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Physiotherapists' experience of using the abbreviated diagnostic criteria for diabetic and non‐diabetic patients 物理治疗师对糖尿病和非糖尿病患者使用简略诊断标准的经验
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 DOI: 10.15563/jalliedhealthsci.13.49
T. Ishiguro, Toshihiro Kawae, Daisuke Iwaki, Yuki Nakashima, Fudeyasu Fudeyasu
This study aimed to examine the positivity rate of the abbreviated diagnostic criteria proposed by the Diabetic Neuropathy Study Group in Japan. The medical records of the participants were retrospectively examined and classified as DPN + for diabetes with neuropathy, DPN − for diabetes without neuropathy, and NDM for patients without diabetes. After interviewing patients for subjective symptoms, we conducted vibration sensation and Achilles tendon reflex tests. The results showed that the mean value of vibratory sensation time was 8.3 ± 2.0 seconds in the NDM, 8.5 ± 2.3 seconds in the DPN − , and 5.9 ± 2.3 seconds in the DPN + groups. The DPN − group had a significantly longer vibratory sensation time compared to the DPN + . There were participants whose vibration sensing time, one of the diagnostic criteria, was less than 10 seconds, even in the NDM. Furthermore, participants were categorized into four groups based on age. The mean value of vibratory sensation time in DPN + was significantly lower in NDM and DPN − , each all-age groups. Except for the NDM group of 71 years or older, there was no age-related decrease in vibratory sensation values. However, it has been shown that there are changes in neural mechanisms associated with aging, increases in sensory thresholds, and differences in vibratory sensation depending on the measurement site. It is necessary to accumulate more data to study the effect of aging on the vibration sensation and measurement site. In recent years, there have been many reports of diabetic neuropathy affecting motor function. Therefore, it seems necessary to include motor function in the physiotherapy evaluation of diabetic patients with neuropathy due to ADC.
本研究旨在检验日本糖尿病神经病变研究组提出的简略诊断标准的阳性率。回顾性检查参与者的医疗记录,并将其分类为伴有神经病变的糖尿病DPN +,无神经病变的糖尿病DPN -和无糖尿病患者的NDM。在询问患者主观症状后,我们进行了振动感觉和跟腱反射测试。结果表明,NDM组振动感觉时间均值为8.3±2.0 s, DPN−组为8.5±2.3 s, DPN +组为5.9±2.3 s。DPN−组的振动感觉时间明显长于DPN +组。有些参与者的振动感知时间(诊断标准之一)不到10秒,即使在NDM中也是如此。此外,参与者根据年龄分为四组。DPN +组和DPN−组的振动感觉时间平均值均显著低于NDM组和DPN−组。除了71岁或以上的NDM组外,没有与年龄相关的振动感觉值下降。然而,研究表明,与衰老相关的神经机制发生了变化,感觉阈值增加,振动感觉的差异取决于测量部位。研究老化对振动感觉和测量部位的影响还需要积累更多的数据。近年来,有许多关于糖尿病神经病变影响运动功能的报道。因此,将运动功能纳入糖尿病患者ADC所致神经病变的物理治疗评估中似乎是必要的。
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引用次数: 0
Preliminary research on gender bias among rehabilitation workers 康复工作者性别偏见的初步研究
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 DOI: 10.15563/jalliedhealthsci.13.71
Yuko Fujita, Kazuma Kita, Kazunori Kojima
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引用次数: 0
Factors related with fall in community‐dwelling older adults in Thailand 泰国社区老年人跌倒的相关因素
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 DOI: 10.15563/jalliedhealthsci.13.54
Midori Higashiyama, Shigeharu Tanaka, O. Watanabe
This study aimed to determine the fall rate and risk factors of fall. This study included 75 community ‐ dwelling older adults (23 males and 52 females) who lived in the Bang Si Thong city of Thailand. The average age of the participants was 70.7 years old. As a method, the participants received a questionnaire assessing the fall risk and motor functions. In addition to the questionnaire, physical and motor functions were measured. The descriptive statistics in fall related data and sociodemographic data were calculated. A logistic regression analysis was performed to determine the factor related with fall, with the presence or absence of a history of fall as the dependent variable. The data from physical and motor functions and sociodemographic factors were entered into the logistic regression model. The statistical significance level was set at p < 0.05. As the results, the Short Physical Performance Battery tests were performed for assessing lower extremity functions, and more than 50% of the participants scored 9 points. In addition, 35 participants (46.7%) had experienced a fall. The frequency of indoor falls was higher than that of outdoor falls. Our findings revealed that the risk factors of falls comprised “Pain of Knees and Hip (odds ratio = 5.08 and 6.40, p < 0.05)”, “Standing ability (odds ratio = 4.10, p < 0.05)”, “Grip Strength (odds ratio = 0.83, p < 0.05)”, and “Fear of fall (odds ratio = 2.22, p < 0.05)”. In addition to these physical functional factors, the psychological factor of fear of falling was also associated. It is suggested that a detailed assessment and examination of intervention methods contribute to fall prevention.
