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Irish Journal of Occupational Therapy最新文献

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Editorial: Driving innovation: harnessing the power of patient input in research 社论:推动创新:在研究中利用患者意见的力量
Q3 Health Professions Pub Date : 2024-05-20 DOI: 10.1108/ijot-05-2024-038
Sinéad M. Hynes, Robert A. Joyce, Christopher P. Dwyer
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引用次数: 0
Current clinical practice of Irish physiotherapists and occupational therapists in the assessment and treatment of spasticity in adults 爱尔兰物理治疗师和职业治疗师目前在评估和治疗成人痉挛方面的临床实践
Q3 Health Professions Pub Date : 2024-05-06 DOI: 10.1108/ijot-11-2023-0026
Deirdre Manning, Mairead Campbell, Frances Horgan
PurposeThis paper aims to understand the clinical practice of physiotherapists and occupational therapists in the Republic of Ireland in the assessment and treatment of spasticity in adults, to inform and improve spasticity management practice. This study also aims to describe therapists’ knowledge, confidence and perceived barriers in the management of spasticity.Design/methodology/approachA cross sectional survey design study was completed, and respondents were recruited through an online survey.FindingsIn total, 92 respondents from a wide range of clinical settings revealed there is considerable variation in services available nationally for adults presenting with spasticity. There were significant inconsistencies across all areas of practice. The majority of respondents (94%) did provide intervention to patients with spasticity, yet three quarters did not have access to a specialist spasticity clinic, and the majority (82%) did not feel they were providing sufficient treatment intensity for spasticity.Originality/valueThese findings provide a unique insight into the assessment and treatment practices of Irish physiotherapists and occupational therapists. These results demonstrate the need for further upskilling and specialist high-quality spasticity services nationally.
目的 本文旨在了解爱尔兰共和国物理治疗师和职业治疗师在评估和治疗成人痉挛方面的临床实践,从而为痉挛管理实践提供信息并加以改进。本研究还旨在描述治疗师在痉挛管理方面的知识、信心和感知障碍。研究结果92名来自不同临床环境的受访者显示,全国范围内针对成人痉挛患者的服务存在很大差异。所有实践领域都存在严重的不一致。大多数受访者(94%)确实为痉挛患者提供了干预措施,但四分之三的受访者没有痉挛专科门诊,大多数受访者(82%)认为他们没有为痉挛患者提供足够强度的治疗。原创性/价值这些发现为爱尔兰物理治疗师和职业治疗师的评估和治疗实践提供了独特的见解。这些结果表明,有必要在全国范围内进一步提高技能并提供专业的高质量痉挛服务。
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引用次数: 0
Scoping review of free evidence summary sources available online, relevant to occupational therapists working with children/youth, and families 对与儿童/青少年和家庭职业治疗师工作相关的网上免费证据摘要来源进行范围界定审查
Q3 Health Professions Pub Date : 2024-05-03 DOI: 10.1108/ijot-11-2023-0024
Philip Muir, Carolyn Dunford
PurposeEvidence-based practice is a professional standard for occupational therapists, but limited time, resources and knowledge challenge its implementation. This study aims to identify what free evidence summary sources (FESS) can be found through a simple online search, related to child/youth interventions surrounding cerebral palsy (CP), autism spectrum disorder (ASD), developmental coordination disorder (DCD), mental health or attention-deficit/hyperactivity disorder (MH/ADHD). Evidence summaries share research in concise, time-efficient manners.Design/methodology/approachAn internet-based scoping review was conducted between February 2022 and July 2022, using Google, and known evidence summary producers. Evidence summaries meeting the inclusion criteria were located and catalogued. Type of agency, target audiences, purpose and distribution of evidence summaries related to diagnosis were identified for each FESS.FindingsTen FESS were found, which produced 113 intervention-focused evidence summaries within the past 10 years. These FESS were aimed at a variety of target audiences: service providers, service users, parents/families, researchers and commissioners, and were produced primarily by non-profit/charity organisations (6 of 10) who were trying to fill a gap in evidence. Forty-eight evidence summaries were related to ASD, 34 to CP, 29 to MH/ADHD and two to DCD.Originality/valueA catalogue of FESS that exist online was produced, to support evidence-based practice for paediatric occupational therapists with limited resources, and may support improved health promotion and informed decision-making for service users. No consistent framework for FESS evidence summaries exists at this time.
