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A Model for Clinical Supervision in the Field of Therapeutic Recreation: The APIE/D Model of Clinical Supervision 治疗娱乐领域的临床监督模式:APIE/D临床监督模式
IF 0.6 Q4 REHABILITATION Pub Date : 2021-10-19 DOI: 10.18666/trj-2021-v55-i4-11043
Jacqueline Dyke, Em V. Adams
Clinical supervision in the field of therapeutic recreation is emphasized as part of the internship experience, but is not widely provided to practicing CTRSs beyond that time. While the American Therapeutic Recreation Association does not address clinical supervision in its Standards for Practice, the National Council for Therapeutic Recreation Certification notes clinical supervision as part of its Job Analysis. In order to yield improved client outcomes, improved wellness in direct-care CTRSs, and improved clinical skills, a model for clinical supervision for CTRSs is proposed. Due to the familiarity that all CTRSs have with the APIE/D process of recreation therapy practice, the authors suggest implementing the APIE/D model of clinical supervision with practicing CTRSs.
治疗娱乐领域的临床监督被强调为实习经验的一部分,但在那段时间之后,并没有广泛提供给实践CTRS。虽然美国治疗娱乐协会在其实践标准中没有涉及临床监督,但国家治疗娱乐认证委员会指出,临床监督是其工作分析的一部分。为了改善客户结果,改善直接护理CTRS的健康状况,并提高临床技能,提出了一种CTRS的临床监督模式。由于所有CTRS都熟悉娱乐治疗实践的APIE/D过程,作者建议在实践CTRS时实施APIE/D临床监督模式。
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引用次数: 1
A Call to the Profession: Cross-Cultural Competence and Learning from a Sister Profession 职业的呼唤:跨文化能力与师从姐妹职业
IF 0.6 Q4 REHABILITATION Pub Date : 2021-10-19 DOI: 10.18666/trj-2021-v55-i4-10995
Rodney Dieser
Cross-cultural competence has increased in applied professions, including occupational therapy, physical therapy, psychiatry, mental health counseling, and social work. Despite three decades of research and scholarship advocating the need for cross-cultural competence in TR/RT, it remains lacking. This paper is a call for the profession to do better. Based on (1) learning how American Counseling Association and the National Board of Certified Counselors have positioned cross-cultural awareness, knowledge, and skills as core competence in national and international practice, (2) examining cross-cultural research and scholarship in TR/RT, and (3) drawing from ATRA’s Higher Education Committee Task Force, this paper suggests specific recommendations to develop cross-cultural competence in TR/RT.
跨文化能力在应用职业中有所提高,包括职业治疗、物理治疗、精神病学、心理健康咨询和社会工作。尽管三十年来的研究和学术主张在TR/RT中需要跨文化能力,但它仍然缺乏。这篇论文呼吁该行业做得更好。基于(1)了解美国咨询协会和国家注册咨询师委员会如何将跨文化意识、知识和技能定位为国家和国际实践的核心能力,(2)研究TR/RT中的跨文化研究和学术,以及(3)借鉴ATRA的高等教育委员会工作组,本文提出了培养TR/RT跨文化能力的具体建议。
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引用次数: 0
Professional Preparedness and Psychosocial Beliefs as Predictors of Quality Physical Education and Recreation Services to Students with Disabilities 专业准备和心理社会信念对残疾学生优质体育和娱乐服务的影响
IF 0.6 Q4 REHABILITATION Pub Date : 2021-10-19 DOI: 10.18666/trj-2021-v55-i4-11040
Thea Kavanaugh, J. Tomaka, Ernesto A. Moralez
The purpose of this study was to examine how professional preparedness and psychosocial beliefs affected behavioral intentions and quality service behaviors in providing physical education (PE) and recreation services to students with disabilities (SWD). Participants of an online survey included New Mexico adapted physical education (APE) teachers (N=42) and recreational therapists (RT; N=13) and a sample of PE teachers (N=63). Analyses revealed significant differences between PE teachers and personnel in specialty professional disciplines. APE and RT personnel reported greater positive attitudes, higher self-efficacy, greater behavioral intention, and more engagement in quality service behaviors than PE teachers. The results have implications for the selection and training of school personnel hired to provide PE and recreation services to SWD.