本研究旨在确定跌倒率和跌倒的危险因素。本研究包括居住在泰国Bang Si Thong市的75名社区老年人(23名男性和52名女性)。参与者的平均年龄为70.7岁。作为一种方法,参与者收到了一份评估跌倒风险和运动功能的问卷。除了问卷调查外,还测量了身体和运动功能。对秋季相关资料和社会人口学资料进行描述性统计。以是否有跌倒史为因变量,进行逻辑回归分析以确定与跌倒相关的因素。身体和运动功能以及社会人口学因素的数据被输入逻辑回归模型。差异有统计学意义,p < 0.05。结果,进行了评估下肢功能的短物理性能电池测试,超过50%的参与者得分为9分。此外,35名参与者(46.7%)曾跌倒。室内跌倒频率高于室外跌倒频率。结果显示,发生跌倒的危险因素包括“膝关节和髋关节疼痛(比值比分别为5.08和6.40,p < 0.05)”、“站立能力(比值比分别为4.10,p < 0.05)”、“握力(比值比分别为0.83,p < 0.05)”和“害怕跌倒(比值比分别为2.22,p < 0.05)”。除了这些生理功能因素外,害怕跌倒的心理因素也与之相关。建议对干预方法进行详细的评估和检查有助于预防跌倒。
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引用次数: 0
Dietetic Student Involvement in a Sports Nutrition Education Program for University Athletes 饮食学生参与大学运动员运动营养教育计划
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2206
Taylor Paeth, D. Cuy Castellanos, Rebecca Gonter-Dray, Karyn Catrine
Objectives: The purpose of this study is to examine the impact of a sports nutrition counseling experiential learning opportunity on self-efficacy and nutrition counseling skills in the undergraduate dietetic students and dietary goal adherence in collegiate athlete clients after receiving the student-led nutrition counseling intervention. Methods: This mixed methods design, using a thematic analysis and pre- and post-testing, was implemented at a mid-sized university in the Midwestern United States. There were fifteen undergraduate dietetic students and nine collegiate athletes. Results: Counseling confidence in the dietetic students improved significantly from session one to session three (p < 0.001). Conclusions and Implications: Similar programs can be implemented in undergraduate dietetic programs within the academic setting to provide a valuable nutrition resource for collegiate athletes and experience for dietetic students. Examining the program with a larger population can allow for analysis of a causal relationship between the intervention and measured outcomes.
