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Impact of a Pilot Adaptive Sports Intervention on Residents at a Skilled Nursing Facility 试点适应性运动干预对熟练护理机构住院患者的影响
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9755
L. Bedini, L. Kelly, K. McKenzie, K. Mitchell
The purpose of this pilot study was to measure the im-pact of an adaptive sports intervention on several out-comes including the components of self-determination (i.e., autonomy, competence, relatedness), loneliness, and mobility for residents of a skilled nursing facility (SNFs). This study employed a physician-prescribed, 4-week adaptive sports intervention specifically adapted for the residents of a SNF. The program was administered by Certified Therapeutic Recreation Specialists® (CTRS), and facilitated six participants in weekly practice (basket-ball, baseball, golf, shuffleboard) and competition against residents in other local facilities. This mixed-methods study employed pre-test/post-test outcome evaluation using the UCLA Loneliness Scale, Basic Psychological Needs Satisfaction Scale (BPNSS) (competence, autono-my, relatedness), Timed Up and Go Test, as well as struc-tured qualitative interviews. Results of this study showed improvements for all participants across most or all cog-nitive, physical, emotional, and/or social domains and all measures showed positive movement. Results also sug-gested improvements in identity, belonging, importance, and the potential for transfer of these benefits to greater social engagement, lower fall risk, and decreased depression. Practical recommenda-tions are provided. In addition, replication and expansion of this design is warranted. Subscribe to TRJ
这项试点研究的目的是衡量适应性体育干预对一些产出的影响,包括自主性(即自主性、能力、相关性)、孤独感和熟练护理机构(SNF)居民的流动性。这项研究采用了一种医生处方的、为期4周的适应性运动干预,专门针对SNF的居民。该项目由认证治疗娱乐专家®(CTRS)管理,并为六名参与者提供了每周练习(篮球、棒球、高尔夫、洗牌)和与当地其他设施的居民比赛的便利。这项混合方法研究采用了测试前/测试后的结果评估,使用了加州大学洛杉矶分校孤独感量表、基本心理需求满意度量表(BPNSS)(能力、自主性、关联性)、Timed Up and Go test,以及结构化的质性访谈。这项研究的结果显示,所有参与者在大多数或所有认知、身体、情感和/或社交领域都有所改善,所有指标都显示出积极的运动。研究结果还表明,身份、归属感、重要性以及将这些好处转化为更大的社会参与、更低的跌倒风险和减少抑郁的潜力都有所改善。提供了实用的建议。此外,这种设计的复制和扩展是有保证的。订阅TRJ
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引用次数: 2
The Effects of Therapeutic Horseback Riding on Balance 治疗性骑马对平衡的影响
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/TRJ-2019-V53-I4-9773
S. K. Anderson
The purpose of this study was to determine the effects of therapeutic horseback riding (THR) as an interven-tion to improve the balance of 30 individuals who par-ticipated in a Professional Association of Therapeutic Horsemanship International (PATH INTL) therapeutic riding member program. The study lasted 10 weeks, with each participant receiving the intervention once a week for thirty minutes. The therapeutic riding program in-cluded several standard components in each session to challenge the balance of riders with disabilities. A quasi-experimental one-group pre-test-post-test design was used to examine the effects of THR for a single session, short-term 10-week period, and sustained effects after the program ended. The Multi-Directional Reach Test (MDRT; Newton, 2001) was used to quantify balance during the study. Paired t -tests were conducted to exam-ine a relationship between THR and balance outcomes. Recreational therapy applications and research implica-tions are also discussed. Subscribe to TRJ
本研究的目的是确定治疗性骑马(THR)作为一种干预措施的效果,以改善国际治疗性马术专业协会(PATH INTL)治疗性骑马会员计划中30名参与者的平衡。该研究持续了10周,每个参与者每周接受一次干预,持续30分钟。治疗性骑行项目在每节课中都包含了几个标准组成部分,以挑战残疾骑手的平衡。使用准实验性的一组测试前-测试后设计来检查THR在单次治疗、短期10周期间的效果以及项目结束后的持续效果。多向伸展试验(MDRT;Newton,2001)用于量化研究期间的平衡。配对t检验是为了检验THR和平衡结果之间的关系。文中还讨论了娱乐疗法的应用和研究意义。订阅TRJ
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引用次数: 7
Understanding Administrators’ Perceptions of Recreational Therapy in Long-Term Care 了解管理人员对长期护理中娱乐治疗的看法
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9754
