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The Tele-Evaluation Facilitators Model 远程评估促进者模型
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.014
Alyssa Albarillo, Stefannie Balinas, Korinne Bea Castaño, Cyrille Inah Pabustan, Abelardo Apollo David
Telehealth has become an alternative service delivery of different healthcare professionals, including occupational therapists, upon the onset of the COVID-19 pandemic. Occupational therapists have adapted to this platform to deliver service in response to the global crisis. This conceptual framework explores the facilitators of occupational therapy evaluation provided via telehealth. It aims to provide insights to clinicians and clients in engaging tele-evaluation. It also aims to establish primary considerations to ensure a thorough evaluation process. The Tele-Evaluation Facilitators Model (TFM) describes the occupational therapy evaluation in the therapy setting. It outlines the OT evaluation process, adapting it to the telehealth setting. The process emphasizes the importance of client-caregiver interaction in creating and achieving occupational therapy goals. Moreover, surrounding the tele-evaluation process, the model highlights the facilitators of tele-evaluation, enabling a comprehensive evaluation process despite the challenges and barriers of this alternative service delivery. Across practice settings, the COVID-19 pandemic necessitated a shift in service delivery to telehealth, and occupational therapists adapted accordingly. Evaluation frameworks exist for telehealth services, but none are unique to occupational therapy evaluation. As a result, an occupational therapy framework that highlights the facilitators of telehealth evaluation will benefit occupational therapy. TFM consists of three domain areas: (1) Family Involvement, (2) Accessibility, (3) Professional Development. This framework promotes telehealth evaluation to clinicians and clients who have hesitations and difficulties in this service delivery model.
自2019冠状病毒病大流行爆发以来,远程医疗已成为包括职业治疗师在内的不同医疗保健专业人员提供服务的一种替代方式。职业治疗师已经适应了这个平台来提供服务,以应对全球危机。这个概念框架探讨了通过远程医疗提供的职业治疗评估的促进因素。它旨在为临床医生和客户提供参与远程评估的见解。它还旨在确定主要考虑因素,以确保进行彻底的评价过程。远程评估促进者模型(TFM)描述了治疗环境中的职业治疗评估。它概述了OT评估过程,使其适应远程保健环境。这个过程强调了在创造和实现职业治疗目标中客户-护理者互动的重要性。此外,围绕远程评估过程,该模型突出了远程评估的促进因素,使全面的评估过程成为可能,尽管这种替代服务提供存在挑战和障碍。在整个实践环境中,COVID-19大流行迫使服务提供转向远程医疗,职业治疗师也做出了相应的调整。有远程保健服务的评价框架,但没有一个是职业治疗评价所特有的。因此,一个突出远程医疗评估促进因素的职业治疗框架将有利于职业治疗。TFM包括三个领域:(1)家庭参与,(2)可及性,(3)专业发展。该框架促进对在这种服务提供模式中犹豫不决和有困难的临床医生和客户进行远程医疗评估。
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引用次数: 0
Occupational Therapy Dysphagia Management in Selected PhilippineHospitals During the Time of the COVID-19 Pandemic COVID-19大流行期间菲律宾选定医院的职业治疗吞咽困难管理
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.003
C. Gonzalez-Suarez, I. Gomez
Due to the nature of dysphagia management, the continuation of its delivery by occupational therapists (OTs) during the COVID-19 pandemic is challenging. The high risk of infection and transmission associated with dysphagia management calls for innovative, safe, and effective strategies. The purpose of this report is to describe the current practices in dysphagia management by OTs in selected Philippine hospitals. Current practices include integrated infection control, telehealth, indirect service delivery, use of acrylic barriers, and exercise videos. The effects of the COVID-19 pandemic are shaping the practice of occupational therapy in dysphagia management in the current time and beyond.