目的:本研究旨在探讨运动营养咨询体验式学习机会在接受学生主导的营养咨询干预后,对本科饮食专业学生自我效能感和营养咨询技能的影响,以及对大学生运动员客户饮食目标坚持性的影响。方法:采用主题分析和前后测试的混合方法设计,在美国中西部一所中等规模的大学实施。有15名营养学专业的大学生和9名大学生运动员。结果:从第一阶段到第三阶段,饮食学生的咨询信心显著提高(p < 0.001)。结论与启示:类似的项目可以在学术背景下实施,为大学生运动员提供宝贵的营养资源,为营养学学生提供经验。在更大的人群中检查该计划可以分析干预与测量结果之间的因果关系。
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引用次数: 0
Assessment and Diagnostic Practices Relating to Autism Spectrum Disorder in the United States and Mexico 美国和墨西哥自闭症谱系障碍的评估和诊断实践
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2151
M. Valdez, Jessica R. Stewart, Wan-Lin Chang, R. Crutchfield, Ralph Carlson
Purpose: The present study examined and compared professional assessment and diagnostic practices relating to autism spectrum disorder (ASD) in Mexico and the United States (U.S.). This information is of great importance because there is an extremely limited amount of information pertaining the assessment and diagnostic practices for ASD in Mexico and little is known about how these practices compare to those in the U.S. Methods: Archival data from a survey investigating ASD in the U.S. and Mexico was used for this study. Participants included 29 professionals from the U.S. and 7 professionals from Mexico. Professionals were from a variety of different occupations, but all reported to be involved in the diagnosis of ASD. Results: In both Mexico and the U.S., most professionals reported use of similar ASD related assessment and diagnostic practices, and ASD related assessment and diagnostic practices were frequently in alignment with current best practices recommendations. However, there were professionals from both Mexico and the U.S. that reported use of diagnostic tools and practices that did not adhere to recommendations, such as, use of outdated versions of the DSM, diagnosis of ASD individually, and evaluation of individuals in one setting. Conclusion: An understanding of the assessment and diagnostic practices currently being used in Mexico and in the U.S. provides both researchers and clinicians with a better understanding of what is being implemented by different professionals. Additionally, an understanding of the assessment and diagnostic practices for ASD in Mexico is of particular importance for professionals practicing in the U.S. as most immigrants in the U.S are from Mexico therefore it is likely professionals in the U.S. will encounter patients on their caseloads that received diagnoses of ASD in Mexico.
目的:本研究检查并比较了墨西哥和美国有关自闭症谱系障碍(ASD)的专业评估和诊断实践。这一信息非常重要,因为关于墨西哥ASD的评估和诊断实践的信息非常有限,而且很少有人知道这些实践与美国的相比如何。方法:本研究使用了美国和墨西哥调查ASD的档案数据。参与者包括来自美国的29名专业人士和来自墨西哥的7名专业人士。这些专家来自各行各业,但据报道,他们都参与了自闭症谱系障碍的诊断。结果:在墨西哥和美国,大多数专业人员报告使用了类似的ASD相关评估和诊断实践,并且ASD相关评估和诊断实践经常与当前最佳实践建议保持一致。然而,来自墨西哥和美国的专业人士报告说,他们使用的诊断工具和实践不符合建议,例如,使用过时的DSM版本,单独诊断ASD,以及在一个环境中对个体进行评估。结论:了解目前在墨西哥和美国使用的评估和诊断实践,可以使研究人员和临床医生更好地了解不同专业人员正在实施的措施。此外,了解墨西哥ASD的评估和诊断实践对在美国执业的专业人员尤其重要,因为大多数美国移民来自墨西哥,因此美国的专业人员很可能会在他们的病例中遇到在墨西哥被诊断为ASD的患者。
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引用次数: 0
Occupational Therapy Students' Perceptions of their own Notetaking 职业治疗学生对自己记笔记的认知
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2270
Marie-Christine Potvin, Monique C. Chabot, Kathleen Carr
Purpose: Notetaking is a critical skill for higher-level thinking and information integration in graduate students, including occupational therapy students. Though there is a growing body of literature about notetaking modalities, strategies utilized, and self-perceptions of skills in college students, studies about occupational therapy (OT) students’ notetaking preferences have been absent from the literature. This study examines how OT students take notes and their perceptions of their notes. Method: This descriptive study of students in a Master of Occupational Therapy program (n=57) completed the Notetaking Abilities and Strategies of University Students (NASUS) questionnaire which captures the constructs of notetaking methods, reasons for taking notes, students’ opinions of their notes, satisfaction with notetaking and usefulness of notes, students’ desires to change their notetaking methods, and organization and review of notes after class. Results: Study found that students utilized both handwritten and digital forms of notetaking, as expected, and took notes in class primarily as a resource to study for assessments and complete assignments as well as to remember information. Overall, students had a moderate degree of confidence and satisfaction with the usefulness of their notes and expressed a desire to improve their notetaking. Conclusions: Understanding the notetaking preferences of OT students can facilitate OT programs’ ability to support these students’ learning.