目的 基于证据的实践是职业治疗师的专业标准,但有限的时间、资源和知识对其实施构成了挑战。本研究旨在确定通过简单的在线搜索可以找到哪些免费的证据摘要来源(FESS),这些来源与围绕脑瘫(CP)、自闭症谱系障碍(ASD)、发育协调障碍(DCD)、心理健康或注意力缺陷/多动症(MH/ADHD)的儿童/青少年干预相关。证据摘要以简洁、省时的方式分享研究成果。设计/方法/途径在 2022 年 2 月至 2022 年 7 月期间,通过谷歌和已知的证据摘要制作者进行了一次基于互联网的范围界定审查。我们找到了符合纳入标准的证据摘要并进行了编目。研究结果在过去的 10 年中,共发现了 10 个 FESS,它们制作了 113 份以干预为重点的证据摘要。这些财务支持服务面向不同的目标受众:服务提供者、服务使用者、家长/家庭、研究人员和专员,主要由非营利/慈善组织(10 份中的 6 份)制作,他们试图填补证据方面的空白。48份证据摘要与ASD有关,34份与CP有关,29份与MH/ADHD有关,2份与DCD有关。原创性/价值编制了一份在线FESS目录,为资源有限的儿科职业治疗师提供循证实践支持,并可为服务使用者改善健康促进和知情决策提供支持。目前还没有统一的FESS证据摘要框架。
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引用次数: 0
Exploring the non-vocational outcomes of the individual placement and support (IPS) employment model 探索个人安置和支持(IPS)就业模式的非职业成果
Q3 Health Professions Pub Date : 2024-03-18 DOI: 10.1108/ijot-09-2023-0021
Leonie Boland, Michelle Kennedy, Lauren Jane Lynch, Meabh Bonham-Corcoran, Sarah Quinn
PurposeIndividual Placement and Support (IPS) is an evidence-based employment model, effective in supporting individuals with severe mental health difficulties to gain competitive employment. Irish mental health policy recognises its value and IPS is being rolled out in a national programme. Employment is recognised an important contributor to mental health recovery and social inclusion. However, research on IPS has tended to focus on competitive job outcomes. The purpose of this study was to explore the non-vocational outcomes of IPS in an Irish context.Design/methodology/approachA qualitative research approach was used to interview participants taking part in IPS within community mental health teams. Twelve interviews were included in the data analysis process which was informed by a thematic analysis approach.FindingsParticipants experienced increased confidence and positivity, both within a work context and whilst job seeking. More purposeful time use, participation in activities and engagement with society were also experienced by those employed and those at the job search stage of IPS.Originality/valueThis study contributes to the literature about the non-vocational benefits of IPS within an Irish context, highlights the mental health recovery benefits of taking part in IPS and supports the need for ongoing development of IPS throughout mental health services in Ireland.
目的个人安置和支持(IPS)是一种以证据为基础的就业模式,能有效地支持有严重精神健康困难的个人获得有竞争力的工作。爱尔兰的心理健康政策承认这种模式的价值,并正在全国范围内推广这种模式。就业被认为是促进心理健康恢复和社会融合的重要因素。然而,关于 IPS 的研究往往集中在有竞争力的工作成果上。本研究的目的是在爱尔兰的背景下探索 IPS 的非职业成果。设计/方法/途径采用定性研究方法,对社区心理健康团队中参加 IPS 的参与者进行访谈。研究结果参与者在工作环境中和求职过程中都增强了自信心和积极性。这项研究为有关爱尔兰 IPS 非职业益处的文献做出了贡献,强调了参加 IPS 对心理健康恢复的益处,并支持了在爱尔兰心理健康服务中持续发展 IPS 的必要性。
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引用次数: 0
Attention Autism™ training for occupational therapists: a pilot study 职业治疗师的自闭症注意力培训:试点研究
Q3 Health Professions Pub Date : 2024-03-11 DOI: 10.1108/ijot-07-2023-0013
A. Ruttledge
PurposeAt present, there is no reference to Attention Autism (AA) as a framework and therapeutic tool with autistic children in occupational therapy (OT) literature. By way of introducing AA as a potential intervention to the OT community, this study aims to investigate the extent to which participation in a two-day AA training could contribute to increasing confidence and inspire changes in practice for Irish occupational therapists (OTs) supporting autistic children.Design/methodology/approachA pilot study design with mixed qualitative and quantitative methods was used to evaluate the impact of a two-day AA training on six OTs. The OTs support autistic children throughout Ireland across public, private and voluntary sectors. They completed brief, non-standardised questionnaires 2 weeks before the training (Time 1) and again 12 weeks post (Time 2) training session. At Time 2, additional exploratory questions were answered by OTs regarding their use of AA in practice.FindingsThis explorative study’s quantitative findings presented percentage change increases within three areas of confidence for all OTs. These include establishing attention, motivating and developing functional skill goals with autistic children. One of the participants did not score any change in confidence in a fourth area, building rapport, however, the five other participants scored percentage change increases. Qualitative data provided by participants showed that they were implementing AA in practice since attending the training. Five of the participants reported positive experiences of using AA and one participant reported the programme was not suitable for her caseload because of their level of understanding and need.Research limitations/implicationsThis was a small, exploratory, practice-based study. As this is the first study exploring this area of practice for OTs, to the best of the authors’ knowledge, there were no standardised methods of assessment available, therefore a self-designed survey was used by the author which had a limited number of open-ended questions and four Likert scale questions. This study was also limited in that there was one main researcher who also delivered the two-day AA training. The sample data set was small which resulted in the limitation of the choice of methods used to analyse the quantitative data. Percentage changes were used as the only available and reliable method for a small data set.Originality/valueFindings of this study, despite their preliminary nature, indicate that AA training may be a useful professional development consideration for OTs who provide a service for autistic children. Further AA research in OT is required including larger and more rigorous studies. An alternative training option of The Curiosity Programme may be considered for OTs supporting children who may not yet be ready to participate in AA.