Tarah Loy, Brent L. Hawkins, Jasmine A. Townsend
Although research continues to suggest that recreational therapy benefits elderly residents in long-term care (Buettner & Fitzsimmons, 2011; Fitzsimmons, Sardina, & Buettner, 2014; Kolanowski, Fick, Frazer, & Penrod, 2010; Seitz et al., 2012), administrators often remain unfamiliar with the profession and the abilities of the Certified Therapeutic Recreation Specialist (CTRS) (Bedini & White, 2018; Harkins & Bedini, 2013). Through the use of semi-structured interviews, this qualitative study sought New England administrators’ perceptions of recreational therapy in the long-term care (LTC) industry. Thematic analysis of the data indicated three overarching themes: financial support, facility culture, and knowledge of recreational therapy. These three themes are suggested to influence administrators’ decisions to utilize recreational therapy (RT) in their facilities. Recommendations for the profession include administrator education on the benefits of recreational therapy; continuing with evidence-based research to advocate for the Centers for Medicare and Medicaid Services (CMS) coverage; and creating a facility culture through family, resident, and staff education where RT is considered a necessity in LTC. Subscribe to TRJ
尽管研究继续表明娱乐疗法对长期护理的老年人有益(Buettner & Fitzsimmons, 2011;Fitzsimmons, Sardina, & Buettner, 2014;Kolanowski, Fick, Frazer, & Penrod, 2010;Seitz等人,2012),管理人员往往不熟悉注册治疗娱乐专家(CTRS)的职业和能力(Bedini & White, 2018;Harkins & Bedini, 2013)。通过使用半结构化访谈,本定性研究寻求新英格兰管理人员对长期护理(LTC)行业休闲治疗的看法。数据的专题分析表明了三个主要主题:财政支持、设施文化和娱乐治疗知识。建议这三个主题影响管理者在其设施中使用娱乐治疗(RT)的决定。对专业人员的建议包括:对管理人员进行娱乐性治疗益处的教育;继续进行循证研究,倡导医疗保险和医疗补助服务中心(CMS)的覆盖;通过家庭、居民和员工教育创造一种设施文化,在LTC中,RT被认为是必要的。订阅TRJ
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引用次数: 1
Yoga as a Community-Based Recreational Therapy Intervention for Older Adults: A Pilot Study 瑜伽作为老年人社区娱乐疗法干预:一项试点研究
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9728
Em V. Adams, B. Crowe, M. V. Puymbroeck, Claire K. Allison, A. Schmid
The purpose of this multi-method pilot study was to ex-plore the efficacy of a yoga intervention on the leisure constraints and functional fitness of community-dwell-ing older adults. Seven community-dwelling older adults engaged in 16, 60-minute sessions of hatha yoga con-ducted twice a week for eight weeks at a local continuing education center. Individuals enrolled in either a seated yoga class ( n =4) or a standing yoga class ( n =3). Pre-/ post-measures included physical measures and a sur-vey of leisure constraints. A focus group was conducted with each group to determine their perspectives of par-ticipation. Results indicated significant improvement in lower-body strength and endurance. Balance, upper and lower body flexibility, upper-body strength, and self-re-ported leisure constraints did not show significant im-provements. Qualitative data showed that participants perceived psychosocial and physical benefits to yoga participation including increased energy and motivation to engage in other types of physical activities. Findings indicate the potential for the use of yoga to increase participation in other forms of leisure-time physical activity, but further evaluation of the influence of yoga on leisure constraints is warranted. Implications for recreational therapists are discussed, includ-ing helping clients identify community yoga classes that will best meet their needs based on class size, accessibility, and pace. Subscribe to TRJ
本研究的目的是探讨瑜伽干预对社区老年人休闲约束和功能健康的影响。七名居住在社区的老年人在当地的继续教育中心进行了为期八周的哈他瑜伽训练,每周两次,每次16次,每次60分钟。参加坐姿瑜伽课程(n =4)或站立瑜伽课程(n =3)的个体。前/后措施包括物理测量和休闲限制调查。每个小组都进行了焦点小组讨论,以确定他们的参与观点。结果显示下半身力量和耐力有明显改善。平衡、上半身和下半身柔韧性、上半身力量和自我报告的休闲约束没有显著的改善。定性数据显示,参与者认为参加瑜伽对心理社会和身体都有好处,包括增加精力和参与其他类型体育活动的动力。研究结果表明,瑜伽的使用有可能增加其他形式的休闲时间体育活动的参与,但需要进一步评估瑜伽对休闲限制的影响。讨论了对休闲治疗师的影响,包括帮助客户根据班级规模、可达性和速度确定最能满足他们需求的社区瑜伽课程。订阅TRJ
