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Leisure and the Therapeutic Relationship: Contributing to Meaningful Lives 休闲和治疗关系:为有意义的生活做出贡献
IF 0.6 Q4 REHABILITATION Pub Date : 2021-05-12 DOI: 10.18666/TRJ-2021-V55-I2-10739
James B. Wise
The primary goal of human beings is creating meaningful, healthy lives out of their existence, a task tailored to therapeutic recreation (TR). In this article, the core elements of TR, leisure and the helping relationship between professionals and service recipients, are examined through the lens of hermeneutic phenomenology. Hermeneutic phenomenology is a philosophical perspective centered on understanding how people interpret and assign meanings to lived experiences. Applying the philosophical perspective to TR, leisure generates meaningful experiences that therapeutic recreation specialists (TRSs) and service recipients collaboratively weave into personal narratives. The result is service recipients living well and flourishing. Conceiving of TR in this manner entails that our services are germane for all people.
人类的首要目标是创造有意义的、健康的生活,这是一项专门针对治疗性娱乐(TR)的任务。本文通过解释学现象学的视角,考察了TR的核心要素,即休闲以及专业人员与服务对象之间的帮助关系。解释学现象学是一种哲学视角,其核心是理解人们如何解释和赋予生活体验意义。将哲学视角应用于TR,休闲产生了有意义的体验,治疗娱乐专家(TRS)和服务接受者将这些体验共同编织成个人叙事。结果是服务对象生活得很好,事业蒸蒸日上。以这种方式构想TR意味着我们的服务与所有人息息相关。
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引用次数: 0
An Exploration into the Experiences of Female Veterans Who Attended Higher Ground Military Programming 女性退伍军人参加高等军事院校教育经历的探索
IF 0.6 Q4 REHABILITATION Pub Date : 2021-05-12 DOI: 10.18666/TRJ-2021-V55-I2-10600
Lauren Fleming, Anna Johnson, Hannah Wells, Brent L. Hawkins, Jasmine A. Townsend, B. Crowe
Female veterans are the fastest growing military group, yet they are largely underrepresented in research (Hawkins & Crowe, 2018a, 2018b; Lundberg et al., 2016). There is a gap in the literature regarding the lived experiences of female veterans. The purpose of this qualitative phenomenological study was to understand female veterans’ experiences while participating in Higher Ground’s military program (HGMP), utilizing semi-structured interviews. Qualitative analysis yielded four themes: 1) transformative experiences, 2) empathetic staff, 3) staff connection to the military, and 4) resources after HGMP. The study’s findings highlight the need for trauma-informed care, cultural competency training for practitioners working in programs that serve female veterans, and offering continued resources after the conclusion of a program. Findings also indicate that participants had transformative experiences during the program. Further research is needed to examine programming elements in other outdoor recreational therapy programs to determine their effectiveness as therapeutic tools.
女性退伍军人是增长最快的军事群体,但她们在研究中的代表性很大(Hawkins&Crowe,2018a,2018b;Lundberg等人,2016)。关于女性退伍军人的生活经历,文献中存在空白。这项定性现象学研究的目的是利用半结构化访谈来了解女性退伍军人在参加高地军事项目(HGMP)时的经历。定性分析产生了四个主题:1)变革经历,2)富有同情心的员工,3)员工与军队的联系,以及4)HGMP后的资源。这项研究的发现强调了创伤知情护理的必要性,对为女性退伍军人服务的项目中的从业者进行文化能力培训,并在项目结束后提供持续的资源。研究结果还表明,参与者在项目期间有变革性的经历。需要进一步的研究来检查其他户外娱乐治疗项目中的编程元素,以确定它们作为治疗工具的有效性。
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引用次数: 0
Social Prescribing and Therapeutic Recreation: Making the Connection 社会处方与治疗娱乐:建立联系
IF 0.6 Q4 REHABILITATION Pub Date : 2021-05-12 DOI: 10.18666/TRJ-2021-V55-I2-10694
Mattea E. Mahut, Darla Fortune
An increasing number of people are experiencing social isolation and loneliness and this trend is becoming cause for concern around the world. Considering that isolation and loneliness give rise to a number of health problems, it is essential to find innovative ways to address this issue. One such approach is to enhance experiences of belonging within communities. Social prescribing (SP) is a method that can promote belonging by connecting people to the social support they need. The purpose of this paper is to explore the potential relationship that can exist between therapeutic recreation (TR) and SP. As we explain, TR can complement SP efforts by ensuring people have access to inclusive, social leisure and recreation opportunities. In this sense, TR professionals are well positioned to be key players in SP processes. We contend that TR practice is best positioned to work in tangent with SP to nurture socially connected communities when it focuses on building community capacity, facilitates welcoming and inclusive leisure and recreation experiences that foster regular social interaction, and adopts principles of community development as part of a social justice model of practice.
