Hong Kong journal of occupational therapy : HKJOT最新文献

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Evaluating Strategy Use, Online Awareness and Memory Performance Using the Contextual Memory Test Version 2 (CMT-2) in Healthy Adults. 使用CMT-2评估健康成人策略使用、在线意识和记忆表现
IF 1.6
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-10-09 DOI: 10.1177/15691861251384995
Kai Ling Koh, Bhing Leet Tan, Rachel Rui En Pek, Khiella Mae Felipe Wong, Xin Lin Wong, Joan Toglia
{"title":"Evaluating Strategy Use, Online Awareness and Memory Performance Using the Contextual Memory Test Version 2 (CMT-2) in Healthy Adults.","authors":"Kai Ling Koh, Bhing Leet Tan, Rachel Rui En Pek, Khiella Mae Felipe Wong, Xin Lin Wong, Joan Toglia","doi":"10.1177/15691861251384995","DOIUrl":"10.1177/15691861251384995","url":null,"abstract":"<p><strong>Objective: </strong>The Contextual Memory Test-2 (CMT-2) is an updated version of the CMT, which is a standardized occupational therapy assessment to evaluate an individual's memory, awareness and strategy use to guide occupational therapy interventions. This study aimed to examine, amongst younger adults (<40 years old) and middle-to-older adults (>40 years old) in Singapore, (1) the relationship between strategy use and memory performance (2) the relationship between online awareness and memory performance, and (3) explore the relationship of memory performance and online awareness with age. The secondary objective was establishing preliminary normative data on CMT-2 for the Singapore adult population.</p><p><strong>Methods: </strong>One hundred and thirty-two healthy participants aged 18-71 were recruited via convenience sampling and underwent virtual or face-to-face assessment. CMT-2 was administered to assess their immediate recall (IR), delayed recall (DR), total recall (TR), strategy use, and online awareness of performance through prediction and estimation discrepancies.</p><p><strong>Results: </strong>Higher recall scores were found for efficient strategies as compared to inefficient (IR: <i>p</i> = .012; DR: <i>p</i> = .003; TR: <i>p</i> = .003). For different strategy types, 'context' yielded higher recall scores than 'limited association' (IR: <i>p</i> < .001, DR: <i>p</i> = .016). During IR, 'association' also obtained a higher recall score than 'limited association' (<i>p</i> = .007). Significant strong negative correlation of IR prediction discrepancy with recall score was found (r<sub>s</sub> (130) = -.611, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>The preliminary normative data of CMT-2 among healthy adults in Singapore highlighted the role of effective memory strategies and online awareness in memory recall performance, suggesting the prioritization of these areas during interventions.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251384995"},"PeriodicalIF":1.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12511005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282015","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
A Geometric-Based Handwriting Intervention (GBHI) for Chinese Handwriting: Development, Feasibility, and Pilot Findings. 基于几何的汉字书写干预(GBHI):发展、可行性和试点结果。
IF 1.6
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-09-30 DOI: 10.1177/15691861251357339
Tsu-Hsin Howe, Jia Le Pong, Zhi-Chi Weng, Hao-Ling Chen, Tien-Ni Wang
{"title":"A Geometric-Based Handwriting Intervention (GBHI) for Chinese Handwriting: Development, Feasibility, and Pilot Findings.","authors":"Tsu-Hsin Howe, Jia Le Pong, Zhi-Chi Weng, Hao-Ling Chen, Tien-Ni Wang","doi":"10.1177/15691861251357339","DOIUrl":"10.1177/15691861251357339","url":null,"abstract":"<p><strong>Objectives: </strong>Legible handwriting is crucial for academic success, especially among elementary school students. However, there is limited research on handwriting interventions for logographic languages. The purpose of this study was to develop a Geometric-Based Handwriting Intervention (GBHI) Program for improving Chinese handwriting and to investigate its feasibility and preliminary outcomes.</p><p><strong>Methods: </strong>The intervention program was created using psycho-geometric, developmental, and motor learning theories, along with cognitive principles specific to Chinese character writing. Comprising 4 course modules, it was designed to systematically incorporate the geometric structure of Chinese characters into activities targeting fundamental handwriting skills. A two-phase feasibility study was conducted. In Phase 1, eight typically developing elementary students participated in a single 3-h course module to assess their satisfaction with the program. In Phase 2, four elementary students completed all four course modules to evaluate the feasibility and explore potential benefits, as measured by the Chinese Handwriting Evaluation Form (CHEF), the Chinese Handwriting Legibility Assessment for Children (CHLAC), and assessments of handwriting-related fundamental skills.