由于吞咽困难管理的性质,在COVID-19大流行期间,职业治疗师(OTs)继续提供吞咽困难治疗是具有挑战性的。与吞咽困难相关的感染和传播的高风险需要创新、安全和有效的策略。本报告的目的是描述在选定的菲律宾医院中,主治医师在吞咽困难管理方面的现行做法。目前的做法包括综合感染控制、远程保健、间接提供服务、使用丙烯酸屏障和运动录像。COVID-19大流行的影响正在影响当前及未来吞咽困难管理中的职业治疗实践。
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引用次数: 0
Building Occupational Alliance for Therapy (BOAT) Model 建立职业治疗联盟(BOAT)模式
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.013
Abigail Racho, Julianne Choa, Maritza Barrera, M. Bañez, Don Tongol, Abelardo Apollo David
Occupational Therapy (OT) is a profession that is not easily understood, leading to limited appreciation and misunderstanding of its therapeutic scope and areas of concern. The BOAT Model was created to guide therapists in establishing a therapeutic alliance with clients for the purpose of eliciting mutual concern, perception, and understanding of the client’s unique occupational performance issues (OPI). The model also aims to help enhance the appreciation for OT services. Two specific steps were provided as a process in achieving the outcomes stated, namely Establish and Converse. The use of appropriate therapeutic interactive styles and modes outlined in the IRM were incorporated into the model. At the end of the process, the identified OPI using the COPM will be used to advise the creation of an occupation-based evaluation and intervention that is more relevant and meaningful for the client.
职业治疗(OT)是一个不容易理解的职业,导致人们对其治疗范围和关注领域的理解和误解有限。BOAT模型旨在指导治疗师与客户建立治疗联盟,目的是引发对客户独特职业表现问题(OPI)的相互关注、感知和理解。该模式还旨在帮助提高对OT服务的赞赏。在实现上述成果的过程中,提供了两个具体步骤,即建立和匡威。IRM中概述的适当治疗互动风格和模式的使用被纳入模型中。在流程结束时,使用COPM确定的OPI将用于建议创建对客户更相关、更有意义的基于职业的评估和干预。
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引用次数: 0
Translation, Cross-Cultural Adaptation of the Lower ExtremityFunctional Scale into Filipino, and Analysis of its PsychometricProperties: A Study Protocol 菲律宾语中下肢功能量表的翻译、跨文化适应及其心理测量特征分析
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.009
K. E. Sosa, Fe T. Chavez, Leila Janina R. Bagsic, M. S. L. Dato, Luis Miguel A. Dela Cruz, Wenna Mitchelle Manongsong, Aaron S. Nuñez, Jhellina L. Rojano, Paul Jimson U. Sy, Sophia Joy Velante
Background: Impairment and functional limitations from musculoskeletal conditions are evaluated using outcome measure tools. The Lower Extremity Functional Scale (LEFS) is one of the outcome measure tools (OMT) that assess the functional capacity of patients who have lower extremity conditions. It was originally developed in English and translated later into other languages; however, no Filipino version is available. Objective: This study aims to translate, cross-culturally adapt the LEFS into Filipino, and evaluate its psychometric properties. Methods: Using a psychometric study design, the LEFS will be translated and cross-culturally adapted into Filipino following the guidelines set by Beaton et al. and Sousa and Rojjanasrirat. These include six stages: (1) forward translation into Filipino, (2) synthesis, (3) backward translation, (4) expert committee review, (5) pilot testing/cognitive interview, and (6) psychometric testing. Filipinos with lower extremity conditions will be recruited for the pilot (n= 10) and psychometric testing (n= 200). Validity will be evaluated using face validity index, content validity index, independent t-test (knowngroup validity), and Spearman rho (concurrent validity). Reliability will be assessed using Cronbach alpha for the internal consistency and intraclass correlation coefficient for the stability. Floor and ceiling effects will also be computed. Expected results: The LEFS will be successfully translated and cross-culturally adapted into Filipino. It will be a valid and reliable outcome measure tool that physical therapists and other healthcare professionals can use for the functional assessment of patients. This study can also serve as a reference for future translation studies.
