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Exploring the Effects of Swimming on Sleep Behaviors of Children with Autism Spectrum Disorder Using Single-Subject Design 运用单项设计探究游泳对自闭症谱系障碍儿童睡眠行为的影响
IF 0.6 Pub Date : 2022-10-20 DOI: 10.18666/trj-2022-v56-i4-11554
L. Mische Lawson, Natalie Kivlin
Evidence suggests physical activity (PA) improves sleep of typical children but benefits for children with autism spectrum disorders (ASD) are not established. We examined the effects of PA, particularly swimming, on the sleep behaviors of three children with ASD using objective and parent-report measures. Children participated in eight weeks of a specialized swim program. Parents completed sleep and behavior measures at the beginning and end of the eight-week program. Parents also completed a sleep log for one week while their child slept on a sleep sensor. Results showed variable response to the Sensory Enhanced Aquatics intervention. One child’s sleep and behavior were stable and/or improved, one child’s outcomes were variable, and one child’s sleep worsened. The sleep sensor revealed children fell asleep more quickly after swimming, but increased times out of bed for one child. Recreational therapists should use caution when recommending physical activity to improve sleep with this population and carefully monitor outcomes.
有证据表明,体育活动(PA)可以改善典型儿童的睡眠,但对自闭症谱系障碍(ASD)儿童的益处尚未确定。我们使用客观和家长报告测量方法,研究了PA,特别是游泳,对三名ASD儿童睡眠行为的影响。孩子们参加了为期八周的专门游泳项目。家长们在八周计划的开始和结束时完成了睡眠和行为测量。当孩子睡在睡眠传感器上时,家长们还完成了一周的睡眠日志。结果显示,对感觉增强型水上运动干预的反应各不相同。一个孩子的睡眠和行为稳定和/或改善,一个孩子结果不稳定,一个儿童睡眠恶化。睡眠传感器显示,孩子们在游泳后入睡更快,但其中一个孩子的起床时间增加了。娱乐治疗师在建议进行体育活动以改善这一人群的睡眠时应谨慎,并仔细监测结果。
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引用次数: 0
Virtual Reality among Individuals with Intellectual and/or Developmental Disabilities: A Systematic Literature Review 虚拟现实在智力和/或发育障碍个体中的应用:系统文献综述
IF 0.6 Pub Date : 2022-08-21 DOI: 10.18666/trj-2022-v56-i3-11184
Lindsey Ryan Oakes
With the capability of virtual reality (VR) interventions outside the field of therapeutic recreation to produce meaningful outcomes in various domains for individuals with varying disabilities, it would be valuable to establish VR as an evidence-based therapeutic recreation practice that could greatly benefit individuals with intellectual and/or developmental disabilities (IDD). This systematic literature review explores VR evidence-based practices with individuals with IDD in various fields. Twenty-two databases were searched in October 2020, and 32 articles were reviewed. Thematic topics included: VR increases skills; VR motivates; VR to support traditional services; most effective types of VR; suitability and accessibility of VR; complimentary support for VR implementation and successful engagement; VR challenges, lessons learned, and needed improvements; and full potential of VR not yet realized. Results revealed a variety of implications and future recommendations that support future research to test VR with individuals with IDD and establish evidence-based therapeutic recreation practice.
随着虚拟现实(VR)干预在治疗性娱乐领域之外的能力,为不同残疾的个体在各个领域产生有意义的结果,将VR建立为一种基于证据的治疗性娱乐实践将是有价值的,它可以极大地造福于智力和/或发育性残疾(IDD)的个体。本系统文献综述探讨了不同领域IDD患者的VR循证实践。2020年10月检索了22个数据库,审阅了32篇文章。主题包括:VR提高技能;虚拟现实的动机;虚拟现实技术支持传统服务;最有效的虚拟现实类型;虚拟现实的适宜性和可及性;免费支持虚拟现实的实施和成功参与;VR的挑战、经验教训和需要改进的地方;VR的全部潜力尚未实现。结果揭示了各种含义和未来的建议,支持未来研究在IDD患者中测试VR并建立基于证据的治疗性娱乐实践。
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引用次数: 1
Summary of NCTRC Response to COVID-19 Related to Certification Standards, Interpretive Guidelines, and Financial Assistance Programs 与认证标准、解释性指南和财政援助计划相关的NCTRC应对新冠肺炎的总结
IF 0.6 Pub Date : 2022-08-21 DOI: 10.18666/trj-2022-v56-i3-11729
A. Richard
To provide a measured, data-driven response to the changes COVID-19 brought about that also reflects the organizational mission of protecting the public, NCTRC used feedback and guidance from the profession, legal counsel, and accreditation bodies within the credentialing industry to increase access to certification and support for applicants and certificants. The NCTRC financial assistance programs were heavily promoted, and changes were made to certification standards and interpretive guidelines related to internships, access to the CTRS exam, and options to regain certification for those outside the re-entry period.
