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Website Representation as a Potential Barrier for Veterans Accessing Outdoor Programming 网站表现是退伍军人参加户外活动的潜在障碍
Q4 REHABILITATION Pub Date : 2023-10-19 DOI: 10.18666/trj-2023-v57-i4-11955
Joanna Bettman, Aaron Leonard, Ellison Blumenthal
Research indicates that outdoor recreation can serve as adjunct to mental health treatment for veterans, enhancing mental health of veteran populations. However, existing outdoor programs appear to serve largely White, male populations even though many veterans are female and racially diverse. In order to consider barriers to outdoor program engagement for diverse and marginalized populations of veterans, the present study examined website landing pages for programs which provide outdoor programming for veterans and/or military populations. The study aimed to answer the question: what racial and gender identities appear on the online marketing for veterans-serving outdoor programs? In order to answer the research question, four coders independently coded visual data from imagery found on publicly-available websites and each organization’s associated social media. Three hundred and six organizations which provide outdoor programming for veterans were identified and coded in the present study. Image coding showed that website landing pages for outdoor programs serving veterans present overwhelming White and male images, rather than images of women and racial minorities. The implications of the present study for veteran outdoor programs are that such programs need to consider how they market and present themselves in terms of representing diverse and marginalized identities in their materials. Without modifying their existing materials, female veterans and veterans from racially diverse backgrounds and marginalized communities will continue to face substantial barriers in getting outdoors.
研究表明,户外休闲活动可以作为退伍军人心理健康治疗的辅助手段,提高退伍军人群体的心理健康水平。然而,现有的户外项目似乎主要服务于白人男性人群,尽管许多退伍军人是女性和种族多元化的。为了考虑多样化和边缘化的退伍军人群体参与户外活动的障碍,本研究调查了为退伍军人和/或军人群体提供户外活动的项目的网站登陆页面。该研究旨在回答这样一个问题:退伍军人户外服务项目的在线营销中出现了哪些种族和性别身份?为了回答这个研究问题,四名编码员从公开网站和每个组织相关的社交媒体上找到的图像中独立编码视觉数据。本研究确定并编码了306个为退伍军人提供户外节目的组织。图像编码显示,为退伍军人提供户外活动的网站登陆页面上绝大多数是白人和男性的图像,而不是女性和少数族裔的图像。本研究对资深户外项目的启示是,这些项目需要考虑如何在其材料中代表多样化和边缘化的身份来营销和展示自己。如果不修改现有的材料,女性退伍军人、来自不同种族背景和边缘化社区的退伍军人在外出时将继续面临重大障碍。
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引用次数: 0
The Role of Recreational Therapy in Equine-Assisted Services 娱乐疗法在马辅助服务中的作用
Q4 REHABILITATION Pub Date : 2023-10-19 DOI: 10.18666/trj-2023-v57-i4-11989
Blair McKissock, Betsy Kemeny, Taylor Hooker, Courtney Gramlich
Certified Therapeutic Recreational Specialists (CTRS®) have incorporated equines into their practice for many years. Though not common, it is growing in popularity as the demand for equine-assisted services (EAS) grows. Recent factors draw new attention and significance to the discussion, including the 2021 Optimal Terminology Consensus paper. This paper left out recreational therapy (RT) service provision. The American Therapeutic Recreation Association (ATRA) Board of Directors commissioned a task force to define the position of therapeutic recreation within the defined service provisions of EAS and the role of the CTRS® in the implementation. This paper examines RT within the newly defined EAS scope. As a result of this work, RT was accepted as a therapy service as defined by the parameters of the Optimal Terminology Consensus paper under “Therapy.” The role of the CTRS® in planning and implementing a RT session incorporating equines using the Assessment, Planning, Implementation, Evaluation (APIE) process is also discussed. The hope is to advocate for and bring awareness to the essential role of RT and the need for further development of professional competencies, training, protocols, and standards for CTRS®s who incorporate equines into their practice as an intervention or modality for their clients.