目的:笔记是研究生(包括职业治疗专业的研究生)提高思维水平和信息整合能力的关键技能。尽管关于大学生记笔记的方式、策略和自我认知的文献越来越多,但关于职业治疗学生记笔记偏好的研究却在文献中缺失。本研究考察了OT学生如何记笔记以及他们对笔记的看法。方法:对57名职业治疗硕士学生进行描述性研究,填写大学生笔记能力与策略问卷(NASUS),问卷内容包括记笔记方法的构成、记笔记的原因、学生对笔记的看法、对笔记的满意度和有用性、学生改变笔记方法的愿望以及课后笔记的组织和复习。结果:研究发现,正如预期的那样,学生们使用手写和数字形式的笔记,在课堂上做笔记主要是作为学习评估和完成作业以及记忆信息的一种资源。总体而言,学生们对笔记的有用性有中等程度的信心和满意度,并表达了改进笔记的愿望。结论:了解OT学生的笔记偏好可以促进OT项目支持这些学生学习的能力。
{"title":"Occupational Therapy Students' Perceptions of their own Notetaking","authors":"Marie-Christine Potvin, Monique C. Chabot, Kathleen Carr","doi":"10.46743/1540-580x/2022.2270","DOIUrl":"https://doi.org/10.46743/1540-580x/2022.2270","url":null,"abstract":"Purpose: Notetaking is a critical skill for higher-level thinking and information integration in graduate students, including occupational therapy students. Though there is a growing body of literature about notetaking modalities, strategies utilized, and self-perceptions of skills in college students, studies about occupational therapy (OT) students’ notetaking preferences have been absent from the literature. This study examines how OT students take notes and their perceptions of their notes. Method: This descriptive study of students in a Master of Occupational Therapy program (n=57) completed the Notetaking Abilities and Strategies of University Students (NASUS) questionnaire which captures the constructs of notetaking methods, reasons for taking notes, students’ opinions of their notes, satisfaction with notetaking and usefulness of notes, students’ desires to change their notetaking methods, and organization and review of notes after class. Results: Study found that students utilized both handwritten and digital forms of notetaking, as expected, and took notes in class primarily as a resource to study for assessments and complete assignments as well as to remember information. Overall, students had a moderate degree of confidence and satisfaction with the usefulness of their notes and expressed a desire to improve their notetaking. Conclusions: Understanding the notetaking preferences of OT students can facilitate OT programs’ ability to support these students’ learning.","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"9 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81199400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introducing a Physical Therapist-Led Acceptance and Commitment Therapy Training for Pain: A Clinical Perspective 以物理治疗师为主导的疼痛接受与承诺治疗训练:临床视角
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2061
Cristhian Figueroa, Iacopo Vagliano, Oscar Rodriguez Rocha, Marco Torchiano, Catherine Faron Zucker, Juan Carlos Corrales, Maurizio Morisio
Purpose: Mounting evidence supports the use of cognitive and behavioral techniques as part of physical therapist practice. These methods are used within a physical therapist’s multimodal treatment approach for the management of pain and to facilitate health behavior change. There is a multitude of evidence-based cognitive behavioral techniques to choose from including newer approaches based on Acceptance and Commitment Therapy. Yet few studies have examined physical therapists’ perceptions to learning and implementing ACT into clinical