为了对新冠肺炎带来的变化做出有测量、数据驱动的回应,同时也反映了保护公众的组织使命,NCTRC利用了认证行业内专业人士、法律顾问和认证机构的反馈和指导,增加了申请人和认证人获得认证和支持的机会。NCTRC的财政援助计划得到了大力推广,并对与实习、参加CTRS考试以及重新获得认证的选项有关的认证标准和解释性指南进行了修改。
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引用次数: 0
Perceived Competence in NCTRC Job Domains among Therapeutic Recreation Interns during COVID-19 新冠肺炎期间治疗性娱乐实习生NCTRC工作领域能力感知
IF 0.6 Pub Date : 2022-08-21 DOI: 10.18666/trj-2022-v56-i3-11348
Heather K Bright, L. Cripps, Brent L. Hawkins, S. Moore, Laura McLachlin, A. Sullivan, Susan Purrington
The COVID-19 pandemic caused many internships during the January 2020 semester to be shift ed to a virtual/remote format. Due to the unprecedented nature of this forced shift , there was minimal consistency in how virtual/remote internships were conducted. Using a cross-sectional design, this study aimed to summarize the experiences of RT/TR interns during the COVID-19 outbreak and assess their perceived competency in the NCTRC Job Task domains. A quantitative survey was developed for interns to self-assess their perceived competence in the ten domains. Interns reported being concerned about finishing their internship and graduating yet were satisfied with the amount of support received from their site and faculty supervisors. Interns perceived their highest competency in the areas of professional relationships and awareness and advocacy. Concerns are discussed regarding the inconsistent nature of remote internships during COVID-19, as well as implications for the profession and suggestions for future research in this area.
新冠肺炎疫情导致2020年1月学期的许多实习转变为虚拟/远程形式。由于这种被迫转变的前所未有的性质,虚拟/远程实习的方式几乎没有一致性。本研究采用横断面设计,旨在总结RT/TR实习生在新冠肺炎爆发期间的经验,并评估他们在NCTRC工作任务领域的感知能力。为实习生制定了一项定量调查,以自我评估他们在十个领域的感知能力。实习生们表示,他们对完成实习和毕业感到担忧,但对网站和教员主管提供的大量支持感到满意。实习生认为他们在职业关系、意识和宣传领域的最高能力。讨论了新冠肺炎期间远程实习的不一致性质,以及对该行业的影响和对该领域未来研究的建议。
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引用次数: 0
Stuck Inside: Impact of COVID-19 Countermeasures on Individuals with Intellectual and Developmental Disabilities and Role of Recreation Therapy Interventions—Call to Action 陷入困境:新冠肺炎应对措施对智力和发育障碍患者的影响以及娱乐治疗干预措施的作用-行动呼吁
IF 0.6 Pub Date : 2022-08-21 DOI: 10.18666/trj-2022-v56-i3-11000
Ivanka Simić Stanojević, Jonathan Gerth, J. Piatt
The COVID-19 pandemic is having an immense worldwide impact on everyday activities, including social contact, especially for individuals with intellectual and developmental disabilities (IDD). Individuals with IDD are challenged because of their preexisting vulnerability to issues associated with loneliness that may increase with COVID-19 countermeasures. The purpose of this paper is to (1) briefly review COVID-19 effects on loneliness of individuals with IDD, (2) identify promising in-person and telehealth RT interventions, and (3) suggest the need for recreational therapy evidence-based research and discussion to address COVID-19 consequences experienced by individuals with IDD.