认证治疗娱乐专家(CTRS®)已经将马纳入他们的实践多年。虽然不常见,但随着对马辅助服务(EAS)需求的增长,它越来越受欢迎。最近的因素引起了对讨论的新的关注和意义,包括2021年最佳术语共识文件。本文没有提供休闲治疗(RT)服务。美国治疗性娱乐协会(ATRA)董事会委托了一个特别工作组来确定治疗性娱乐在EAS规定的服务条款中的地位,以及CTRS®在实施中的作用。本文在新定义的EAS范围内研究RT。作为这项工作的结果,RT被接受为一种治疗服务,根据“治疗”下的最佳术语共识文件的参数定义。CTRS®在计划和实施使用评估、计划、实施、评估(APIE)流程的马匹RT会议中的作用也进行了讨论。希望倡导并提高人们对康复治疗的重要作用的认识,以及进一步发展专业能力、培训、协议和标准的必要性,以便康复治疗人员将马纳入他们的实践,作为对客户的干预或方式。
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引用次数: 0
Motor Interventions for Children with Autism Spectrum Disorder: A Scoping Review 自闭症谱系障碍儿童的运动干预:范围综述
Q4 REHABILITATION Pub Date : 2023-10-19 DOI: 10.18666/trj-2023-v57-i4-11995
Mildred Oligbo, Lisa Mische Lawson, Prasanna Vaduvathiriyan
Though not considered a core diagnostic criterion, most children with Autism Spectrum Disorder (ASD) present with motor impairments that persist into adolescence. In addition, compared to same-age peers, children with ASD participate less in physical, leisure, and recreation activities. The World Health Organization considers participation to be critical to quality of life. This scoping review presents the types of interventions used to address gross motor impairments, and the standardized outcome measures within the domains of the International Classification of Functioning, Disability and Health (ICF), used to evaluate the impact of the interventions. Results produced 17 articles and five types of motor interventions, including land-based exercise, motor physical activity interventions; sports-based, active recreation; movement-based mind-body interventions; equine or therapeutic horseback riding, and active video games/virtual and augmented reality. The interventions were provided by either a single discipline or an interprofessional team, with physical and recreational therapy being underrepresented as team members. Most studies used outcome measures in the body functions and structures, and activities domains of the ICF and few in the participation domain. The results of this study will be important to professionals for planning, implementing, and monitoring interventions for children with ASD.
虽然不被认为是核心诊断标准,但大多数患有自闭症谱系障碍(ASD)的儿童表现出持续到青春期的运动障碍。此外,与同龄儿童相比,自闭症儿童较少参加体育、休闲和娱乐活动。世界卫生组织认为参与对生活质量至关重要。本综述介绍了用于解决大运动障碍的干预措施的类型,以及用于评估干预措施影响的国际功能、残疾和健康分类(ICF)领域内的标准化结果测量。结果产生了17篇文章和5种运动干预措施,包括陆上运动,运动身体活动干预;以体育为基础的积极娱乐;基于动作的身心干预;骑马或治疗性骑马,积极的视频游戏/虚拟和增强现实。干预措施由单一学科或跨专业团队提供,物理和娱乐治疗作为团队成员的代表性不足。大多数研究使用了身体功能和结构以及ICF活动领域的结果测量,很少使用参与领域的结果测量。这项研究的结果将对专业人员计划、实施和监测自闭症儿童的干预措施具有重要意义。
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引用次数: 0
Operation Growth: The Impact of Heroes on the Water Kayak Fishing on Posttraumatic Growth in U.S. Military Veterans 行动成长:英雄对独木舟钓鱼对美国退伍军人创伤后成长的影响
Q4 REHABILITATION Pub Date : 2023-10-19 DOI: 10.18666/trj-2023-v57-i4-11974
Shelby Sharpe, Tim Passmore, Allie Thomas, Joe Winston
Heroes on the Water is a nonprofit organization providing kayak fishing programs to veterans and their families. The purpose of this study was to explore the impact kayak fishing programs, provided by Heroes on the Water, had on posttraumatic growth in military veterans in the United States. The concept of posttraumatic growth suggests that individuals may experience positive psychological changes after severe traumatic events. Research suggests posttraumatic growth can occur in the form of recognizing personal strengths, new possibilities, relating to others, an appreciation for life, and spiritual changes. Studies also suggest that recreation can aid in facilitation of growth. Additionally, recreation has been considered a complementary form of treatment for veterans, specifically the use of nature-based and outdoor recreation programs. For this study, participants reflected on their experiences before and after engaging in Heroes on the Water using the Posttraumatic Growth Inventory. Though the results cannot be generalized, participants reported an increase in score after participating in Heroes on the Water kayak fishing programs. This study adds to the knowledge about the use of recreation to facilitate growth in veterans and encourages continued research on this topic.
