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Understanding Pain in Individuals with Spinal Cord Injury: Implications for Recreational Therapy Practice 理解脊髓损伤个体的疼痛:娱乐治疗实践的意义
IF 0.6 Pub Date : 2023-05-09 DOI: 10.18666/trj-2023-v57-i2-11760
Melissa L. Zahl, J. Piatt, Christina Coleman
For individuals with spinal cord injury, pain is the leading secondary health condition. SCI-related pain is complicated because it is multifaceted in nature. Individuals with SCI-related pain may experience visceral, neuropathic, and musculoskeletal pain at different locations and with varying intensities at the same time or intermittently. In recent years, SCI scholars created a taxonomy to classify SCI-related pain. This classification was to communicate the complexity of SCI-related pain, as well as to help clinicians and individuals with SCI explain pain experiences. Because of the multifaceted nature of SCI-related pain, many individuals with SCI do not experience relief with conventional oral pharmacological options. The purpose of this manuscript is to describe pain and SCI-related pain and to provide implications for recreational therapy practice. Implications include the identification of potential reliable and valid pain measures for individuals with SCI and evidence-based interventions such as physical activity, complementary and alternative therapies, and multidisciplinary pain management techniques to manage SCI-related pain. Recommendations for research and practice note continuing needs to gather evidence on treatment time and recreational therapy interventions employed with SCI-related pain while developing and testing pain management protocols.
对于脊髓损伤的个体,疼痛是主要的次要健康状况。sci相关疼痛是复杂的,因为它本质上是多方面的。患有sci相关疼痛的个体可能同时或间歇性地在不同部位经历不同强度的内脏、神经性和肌肉骨骼疼痛。近年来,SCI学者创建了一个分类法对SCI相关疼痛进行分类。这种分类是为了传达脊髓损伤相关疼痛的复杂性,以及帮助临床医生和脊髓损伤患者解释疼痛经历。由于脊髓损伤相关疼痛的多面性,许多脊髓损伤患者不能通过传统的口服药物治疗来缓解疼痛。这篇文章的目的是描述疼痛和sci相关的疼痛,并为娱乐治疗实践提供启示。其意义包括为脊髓损伤患者确定潜在的可靠和有效的疼痛措施,以及以证据为基础的干预措施,如体育活动,补充和替代疗法,以及多学科疼痛管理技术来管理脊髓损伤相关疼痛。在制定和测试疼痛管理方案的同时,研究和实践建议继续需要收集治疗时间和娱乐疗法干预sci相关疼痛的证据。
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引用次数: 0
Recreational Therapists’ Perceptions of the COVID-19 Impact on Older Adult Clients and Professional Practice: A Two-Part Study 娱乐治疗师对COVID-19对老年成人客户和专业实践影响的看法:一项两部分研究
IF 0.6 Pub Date : 2023-03-02 DOI: 10.18666/trj-2023-v57-i1-11307
D. Devries, Betsy Kemeny
Recreational therapists in Michigan and Pennsylvania were interviewed on their perceptions of the impact of COVID-19 on practice with older adults, including changes to their roles and responsibilities as well as the impact on older adults. Social distancing requirements, limitations on visitors and restrictions on groups trans-formed programming and practice, as well as negatively impacted older adults living in a variety of residential and community-based settings. This qualitative study included 14 recreational therapists. Related to practice, identified themes included the impact on programming, changing roles and responsibilities, how recreational therapists coped with adversity, and their considerations for future practice. Regarding impact on older adults, the resulting themes noted: 1) lack of socialization, 2) emotional and behavioral responses, 3) physical decline, and 4) cognitive decline. The challenges of working with clients living with cognitive impairments and barriers for older adults living in the community are discussed.
