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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 Q4 REHABILITATION 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 Q4 REHABILITATION 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 Q4 REHABILITATION 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
Evaluation of a Virtual Recreational Therapy Fieldwork and Clinical Supervision Program: Implications during the Pandemic and Beyond 虚拟娱乐治疗实地工作和临床监督计划的评估:在大流行病期间及以后的影响
IF 0.6 Q4 REHABILITATION Pub Date : 2022-06-07 DOI: 10.18666/trj-2021-v56-i2-11339
Jami Bennett, Rhonda Nelson
Fieldwork and clinical supervision are vital to the growth and development of students during their Recreational Therapy (RT) education. However, restrictions on in-person instruction and suspended access to clinical agencies during the COVID-19 pandemic challenged educators to find new ways to provide these experiences. This retrospective program evaluation describes a virtual RT fieldwork and clinical supervision program, and assesses its effectiveness. Undergraduate students (n = 17) and RT clinical supervisors (n = 17) matched into dyads met virtually for one hour weekly over the course of 10 weeks. Data from separate student and clinical supervisor surveys were analyzed using frequency counts and thematic review. Findings suggest both students and clinical supervisors found value in this virtual fieldwork and clinical supervision program. Suggestions for program improvement/development as well as implications for RT education are discussed with emphasis placed on ways technology can expand opportunities for RT fieldwork and clinical supervision.
实地调查和临床监督对学生在娱乐治疗(RT)教育期间的成长和发展至关重要。然而,在新冠肺炎大流行期间,对住院指导的限制和暂停进入临床机构的机会,使教育工作者难以找到提供这些经验的新方法。该回顾性项目评估描述了一个虚拟RT实地调查和临床监督项目,并评估了其有效性。本科生(n=17)和RT临床主管(n=17。使用频率计数和主题回顾对来自单独的学生和临床导师调查的数据进行分析。研究结果表明,学生和临床监督人员都发现了这一虚拟实地调查和临床监督项目的价值。讨论了项目改进/发展的建议以及对RT教育的影响,重点是技术如何扩大RT实地调查和临床监督的机会。
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引用次数: 0
Manualized Equine-Assisted Therapy Protocol for Clients with Autism Spectrum Disorder 自闭症谱系障碍患者的手动马辅助治疗方案
IF 0.6 Q4 REHABILITATION Pub Date : 2022-02-23 DOI: 10.18666/trj-2022-v56-i1-10862
H. B. McKissock, Ashley Bowen, S. Dawson, Lori Eldridge, Jordan McIntire, Čedomirka Stanojević, Daniela Tamas, B. McCormick
Equine-assisted therapy (EAT) is an increasingly popular intervention for people with various disabilities and diagnoses. However, a lack of evidence-based protocols has hampered efforts to provide standardization of treatment. The Galloping Towards Success (GTS) protocol was designed specifically for clients with moderate to severe autism spectrum disorder (ASD) and is described in this paper. The 15-week manualized EAT protocol was previously tested across multiple sites in Serbia and the U.S. (Dawson et al., 2022) demonstrating the protocol’s preliminary effectiveness in increasing social skills in 9 out of 10 individuals with moderate to severe ASD. This manuscript aims to provide professionals with information regarding the GTS 15-week protocol, including an introductory overview, description of participants, assessment, planning weekly intervention activities, evaluation procedures, documentation, limitations, and author comments. This protocol will help create consistency in facilitation among Certified Therapeutic Recreation Specialists (CTRS ) who use equine-assisted therapy to treat adolescents and young adults with moderate to severe ASD while equipping researchers with the means to conduct future evidence-based research in the area of equine-assisted therapies.