本研究的目的是探讨在为残疾学生提供体育和娱乐服务时,专业准备和心理社会信念如何影响行为意向和优质服务行为。一项在线调查的参与者包括新墨西哥州适应体育(APE)教师(N=42)和娱乐治疗师(RT;N=13)以及体育教师样本(N=63)。分析表明,体育教师和专业学科人员之间存在显著差异。与体育教师相比,APE和RT人员表现出更积极的态度、更高的自我效能感、更大的行为意向和更多的优质服务行为。研究结果对选择和培训受聘为社署提供体育及康乐服务的学校人员有重要意义。
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引用次数: 2
Recreational Therapists’ Practice, Knowledge, and Perceptions Associated with Animal-Assisted Therapy 娱乐治疗师与动物辅助治疗相关的实践、知识和看法
IF 0.6 Q4 REHABILITATION Pub Date : 2021-10-19 DOI: 10.18666/trj-2021-v55-i4-11058
Kimberly Barbosa Dunlap, Kimberly J. Miller, Judy S. Kinney
Animal-assisted interventions have been implemented by health care professionals because of the therapeutic value of animal interactions. The purpose of this study was to survey Certified Therapeutic Recreation Specialists (CTRSs) to (a) determine the prevalence of Animal Assisted Interventions (AAI) implemented by recreational therapists, and (b) understand the knowledge and barriers to AAT implementation that exist for recreational therapists. A total of 123 Certified Therapeutic Recreation Specialists participated in the study (a 6.2% response rate). A significant difference was found in the AAT goal of improving social interaction by population. Those working in physical medicine and rehabilitation reported less improvement than those in behavioral health, geriatrics and community agencies. CTRSs indicated there is a need for additional education and trainings on AAT practice. Many CTRSs surveyed identified the lack of registered animal/handler teams in the area as a major barrier to implement AAT.
由于动物相互作用的治疗价值,卫生保健专业人员已经实施了动物辅助干预措施。本研究的目的是调查注册娱乐治疗专家(CTRS),以(a)确定娱乐治疗师实施动物辅助干预(AAI)的流行率,以及(b)了解娱乐治疗师实施AAT的知识和障碍。共有123名注册娱乐治疗专家参与了这项研究(应答率为6.2%)。在AAT目标中发现了显著差异,即按人口改善社会互动。那些从事物理医学和康复工作的人比那些从事行为健康、老年医学和社区机构的人改善得更少。CTRS表示,需要对AAT实践进行额外的教育和培训。许多接受调查的CTRS认为,该地区缺乏注册的动物/驯兽师团队是实施AAT的主要障碍。
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引用次数: 0
2018 Curriculum Study Part A: University, Faculty, and Student Characteristics 2018年课程研究A部分:大学、教师和学生特点
IF 0.6 Q4 REHABILITATION Pub Date : 2021-08-18 DOI: 10.18666/TRJ-2021-V55-I3-10260
Melissa L. Zahl, N. Stumbo, Marica Jean Carter, Allison Wilder, Janell Greenwood
This paper is the first in a two-part series documenting an in-depth, descriptive snapshot of TR educational programs in the US and Canada, as of 2018. The 2018 study is the fifth installment of a decades-long research project that captures descriptive snapshots-in-time of TR curricula. The intent of this study was to capture descriptive data on TR curricula in the United States and Canada as of 2018. The study results describe TR curricula in five areas: (a) accreditation, (b) curriculum/internship, (c) university and unit, (d) faculty, and (e) student characteristics. This paper, Part A, reports on: (a) university and unit, (b) faculty, and (c) student characteristics portions of the research. A 64-item online survey was sent to 91 TR program directors with 67 usable surveys (73.6% return rate). Respondents reported that the TR programs are located in mid-sized to large schools with university enrollments of 3,000 and above. Results showed that TR programs are housed in a variety of colleges, but most frequently in colleges with Health in their title. TR faculty tend to hold adjunct positions with master’s-only degrees. Wide ranges are evident in the number of students enrolled per TR program. Recommendations are made for future curricular studies and research. Subscribe to TRJ