水上英雄是一个非营利组织,为退伍军人和他们的家人提供独木舟钓鱼项目。本研究的目的是探讨由水上英雄提供的皮艇钓鱼项目对美国退伍军人创伤后成长的影响。创伤后成长的概念表明,个体在严重创伤事件后可能会经历积极的心理变化。研究表明,创伤后成长可以以认识到个人优势、新的可能性、与他人交往、对生活的欣赏和精神上的变化的形式出现。研究还表明,娱乐活动有助于促进生长。此外,娱乐被认为是退伍军人治疗的一种补充形式,特别是使用基于自然和户外娱乐项目。在本研究中,参与者使用创伤后成长量表来反思他们参与《水上英雄》之前和之后的经历。虽然结果不能概括,但参与者在参加水上皮艇钓鱼项目后报告得分增加。这项研究增加了关于利用娱乐促进退伍军人成长的知识,并鼓励对这一主题的持续研究。
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引用次数: 0
How Recreation(al) Therapy/Therapeutic Recreation Academic Programs Structure the NCTRC-Eligible Internship into their Curricula 娱乐(所有)治疗/治疗性娱乐学术项目如何将符合nctrc资格的实习纳入其课程
IF 0.6 Q4 REHABILITATION Pub Date : 2023-08-24 DOI: 10.18666/trj-2023-v57-i3-11998
Susan Purrington, Brent L. Hawkins, Kirstin L. Whitely, Erik Luvaas, Gena Bell Vargas, Emma Bentley-Gottel
Recreational Therapy/Therapeutic Recreation (RT) academic programs provide opportunities for students to further develop competencies through the NCTRC- eligible internship prior to graduation. The NCTRC- eligible internship experience is the third focus of the American Therapeutic Recreation Association’s Academic Action Task Force study to understand the landscape of RT academic program fieldwork experiences in the United States and Canada. Out of a total of 95 RT academic programs, 54 programs responded to an online questionnaire about the fieldwork opportunities provided to students. This brief report discusses the results of the NCTRC-eligible internship experiences in three areas: Pre-Internship Preparation, Program Eligibility Factors, and the NCTRC- eligible Internship Experience. Results indicated that most programs provide some level of support in finding, applying to, and securing internship sites; require students to have the majority of the coursework completed, a minimum program GPA of 2.0, completion of a 12-credit internship; and, evaluate learning outcomes through mid- and final evaluation reports. Areas of variability remain, such as site supervisor requirements and course requirements. Recommendations are made for further inquiry related to NCTRC-eligible internship fieldwork education.
