Testing feasibility of relevant outcome measures in an inpatient setting to demonstrate the value of occupational therapy

IF 1.6 4区医学 Q2 REHABILITATION Australian Occupational Therapy Journal Pub Date : 2023-12-06 DOI:10.1111/1440-1630.12920

Tamara Tse, Stefani Skorik, Ruby Fraser, Adrienne Munro, Susan Darzins

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Abstract

Introduction

Measures of participation restrictions in daily life occupations are not typically used and may aid discharge planning and demonstrate the impact of occupational therapy services in inpatient settings. The overall aim of this mixed-methods study was to test the feasibility of relevant outcome measures by (1) investigating which of the three identified measures—the Home Support Needs Assessment, the Personal Care Participation Assessment and Resource Tool, and the Functional Autonomy Measurement System—best identifies meaningful changes in participation restrictions in daily life occupations required for community life; and (2) investigating the acceptability, usefulness, and feasibility of each measure to support inpatient practice.

Methods

Occupational therapists (n = 3) completed the three measures with patient participants (n = 12) at admission and discharge. Each occupational therapist participated in a semi-structured interview. Outcome measure responses were summarised statistically. Qualitative data were analysed using reflexive thematic analysis.

Findings

Total scores on all three measures changed significantly between admission and discharge (P < 0.002). Three themes reflected the occupational therapist participants' perceptions of the acceptability, usefulness, and feasibility of the outcome measures: ‘Clinically and Professionally Meaningful Tools’, ‘Becoming Familiar’, and ‘Fostering My Daily Work’.

Conclusion

Each measure demonstrated a meaningful change. Selection and successful implementation of an outcome measure depends on its local acceptability to occupational therapists and organisational practices. All three measures are promising tools to address a measurement gap in occupational therapy practice. Future research could embed one measure into practice using knowledge translation methods, with a large-scale evaluation of the value of occupational therapy.

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在住院病人中测试相关结果测量的可行性，以证明职业治疗的价值。

简介:日常生活职业的参与限制措施通常不使用，可能有助于出院计划，并证明在住院环境中职业治疗服务的影响。这项混合方法研究的总体目的是通过(1)调查三个确定的测量方法——家庭支持需求评估、个人护理参与评估和资源工具以及功能自主测量系统——中哪一个最能识别社区生活所需的日常生活职业参与限制的有意义的变化;(2)调查各项措施的可接受性、有用性和可行性，以支持住院患者的实践。方法:职业治疗师(n = 3)与患者(n = 12)在入院和出院时完成三项测量。每位职业治疗师都参加了一次半结构化的访谈。结果测量反应进行统计汇总。定性数据采用反身性主题分析进行分析。结果:所有三项指标的总分在入院和出院期间发生了显著变化(P)。结论:每项指标都有显著变化。结果测量的选择和成功实施取决于其对当地职业治疗师和组织实践的可接受性。这三种测量方法都是解决职业治疗实践中测量差距的有希望的工具。未来的研究可以使用知识翻译方法将一种测量方法嵌入到实践中，并对职业治疗的价值进行大规模评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.