maeda","doi":"10.1177/15691861251341483","DOIUrl":"10.1177/15691861251341483","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effect of repetitive peripheral magnetic stimulation on edema of the hemiparetic hand in patients with stroke.</p><p><strong>Methods: </strong>This single-center, open-label, crossover, randomized controlled trial was registered with the Japan Registry of Clinical Trials, included 18 post-stroke patients in the convalescent rehabilitation ward. Patients were randomly assigned to two groups and received either conventional rehabilitation (control) or conventional rehabilitation plus repetitive peripheral magnetic stimulation (intervention) for 2 weeks, followed by 2 weeks of the other treatment. The repetitive peripheral magnetic stimulation intervention consisted of 6,000 pulses per day at a frequency of 30 Hz, 5 days per week. The primary outcome was changes in hand edema. The secondary outcomes were circumference of the hand, passive range of motion of flexion and extension of the metacarpophalangeal joint, hand pain and numbness, and grip strength. The outcomes were analyzed using mixed-effects models for repeated measures.</p><p><strong>Results: </strong>Sixteen patients who completed the whole phase were included in the analysis. The changes in hand edema showed significant differences between the groups (<i>p</i> < .01). Metacarpophalangeal joint flexion also had significant differences between the groups (<i>p</i> < .01). The left-right difference in hand volume increased from 48.8 ± 27.6 mL to 59.1 ± 26.3 mL after the control but significantly decreased from 56.3 ± 31.6 mL to 39.7 ± 30.2 mL after the intervention (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>Repetitive peripheral magnetic stimulation is effective in reducing hemiparetic hand edema and increasing metacarpophalangeal joint flexion after stroke.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251341483"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining the success of clinical outcomes for thumb immobilization compared to no thumb immobilization in adult non-displaced, non-surgically managed scaphoid fractures: A systematic review. 在成人非移位、非手术治疗的舟状骨骨折中,确定拇指固定与不固定的临床结果:一项系统综述。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-04-30 DOI: 10.1177/15691861251338448
Kristie J Harper, Yestin Rees, Natalie X Tan, Haineng Li, Elizabeth A Fonseca, Phu G Quach, Gwen S Lee, Julie R Brayshaw, Sarah McGarry
{"title":"Determining the success of clinical outcomes for thumb immobilization compared to no thumb immobilization in adult non-displaced, non-surgically managed scaphoid fractures: A systematic review.","authors":"Kristie J Harper, Yestin Rees, Natalie X Tan, Haineng Li, Elizabeth A Fonseca, Phu G Quach, Gwen S Lee, Julie R Brayshaw, Sarah McGarry","doi":"10.1177/15691861251338448","DOIUrl":"https://doi.org/10.1177/15691861251338448","url":null,"abstract":"<p><strong>Background: </strong>In occupational therapy clinical practice there is often varied practice regarding thumb immobilization in a cast for nonsurgical management of nondisplaced or minimally displaced scaphoid fractures. The objective was to determine whether immobilization of the thumb in addition to the wrist for nonsurgical management of nondisplaced scaphoid fractures in adults is required to support good clinical outcomes including fracture union, hand function, wrist range of motion, pain, grip strength and scaphoid stability.</p><p><strong>Methods: </strong>A systematic review of Embase, Medline, ProQuest, Scopus, Web of Science and a manual reference list search of retrieved studies was completed. Studies were included if participants were aged 16 years or older, received conservative treatment of the scaphoid fracture with immobilization, and evaluated the outcome measures of interest.</p><p><strong>Results: </strong>Six articles were identified including four randomized control trials and two were one group pre-test-post-test crossover study designs, with methodological quality ranging from limited to strong. Limited evidence was found to support inclusion of the thumb in a cast for scaphoid management. Thumb inclusion did not promote better clinical outcomes regarding union rate and hand function. Thumb inclusion had no advantage over a no-thumb cast in relation to improving pain, grip strength, wrist range of movement and scaphoid stability.</p><p><strong>Conclusion: </strong>Current evidence does not support immobilization of the thumb in addition to the wrist for nonsurgical management of nondisplaced scaphoid fractures by occupational therapists.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251338448"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of park paths and trails to promote physical accessibility among wheelchair users in Saudi Arabia. 评估沙特阿拉伯的公园小径和路径,以促进轮椅使用者的身体无障碍环境。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2024-05-30 eCollection Date: 2024-06-01 DOI: 10.1177/15691861241254511
Hadeel R Bakhsh, Tracy Chippendale, Najat Al-Haizan, Bodor H Bin Sheeha
{"title":"Assessment of park paths and trails to promote physical accessibility among wheelchair users in Saudi Arabia.","authors":"Hadeel R Bakhsh, Tracy Chippendale, Najat Al-Haizan, Bodor H Bin Sheeha","doi":"10.1177/15691861241254511","DOIUrl":"10.1177/15691861241254511","url":null,"abstract":"<p><strong>Background: </strong>Individuals with mobility disabilities are less likely to meet physical activity standards and are at greater risk of developing non-communicable chronic diseases at earlier ages. Public parks are an essential resource for participation in physical activity. However, environmental factors may limit the participation of wheelchair users. The objective of this study was to evaluate the feasibility of using the Path Environment Audit Tool (PEAT) and to explore the wheelchair accessibility of five public parks in Saudi Arabia through descriptive analysis.</p><p><strong>Methods: </strong>A descriptive study design was implemented to evaluate wheelchair accessibility features of five public parks in Riyadh, Saudi Arabia, and process, resource, and management assessments were conducted. Phone GPS-App Strava was used to track the segments and measure their distances.