马辅助治疗(EAT)是一种越来越受欢迎的干预措施,适用于各种残疾和诊断的人群。然而,缺乏循证协议阻碍了提供标准化治疗的努力。奔成功(GTS)协议是专门为患有中度至重度自闭症谱系障碍(ASD)的客户设计的,本文对此进行了描述。此前,在塞尔维亚和美国的多个地点对为期15周的人工EAT方案进行了测试(Dawson等人,2022),证明了该方案在提高10名中重度ASD患者中的9名社交技能方面的初步有效性。本手稿旨在为专业人士提供有关GTS 15周方案的信息,包括介绍性概述、参与者描述、评估、计划每周干预活动、评估程序、文件、限制和作者评论。该协议将有助于在认证治疗娱乐专家(CTRS)之间建立一致性,他们使用马辅助治疗来治疗患有中度至重度ASD的青少年和年轻人,同时为研究人员提供在马辅助治疗领域进行未来循证研究的手段。
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引用次数: 0
Exploratory Study: Measurement Invariance of the Therapeutic Recreation Job Responsibility Scale 探索性研究:治疗性娱乐工作责任量表的测量不变性
IF 0.6 Q4 REHABILITATION Pub Date : 2022-02-23 DOI: 10.18666/trj-2021-v56-i1-11070
F. Béland, P. Ouellette, H. Roussel, Jerome Singleton, Tristan D. Hopper
The aim of this study was to assess the measurement invariance of the Therapeutic Recreation Job Responsibility Scale (TR-JRS). It measures four dimensions of recreational practitioners’ duties with 27 items: 1) administration, 2) therapy, 3) face-to-face leadership and 4) professional development. Measurement invariance assesses the ability of a single instrument, the TR-JRS, to measure duties among recreational practitioners working in different environments, members of separate professional associations, and to promote different aspects of their work. The sample comprised 417 members of the Canadian Therapeutic Recreation Association and the F´ederation qu´eb´ecoise du loisir en institution. The initial factorial measurement analysis showed metric invariance as the model of choice, though its overall fit was outside the usual acceptable criteria. A factor analysis with a target rotation resulted in a short scale of 14 items with an appropriate Root Mean Square Error of Approximation and Comparative Fit Index. It included the same four dimensions as the 27-item version. A measurement invariance analysis was also run on the short-form scale. The number of factors, position of items within factors, and factor loadings were equal in both groups. The absolute values of the Root Mean Square Error of Approximation and the Comparative Fit Index associated with the short form were over the acceptable cutoff points by a small margin. As expected, items means differed between the two groups and reliability coefficients were high. Such findings reflect this study’s exploratory nature. Hence, further studies on item development could improve fit indices in favor of a stronger invariance status for this scale, which measures an important construct in therapeutic recreation.
本研究的目的是评估治疗性娱乐工作责任量表(TR-JRS)的测量不变性。它用27个项目测量了娱乐从业者职责的四个维度:1)管理,2)治疗,3)面对面领导和4)专业发展。测量不变性评估的是TR-JRS这一单一工具衡量在不同环境中工作的娱乐从业者、不同专业协会成员的职责,以及促进其工作不同方面的能力。样本包括417名加拿大治疗休闲协会和加拿大休闲休闲协会联合会的成员。最初的析因测量分析显示度量不变作为选择的模型,尽管它的整体拟合超出了通常可接受的标准。因子分析与目标轮换导致14个项目的短量表,具有适当的近似均方根误差和比较拟合指数。它包括与27项版本相同的四个维度。在短格式量表上也进行了测量不变性分析。因子的数量、因子中项目的位置和因子的负荷在两组中是相等的。与简略形式相关的近似均方根误差和比较拟合指数的绝对值略高于可接受的截断点。正如预期的那样,两组之间的项目均值存在差异,信度系数很高。这些发现反映了本研究的探索性。因此,对项目开发的进一步研究可以改善该量表的拟合指数,使其具有更强的不变性地位,该量表测量了治疗性娱乐的一个重要结构。
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引用次数: 0
The Status of Clinical Supervision in Therapeutic Recreation in 2020: A Follow-Up Study 2020年治疗性娱乐临床监管现状的随访研究
IF 0.6 Q4 REHABILITATION Pub Date : 2022-02-23 DOI: 10.18666/trj-2022-v56-i1-11189
L. Anderson, Jason Page, Melissa L. Zahl
Despite increasing attention among allied professions, clinical supervision within therapeutic recreation remains an under-researched topic. This has left the field with limited knowledge regarding the status of clinical supervision received by recreation therapists. Just one study has examined clinical supervision in RT (Jones & Anderson, 2004) and found that most recreation therapists were not receiving or giving clinical supervision. The purpose of this study was to gain a current understanding of the status of clinical supervision in TR/RT. An online survey yielded a response of 954 recreation therapists. Results indicated that most in TR/RT are not receiving or giving clinical supervision, which has worsened in the last 17 years. The majority of respondents indicated that they had not received training in clinical supervision, noted many barriers to supervision, and a need for training. Recommendations to increase access to clinical supervision as well as needs for future research are identified.