practice. The purpose of this manuscript is to present a clinical perspective of physical therapists learning about and incorporating Acceptance and Commitment Therapy in clinical practice. Methods: An 8-week online physical therapist-led ACT for chronic pain training was completed by 65 physical therapists. A post-training evaluation was developed and then scored by 46 participants. The evaluation included 15-questions with regard to the self-reported perceptions of learning foundational ACT skills necessary to implement into physical therapy practice, a deeper understanding of psychological factors involved in musculoskeletal pain, confidence in managing musculoskeletal pain, utility in physical therapist practice, and the recognition of a new or different approach to treating musculoskeletal pain. Results: Participants’ self-reported perceptions were highly positive with 73% reporting the training furthered their understanding of psychological factors in chronic musculoskeletal pain and 100% reported learning the foundational ACT skills necessary to implement it into physical therapy practice. In addition, 7 sub-themes regarding the ACT training emerged from a qualitative content analysis and included the following: 1) The training filled a knowledge gap in understanding of how to assess and treat psychological factors related to pain, 2) A mixture of prerecorded video training, reading, experiential exercises, and self-reflection via the ACTPTE were critical to reinforce learning, 3) Coaching and supervision calls were a useful part of the training and helped to translate course knowledge and implement into clinical practice, 4) Having an opportunity to practice in a group setting with like-minded peers was a critical component of confidence building, 5) Ongoing communication, networking, and mentorship via the online forum and coaching calls allowed participants to complete the course material on-time, stay connected, and share stories and experiences about implementing the material in practice, 6) The ACT stance of not changing pain or related psychological content (example: not changing thoughts, pain related beliefs, reconceptualizing pain) may run counter to other psychologically-informed approaches found in physical therapy practice and took some time for practitioners to process and integrate, 7) Some practitioners expressed that ACT helped them cope with work-related stress and burnout and to drop the s
目的:越来越多的证据支持认知和行为技术作为物理治疗师实践的一部分。这些方法在物理治疗师的多模式治疗方法中用于疼痛管理和促进健康行为的改变。有许多基于证据的认知行为技术可供选择,包括基于接受和承诺疗法的新方法。然而,很少有研究调查了物理治疗师对学习和实施ACT临床实践的看法。本手稿的目的是提出物理治疗师在临床实践中学习和纳入接受和承诺治疗的临床观点。方法:65名物理治疗师完成了为期8周的在线物理治疗师主导的慢性疼痛训练。培训后评估被开发出来,然后由46名参与者打分。评估包括15个问题,涉及自我报告对学习基本ACT技能的认知,这些技能是实施物理治疗实践所必需的,对涉及肌肉骨骼疼痛的心理因素有更深的理解,对管理肌肉骨骼疼痛的信心,在物理治疗师实践中的效用,以及对治疗肌肉骨骼疼痛的新方法或不同方法的认识。结果:参与者自我报告的认知是非常积极的,73%的人报告说训练促进了他们对慢性肌肉骨骼疼痛的心理因素的理解,100%的人报告说学习了将其应用于物理治疗实践所必需的基本ACT技能。此外,从定性内容分析中得出关于ACT培训的7个分主题,包括以下内容:1)培训填补了在理解如何评估和治疗与疼痛相关的心理因素方面的知识空白;2)预先录制的视频培训、阅读、体验式练习和通过ACTPTE进行的自我反思对加强学习至关重要;3)指导和监督电话是培训的有用部分,有助于将课程知识转化为临床实践。4)有机会与志同道合的同龄人一起在小组环境中练习是建立信心的关键组成部分;5)通过在线论坛和辅导电话进行持续的沟通、网络和指导,使参与者能够按时完成课程材料,保持联系,并分享在实践中实施材料的故事和经验;6)不改变疼痛或相关心理内容的ACT立场(例如:不改变想法,与疼痛相关的信念,重新定义疼痛)可能与物理治疗实践中发现的其他心理学知识方法背道而驰,从业者需要一些时间来处理和整合。7)一些从业者表示,ACT帮助他们应对工作压力和倦怠,并放弃治疗或治愈每个疼痛患者的斗争。结论:通过在线培训提供的ACT对物理治疗师来说是可以接受的,监督电话对于建立信心和实施实践是必要的。ACT模型被认为适用于物理治疗的实践,以及许多慢性疼痛条件的复杂临床和心理社会表现。未来的调查应探讨简短的培训干预,治疗的保真度,长期的结果,开发和验证一个量表来衡量知识,概念和技能概念化心理灵活性在物理治疗师的实践。