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引用次数: 4
The Feasibility of Collecting Salivary Cortisol for a Collaborative University- Public School Recreational Therapy Program 收集唾液皮质醇用于大学-公立学校合作娱乐治疗项目的可行性
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9750
Kirstin L. Whitley, S. Lynch, C. L. Franssen, Lindsey S. Sparrock
The purpose of this study was to determine whether sali-vary cortisol sampling would be a feasible effectiveness outcome measure for a community-based RT program serving children with disabilities. The program utilized in this study provides weekly RT interventions in three 10-week cycles over an 18-month period for 62 children aged 3-21 enrolled in a local public school special edu-cation program. Salivary cortisol sampling, a biomarker for stress response, was collected via bioswab pre/post-intervention on weeks 1, 6, and 10 of each cycle. In or-der to determine feasibility, the collection rate, measur-ability, and comparability of saliva samples were tracked over the study period. The first goal of collecting 75% of the possible cryovials was not met due to an actual col-lection rate of 56%. Participant absence was found to be responsible for 62% of the uncollected cryovials. How-ever, of those collected, 95% were measurable and 77% were comparable, which met the second prediction of achieving measurable samples as a rate of 50% or bet-ter. Researchers deemed cortisol sampling as feasible as correcting collection errors, which caused 17% loss of the overall possible sample, will allow for an adequate sample size for statistical analysis in future studies. Subscribe to TRJ
本研究的目的是确定唾液皮质醇取样是否会成为社区为残疾儿童服务的RT项目的可行有效的结果测量。本研究中使用的项目在18个月的时间里,为62名3-21岁的当地公立学校特殊教育项目的儿童提供每周10周的RT干预。在每个周期的第1周、第6周和第10周,通过生物拭子收集干预前/后的唾液皮质醇样本(应激反应的生物标志物)。为了确定可行性,在研究期间对唾液样本的收集率、可测量性和可比性进行了跟踪。第一个目标是收集75%的可能的低温瓶,由于实际收集率为56%,因此没有达到目标。参与者的缺席导致62%的低温瓶未收集。然而,在收集到的样本中,95%是可测量的,77%是可比较的,这符合第二个预测,即获得可测量样本的比率为50%或更高。研究人员认为,皮质醇采样与纠正收集错误一样可行,收集错误导致了17%的可能样本损失,这将为未来研究的统计分析提供足够的样本量。订阅TRJ
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引用次数: 0
RT Belongs in Hospitals—A Response to Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital RT属于医院——现代医疗环境中对Haun生态思想的回应——以Mayo诊所、爱荷华大学医院和诊所/Stead家庭儿童医院为例
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-10194
Jo-Ellen Ross, Carol Graziano
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引用次数: 0
RT: Harnessing the Environment—A Response to Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital RT:利用环境——对现代医疗环境中霍恩生态思想的回应:以梅奥诊所、爱荷华大学医院和诊所/斯特德家庭儿童医院为例
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-10193
Gretchen Snethen, J. Mitchell
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引用次数: 0
Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital 豪恩在现代医疗环境中的生态思想:以梅奥诊所和爱荷华大学医院和诊所/斯特德家庭儿童医院为例
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9703
R. Dieser, K. Mobily
The academic labor of Paul Haun, who wrote about recreation in hospital settings in the 1950s and 1960s, has consistently engaged the profession of therapeutic recreation. The purpose of this article is to present Haun’s practical application of recreation in modern hospital settings through two case examples: Mayo Clinic and the University of Iowa Hospital and Clinics/Stead Family Children’s Hospital. In keeping with Haun’s ecological ideology of recreation in hospital settings, this paper underscores that (1) a parks and recreation framework is valued and beneficial in hospital settings, and (2) therapeutic recreation professionals should focus services on basic leisure programming, while simultaneously providing specific therapy-oriented services. Practical implications include helping therapeutic recreation professionals see the value of a parks and recreation framework, rooted in leisure programming, in hospital settings and to be present and involved in such leisure programming approaches in hospital settings, which are often led by non-therapeutic recreation professionals. Subscribe to TRJ