尽管相关专业越来越关注,但治疗娱乐的临床监督仍然是一个研究不足的话题。这使得该领域对娱乐治疗师接受的临床监督状况的了解有限。只有一项研究检查了RT的临床监督(Jones&Anderson,2004),发现大多数娱乐治疗师没有接受或给予临床监督。本研究的目的是了解TR/RT临床监督的现状。一项在线调查得到了954名娱乐治疗师的回复。结果表明,大多数TR/RT患者没有接受或给予临床监督,这种情况在过去17年中有所恶化。大多数受访者表示,他们没有接受过临床监督培训,指出监督存在许多障碍,需要培训。确定了增加临床监督机会的建议以及未来研究的需求。
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引用次数: 0
Equine-Assisted Therapy with Autism Spectrum Disorder in Serbia and the United States: A Pilot Intervention 塞尔维亚和美国的马辅助治疗自闭症谱系障碍:一项试点干预
IF 0.6 Q4 REHABILITATION Pub Date : 2022-02-23 DOI: 10.18666/trj-2022-v56-i1-10387
S. Dawson, B. McCormick, Daniela Tamas, Čedomirka Stanojević, Lori Eldridge, Jordan McIntire, Ashley Bowen, H. B. McKissock
Adolescent and young adults with a diagnosed autism spectrum disorder (ASD) in the severe to moderate functioning range were recruited for this study in Serbia and the United States (U.S.). A total of ten participants, five from each respective country, participated in a 15- week equine-assisted therapy (EAT) intervention that utilized ground-based learning through a manualized program approach. The purpose of the study was to test the effects of a manualized 15-week EAT intervention on the social functioning of individuals with severe to moderate ASD across two cultures using a single subject research design. Nine out of 10 participants displayed improved social functioning over the course of the 15- week EAT intervention in both cultures.
在塞尔维亚和美国,被诊断患有严重到中度功能范围的自闭症谱系障碍(ASD)的青少年和年轻人被招募参加这项研究。共有10名参与者,每个国家5名,参加了为期15周的马辅助治疗(EAT)干预,该干预通过手动程序方法利用地面学习。本研究的目的是采用单受试者研究设计,测试一项为期15周的人工饮食干预对两种文化中重度至中度ASD患者社会功能的影响。在两种文化中,10名参与者中有9人在15周的EAT干预过程中表现出社会功能的改善。
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引用次数: 0
Employing an International Research Collaboration Framework to Pilot Test an Evidence-Based Recreational Therapy Program 采用国际研究合作框架对基于证据的娱乐治疗项目进行试点测试
IF 0.6 Q4 REHABILITATION Pub Date : 2022-02-23 DOI: 10.18666/trj-2022-v56-i1-10376
Čedomirka Stanojević, Lori Eldridge, Jordan McIntire, Ashley Bowen, S. Dawson, B. McCormick, Daniela Tamas, Blair Mckissock
The field of recreational therapy has well-established methods of scientific collaboration within the United States yet historically there is a scarcity of International Research Collaborations (IRC). IRC could provide many benefits to the field as well as encourage the pollination of new ideas and philosophies to other continents and cultures. The purpose of this paper is to present an IRC framework and to describe the steps that would bring successful IRC to the field of recreational therapy.
娱乐治疗领域在美国有公认的科学合作方法,但从历史上看,国际研究合作(IRC)很少。IRC可以为该领域提供许多好处,并鼓励新思想和哲学传播到其他大陆和文化。本文的目的是提出一个IRC框架,并描述将IRC成功带入娱乐治疗领域的步骤。
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引用次数: 2
Recreational Therapists Consider Leisure Motivation when Evaluating Virtual Reality Games 娱乐治疗师在评估虚拟现实游戏时考虑休闲动机
IF 0.6 Q4 REHABILITATION Pub Date : 2021-10-19 DOI: 10.18666/trj-2021-v55-i4-10976
Lauren Lee Isaacs, Rhonda Nelson, S. Trapp
Virtual reality (VR) interventions can be motivating for clients when presented as treatment in healthcare settings. Researchers know little, however, about the elements of specific VR games that contribute to this motivation. This study aimed to describe differences among a sample of commercially available VR games using the four subscales of the Leisure Motivation Scale (LMS). The research team used a mixed-methods design, and compiled an expert panel of recreational therapists (N = 5) who evaluated eight VR games using Q-sort methodology. Semi-structured interviews generated additional data for the evaluation. Results indicated participants viewed certain VR games as containing elements more closely aligned with each of the LMS subscales of intellectual, social, competence-mastery, and stimulus avoidance than others. These findings represent a critical step in developing guidelines for the purposeful selection of VR games as treatment interventions in recreational therapy practice based on a client’s leisure motivation. Subscribe to TRJ
虚拟现实(VR)干预措施可以激励客户在医疗保健设置的治疗。然而,研究人员对促成这种动机的特定VR游戏元素知之甚少。本研究旨在使用休闲动机量表(LMS)的四个子量表来描述商业VR游戏样本之间的差异。研究团队采用混合方法设计,并组建了一个娱乐治疗师专家小组(N = 5),他们使用Q-sort方法评估了8款VR游戏。半结构化访谈为评估提供了额外的数据。结果表明,参与者认为某些VR游戏包含的元素与LMS智力、社交、能力掌握和刺激回避的每个子量表更接近。这些发现代表了制定指导方针的关键一步,根据客户的休闲动机,有目的地选择VR游戏作为娱乐治疗实践中的治疗干预措施。订阅TRJ
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引用次数: 0
期刊
Therapeutic Recreation Journal
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