本文是由两部分组成的系列文章中的第一篇,记录了截至2018年美国和加拿大TR教育项目的深入、描述性快照。2018年的这项研究是一个长达数十年的研究项目的第五部分,该项目捕捉了TR课程的描述性快照。本研究的目的是获取截至2018年美国和加拿大TR课程的描述性数据。研究结果描述了五个领域的TR课程:(a)认证,(b)课程/实习,(c)大学和单位,(d)教师,以及(e)学生特征。本文的A部分报告了:(A)大学和单位,(b)教师,以及(c)学生特征部分的研究。向91名TR项目负责人发送了一份64项在线调查,其中67项可用调查(73.6%的回复率)。受访者报告称,TR项目位于大学入学人数为3000人及以上的中大型学校。结果显示,TR项目分布在各个大学,但最常见的是以健康为标题的大学。TR的教员往往只拥有硕士学位。每个TR项目的注册学生人数差异很大。对未来的课程研究提出了建议。订阅TRJ
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引用次数: 0
The Initial Development and Validation of the Perceptions of Disability Scale (PoDS): Results from Pilot Studies 残疾认知量表(PoDS)的初步开发和验证:试点研究的结果
IF 0.6 Q4 REHABILITATION Pub Date : 2021-08-18 DOI: 10.18666/TRJ-2021-V55-I3-10291
Alexis McKenney, Haiying Long
The purpose of this study was to report the initial process of developing and validating the Perceptions of Disability Scale (PoDS), a scale designed to map a continuum of sympathy, empathy, and advocacy perspectives on people with disabilities. We first created a 30-item scale based on a thorough literature review and the findings of a previous qualitative study. Then we further refined and validated the scale through 3-phase approach as well as internal consistency reliability evidence and validity evidence based on content, response process, and internal structure. Results suggest that the final 21-item scale has excellent reliability and validity. Suggestions for how the scale can be used in recreational therapy practice and human-service related trainings, and for future research are provided. Subscribe to TRJ
本研究的目的是报告制定和验证残疾感知量表(PoDS)的初步过程,该量表旨在绘制对残疾人的同情、同理心和倡导观点的连续体。我们首先在全面的文献综述和之前的定性研究结果的基础上创建了一个30项的量表。然后,我们通过三阶段方法以及基于内容、响应过程和内部结构的内部一致性可靠性证据和有效性证据,进一步细化和验证了量表。结果表明,最终的21项量表具有良好的信度和有效性。对该量表如何用于娱乐治疗实践和人类服务相关培训以及未来的研究提出了建议。订阅TRJ
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引用次数: 0
Feasibility of the Children’s Health Questionnaire for Measuring Outcomes of Recreational Therapy Interventions in Autism Populations 儿童健康问卷测量自闭症人群娱乐治疗干预效果的可行性
IF 0.6 Q4 REHABILITATION Pub Date : 2021-08-18 DOI: 10.18666/TRJ-2021-V55-I3-10867
L. M. Lawson, Kayla Hamner, Mildred Oligbo
Autism stakeholder groups prioritize applied intervention research to improve conditions co-occurring with autism spectrum disorders (ASD), but health-related quality of life measures aren’t established for children with ASD. The purpose of this study was to estimate rates and variability of responses of parents of children with ASD on the Children’s Health Questionnaire (CHQ) to inform future recreational therapy intervention research with this population. This study used pre-post design to gather parent responses for 31 children with ASD before and after intervention. Confidence intervals indicated CHQ summary scores were more precise than scale scores. Several profile scales showed greater variability at post-testing. Parents of children with ASD reported lower scores than the general population across all CHQ measures, particularly in behavior, mental health and psychosocial health. The CHQ PF-28 is an appropriate measure of health-related quality of life of children with ASD. Future research should confirm these findings and investigate use of child report versions of the CHQ with children with ASD. Subscribe to TRJ