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引用次数: 1
An Examination of Emotional Resilience among Athletic Trainers Working in the Secondary School Setting 中学体育教练员情绪弹性的研究
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2235
S. Henert, W. Pitney, B. Wood, Nicholas E. Grahovec, Tyler A. Wood
Purpose: Athletic training is a demanding profession that is a stressor for many practitioners. Emotional resilience allows Athletic Trainers (ATs) to persist in their roles and benefit from long and successful careers. The purpose of this study was to explore the level of emotional resilience of ATs working in secondary school settings and identify factors perceived to contribute to or mitigate one's emotional resilience. Method: A sequential explanatory mixed-method design using a cross-sectional online survey followed by in-depth interviews was used to gather information from 160 (16% response rate) secondary school NATA members - 97 (60.6%) female; 63 (39.4%) male with 13.28+9.46 years of experience. Six individuals (5 female, 1 male) participated in a follow-up semi-structured interview. The Connor Davidson Resilience Scale (CD-RISC) was used to measure perceptions of individual emotional resilience. Open-ended questions were also used to gather information from the participants who agreed to participate in a follow-up semi-structured interview about the factors perceived to both facilitate or reduce emotional resilience. Results: The mean emotional resilience score (79.84 ± 11.38) for the sample was consistent with the average US adult population. Only 14.1% of the sample reported high emotional resilience scores. There was a significant positive correlation between emotional resilience scores and years of experience as an AT (r(158) = .16, P = .048) and age in years (r(158) = .16, P = .048). There was no significant difference between emotional resilience and academic degree earned (F(2,157) = .775, P = .83). The inductive analysis resulted in the following emergent themes that were perceived to facilitate ones’ emotional resilience: social support, communication, self-care, and past experiences. Also, the following emergent themes were perceived to reduce ones’ emotional resilience: emotional responses and role overload. Conclusion: The results of this study help understand secondary school ATs' perceptions of and factors that contribute to their emotional resilience. Strategies are suggested to help ATs develop emotional resilience to manage their occupational stress and reduce feelings of burnout.
目的:运动训练是一项要求很高的职业,对许多从业者来说是一种压力源。情绪弹性使运动教练(at)能够坚持自己的角色,并从长期成功的职业生涯中受益。本研究的目的是探讨在中学环境中工作的辅助教师的情绪弹性水平,并确定被认为有助于或减轻情绪弹性的因素。方法:采用连续解释混合方法设计,采用横断面在线调查和深度访谈,收集160名中学NATA成员(16%回复率)的信息,其中97名(60.6%)为女性;男性63人(39.4%),从业经验13.28+9.46年。6人(5名女性,1名男性)参加了随访的半结构化访谈。采用康诺-戴维森情绪弹性量表(CD-RISC)测量个体情绪弹性知觉。研究人员还使用开放式问题从同意参加后续半结构化访谈的参与者那里收集信息,了解他们认为促进或降低情绪恢复力的因素。结果:调查对象的情绪恢复力平均分(79.84±11.38)与美国成年人的平均得分一致。只有14.1%的样本报告了较高的情绪恢复能力得分。情绪弹性得分与AT工作年限(r(158) = 0.16, P = 0.048)、年龄(r(158) = 0.16, P = 0.048)呈显著正相关。情绪弹性与学历间无显著差异(F(2157) = .775, P = .83)。归纳分析得出了以下被认为能促进人的情绪弹性的新兴主题:社会支持、沟通、自我照顾和过去的经历。此外,以下突发主题被认为会降低人的情绪弹性:情绪反应和角色过载。结论:本研究的结果有助于了解中学生情绪弹性的认知及其影响因素。建议的策略,以帮助发展情绪弹性,以管理他们的职业压力和减少倦怠感。