背景:使用结果测量工具评估肌肉骨骼疾病的损伤和功能限制。下肢功能量表(LEFS)是评估下肢患者功能能力的结果测量工具之一。它最初是用英语发展起来的,后来被翻译成其他语言;但是,没有菲律宾版本。目的:本研究旨在将LEFS翻译成菲律宾语,进行跨文化改编,并评估其心理测量特性。方法:采用心理测量研究设计,按照Beaton等人以及Sousa和Rojjansrirat制定的指导方针,将LEFS翻译并跨文化改编为菲律宾语。其中包括六个阶段:(1)正向翻译成菲律宾语,(2)合成,(3)反向翻译,(4)专家委员会审查,(5)试点测试/认知访谈,以及(6)心理测量测试。将招募患有下肢疾病的菲律宾人参加飞行员(n=10)和心理测试(n=200)。有效性将使用面孔有效性指数、内容有效性指数,独立t检验(已知群体有效性)和Spearman rho(并发有效性)进行评估。将使用Cronbachα进行内部一致性评估,并使用组内相关系数进行稳定性评估。还将计算楼板和天花板效果。预期结果:LEFS将被成功翻译成菲律宾语并进行跨文化改编。这将是一个有效和可靠的结果测量工具,物理治疗师和其他医疗保健专业人员可以用来对患者进行功能评估。本研究也可为今后的翻译研究提供参考。
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引用次数: 0
The Effects of Active Range of Motion with Overpressure on the FasciaDisplacement of the Upper Trapezius Muscle among Individuals Withand Without Myofascial Pain Syndrome: A Retrospective Case-ControlStudy Protocol 有肌筋膜疼痛综合征和无肌筋膜疼痛综合征患者的主动活动度和过压对斜方肌上部筋膜移位的影响:一项回顾性病例对照研究方案
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.007
V. Dones, Lyle Patrick D. Tangcuangco, Chrizelle Joy E. Del Rosario, A. J. Co, Sean Jerimiah Agbayani, P. Cabrera, Edrin Isabel P. Dellosa, Daniel Rey S. Ibo, Ivy Sophia A. Pagente, Angelika Camille Q. Sua, C. Almazan, M. Capistrano, Kimberly-Anne Enriquez, J. Inarda, M. Quebral, J. A. Rigor, Angelica Supangan
Background : Myofascial Pain Syndrome (MPS) is a persistent pain on the shoulders and cervical spine related to limitation of motion (LOM), muscle weakness, and loss of function. It is a cumulative, repetitive injury causing disability among the middle-aged working population. This study will determine the differences in upper trapezius' superficial and deep fascia displacements among participants with and without MPS based on the effects of cervical active range of motion (AROM). Methods : This is a retrospective records review study with two interlinked parts. In the reliability study, the Tracker will determine the physiotherapy interns' intertester and intratester reliability in assessing the musculoskeletal ultrasound videos. Using MedCalc Software and the Bland-Altman plot, the single measures ICC will determine the reliability. In determining clinically acceptable use of the Tracker, a <0.40 cut-off reliability will be used. In the case-control study, physiotherapy interns will assess 2,904 musculoskeletal ultrasound videos. The difference between the superficial and deep fascia displacements will be determined using paired t-test and the mean differences using an independent t-test. A significant difference between groups will be determined using a p -value of <0.05. Expected Results : This study expects that cervical AROM with overpressure will displace the superficial and deep fascia of the upper trapezius, particularly among patients with MPS. Proving the correlation between LOM and altered fascia displacement will help rehabilitation professionals create new manual therapy techniques and emphasize the use of existing fascia-related treatments.