娱乐治疗/治疗性娱乐(RT)学术项目为学生提供了机会,让他们在毕业前通过符合NCTRC资格的实习进一步发展能力。符合NCTRC资格的实习经历是美国治疗娱乐协会学术行动特别工作组研究的第三个重点,以了解美国和加拿大RT学术项目的实地考察经历。在总共95个RT学术项目中,有54个项目对向学生提供的实地考察机会的在线问卷做出了回应。本简要报告讨论了符合NCTRC资格的实习经历在三个领域的结果:实习前准备、项目资格因素和符合NCTRC-资格的实习体验。结果表明,大多数项目在寻找、申请和确保实习地点方面提供了一定程度的支持;要求学生完成大部分课程,最低课程GPA为2.0,完成12个学分的实习;以及通过中期和最终评估报告评估学习成果。变化的领域仍然存在,例如现场监督要求和课程要求。建议对NCTRC合格实习实地考察教育进行进一步调查。
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引用次数: 0
How Fieldwork is Embedded within Curricula and Coursework in Recreational Therapy Academic Programs 如何在娱乐治疗学术项目的课程和作业中嵌入实地工作
IF 0.6 Q4 REHABILITATION Pub Date : 2023-08-24 DOI: 10.18666/trj-2023-v57-i3-11987
Kristin L. Whitely, Susan Purrington, Brent L. Hawkins, Erik Luvaas, Gena Bell Vargas, Emma Bentley-Gottel
The purpose of this second of a three-part study on fieldwork in Recreation(al) Therapy/Therapeutic Recreation (RT) education was to create a landscape of fieldwork as it pertains to academic courses. Course- related fieldwork is a learning opportunity for RT students to develop and practice competencies through hands-on experiences in applied RT service settings. In an online survey, 54 of 95 programs surveyed responded. Forty-four indicated that fieldwork was incorporated in 172 courses. All the courses fell within nine course-types: Introduction/Foundations, Assessment, Programming, Management, Populations/Settings, Interventions/Modalities, Research/Evaluation, Issues and Trends, and Other Fieldwork Placements (such as practicum, junior internship). This brief report discusses findings in the areas of course requirements, approaches to designing fieldwork experiences, settings and populations, and course connection to the RT process (i.e., assessment, planning, implementation, evaluation, and documentation).The findings revealed the majority of courses containing fieldwork are similarly required for graduation, prior to the NCTRC internship, worth 3-credits, and require an average of 12-23 hours of fieldwork. However, the settings and populations CTRS' work in most are underrepresented in course-related fieldwork and several courses reported lack of connection to the RT process. Further collaboration is needed to clarify course-related fieldwork terminology and develop guidelines for all RT academic programs. Implications address curriculum considerations and future research.
这是一项关于娱乐(全部)治疗/治疗性娱乐(RT)教育中实地考察的三部分研究的第二部分,其目的是创建一个与学术课程相关的实地考察景观。与课程相关的实地工作是一个学习机会,让RT学生通过在应用RT服务环境中的实践经验来发展和实践能力。在一项在线调查中,95个项目中有54个做出了回应。44个国家表示,172门课程包含了实地考察。所有课程分为九种课程类型:导论/基础、评估、规划、管理、人口/环境、干预/模式、研究/评估、问题和趋势,以及其他实地实习(如实习、初级实习)。这篇简短的报告讨论了课程要求、设计实地工作经验的方法、设置和人口,以及课程与RT过程的联系(即,评估、计划、实现、评估和文档)方面的发现。调查结果显示,在NCTRC实习之前,大多数包含实地考察的课程在毕业前都是类似的要求,价值3学分,平均要求12-23小时的实地考察。然而,在与课程相关的实地考察中,CTRS的工作在大多数环境和人群中代表性不足,并且有几门课程报告缺乏与RT过程的联系。需要进一步的合作来澄清与课程相关的实地考察术语,并为所有RT学术项目制定指导方针。启示涉及课程考虑和未来研究。
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引用次数: 0
Disability in Southeast Europe: Qualitative Analysis of a Faculty-Led Study Abroad Program 东南欧的残疾:教师主导的留学项目的定性分析
IF 0.6 Q4 REHABILITATION Pub Date : 2023-08-24 DOI: 10.18666/trj-2023-v57-i3-11887
S. Dawson, Čedomirka Stanojević, B. McCormick, Daniela Tamas, F. Eminović, Lauren Lomax, LeAnn Wheeler
This study documents the perceptions of recreational therapy students who took part in an international faculty-led study abroad experience for 3 weeks in Serbia, Romania, and Croatia. Students volunteered in institutions, schools, and a camp for individuals with disabilities as well as taking part in cultural experiences. Participant video journals were recorded pre-trip, during the trip, and shortly after returning from studying abroad to garner student perspectives. Using a general qualitative approach, responses were transcribed verbatim, coded, and then arranged in over-arching themes. Pre-trip themes focused on looking forward to the experience coupled with anxiety. During the trip perceptions included, a positive impact from working in programs with clients who have disabilities as well as developing relationships with peers in the program cohort. Upon return and reflection, students expressed a perceived overall growth professionally and personally from the trip, a positive experience, life-long relationships that were firmly established, a gratefulness for the experience, and finally, helpful suggestions for future improvements.