</p><p><strong>Results: </strong>In Phase 1, participants reported high satisfaction with the problem, with an average rating of 4.40 on the 5-point Likert-type satisfaction questionnaire. In Phase 2, participants demonstrated improvements in handwriting performance following completion of the GBHI program.</p><p><strong>Conclusion: </strong>This study contributes to the growing body of research on handwriting interventions, particularly within the context of logographic language education. The program introduces a novel approach to teaching Chinese character writing, and the successful delivery of the 4-module intervention supports its feasibility for implementation.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251357339"},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214160","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
Virtual, Augmented, and Mixed Reality Training for Improving Social Skills in Individuals With Autism Spectrum Disorder: A Systematic Review. 虚拟、增强和混合现实训练提高自闭症谱系障碍个体的社交技能:系统综述。
IF 1.6
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-08-23 DOI: 10.1177/15691861251369043
Si-Nae Ahn
{"title":"Virtual, Augmented, and Mixed Reality Training for Improving Social Skills in Individuals With Autism Spectrum Disorder: A Systematic Review.","authors":"Si-Nae Ahn","doi":"10.1177/15691861251369043","DOIUrl":"https://doi.org/10.1177/15691861251369043","url":null,"abstract":"<p><strong>Background: </strong>In occupational therapy, various accessible and effective interventions have been used to improve social skills and participation of individuals with Autism Spectrum Disorder (ASD). The objective of this systematic review was to examine whether virtual, augmented, and mixed reality (VAMR) training affect the development of social skills in individuals with ASD.</p><p><strong>Methods: </strong>A literature search was conducted across MEDLINE, EMBASE, ERIC, and Web of Science databases. Full articles were reviewed and meticulously screened. Data were extracted from the studies, statistical heterogeneity was evaluated, and effect size was calculated.</p><p><strong>Results: </strong>Using these criteria, 2,929 articles were identified and seven studies were selected. In total, seven studies with 417 individuals with ASD were included. All studies were judged to have an unclear risk of bias concerning the randomization process as they failed to report sufficient information about the selection of the reported results. When analyzed by developmental period, interventions applied to individuals with ASD for social skills were most common from middle childhood to early adolescence.</p><p><strong>Conclusion: </strong>Current evidence is insufficient to support effectiveness, and further research is needed to better understand the scope of VAMR training that can provide social skills to individuals with ASD. Nevertheless, this review is significant in that it concluded an intervention combining cognitive behavioral training and VAMR training is useful for individuals in the developmental age group from mid-childhood to early adolescence for their social skills development.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251369043"},"PeriodicalIF":1.6,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981051","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
A Culturally Integrative Occupational Therapy Practice Model Based on Traditional Chinese Health Culture in Mainland China. 基于中国传统健康文化的职业治疗实践模式。
IF 1.6
Hong Kong journal of occupational therapy : HKJOT Pub Date : 2025-08-12 DOI: 10.1177/15691861251364399
Xiaolin Li, Kuicheng Li, Xiaodan Liu, Yan Wu, Beibei Huo, Yifan Wang, Yulan Guo
{"title":"A Culturally Integrative Occupational Therapy Practice Model Based on Traditional Chinese Health Culture in Mainland China.","authors":"Xiaolin Li, Kuicheng Li, Xiaodan Liu, Yan Wu, Beibei Huo, Yifan Wang, Yulan Guo","doi":"10.1177/15691861251364399","DOIUrl":"10.1177/15691861251364399","url":null,"abstract":"<p><p>A core philosophy of occupational therapy is adopting a holistic approach, considering individuals' cultural and societal values. While occupational therapy is rooted in modern Western cultures, which contrasts with traditional Chinese medicine (TCM) health beliefs, TCM conceptualizes health as multidimensional-a notion akin to occupational therapy's philosophy. This article attempts to explore the relationships between TCM health culture and occupational therapy perspectives by integrating culturally relevant activities and traditional Chinese Wellness practices into clinical occupational therapy. Using the Occupational Therapy Practice Framework, the study aims to develop a reference that recommends culturally relevant activities and integrates TCM health culture into clinical occupational therapy.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"15691861251364399"},"PeriodicalIF":1.6,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857198","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 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
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