背景:肌筋膜疼痛综合征(MPS)是一种肩部和颈椎的持续性疼痛,与运动受限(LOM)、肌肉无力和功能丧失有关。它是一种累加的、重复性的伤害,在中年劳动人口中造成残疾。本研究将根据颈椎活动范围(AROM)的影响,确定有MPS和没有MPS的参与者上斜方肌浅筋膜和深筋膜移位的差异。方法:本研究是一项有两个相互关联部分的回顾性研究。在信度研究中,追踪者将确定理疗实习生在评估肌肉骨骼超声视频时的内部测试者和内部测试者的信度。使用MedCalc软件和Bland-Altman图,单测量ICC将确定可靠性。在确定临床可接受的跟踪器使用时,将使用<0.40的截止信度。在病例对照研究中,理疗实习生将评估2904个肌肉骨骼超声视频。浅筋膜移位和深筋膜移位之间的差异将使用配对t检验和使用独立t检验的平均差异来确定。以p <0.05确定组间显著性差异。预期结果:本研究预计,伴有超压的颈椎AROM会移位斜方肌上段的浅筋膜和深筋膜,尤其是MPS患者。证明LOM与筋膜移位改变之间的相关性将有助于康复专业人员创造新的手工治疗技术,并强调现有筋膜相关治疗的使用。
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引用次数: 0
Elements of Realistic Goal-Setting Model 现实目标设定模型的要素
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.015
Michaela Denice Buenaventura, Jaclyn Margaret Fajatin, A. Samaniego, Carl Jason Villagracia, Rod Charlie Delos Reyes
Goal setting leads to improved clinical outcomes, a more client-centered approach, enhanced motivation and psychological adaptation, and enhanced collaboration between client and clinician. However, goal setting remains problematic for both clients and clinicians. The purpose of this conceptual framework is to provide elements to consider when facilitating a collaborative goal-setting as supported by several theoretical concepts. Using the Goal-Setting Theory, Person-Environment-Occupational-Performance Model, De kker’s tool in setting meaningful goals in rehabilitation, and Canadian Model of Client-Centered Enablement, the authors have identified eleven (11) essential elements, which are the following: external factors, global meaning, collaborate, coordinate, consult, design, clarity, challenge, self-efficacy, commitment, and overall occupation-centered goal. By considering the various elements presented, occupational therapists can avoid having unrealistic expectations from clients during the process of goal setting.
目标设定可以改善临床结果,采用更加以客户为中心的方法,增强动机和心理适应,并加强客户和临床医生之间的合作。然而,目标设定对客户和临床医生来说仍然是个问题。该概念框架的目的是在几个理论概念的支持下,提供在促进合作目标设定时需要考虑的要素。利用目标设定理论、人-环境-职业绩效模型、德克尔在康复中设定有意义目标的工具和加拿大以客户为中心的使能模型,作者确定了十一(11)个基本要素,它们是:外部因素、全球意义、协作、协调、咨询、设计、清晰、挑战、自我效能,承诺和以职业为中心的总体目标。通过考虑所提出的各种因素,职业治疗师可以避免在设定目标的过程中对客户抱有不切实际的期望。
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引用次数: 0
Systematic and Collaborative Review of E-health Ecological Networks(SCREEN) Model 电子健康生态网络(SCREEN)模型的系统与协作评价
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.016
Mark André Blanco, Janessa Bulanadi-Mamaril, Joshua Jocson, Vince Mercado, John Paul Sevilla, Rod Charlie Delos Reyes
Due to the Covid-19 pandemic, occupational therapy services in the Philippines experienced a shift in service delivery. As face-to-face services were halted, E-health became the key solution for rendering rehabilitation services. Practitioners relied on their clinical judgment in accepting clients for this type of service delivery. The Systematic and Collaborative Review of E-health Ecological Networks or SCREEN is a model that may aid occupational therapists practicing in the pediatric setting and providing services through E-health. The SCREEN model will assist practitioners in deciding what type of service delivery would be beneficial for the client and if the therapist is equipped to provide E-health as a service. SCREEN model includes the framework and a decision tree for its usability and application to OT practice, particularly in E-health.