密歇根州和宾夕法尼亚州的娱乐治疗师接受了采访,了解他们对COVID-19对老年人实践影响的看法,包括他们的角色和责任的变化以及对老年人的影响。保持社会距离的要求、对游客的限制和对团体的限制改变了规划和做法,并对生活在各种住宅和社区环境中的老年人产生了负面影响。本定性研究包括14名休闲治疗师。与实践相关,确定的主题包括对编程的影响,角色和责任的变化,娱乐治疗师如何应对逆境,以及他们对未来实践的考虑。关于对老年人的影响,得出的结论是:1)缺乏社会化,2)情绪和行为反应,3)身体衰退,4)认知能力下降。讨论了与生活在社区中的老年人的认知障碍和障碍的客户一起工作的挑战。
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引用次数: 0
A Need for Increased Awareness of Disability Models in Recreational Therapy Practice 需要在娱乐治疗实践中提高对残疾模式的认识
IF 0.6 Pub Date : 2023-03-02 DOI: 10.18666/trj-2023-v57-i1-11660
Shelly Beaver
Inherently embedded within the descriptions, models, and practices of the field of therapeutic recreation, dis-ability models conceptualize disability, guide therapeu-tic processes and service delivery, and influence client experiences and outcomes. Despite their significance, disability models have received limited attention by the field resulting in inconsistencies within the philosophi-cal underpinnings of the recreational therapy profession. The purpose of this article is to increase awareness of disability models and their implications for recreational therapy practice. A brief conceptual overview of three disability models, including the medical, social, and In-ternational Classification of Functioning, Disability, and Health (ICF) models, is provided, and the models’ cur-rent applications in the field of therapeutic recreation are explored. Utilizing a disability studies lens, a critique of the relationships between each disability model and the core concepts of recreational therapy practice is pre-sented. Commentary is provided to stimulate discussion regarding the need for philosophical consistency of dis-ability values across the profession.
残疾模型固有地嵌入了治疗娱乐领域的描述、模型和实践中,将残疾概念化,指导治疗过程和服务提供,并影响客户体验和结果。尽管残疾模型具有重要意义,但该领域对其关注有限,导致娱乐治疗专业的哲学基础不一致。本文的目的是提高对残疾模型的认识及其对娱乐治疗实践的影响。简要介绍了三种残疾模型的概念概述,包括医学、社会和国际功能、残疾和健康分类(ICF)模型,并探讨了这些模型在治疗性娱乐领域的当前应用。利用残疾研究的视角,对每种残疾模式与娱乐治疗实践的核心概念之间的关系进行了批判。提供评论是为了激发关于整个职业中disability价值观哲学一致性的必要性的讨论。
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引用次数: 0
A Logotherapy Meaning-Centered Approach to Therapeutic Recreation Rooted in Centripetal Leisure 基于向心休闲的以意义为中心的理性治疗方法
IF 0.6 Pub Date : 2023-03-02 DOI: 10.18666/trj-2023-v57-i1-11128
R. Dieser
This paper describes a logotherapy meaning-centered therapeutic recreation model based on Viktor Frankl’s will to meaning theory and his centrifugal and centrip-etal leisure dichotomy.This manuscript introduces a therapeutic recreation meaning-centered intervention grounded in existentialism and logotherapy, with its focus on human suffering-meaning potentials and self-transcendence. Therapeutic recreation application begins with an assessment focused on understanding the client’s values and meaning potentials then links leisure as a way to discover or experience meaning. Primary intervention strategies are search for meaning and Socratic and ma-ieutic dialog linked to leisure interest finders to help cli-ents experience centripetal leisure. The paper presents an intervention applying these strategies. A concluding sec-tion offers recommendations for education and research.
本文基于维克托·弗兰克尔的意义意志理论及其离心性和中心性的休闲二分法,提出了一种以意义为中心的语源治疗娱乐模式。本文介绍了一种基于存在主义和语源疗法的以治疗性娱乐意义为中心的干预,其重点是人类的痛苦意义潜力和自我超越。治疗性娱乐应用程序从专注于理解客户价值观和意义潜力的评估开始,然后将休闲作为发现或体验意义的一种方式联系起来。主要的干预策略是寻找意义,并与休闲兴趣发现者进行苏格拉底式和马式对话,以帮助学生体验向心休闲。本文介绍了应用这些策略的干预措施。结论部分为教育和研究提供了建议。
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引用次数: 0
The Role of Extraversion in the Effectiveness of Leisure Coping on Depressive Symptoms 外向性在休闲应对对抑郁症状有效性中的作用
IF 0.6 Pub Date : 2023-03-02 DOI: 10.18666/trj-2023-v57-i1-11706
S. Nagata, B. McCormick
Research suggests that leisure is as an effective coping strategy for depression. The foundational theory of lei-sure coping assumes that leisure coping can be benefi-cial in three ways: mood enhancement, diversion, and companionship. While theorists asserted that the above three strategies are universal, research suggests that the personality trait of extraversion is associated with leisure behavior and may affect the effectiveness of leisure cop-ing strategies. The current study aimed to examine the role of extraversion in the relationship between leisure coping and depressive symptoms. A total of 155 adults with depression (59 males and 96 females) were recruit-ed from four different depression-related venues and responded to an online survey. The results of multiple regression analyses found that extraversion did not affect the relationship of leisure palliative coping and mood en-hancement; however, it significantly moderated the rela-tionship between leisure companionship and depressive symptoms. While a significant negative association be-tween leisure companionship and depressive symptoms was found among extroverts, no significant relationship was observed among introverts. The results suggest that the personality trait of extraversion matters to leisure coping and should be considered to better facilitate rec-reational therapy interventions.