目的 目前,在职业治疗(OT)文献中,还没有将注意力自闭症(AA)作为治疗自闭症儿童的框架和工具。为了将注意力自闭症作为一种潜在的干预措施介绍给职业治疗师群体,本研究旨在调查参加为期两天的注意力自闭症培训在多大程度上有助于增强爱尔兰职业治疗师(OTs)支持自闭症儿童的信心,并激励他们在实践中做出改变。设计/方法/途径采用混合定性和定量方法的试点研究设计,评估为期两天的注意力自闭症培训对六名职业治疗师的影响。这些定向治疗师在爱尔兰各地的公共、私营和志愿部门为自闭症儿童提供支持。他们在培训前两周(时间 1)和培训后 12 周(时间 2)分别填写了简短的非标准化问卷。在第 2 个时间段,定向治疗师还回答了有关他们在实践中使用 AA 的其他探索性问题。研究结果这项探索性研究的定量结果显示了所有定向治疗师在三个信心领域的百分比变化增长。这些领域包括建立注意力、激励自闭症儿童和制定功能性技能目标。其中一名参与者在第四个领域--建立融洽关系--的信心指数没有任何变化,但其他五名参与者的信心指数均有百分比的增长。学员提供的定性数据显示,自参加培训以来,他们在实践中实施了 AA。五名参与者报告了使用 AA 的积极经验,一名参与者报告说,由于他们的理解和需求水平,该计划不适合她的案例。据作者所知,这是第一项探索职业治疗师这一实践领域的研究,目前还没有标准化的评估方法,因此作者使用了自行设计的调查问卷,其中包含数量有限的开放式问题和四个李克特量表问题。这项研究的局限性还在于,主要研究人员只有一人,同时也负责为期两天的 AA 培训。样本数据集较小,导致用于分析定量数据的方法选择受到限制。本研究的结果尽管是初步的,但表明对于为自闭症儿童提供服务的职业治疗师来说,AA 培训可能是一个有用的职业发展考虑因素。需要对定向行走训练进行进一步的研究,包括更大规模和更严格的研究。对于支持尚未准备好参加AA的儿童的职业治疗师来说,可以考虑选择好奇心计划作为替代培训方案。
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引用次数: 0
Goal setting in mental health: a scoping review to inform occupational therapy practice 心理健康目标设定:为职业治疗实践提供信息的范围界定审查
Q3 Health Professions Pub Date : 2024-01-19 DOI: 10.1108/ijot-03-2023-0007
Yuho Okita, Takao Kaneko, Hiroaki Imai, Monique Nair, K. Tomori
PurposeGoal setting is a crucial aspect of client-centered practice in occupational therapy (OT) for mental health conditions. However, it remains to be seen how goal-setting has been delivered in mental health, particularly the OT process. The purpose of this scoping review was to explore the nature and extent of goal setting delivered in mental health and informed OT practice.Design/methodology/approachThe authors followed the guidelines of Arksey and O’Malley (2005) and searched three databases using key search terms: “mental disorder,” “goal setting,” and “occupational therapy” and their synonyms.FindingsAfter excluding duplicate records, the authors initially screened 883 records and resulted in 20 records in total after the screening process. Most of the identified articles used goal-setting delivered by both a health professional and a client (n = 14), and focused on people with schizophrenia or schizoaffective disorder (n = 13), but three interventions were delivered by occupational therapists. Further research needs on goal-setting in mental health OT, exploring the reliability and validity of different goal-setting strategies and investigating the effectiveness of goal-setting for promoting behavior change and client engagement across various mental health conditions and settings.Research limitations/implicationsThe scoping review has some limitations, such as not investigating the validity and reliability of goal-setting strategies identified, and excluding conference papers and non-English articles.Originality/valueThis scoping review presents a mapping of how goal-setting has been delivered in mental health and informed OT practice. The findings suggest limited research in OT and highlight the need for more studies to address the evidence gap in individualized client-centered OT.