由于新冠肺炎大流行,菲律宾的职业治疗服务在提供服务方面发生了转变。随着面对面服务的停止,电子健康成为提供康复服务的关键解决方案。从业者在接受客户提供此类服务时依赖于他们的临床判断。电子健康生态网络或SCREEN的系统和协作审查是一种模式,可以帮助职业治疗师在儿科环境中执业并通过电子健康提供服务。SCREEN模型将帮助从业者决定哪种类型的服务提供对客户有利,以及治疗师是否具备提供电子健康服务的能力。SCREEN模型包括框架和决策树,用于OT实践,特别是在电子健康中的可用性和应用。
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引用次数: 0
Five Commonly Overlooked Aspects of Manuscript Submission 稿件提交的五个常被忽视的方面
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.001
I. Gomez
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引用次数: 0
The Family Therapy Engagement Model (FTEM) 家庭治疗参与模式(FTEM)
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.012
Crissa Nicole Alonso, Genell Lagare, Czyrhen Veanne Chua, Madjoriel Alaan, Selina Jane Escandor, Abelardo Apollo David
Among pediatric Occupational Therapists’ goals is to provide a holistic approach towards intervention planning which includes preparing the child’s social environment, especially in facilitating the carry- over of tasks in the child’s daily contexts. This model e xplores the factors contributing to the limited opportunities for family/caregiver participation during actual therapy sessions. It also discusses and integrates some of the best practice principles for family engagement that are based on the Phoenix Theory of Parent Attendance, Adlerian Play Therapy, and Discrimination model. This model was conceptualized in response to the growing need to increase family engagement during therapy in the Philippine setting, which could help them overcome barriers and strengthen their therapeutic skills and relationship with the child. Techniques and intervention processes that aim to engage the family during occupational therapy need to be further developed and studied. To fulfill this, this paper introduces a conceptual framework that maps out (1) five core elements, (2) five phases of family therapy engagement, and (3) a process checklist during the intervention process. The five core elements that affect family engagement are client, therapist, family, therapy-related, and environmental factors. This model explains how good collaboration between the family and therapists can be achieved if they undergo the preparation, consultation, planning, experiential activities, and re-education phase. The researchers suggest using this conceptual framework as a guide to understand and provide a systematic family engagement process during therapy sessions
儿科职业治疗师的目标之一是提供一种全面的干预计划方法,包括为儿童的社会环境做好准备,特别是在促进儿童日常环境中的任务转移方面。该模型探讨了在实际治疗过程中导致家庭/护理人员参与机会有限的因素。它还讨论并整合了一些基于父母出勤凤凰理论、阿氏游戏治疗和歧视模型的家庭参与最佳实践原则。这一模式的概念化是为了应对在菲律宾环境中增加家庭参与治疗的日益增长的需求,这可以帮助他们克服障碍,加强他们的治疗技能和与儿童的关系。需要进一步开发和研究旨在让家庭参与职业治疗的技术和干预过程。为了实现这一点,本文引入了一个概念框架,该框架列出了(1)五个核心要素,(2)家庭治疗参与的五个阶段,以及(3)干预过程中的过程清单。影响家庭参与的五个核心因素是客户、治疗师、家庭、治疗相关因素和环境因素。该模型解释了如果家庭和治疗师经历准备、咨询、计划、体验活动和再教育阶段,他们之间如何实现良好的合作。研究人员建议使用这个概念框架作为指导,在治疗过程中理解并提供系统的家庭参与过程
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引用次数: 0
Occupational Therapy Models and Practice on Telehealth and Beyond 远程医疗及其他领域的职业治疗模式与实践
Pub Date : 2022-02-15 DOI: 10.36413/pjahs.0502.010
Abelardo Apollo David, Rod Charlie Delos Reyes
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引用次数: 0
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