自闭症利益相关者团体优先考虑应用干预研究,以改善与自闭症谱系障碍(ASD)共存的条件,但与自闭症谱系障碍儿童健康相关的生活质量措施尚未建立。本研究的目的是估计自闭症儿童父母在儿童健康问卷(CHQ)上的反应率和变异性,为未来针对这一人群的娱乐治疗干预研究提供信息。本研究采用前后设计收集31名自闭症儿童干预前后家长的反应。置信区间表明CHQ总结得分比量表得分更精确。几个剖面量表在后测中显示出更大的变异性。自闭症儿童的父母在所有CHQ指标上的得分都低于一般人群,尤其是在行为、心理健康和社会心理健康方面。CHQ PF-28是衡量ASD儿童健康相关生活质量的适当指标。未来的研究应该证实这些发现,并调查使用儿童报告版本的自闭症儿童CHQ。订阅TRJ
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引用次数: 1
Relationships among Conceptualizations of Flourishing in Therapeutic Recreation 治疗性娱乐中繁荣概念之间的关系
IF 0.6 Q4 REHABILITATION Pub Date : 2021-08-18 DOI: 10.18666/TRJ-2021-V55-I3-10967
James B. Wise
Human flourishing or living well is widely accepted as a principal outcome of therapeutic recreation (TR) services but multiple conceptualizations of what it means to live well found in the TR literature raise questions of association and compatibility. The present investigation extends previous explorations of connections among the numerous notions, specifically appraising the relationship of Seligman’s theory of Flourishing to MacIntyre’s broadened theory of Flourishing, the Leisure and Well- Being Model, and the Flourishing through Leisure Model. Results indicate the two theories portray distinct views of flourishing and that a complementary relationship exists among Seligman’s theory and the two practice models. When considered as a whole, the extant body of scholarship supplies the profession with a solid philosophical and scientific foundation for promoting human flourishing. Subscribe to TRJ
人类的繁荣或过得好被广泛认为是治疗性娱乐(TR)服务的主要结果,但TR文献中对过得好意味着什么的多种概念提出了关联和兼容性问题。本研究扩展了以往对众多概念之间联系的探索,特别是评价了塞利格曼的繁荣理论与麦金太尔的繁荣理论、休闲与幸福模式和通过休闲繁荣模式的关系。研究结果表明,塞利格曼理论与两种实践模式之间存在着互补关系。从整体上看,现存的学术体系为促进人类繁荣提供了坚实的哲学和科学基础。订阅TRJ
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引用次数: 0
2018 Curriculum Study Part B: Accreditation and Curriculum/Internship Characteristics 2018年课程研究B部分:认证和课程/实习特点
IF 0.6 Q4 REHABILITATION Pub Date : 2021-08-18 DOI: 10.18666/TRJ-2021-V55-I3-10261
Melissa L. Zahl, N. Stumbo, Janell Greenwood, M. Carter, Allison Wilder
This paper is the second in a two-part series reporting results from the 2018 Curriculum Study. The 2018 study is the fifth installment of a decades-long research project that captures descriptive snapshots-in-time of TR curricula. The intent of this curriculum study was to capture an in-depth, descriptive snapshot of TR educational programs in the U.S. and Canada as of 2018. The study results described TR curricula in five areas: (a) accreditation, (b) curriculum/internship, (c) university and unit, (d) faculty, and (e) student characteristics. This paper, Part B, reports on: (a) accreditation and (b) curriculum/ internship characteristics portions of the research. A 64- item online survey was sent to 91 TR program directors with 67 usable surveys returned (73.6% return rate). Half of the