研究表明,休闲是应对抑郁症的有效策略。休闲应对的基本理论认为,休闲应对可以通过三种方式有益:情绪增强、消遣和陪伴。虽然理论家们断言以上三种策略是普遍的,但研究表明,外向型的人格特征与休闲行为有关,并可能影响休闲警察策略的有效性。本研究旨在探讨外向性在休闲应对与抑郁症状之间的关系中的作用。共有155名患有抑郁症的成年人(59名男性和96名女性)从四个不同的抑郁症相关场所被招募,并对一项在线调查做出回应。多元回归分析结果表明,外向性不影响休闲缓和应对与情绪增强的关系;然而,它显著缓和了休闲陪伴与抑郁症状之间的关系。虽然在外向者中发现休闲陪伴与抑郁症状之间存在显著的负相关,但在内向者中没有观察到显著的关系。研究结果表明,外向型人格特征对休闲应对很重要,应考虑外向型人格特质,以更好地促进康复治疗干预。
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引用次数: 0
Using Multisensory Interventions to Address Anxiety, Agitation, and Pain in Adults Receiving Treatment for a Substance Use Disorder 使用多传感器干预来解决接受药物使用障碍治疗的成年人的焦虑、激动和疼痛
IF 0.6 Pub Date : 2022-10-20 DOI: 10.18666/trj-2022-v56-i4-11579
Rhonda Nelson, E. Hummel
This study examined the impact of activity-based multisensory-interventions (MSI) provided in a multisensory environment (MSE) on anxiety, agitation, and pain in adults receiving residential treatment for substance use disorder (SUD). Participants (N = 35) were randomly assigned to two groups and all received four, 30- to 45-minute individualized recreational therapy (RT) sessions over the course of two weeks during their residential stay. The experimental group participated in MSI in a MSE. A comparison group participated in RT sessions using table games (TG). Targeted outcomes were assessed using standardized, self-report measures and physiological data. Pre-and post- session assessments revealed significant reduction in anxiety, agitation, and pain, for individuals in both groups. Between groups comparisons documented a significant main effect for treatment (MSI, TG) on anxiety (p <.001), agitation (p = .03), and pain (p = .05) measures with significantly greater symptom reduction for the MSI group. Individuals receiving MSI also presented with significantly reduced respiration rate following the intervention (p <.01). Heart rate changes were non-significant for both groups. A participant survey at the conclusion of sessions yielded feedback that all individuals who received the MSI (n = 18) reported these sessions were a valuable addition to their SUD treatment.
本研究考察了在多感觉环境(MSE)中提供的基于活动的多感觉干预(MSI)对接受药物使用障碍(SUD)住院治疗的成年人的焦虑、激动和疼痛的影响。参与者(N=35)被随机分为两组,在住院期间的两周内,所有人都接受了4次30至45分钟的个性化娱乐治疗(RT)。实验组在MSE中参与MSI。对照组使用桌上游戏(TG)参与RT会话。使用标准化、自我报告的测量和生理数据对目标结果进行评估。治疗前和治疗后的评估显示,两组患者的焦虑、烦躁和疼痛显著减轻。组间比较表明,治疗(MSI、TG)对焦虑(p<.001)、激动(p=.03)和疼痛(p=.05)指标有显著的主要影响,MSI组的症状明显减轻。接受MSI的个体在干预后呼吸频率也显著降低(p<0.01)。两组的心率变化均不显著。在疗程结束时进行的一项参与者调查得出的反馈是,所有接受MSI的个体(n=18)都报告说,这些疗程是他们SUD治疗的宝贵补充。
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引用次数: 0
Changes in Engagement for Adults with Dementia: Effects of an Intergenerational Program 成人痴呆患者参与的变化:代际项目的影响
IF 0.6 Pub Date : 2022-10-20 DOI: 10.18666/trj-2022-v56-i4-11536
Megan C. Janke, Alysha A. Walter
Finding ways to engage adults living with dementia in meaningful and social activities as well as elicit positive emotions and behaviors is important. Intergenerational programs (IGPs) involving young children have been shown to benefit the physical, emotional, and social health of older adults, including those living with dementia, and are often positively received by this population. This study examined how involvement in an IGP was associated with the way that individuals living with dementia engaged and the behaviors that they exhibited during the activities. Fourteen older adults living in a shared-site long term care facility participated in an onsite IGP. Their interactions were recorded over a five-day period immediately prior to the children’s arrival and throughout the duration of the program; adults’ engagement and behaviors were coded using the Menorah Park Engagement Scale (MPES). Findings indicated that there were significant changes in engagement type and the behaviors exhibited by these adults during the IGPs. Constructive engagement significantly increased while non-engagement and other engagement were significantly reduced when the children were present. Greater displays of pleasure and helping behaviors were also exhibited during the IGPs. These findings have implications for recreational therapy practice in long-term care settings and support the use of IGPs with adults living with dementia as a nonpharmacological intervention to improve social engagement in this population.