Paul Haun在20世纪50年代和60年代写过关于医院娱乐的文章,他的学术工作一直致力于治疗性娱乐。本文的目的是通过两个案例介绍Haun在现代医院环境中娱乐的实际应用:Mayo诊所和爱荷华大学医院以及Clinics/Stead Family儿童医院。根据Haun关于医院环境中娱乐的生态思想,本文强调:(1)公园和娱乐框架在医院环境中是有价值和有益的;(2)治疗性娱乐专业人员应将服务重点放在基本的休闲规划上,同时提供特定的治疗导向服务。实际意义包括帮助治疗性娱乐专业人员在医院环境中看到公园和娱乐框架的价值,该框架植根于休闲规划,并在医院环境下参与此类休闲规划方法,而这些方法通常由非治疗性娱乐专业人员领导。订阅TRJ
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引用次数: 2
Research in Recreational Therapy Practice: Findings and Lessons Learned from a Study of a Multisensory Environment for Adults with Autism Spectrum Disorder 娱乐治疗实践研究:成人自闭症谱系障碍多感觉环境研究的发现和经验教训
IF 0.6 Pub Date : 2019-10-29 DOI: 10.18666/trj-2018-v53-i4-9744
Samantha Bova Toms, Megan C. Janke, D. Loy, C. E. Watts
Little research has been conducted in practical settings by recreational therapists (RTs) to enhance evidence-based research in the field. There are many reasons for this, but one of these is the challenge of conducting research in a real-world, clinical setting. This study used a single subject research design to examine the effectiveness of using multisensory environments (MSE) to decrease repetitive behaviors in adults with autism spectrum disorder (ASD). The study included three adults diagnosed with an intellectual disability and ASD who demonstrate repetitive patterns of behavior. The outcomes of this study are presented, and the challenges and benefits of applied research in RT practice are discussed to provide “lessons learned” and guidance to other RT practitioners considering practice-based research studies. Subscribe to TRJ
娱乐治疗师(RT)在实践环境中进行的研究很少,以加强该领域的循证研究。原因有很多,但其中之一是在现实世界的临床环境中进行研究的挑战。这项研究使用了一个单一主题的研究设计来检验使用多感官环境(MSE)减少自闭症谱系障碍(ASD)成年人重复行为的有效性。这项研究包括三名被诊断为智力残疾和自闭症谱系障碍的成年人,他们表现出重复的行为模式。介绍了这项研究的结果,并讨论了RT实践中应用研究的挑战和好处,为其他考虑基于实践的研究的RT从业者提供“经验教训”和指导。订阅TRJ
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引用次数: 0
The Applicability of Therapeutic Recreation to Post-Disaster Lives: The Leisure and Well-Being Model Perspective 治疗性娱乐对灾后生活的适用性:休闲与幸福模型视角
IF 0.6 Pub Date : 2019-08-13 DOI: 10.18666/trj-2019-v53-i3-9664
Shintaro Kono, S. Burton
Disasters cause myriad physical, psychological, and social problems among survivors around the world. Although therapeutic recreation (TR) is theoretically important for survivors, few have supported this by using empirical data. This study examines the applicability of one of the leading TR models, the leisure and well-being model (LWM), to post-disaster life contexts. To this end, we re-analyzed qualitative, interview data from nine Japanese/Japanese American Katrina survivors living in New Orleans and 16 Japanese survivors of the Great East Japan Earthquake and Tsunami. Our findings based on thematic analysis suggested that each of the five leisure enhancement mechanisms specified in the LWM—savoring, gratification, authenticity, mindfulness, and virtuousness— were pertinent to survivors’ post-disaster experiences. Our results also show specific conditions under which these mechanisms can be particularly therapeutic. However, we also found parts of the model do not fit potentially due to cultural differences. Both theoretical and practical implications are discussed. Subscribe to TRJ
灾难给世界各地的幸存者带来了无数的身体、心理和社会问题。尽管治疗性娱乐(TR)在理论上对幸存者很重要,但很少有人通过使用经验数据来支持这一点。这项研究考察了一种领先的TR模型,休闲和幸福模型(LWM),在灾后生活环境中的适用性。为此,我们重新分析了居住在新奥尔良的9名日本/日裔美国人卡特里娜飓风幸存者和16名东日本大地震和海啸的日本幸存者的定性采访数据。我们基于主题分析的发现表明,LWM中规定的五种休闲增强机制——品味、满足、真实、正念和美德——都与幸存者的灾后经历有关。我们的研究结果还表明,在特定的条件下,这些机制可以特别具有治疗作用。然而,我们也发现,由于文化差异,模型的某些部分可能不适合。讨论了理论意义和实践意义。订阅TRJ
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引用次数: 1
期刊
Therapeutic Recreation Journal
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