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引用次数: 0
Characteristics Needed to Transition from Exemplary Clinical Instructor to Successful Site Coordinator of Clinical Education: A Qualitative Study 从模范临床教师转变为成功临床教育现场协调员所需的特征:一项定性研究
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2246
Nicki Silberman, Vicki LaFay
Introduction: In physical therapist (PT) education, the site coordinator of clinical education (SCCE) administers and manages clinical placements for student clinical education experiences from the clinical side. Characteristics of successful site coordinators of clinical education (SCCEs) have been established; minimal evidence informs the identification of individuals with those characteristics. One cannot assume that exemplary clinical instructors (CIs) will become effective SCCEs. Purpose: The purpose of this qualitative study was to investigate if the characteristics of exemplary CIs are consistent with the traits needed in a successful SCCE candidate by exploring these 3 aims: (1) Describe characteristics of exemplary CIs. (2) Identify characteristics needed to fulfill the SCCE position. (3) Determine if exemplary CIs are well-suited to transition to the SCCE position. Methods: SCCEs and exemplary CIs participated in one-on-one interviews. Inductive and deductive methods were employed and triangulated to provide multiple sources of data to examine the research questions. Results: Exemplary CIs (n=12) demonstrate excellence and commitment to clinical education. These natural leaders “pay-it-forward.” SCCEs (n=12) demonstrate commitment to clinical education, professional drive, and strong managerial and leadership skills. Transitioning from CI to SCCE involves a significant learning curve, and participants agreed that “you have to want it.” Conclusion: While exemplary CIs have the characteristics needed to become a successful SCCE, they should carefully consider its demands. SCCEs should be recruited based upon assessment of aptitude, not longevity or seniority. Ultimately, every SCCE should be an exemplary CI, but not every exemplary CI is prepared to be an SCCE. These findings may apply to individuals serving in similar roles across health professions.
简介:在物理治疗师(PT)教育中,临床教育现场协调员(SCCE)从临床方面管理和管理学生临床教育经验的临床实习。成功的临床教育现场协调员(scce)的特点已经确立;很少有证据表明个体具有这些特征。我们不能假设模范临床教师(CIs)将成为有效的scce。目的:本定性研究的目的是通过探索以下三个目标来探讨模范型CIs的特征是否与成功的SCCE候选人所需的特征相一致:(1)描述模范型CIs的特征。(2)确定胜任SCCE职位所需的特征。(3)确定模范ci是否适合过渡到SCCE职位。方法:对scce和模范ci进行一对一访谈。归纳和演绎的方法被采用和三角化,以提供多个数据来源来检查研究问题。结果:模范ci (n=12)表现出卓越和对临床教育的承诺。这些天生的领导者会“把爱传递出去”。scce (n=12)表现出对临床教育的承诺,专业驱动,强大的管理和领导技能。从CI到SCCE的过渡涉及到一个重要的学习曲线,参与者同意“你必须想要它”。结论:虽然典型的CIs具有成为成功的SCCE所需的特征,但他们应该仔细考虑其需求。聘用高级职员应以能力评估为依据,而非资历或资历。最终,每个SCCE都应该成为一个模范CI,但不是每个模范CI都准备成为SCCE。这些发现可能适用于在卫生专业中担任类似角色的个人。
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引用次数: 0
Translation, Cross-Cultural Adaptation, Reliability, and Validity of the Tamil Version of Fear-Avoidance Beliefs Questionnaire in Chronic Low Back Pain 泰米尔语版慢性腰痛恐惧回避信念问卷的翻译、跨文化适应、信度和效度