目的目标设定是心理健康职业疗法(OT)中以客户为中心的实践的一个重要方面。然而,在心理健康领域,尤其是在职业治疗过程中,目标设定是如何实施的还有待观察。作者遵循 Arksey 和 O'Malley(2005 年)的指导方针,使用关键检索词搜索了三个数据库:"结果在排除重复记录后,作者初步筛选了 883 条记录,经过筛选后共获得 20 条记录。在已确定的文章中,大多数文章都使用了由医疗专业人员和客户共同实施的目标设定方法(14 篇),并以精神分裂症或分裂情感障碍患者为研究对象(13 篇),但有三篇干预文章是由职业治疗师实施的。研究局限性/影响该范围界定综述存在一些局限性,如未对已确定的目标设定策略的有效性和可靠性进行调查,未包括会议论文和非英文文章。研究结果表明,OT 领域的研究有限,并强调有必要开展更多研究,以填补以客户为中心的个性化 OT 的证据缺口。
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引用次数: 0
Editorial: Encouraging diversification of research methods to bridge the occupational therapy evidence-practice gap 社论:鼓励研究方法多样化,弥合职业疗法证据与实践之间的差距
Q3 Health Professions Pub Date : 2023-11-07 DOI: 10.1108/ijot-11-2023-037
Pauline Boland
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引用次数: 0
A scoping review of sleep management as an occupational therapy intervention: expanding a niche area of practice in mental health 睡眠管理作为一种职业治疗干预的范围审查:扩大心理健康实践的利基领域
Q3 Health Professions Pub Date : 2023-09-15 DOI: 10.1108/ijot-01-2023-0001
Ingyu Yoo
Purpose This study aims to examine the existing literature on sleep-related interventions and confirm the intervention methods and their effectiveness led by occupational therapists. Design/methodology/approach All the relevant literature published from 2010 to June 31, 2022, in five prominent databases were searched using the five-stage review framework proposed by Arksey and O’Malley. Findings In this review, four types of sleep-related interventions were led by occupational therapists (tool use, exercise program, sleep education and occupational-based program). When the intervention was analyzed based on its content, occupational therapists demonstrated excellent ability in interventions based on sensory intervention and lifestyle redesign. Originality/value Various factors cause sleep problems; hence, the development of individualized and extensive occupational therapy intervention methods is required.
目的本研究旨在梳理已有的睡眠相关干预文献,确认职业治疗师主导的睡眠相关干预方法及其有效性。采用Arksey和O 'Malley提出的五阶段综述框架,检索了2010年至2022年6月31日在五个著名数据库中发表的所有相关文献。在本综述中,由职业治疗师主导的四种睡眠相关干预(工具使用、锻炼计划、睡眠教育和职业基础计划)。当根据干预的内容进行分析时,职业治疗师在基于感觉干预和生活方式重新设计的干预中表现出出色的能力。导致睡眠问题的因素有很多;因此,需要发展个性化和广泛的职业治疗干预方法。
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引用次数: 1
The use of outcome measures and factors affecting use in adult social care occupational therapy services in the UK 英国成人社会护理职业治疗服务的结果测量和影响因素的使用
Q3 Health Professions Pub Date : 2023-09-05 DOI: 10.1108/ijot-02-2023-0006
Sharon Davenport, Ann Underhill
PurposeThis study aims to explore which outcome measures are used by occupational therapy staff in adult social care settings in the UK, and the factors affecting use of outcome measures.Design/methodology/approachA quantitative descriptive research design was used, using a cross-sectional study to explore occupational therapy staff views on the use of outcome measures. A 38-question survey was developed on Microsoft Forms. Recruitment occurred online over a three-week period in 2021 via the social media platform “Twitter”. Results were analysed using Excel using descriptive statistics and qualitative results used thematic analysis.FindingsParticipants (n = 20) used a range of outcome measures (13) in adult social care settings in the previous 12 months. Standardised measures were used by half the sample in the previous 12 months. The Therapy Outcome Measure and Barthel Index were in most use. The breadth of adult social care practice and practical factors such as caseload and lack of a meaningful tool were found to be barriers to outcome measure use. Facilitators included service improvement, accountability, use of audit and professional occupational therapy leadership.Research limitations/implicationsThe overall use of outcome measures can be considered low in this setting, with manager support seen to be key to the use of outcome measures. Further research is needed to investigate nationwide use.Practical implicationsTraining, time and manager support are key to use of standardised tests and outcome measures in the adult social care settings. The use of occupational performance measures should be considered to demonstrate unique professional impact.Originality/valueThis contemporary study reveals use of outcome measures within occupational therapy adult social care services in the UK, which is an under researched and under published area.