</p><p><strong>Results: </strong>Audits in multiple parks using PEAT were time-consuming despite being user-friendly. The descriptive analysis of paths and trails across the five parks showed some positive features, such as adequate bollard/gate clearance, but the path slope and condition of the path surfaces were more variable.</p><p><strong>Conclusion: </strong>This study is the first to examine wheelchair accessibility in public parks in Saudi Arabia. Preliminary audits of paths/trials in five public parks revealed the strengths and weaknesses of accessibility and features that promote physical activity participation for wheelchair users. These findings can guide future use of PEAT in large-scale studies and inform environmental modifications.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"37 1","pages":"42-51"},"PeriodicalIF":0.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensory processing, autonomic nervous function, and social participation in people with mental illnesses. 精神疾病患者的感觉加工、自主神经功能和社会参与。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2023-06-01 DOI: 10.1177/15691861231177355
Ritsuko Hattori, Keisuke Irie, Taisuke Mori, Kosuke Tsurumi, Toshiya Murai, Hiroyuki Inadomi
{"title":"Sensory processing, autonomic nervous function, and social participation in people with mental illnesses.","authors":"Ritsuko Hattori,&nbsp;Keisuke Irie,&nbsp;Taisuke Mori,&nbsp;Kosuke Tsurumi,&nbsp;Toshiya Murai,&nbsp;Hiroyuki Inadomi","doi":"10.1177/15691861231177355","DOIUrl":"https://doi.org/10.1177/15691861231177355","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigated the relationship between sensory processing, respiratory sinus arrhythmia, and social participation in people with psychiatric disorders.</p><p><strong>Method: </strong>This study recruited 30 participants, primarily women, from a psychiatric university hospital with a mental health diagnosis listed in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (mean age: 37.7 ± 16.0 years). Sensory processing, autonomic nervous function, and social participation were measured using the Adolescent/Adult Sensory Profile®, respiratory sinus arrhythmia, and World Health Organization Disability Assessment Schedule, respectively. Through mediation analysis, a model wherein sensory processing mediated the relationship between respiratory sinus arrhythmia and social participation was developed.</p><p><strong>Results: </strong>Social participation was moderately to highly correlated with Adolescent/Adult Sensory Profile® quadrants (excluding sensory seeking) and respiratory sinus arrhythmia. Furthermore, the mediation analysis revealed that sensory avoiding mediated the relationship between respiratory sinus arrhythmia and social participation, consequently counteracting the direct relationship.</p><p><strong>Conclusion: </strong>A mediation model was constructed, which indicated that individuals with psychiatric disorders and low parasympathetic nervous system activity expressed higher sensory processing quadrant of sensory avoiding. Ultimately, this was associated with reduced social participation.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"36 1","pages":"39-47"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/06/10.1177_15691861231177355.PMC10273795.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The smart-home study: A feasibility study to pilot the use of smartphone technology to identify environmental falls risk factors in the home. 智能家居研究:一项可行性研究,以试点使用智能手机技术来识别家庭中的环境跌倒风险因素。
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2023-06-01 DOI: 10.1177/15691861231155994
Ka Ho Marco Leung, Susan Brandis
{"title":"The smart-home study: A feasibility study to pilot the use of smartphone technology to identify environmental falls risk factors in the home.","authors":"Ka Ho Marco Leung,&nbsp;Susan Brandis","doi":"10.1177/15691861231155994","DOIUrl":"https://doi.org/10.1177/15691861231155994","url":null,"abstract":"<p><strong>Introduction: </strong>While occupational therapy home assessments are effective to identify environmental falls risk factors, patients may not receive these services due to workforce distribution and geographical distances. Technology may offer a new way for occupational therapists to conduct home assessments to identify environmental fall risks.</p><p><strong>Objectives: </strong>To (i) explore the feasability of identifying environmental risk factors using smartphone technology, (ii) develop and pilot a suite of procedures for taking smartphone images and (iii) examine the inter-rater reliability and content validity between occupational therapists when assessing smartphone images using a standardised assessment tool.</p><p><strong>Method: </strong>Following ethical approval a procedure was developed and participants recruited to submit smartphone images of their bedroom, bathroom and toilet. Two independent occupational therapists then assessed these images using a home safety checklist. Findings were analysed using inferential and descriptive statistics.</p><p><strong>Results: </strong>Of 100 volunteers screened, 20 individuals participated. A guideline for instructing patients to take home images was developed and tested. Participants averaged 9.00 minutes (SD 4.401) to complete the task, whilst occupational therapists took approximately 8 minutes to review the images. The inter-rater reliability between the two therapists was 0.740 (95% CI: 0.452-0.888).</p><p><strong>Conclusion: </strong>The study found that use of smartphones was to a large extent feasible and conclude that the use of smartphone technologies is a potential complimentary service to traditional home visits. The effective prescription of equipment in this trial was identified as a challenge. The impact on costs and potential falls incidents remains uncertain and more research is warranted in representative populations.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"36 1","pages":"3-12"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/d2/10.1177_15691861231155994.PMC10273796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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