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-09-30 DOI: 10.46743/1540-580x/2022.2091
Hasini Dayalan, P. Aseer, S. K
Background: Excessive fear of movement, restricted physical activity, and cognitive distortions are frequently found with chronic low back pain (CLBP) subjects. The Fear-Avoidance Beliefs Questionnaire (FABQ) is the most well-founded and often used tool to measure fear and avoidance beliefs in CLBP subjects. In India, there is a diversity of culture, educational level, and language. So, there is a need to translate FABQ into the regional language Tamil, which will improve understanding of FABQ and reduce the language barrier of the Tamil population. Objective: To translate, cross-cultural adapt, and investigate the psychometric properties of the Tamil version of FABQ in CLBP subjects. Materials & Methods: The standard translation and adaptation guideline was used to translate FABQ into Tamil version FABQ. CLBP subjects referred to a low back rehabilitation program in an outpatient clinic took part in this study. They completed a FABQ-Tamil questionnaire [includes subscales for Physical Activity (FABQ-PA) and Work (FABQ-W)], pain rating visual analog scale and the Roland- Morris Disability Questionnaire (RMDQ)-Tamil version, on two occasions five days apart. Test-retest reliability, internal consistency and validity were evaluated. Results: Fifty CLBP subjects participated with a mean age of 39.94 (± 15.55) years. Convergent validity analysis displayed a moderate correlation between FABQ-PA and VAS (r = 0.63); FABQ-W and VAS (r = 0.64). Divergent validity analysis demonstrated a moderate correlation between FABQ-PA and RMDQ (r = 0.69) and a good correlation between FABQ-W and RMDQ (r = 0.85). The test-retest reliability was high; the intra-class correlation coefficients of FABQ-PA and FABQ-W were ICC-0.90 and 0.94, respectively. Cronbach's alpha for the FABQ-PA and FABQ-W were 0.87 and 0.92, demonstrating high internal consistency. Conclusion: The findings of this study demonstrated that the FABQ-Tamil version questionnaire is a reliable and valid measure of fear of pain and fear-avoidance beliefs in the Tamil-speaking CLBP subject.
背景:过度害怕运动、体力活动受限和认知扭曲是慢性腰痛(CLBP)患者常见的症状。恐惧-回避信念问卷(FABQ)是衡量CLBP受试者恐惧和回避信念的最完善和常用的工具。在印度,文化、教育水平和语言都很多样化。因此,有必要将FABQ翻译成当地的泰米尔语,这将提高对FABQ的理解,减少泰米尔人的语言障碍。目的:探讨泰米尔语版FABQ在CLBP受试者中的翻译、跨文化适应和心理测量特征。材料与方法:采用标准的翻译与改编指南将《FABQ》翻译成泰米尔语版《FABQ》。在门诊诊所进行腰背部康复计划的CLBP受试者参与了本研究。他们完成了一份FABQ-Tamil问卷[包括体力活动(FABQ-PA)和工作(FABQ-W)的子量表],疼痛评定视觉模拟量表和Roland- Morris残疾问卷(RMDQ)- tamil版本,两次间隔5天。评估重测信度、内部一致性和效度。结果:50例CLBP患者参与研究,平均年龄39.94(±15.55)岁。收敛效度分析显示,FABQ-PA与VAS呈正相关(r = 0.63);FABQ-W和VAS (r = 0.64)。发散效度分析显示,FABQ-PA与RMDQ有中度相关性(r = 0.69), FABQ-W与RMDQ有良好相关性(r = 0.85)。重测信度高;FABQ-PA和FABQ-W的类内相关系数分别为ICC-0.90和0.94。FABQ-PA和FABQ-W的Cronbach's alpha分别为0.87和0.92,具有较高的内部一致性。结论:本研究结果表明,fabq -泰米尔语版问卷是一种可靠、有效的测量泰米尔语CLBP受试者疼痛恐惧和恐惧回避信念的方法。
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引用次数: 1
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Internet Journal of Allied Health Sciences and Practice
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