新冠肺炎大流行对日常活动,包括社交接触,尤其是对智力和发育障碍(IDD)患者的日常活动,产生了巨大的全球影响。IDD患者面临挑战,因为他们之前就容易受到与孤独相关的问题的影响,而这些问题可能会随着新冠肺炎应对措施的增加而增加。本文的目的是(1)简要回顾新冠肺炎对IDD患者孤独感的影响,(2)确定有前景的住院和远程健康RT干预措施,以及(3)提出娱乐疗法循证研究和讨论的必要性,以解决IDD患者所经历的新冠肺炎后果。
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引用次数: 1
Examining Therapeutic Recreation Service Delivery for Adults with Intellectual and/or Developmental Disabilities in Community-Based Settings 在社区为智力和/或发育障碍的成人提供治疗性娱乐服务
IF 0.6 Pub Date : 2022-08-21 DOI: 10.18666/trj-2022-v56-i3-11405
Lindsey Ryan Oakes, Christel F. Massaad
With there being a nine-and-a-half percent increase in prevalence of intellectual and/or developmental disabilities (IDD) among children in the U.S. over nine years (i.e., 2009-2017; Zablotsky et al., 2019), the number of adults with IDD in our communities is growing and there is great potential for CTRS to produce multi-level and influential opportunities, outcomes, and benefits for adults with IDD through therapeutic recreation (TR) services in community-based settings. However, community-based settings is not a well-represented employment setting among CTRSs in the U.S. This mixed methods study aimed to identify best practices, barriers, and facilitators CTRSs experience when providing TR services to adults with IDD in community-based settings, as well as to examine how COVID has impacted TR service delivery and ideas for future provision of virtual TR services among these CTRSs. A total of 278 CTRSs across the country who work with adults with IDD in community-based settings completed a Qualtrics survey and 15 of these CTRS completed a follow-up, individual interview. Integrated data analysis revealed widespread impacts of COVID, lack of use of evidence-based practice, lack of involvement in evidence-based practice research, and need for standardized assessment and use of evidence-based practice to increase billing for TR services. Important implications for TR service delivery among adults with IDD in community-based settings were revealed, as well as directions for future research.
美国儿童智力和/或发育障碍(IDD)患病率在9年内(即2009-2017年)上升了9.5%;Zablotsky等人,2019),我们社区中患有IDD的成年人数量正在增长,通过社区环境中的治疗性娱乐(TR)服务,CTRS有很大的潜力为患有IDD的成年人创造多层次和有影响力的机会、结果和利益。然而,以社区为基础的环境在美国的ctrs中并不是一个很有代表性的就业环境。这项混合方法研究旨在确定ctrs在以社区为基础的环境中为IDD成人提供TR服务时的最佳实践、障碍和促进因素,并研究COVID如何影响TR服务的提供,以及未来在这些ctrs中提供虚拟TR服务的想法。全国共有278名在社区环境中与患有IDD的成年人一起工作的CTRS完成了一项质量调查,其中15名CTRS完成了随访和个人访谈。综合数据分析显示,COVID的广泛影响,缺乏循证实践的使用,缺乏对循证实践研究的参与,以及需要对循证实践进行标准化评估和使用,以增加TR服务的收费。揭示了社区环境下IDD成人TR服务提供的重要意义,以及未来研究的方向。
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引用次数: 0
Virtual Reality Sailing Simulation for People with Physical Disabilities: Learn to Sail 面向身体残疾人士的虚拟现实航海模拟:学习航海
IF 0.6 Pub Date : 2022-06-07 DOI: 10.18666/trj-2022-v56-i2-11352
C. Autry, S. Anderson
Participation in sailing is regarded as having positive outcomes on quality of life (Recio, et al., 2013). The same outcomes apply to people with physical disabilities; however, evidence-based research on sailing as a recreational therapy intervention is limited (Autry & Anderson, in press). Due to various constraints, low participation rates of people with physical disabilities in sailing programs is one reason for such paucity in research. Use of virtual reality sailing simulation (VRSS) to teach people with disabilities how to sail is one way to overcome those constraints. The purpose of this paper is to provide a Brief Report of the results of a research study focusing on participant knowledge and skills of sailing. Seven participants with physical disabilities completed an 11-week VRSS Learn to Sail program, passed the sailing standards, and reported the program contributed to their perceived abilities to learn how to sail and aspirations to sail on water.
参与帆船运动被认为对生活质量有积极影响(Recio等人,2013)。同样的结果也适用于身体残疾的人;然而,关于帆船运动作为一种娱乐治疗干预的循证研究是有限的(Autry&Anderson,出版)。由于各种限制,身体残疾者参与帆船项目的比率较低是研究如此匮乏的原因之一。使用虚拟现实航行模拟(VRSS)来教残疾人如何航行是克服这些限制的一种方法。本文的目的是提供一份关于参与者航海知识和技能的研究结果的简要报告。七名身体残疾的参与者完成了为期11周的VRSS学习帆船项目,通过了帆船标准,并报告该项目有助于他们学习如何航行的感知能力和在水上航行的愿望。
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引用次数: 0
ConnectionsRx: A distance-support, community participation intervention for emerging adults with serious mental illnesses ConnectionsRx:一种针对患有严重精神疾病的新兴成年人的远程支持、社区参与干预
IF 0.6 Pub Date : 2022-06-07 DOI: 10.18666/trj-2022-v56-i2-11380
Gretchen Snethen, Kyra H. Baker, B. McCormick
The COVID-19 pandemic provided a unique opportunity to develop and test distance-based interventions. Based upon the Competence Enhancement model, ConnectionsRx is a distance-based intervention designed to support emerging adults with serious mental illnesses to identify and increase participation in the community. Using a case study approach, the purpose of this study was to explore the feasibility, acceptability, and preliminary outcomes of ConnectionsRx. The case study details the APIE process, highlighting the individualized, client-driven nature of the intervention. Preliminary outcomes suggest the intervention has the potential to improve well-being through increased social and community participation. This study lays the groundwork for future research, which should explore the effectiveness of the intervention using more robust research methods.
