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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 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 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
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 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
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 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
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 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 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 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
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 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
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 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 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
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Therapeutic Recreation Journal
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