这项研究记录了在塞尔维亚、罗马尼亚和克罗地亚参加为期3周的国际教师主导的留学体验的娱乐治疗学生的看法。学生们在机构、学校和残疾人营地做志愿者,并参与文化体验。参与者在旅行前、旅行期间和留学归来后不久录制了视频日志,以收集学生的观点。使用一般的定性方法,逐字逐句地转录、编码回复,然后按总体主题排列。旅行前的主题集中在对体验的期待和焦虑。在旅行期间,包括与残疾客户一起参与项目以及与项目团队中的同龄人发展关系所产生的积极影响。在返回和反思后,学生们表达了从这次旅行中感受到的职业和个人的全面成长、积极的经历、牢固建立的终身关系、对这次经历的感激之情,以及对未来改进的有益建议。
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引用次数: 0
Toward a Better Understanding of Fieldwork Requirements in Recreation(al) Therapy/Therapeutic Recreation Education 更好地理解娱乐(al)治疗/治疗性娱乐教育中的实地工作要求
IF 0.6 Q4 REHABILITATION Pub Date : 2023-08-24 DOI: 10.18666/trj-2023-v57-i3-12000
Brent L. Hawkins, Kirstin L. Whitely, Susan Purrington, Erik Luvaas, Gena Bell Vargas, Emma Bentley-Gottel
An important aspect of preparing students for Recreation(al) Therapy/Therapeutic Recreation (RT) professional practice is fieldwork education. In this study, fieldwork education was defined as a learning opportunity for RT students to develop practice competencies through hands-on experiences in applied RT service settings. Previous research has indicated the unanimous desire of stakeholders within the profession to improve the quality and consistency of RT education, particularly regarding fieldwork education experiences. This three-part study sought to develop a better understanding of the scope of RT fieldwork education within and across RT academic programs. Using a cross-sectional survey of academic programs, this study found that various types, amounts, guiding frameworks, and structures of fieldwork experiences existed. This article discusses implications such as the need for a guiding framework or model beyond following the minimum credentialing requirements, increased consistency of support provided by program faculty and staff, improved accreditation standards related to fieldwork, and how a consensus from the field on adoption of accreditation requirements could support consistency of fieldwork education.