2019冠状病毒病大流行为开发和测试远程干预措施提供了独特的机会。ConnectionsRx是一种基于能力增强模型的远程干预,旨在帮助患有严重精神疾病的新成年患者识别并增加对社区的参与。采用案例研究的方法,本研究的目的是探讨ConnectionsRx的可行性、可接受性和初步结果。案例研究详细介绍了APIE过程,强调了干预的个性化、客户驱动的本质。初步结果表明,干预措施有可能通过增加社会和社区参与来改善福祉。本研究为未来的研究奠定了基础,未来的研究应该使用更稳健的研究方法来探索干预的有效性。
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引用次数: 0
Preparation for Working in Long Term Care Homes: Recommendations on Therapeutic Recreation Curricula from Recreation Therapists and Staff in Ontario 在长期护理院工作的准备工作:安大略省娱乐治疗师和工作人员对治疗性娱乐课程的建议
IF 0.6 Pub Date : 2022-06-07 DOI: 10.18666/trj-2022-v56-i2-11109
Kris Prentice, Miya Narushima
As our population ages, more seniors will require care in long term care (LTC) homes, including care from recreation therapists and staff. This study examined recreation therapists and staff’s retrospective views of what would make them better prepared for working in LTC homes. A questionnaire distributed to 290 LTC homes in Ontario was completed by 487 recreation therapists and staff. Data were analyzed using ANOVAS and frequencies. Participants ranked experience as the most important and education as the least important factor for preparing them to work in LTC. Participants indicated increased practicum experience and knowledge of charting and documentation would help prepare them to work in LTC. The results of our study suggest the need for further training in gerontological competences for TR students, such as incorporating interprofessional collaboration and experience into TR curricula. TR practitioners can also enhance their learning by collaborating with others through communities of practice.
随着人口老龄化,越来越多的老年人将需要长期护理院的护理,包括娱乐治疗师和工作人员的护理。这项研究考察了娱乐治疗师和工作人员对如何让他们更好地为在LTC之家工作做好准备的回顾性看法。487名娱乐治疗师和工作人员完成了向安大略省290所长期护理院分发的问卷调查。使用方差分析和频率分析数据。参与者将经验列为最重要的因素,将教育列为最不重要的因素。参与者表示,增加实习经验以及图表和文档的知识将有助于他们为在LTC工作做好准备。我们的研究结果表明,有必要进一步培训TR学生的老年病学能力,例如将跨专业合作和经验纳入TR课程。TR从业者还可以通过实践社区与他人合作来加强他们的学习。
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引用次数: 0
Attitudes Toward Sexual Wellness for Individuals with Disabilities: Recreational Therapists' and Students' Perspectives 残疾人对性健康的态度:娱乐治疗师和学生的观点
IF 0.6 Pub Date : 2022-06-07 DOI: 10.18666/trj-2022-v56-i2-11182
J. Piatt, Čedomirka Stanojević, Ivanka Simic-Stanojevic, Abigail Fisher, Junhyoung Kim
Sexual wellness, an important component of overall quality of life, is often ignored or omitted from the scope of recreational therapy practices, mostly due to attitudes, beliefs, and lack of formalized training and education. No prior research exists on the attitudes of recreational therapists (RT) and students toward incorporating sexual wellness into practice for individuals with disabilities. Therefore, the purpose of this study was to assess the current attitudes of practicing recreational therapists, as well as the attitudes of current students on sexual wellness within the scope of recreational therapy practices. A cross-sectional survey design was employed with a purposive sample of 112 RT practitioners and students. Results indicated that both RT students and practitioners believe that sexual wellness is an important component of rehabilitation and should be included in undergraduate and graduate education. Implications for practice and research are presented.
性健康是整体生活质量的重要组成部分,但由于态度、信念和缺乏正规的培训和教育,在娱乐治疗实践的范围内经常被忽视或遗漏。关于娱乐治疗师(RT)和学生对将性健康纳入残疾人实践的态度的研究尚无先例。因此,本研究的目的是评估当前娱乐治疗师的态度,以及当前学生在娱乐治疗实践范围内对性健康的态度。采用横断面调查设计,目的样本为112名RT从业人员和学生。结果表明,性学专业学生和从业人员都认为性健康是康复的重要组成部分,应纳入本科和研究生教育。提出了对实践和研究的启示。
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引用次数: 0
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Therapeutic Recreation Journal
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