找到方法让患有痴呆症的成年人参与有意义的社会活动,并引发积极的情绪和行为,这一点很重要。涉及幼儿的代际项目(IGPs)已被证明有益于老年人(包括那些患有痴呆症的老年人)的身体、情感和社会健康,并经常受到这一人群的积极欢迎。这项研究调查了参与IGP与痴呆症患者参与活动的方式和他们在活动中表现出的行为之间的关系。住在共享地点长期护理机构的14名老年人参加了现场IGP。在孩子们到来之前和整个项目期间,他们的互动被记录了五天;使用Menorah公园参与量表(MPES)对成年人的参与和行为进行编码。研究结果表明,在IGPs期间,这些成年人的参与类型和行为表现发生了显著变化。当孩子在场时,建设性参与显著增加,而非参与和其他参与显著减少。在igp期间,他们也表现出了更多的快乐和帮助行为。这些发现对长期护理环境中的娱乐治疗实践具有启示意义,并支持将IGPs作为一种非药物干预手段用于成年痴呆患者,以改善该人群的社会参与。
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引用次数: 0
Recreational Therapy Modalities for Treating Survivors of Intimate Partner Violence: A Scoping Review 娱乐治疗方式治疗亲密伴侣暴力幸存者:范围审查
IF 0.6 Pub Date : 2022-10-20 DOI: 10.18666/trj-2022-v56-i4-11591
Em V. Adams, Wilmayra Hernández, Nadja Gonzales
The purpose of this scoping review was to examine the extant research on modalities that fall within the recreational therapy scope of practice. A systematic search of the literature was conducted following the PRISMA-ScR guidelines for scoping reviews. The original database search yielded 706 studies (with duplicates removed) and 22 studies were included in the final review. The scoping review included peer-reviewed intervention studies for survivors of intimate partner violence (IPV), with the purpose of addressing the following research questions: RQ1: What recreational therapy modalities have been used and researched for treating survivors of IPV? RQ2: What are the primary health outcomes measured for of recreational therapy modalities for survivors of IPV? RQ3: What are the biggest gaps within the research? Types of modalities used included mind-body interventions, creative expression, and physically active leisure. Outcomes measured were primarily depression, anxiety, and post-traumatic stress disorder symptoms. Future research directions include the need for interventions to be evaluated when run specifically in the recreational therapy context, the need for evaluation of current practices with intimate partner violence and trauma-informed care, and the need for more diverse sampling to establish culturally affirming interventions for people who identify as LGBTQIA+ or racial/ethnic minorities.