目的本研究旨在探讨英国成人社会护理环境中职业治疗人员使用的结果指标,以及影响结果指标使用的因素。设计/方法/方法采用定量描述性研究设计,使用横断面研究来探讨职业治疗人员对结果测量使用的看法。在Microsoft Forms上进行了一项38个问题的调查。2021年,招聘通过社交媒体平台“推特”在线进行,为期三周。结果使用Excel进行描述性统计分析,定性结果使用专题分析。调查结果参与者(n=20)在前12年的成人社会护理环境中使用了一系列结果测量(13) 月。在之前的12个样本中,有一半的样本使用了标准化的测量方法 月。治疗效果测量和Barthel指数是最常用的。成人社会护理实践的广度和实际因素,如案件数量和缺乏有意义的工具,被发现是使用结果衡量标准的障碍。促进者包括改善服务、问责、使用审计和专业职业治疗领导。研究局限性/含义在这种情况下,结果指标的总体使用率可以被认为较低,管理者的支持被认为是使用结果指标的关键。需要进一步的研究来调查全国范围内的使用情况。实际意义培训、时间和管理者支持是在成人社会护理环境中使用标准化测试和结果测量的关键。应考虑使用职业表现衡量标准来展示独特的职业影响。原创性/价值这项当代研究揭示了英国在职业治疗成人社会护理服务中使用的结果测量方法,这是一个研究不足、出版不足的领域。
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引用次数: 1
Invisibility and diagnosis stigma: disabling factors for female adults with myalgia encephalomyelitis (ME)/chronic fatigue syndrome (CFS) in a small-scale qualitative study in England 隐身和诊断耻辱:在英国进行的一项小规模定性研究中,患有肌痛性脑脊髓炎(ME)/慢性疲劳综合征(CFS)的成年女性的致残因素
Q3 Health Professions Pub Date : 2023-07-21 DOI: 10.1108/ijot-08-2022-0032
M. Khalafbeigi, F. Yazdani, F. Genis, K. Hess, Samita Kirve
PurposeFemale adults diagnosed with myalgia encephalomyelitis (ME) and chronic fatigue syndrome (CFS) often are marginalised because their condition is not fully recognised by medical and health-care systems. The purpose of this small-scale study was to explore the lived experiences of adult females with ME/CFS in England in relation to contributing factors that impact their occupational participation.Design/methodology/approachA qualitative study design using semi-structured interviews was used with nine female adult participants who were selected using a purposive sampling method. A Thematic Networks tool was used to analyse data.FindingsFour organising themes were identified: impairment-, person-, environment- and society-related factors. Two global themes, invisibility and diagnosis stigma, were identified as the overarching issues that female adults with ME/CFS face in occupational participation.Originality/valueMany of the issues that contribute to lack of participation by this population are associated with environmental factors which are secondary to their illness.
目的被诊断为肌痛性脑脊髓炎(ME)和慢性疲劳综合征(CFS)的成年女性往往被边缘化,因为她们的病情没有得到医疗保健系统的充分认可。这项小规模研究的目的是探索英国患有脑脊髓炎/慢性疲劳综合征的成年女性的生活经历,以及影响她们职业参与的因素。设计/方法/方法采用半结构化访谈的定性研究设计,对9名成年女性参与者进行了有针对性的抽样调查。专题网络工具用于分析数据。发现四个组织主题被确定:损伤、人、环境和社会相关因素。两个全球性主题,即隐形和诊断耻辱,被确定为患有脑脊髓炎/慢性疲劳综合征的成年女性在职业参与中面临的首要问题。原创性/价值导致这一人群缺乏参与的许多问题都与环境因素有关,这些因素是他们疾病的次要因素。
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引用次数: 1
期刊
Irish Journal of Occupational Therapy
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