为学生准备娱乐(al)治疗/治疗性娱乐(RT)专业实践的一个重要方面是实地调查教育。在本研究中,实地调查教育被定义为RT学生通过在应用RT服务环境中的实践经验来发展实践能力的学习机会。先前的研究表明,该行业的利益相关者一致希望提高RT教育的质量和一致性,特别是在实地调查教育经验方面。这项由三部分组成的研究旨在更好地理解RT学术项目中和跨RT学术项目的实地调查教育的范围。通过对学术项目的横断面调查,本研究发现存在各种类型、数量、指导框架和结构的实地考察经验。这篇文章讨论了一些影响,如除了遵循最低认证要求之外,还需要一个指导框架或模式,提高项目教职员工提供的支持的一致性,改进与实地调查相关的认证标准,以及实地调查就采用认证要求达成共识如何支持实地调查教育的一致性。
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引用次数: 0
Quality Internship Development and Supervision 质量实习的发展与监督
IF 0.6 Q4 REHABILITATION Pub Date : 2023-08-24 DOI: 10.18666/trj-2023-v57-i3-11957
J. Hinton, Rachel Smith, J. Allsop, Donna L.V. Lozano
While therapeutic recreation internships have long been required for individuals to be credentialed in Therapeutic Recreation, there have been few requirements for individuals to supervise an intern. Addressing two specific requirements of the Higher Education Task Force report (Carter & Hawkins, 2018), the Quality Internship Subcommittee was formed under the American Therapeutic Recreation Association Quality Providers team. The initial goal of the subcommittee was to advance excellence in internships by providing structure and direction for Therapeutic Recreation internship supervision. Descriptions of three subcommittee outcomes of the Subcommittee are detailed: the Qualified Supervisors Statement, the Internship Manual template, and the Quality Internship Supervisor Training. Limitations and ongoing Subcommittee efforts are noted.
虽然长期以来,治疗性娱乐实习一直要求个人获得治疗性娱乐的资格,但对个人监督实习生的要求很少。针对高等教育工作组报告(Carter&Hawkins,2018)的两项具体要求,美国治疗娱乐协会质量提供商团队成立了质量实习小组委员会。该小组委员会的最初目标是通过为治疗娱乐实习监督提供结构和指导,促进实习的卓越性。详细描述了小组委员会的三个小组委员会成果:合格监督员声明、实习手册模板和质量实习监督员培训。注意到小组委员会的局限性和正在进行的努力。
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引用次数: 0
The “Search for Meaning” in Therapeutic Recreation 治疗性娱乐中的“意义探索”
IF 0.6 Q4 REHABILITATION Pub Date : 2023-05-09 DOI: 10.18666/trj-2023-v57-i2-11759
Miika Hernesniemi, Sienna Caspar, R. Dieser
Therapeutic Recreation (TR) has been likened to an existential therapy because it facilitates meaningful outcomes for participants. Logotherapy and Existential Analysis (LTEA) has previously been proposed as a suitable existential approach for TR. However, this proposition has not been examined extensively in TR; consequently, LTEA has not been adopted widely as an in-depth approach to practice. Deductive content analysis (DCA) is a research method that has been recommended for testing a theoretical structure in a new context. A DCA of four of the most recent introductory textbooks in TR was conducted to test the theoretical structure of LTEA within the TR context. Content in the textbooks that related to the theoretical structure—the sources of meaning in life—was extracted and formed into categories and overarching TR concepts. Based on these findings, LTEA aligns with TR and could be a suitable approach to TR practice with the potential of enhancing its therapeutic aims. Recommendations for practice and further research are proposed as a result of this study.
治疗性娱乐(TR)被比作生存疗法,因为它有助于参与者获得有意义的结果。理性治疗和存在分析(LTEA)以前被认为是TR的一种合适的存在方法。然而,这一命题在TR中没有得到广泛的研究;因此,LTEA并没有被广泛采用作为一种深入的实践方法。演绎内容分析(DCA)是一种被推荐用于在新的背景下测试理论结构的研究方法。对TR中最新的四本入门教材进行了DCA,以测试TR背景下LTEA的理论结构。教科书中与理论结构(生活意义的来源)相关的内容被提取出来,并形成类别和总体TR概念。基于这些发现,LTEA与TR一致,可能是一种合适的TR实践方法,有可能提高其治疗目的。本研究的结果提出了实践和进一步研究的建议。
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引用次数: 0
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Therapeutic Recreation Journal
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