这个范围审查的目的是检查在娱乐治疗实践范围内的模式的现有研究。按照PRISMA-ScR范围评价指南对文献进行系统检索。原始数据库检索产生706项研究(删除重复项),最终综述中纳入了22项研究。范围审查包括对亲密伴侣暴力(IPV)幸存者的同行评议干预研究,目的是解决以下研究问题:RQ1:在治疗IPV幸存者方面已经使用和研究了哪些娱乐治疗方式?RQ2:对IPV幸存者来说,娱乐治疗方式的主要健康结果是什么?RQ3:研究中最大的空白是什么?使用的模式类型包括身心干预、创造性表达和体力活动休闲。测量的结果主要是抑郁、焦虑和创伤后应激障碍症状。未来的研究方向包括需要在娱乐治疗背景下评估干预措施,需要评估亲密伴侣暴力和创伤知情护理的当前做法,以及需要更多样化的抽样来建立对LGBTQIA+或种族/少数民族人群的文化肯定干预措施。
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引用次数: 0
Factors Affecting CTRSs' Motivation to Join Professional Organizations in Recreational Therapy 影响CTRS加入娱乐治疗专业组织动机的因素
IF 0.6 Pub Date : 2022-10-20 DOI: 10.18666/trj-2022-v56-i4-11534
L. Bedini, Ms. Kimberly D. Miller, Ms. Kaitlyn N. Powalie, Jeffery Labban, Lauren Paynter
A strong professional organization has been associated with credibility and vitality of a profession. The field of recreational therapy (RT), however, has historically demonstrated poor membership on both national and state/regional levels. The purpose of this study was to examine what CTRSs identify as benefits as well as real/perceived barriers to membership in professional RT organizations and examine the relationship between membership status and professional commitment. A 43-item Qualtrics electronic questionnaire addressing benefits and barriers of membership, professional commitment, and demographics was sent to active CTRSs. Statistical analysis found that just over half of the 2003 respondents were members of either national and/or state/regional organizations. Differences existed regarding benefits of membership where members perceived more professional benefits and non-members perceived more personal benefits. Barriers were primarily financial and “cost-benefit” concerns. In addition, professional commitment was higher among members. Many recommendations exist for practice, education, and research.
一个强大的专业组织与一个专业的信誉和活力联系在一起。然而,从历史上看,娱乐治疗领域在国家和州/地区层面的会员人数都很低。本研究的目的是检验CTRS确定的专业RT组织会员资格的好处以及实际/感知障碍,并检验会员资格与专业承诺之间的关系。向活跃的CTRS发送了一份43项Qualtrics电子问卷,内容涉及会员资格、专业承诺和人口统计的好处和障碍。统计分析发现,在2003年的答复者中,有一半以上是国家和/或州/区域组织的成员。在成员的利益方面存在差异,其中成员感知到更多的专业利益,而非成员感知到更大的个人利益。障碍主要是财务和“成本效益”问题。此外,成员的专业承诺更高。有许多关于实践、教育和研究的建议。
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引用次数: 0
The Potential Use of HeartMath®’s emWave Technology to Establish Evidence-Based Therapeutic Recreation Practice to Produce Physiological and Psychological Outcomes: A Systematic Literature Review HeartMath®的emWave技术在建立基于证据的治疗性娱乐实践中产生生理和心理结果的潜在用途:系统的文献综述
IF 0.6 Pub Date : 2022-10-20 DOI: 10.18666/trj-2022-v56-i4-10997
Lindsey Ryan Oakes
With the capability of evidence-based therapeutic recreation interventions to produce meaningful emotional/behavioral and cognitive health outcomes, it would be valuable to establish use of HeartMath®’s emWave device as an evidence-based practice to potentially benefit individuals with various disabilities and/or diagnoses. This systematic literature review explores evidence-based practices in various fields that involve use of HeartMath®’s emWave device with individuals with and without disabilities or diagnosed health-related issues to produce and measure psychological and/or physiological change. Twenty-one databases were searched in October 2020, and 13 articles were selected for final review. Specific topics were revealed: use of HeartMath®’s emWave device, suitability and accessibility, need for standardized treatment approach, and need for formal evaluation of participant experiences. Results revealed a variety of implications and future recommendations that support future research to test the use of HeartMath®’s emWave device with individuals with various disabilities and/or diagnoses and establish evidence-based therapeutic recreation practice.
有了循证治疗性娱乐干预的能力,可以产生有意义的情绪/行为和认知健康结果,将HeartMath®的emWave设备作为一种循证实践,有可能使各种残疾和/或诊断的个人受益,这将是非常有价值的。这篇系统的文献综述探讨了各个领域的循证实践,包括对有或没有残疾或诊断出健康相关问题的个人使用HeartMath®的emWave设备,以产生和测量心理和/或生理变化。2020年10月,共检索了21个数据库,并选择了13篇文章进行最终审查。具体主题包括:HeartMath®emWave设备的使用、适用性和可及性、标准化治疗方法的必要性以及对参与者体验进行正式评估的必要性。研究结果揭示了各种影响和未来的建议,这些影响和建议支持未来的研究,以测试HeartMath®的emWave设备对各种残疾和/或诊断的个人的使用,并建立基于证据的治疗娱乐实践。
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引用次数: 0
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Therapeutic Recreation Journal
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