responding TR educational programs were accredited by either COAPRT or CARTE. The National Council for Therapeutic Recreation Certification (NCTRC™) standards continued to be the most important driver of curricular changes. Curriculum changes included adding more TR specific courses, more assignments with courses, more TR credit hours, and more internship requirements and assignments, in addition to assessing specific student outcomes. Recommendations are made for future curricular studies and research. Subscribe to TRJ
本文是由两部分组成的系列报告2018年课程研究结果的第二篇。2018年的这项研究是一个长达数十年的研究项目的第五部分,该项目捕捉了TR课程的描述性快照。本课程研究的目的是对截至2018年美国和加拿大的TR教育项目进行深入、描述性的概述。研究结果描述了五个领域的TR课程:(a)认证,(b)课程/实习,(c)大学和单位,(d)教师,以及(e)学生特征。本文的B部分报告了:(a)认证和(B)课程/实习特征部分的研究。向91名TR项目负责人发送了一份64项在线调查,其中67项可用调查得到了回复(回复率为73.6%)。有一半的TR教育项目获得了COAPRT或CARTE的认证。国家治疗性娱乐认证委员会™) 标准仍然是课程改革的最重要驱动力。课程改革包括增加更多TR特定课程、更多课程作业、更多TR学分、更多实习要求和作业,以及评估特定学生的成绩。对未来的课程研究提出了建议。订阅TRJ
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引用次数: 0
“There is Always Progress to Be Made”: Reflective Narratives on Outdoor Therapeutic Recreation for Mental Health Support “总有进步”:关于心理健康支持户外治疗性娱乐的反思性叙述
IF 0.6 Q4 REHABILITATION Pub Date : 2021-05-12 DOI: 10.18666/TRJ-2021-V55-I2-10653
J. Leighton, K. Lopez, Corey Johnson
Due to the marginalizing effects of mental illness, the stories of individuals in early recovery from various mental health diagnoses are often invalidated. To address this concern, complementary modalities (e.g., massage therapy, naturopathy, arts-based therapy, horticulture therapy) have emerged alongside the fields of therapeutic recreation, psychotherapy, and outdoor-based practices. Less is known about how social/community approaches to practice are used within in-patient care settings to complement more traditional modalities (i.e., cognitive behaviour therapy (CBT), talk-based therapy, trauma exposure therapy, pharmaceutical medication etc.). The current research project aimed to understand individuals’ experiences and reflections of engaging in an outdoor experiential workshop while seeking in-patient care for post-traumatic stress disorder and substance-use disorder. Narrative inquiry was the methodological approach we used to illuminate the voice in the cracks (Jackson & Mazzei, 2005), voices that are often left out of dominant medical discourses, to be heard. Focus groups and in-depth semi-structured narrative life-experience interviews were used to story individuals’ reflections of early recovery while participating in an outdoor experiential workshop beyond the conventional boundaries and structures of medicine-focused in-patient care.
由于精神疾病的边缘化影响,从各种精神健康诊断中早期康复的个人的故事往往是无效的。为了解决这一问题,辅助疗法(如按摩疗法、自然疗法、艺术疗法、园艺疗法)与治疗性娱乐、心理治疗和户外实践领域一起出现。关于如何在住院护理环境中使用社会/社区实践方法来补充更传统的模式(即认知行为治疗(CBT),谈话治疗,创伤暴露治疗,药物治疗等),我们所知甚少。目前的研究项目旨在了解个体在寻求创伤后应激障碍和物质使用障碍住院治疗的同时,参与户外体验工作坊的经历和反思。叙事探究是我们用来阐明裂缝中的声音的方法论方法(Jackson & Mazzei, 2005),这些声音经常被排除在主流医学话语之外,让人们听到。采用焦点小组和深度半结构化叙事生活体验访谈,讲述个体在参加户外体验工作坊时对早期康复的反思,超越了以医学为中心的住院治疗的传统界限和结构。
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引用次数: 0
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Therapeutic Recreation Journal
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