越来越多的人正在经历社会孤立和孤独,这一趋势正引起全世界的关注。考虑到隔离和孤独会导致许多健康问题,必须找到创新的方法来解决这个问题。其中一种方法是增强社区内的归属感。社会处方(SP)是一种通过将人们与他们需要的社会支持联系起来来促进归属感的方法。本文的目的是探索治疗性娱乐(TR)和SP之间可能存在的潜在关系。正如我们所解释的,TR可以通过确保人们获得包容性的社交休闲和娱乐机会来补充SP的努力。从这个意义上说,TR专业人员在SP流程中处于关键地位。我们认为,TR实践最适合与SP合作,培养社会联系社区,因为它专注于建设社区能力,促进欢迎和包容的休闲和娱乐体验,促进定期的社会互动,并将社区发展原则作为社会正义实践模式的一部分。
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引用次数: 1
Adjustment Strategies of Older Adults Transitioning Into an Assisted Living Facility: Implications for RT Practice 老年人过渡到辅助生活设施的适应策略:对RT实践的启示
IF 0.6 Q4 REHABILITATION Pub Date : 2021-05-12 DOI: 10.18666/TRJ-2021-V55-I2-10782
Kaitlin E. Mueller, M. V. Puymbroeck, B. Crowe, N. Davis
Transitions into an assisted living facility (ALF) may have major impacts on the well-being of older adults, both positively and negatively. The purpose of this study was to explore strategies that older adults are implementing to maintain or improve their well-being during their transition into an ALF. A grounded theory, descriptive approach employed 14 individual, in-person interviews at an ALF in the rural, southeastern U.S. Eight central findings emerged as adjustment strategies used by older adults, catorgizied as active and passive strategies. The five active strategies were identified as importance of health promoting activities (subthemes: promoting physical health and promoting mental health), connections to the outside world (subthemes: community integration outings and community visitors), placing possessions, finding a new routine, and engaging in spiritual practices. Three passive strategies were identified: peer support, staff support, and prior familiarity with the ALF. Implications for recreational therapists working with older adults in ALFs are detailed and future research recommendations are provided.
过渡到辅助生活设施(ALF)可能对老年人的福祉产生重大影响,无论是积极的还是消极的。本研究的目的是探讨老年人在过渡到ALF期间维持或改善其幸福感的策略。一种基于理论的描述性方法在美国东南部农村的一个ALF中采用了14个个人面对面访谈,其中8个中心发现是老年人使用的调整策略,分为主动和被动策略。确定的五项积极战略是促进健康活动的重要性(分主题:促进身体健康和促进精神健康)、与外部世界的联系(分主题:社区融合郊游和社区访客)、放置财产、找到新的日常生活和从事精神实践。确定了三种被动策略:同伴支持、工作人员支持和事先熟悉ALF。在ALFs中,娱乐治疗师与老年人一起工作的意义是详细的,并提供了未来的研究建议。
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引用次数: 2
A Personal Narrative Conveying Human Flourishing 传达人类繁荣的个人叙事
IF 0.6 Q4 REHABILITATION Pub Date : 2021-03-03 DOI: 10.18666/TRJ-2021-V55-I1-10430
James B. Wise, Keith W. Barney
Human flourishing is gaining recognition and support as a central aim of therapeutic recreation (TR) services. However, missing from the extant scholarly literature are concrete, extensive depictions of people with disabilities who are living well. This is a critical omission because people need to be aware there are a multitude of avenues that lead to flourishing and that what flourishing looks like can differ from person to person. Furnishing portrayals of living well helps people grasp the diversity associated with flourishing and enables them to select and pursue a particular portrayal or meld multiple portrayals into a composite best suited to them and their environments. This article begins addressing the deficit by presenting a detailed portrait of human flourishing via a personal narrative. The text also discusses practical applications associated with using the personal narrative method and concludes with future objectives. Subscribe to TRJ
作为治疗性娱乐(TR)服务的中心目标,人类的繁荣正在获得认可和支持。然而,现存的学术文献中缺少对生活良好的残疾人的具体、广泛的描述。这是一个关键的遗漏,因为人们需要意识到有多种途径可以导致繁荣,而繁荣的样子可能因人而异。对美好生活的描绘有助于人们掌握与繁荣相关的多样性,并使他们能够选择和追求一个特定的描绘,或将多个描绘融合成最适合他们和他们的环境的组合。这篇文章首先通过个人叙事详细描绘了人类的繁荣,以此来解决这一赤字。本文还讨论了与使用个人叙述方法相关的实际应用,并总结了未来的目标。订阅TRJ
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引用次数: 1
Recreational Therapy in Nursing Homes: History, Regulations, COVID-19, and Beyond 疗养院的娱乐治疗:历史、法规、COVID-19及其他
IF 0.6 Q4 REHABILITATION Pub Date : 2021-03-03 DOI: 10.18666/TRJ-2021-V55-I1-10744
Tarah Loy, D. Devries, M. J. Keller
The current pandemic has changed the way allied health professionals, including recreational therapists, provide care in the nursing home setting. This article aims to address concerns for older adults residing in nursing homes by reviewing the history of nursing homes, analyzing the impact regulations have had on the recreational therapy profession, and offering considerations for future practice in a COVID-19 world.
当前的疫情改变了包括娱乐治疗师在内的专职卫生专业人员在疗养院提供护理的方式。本文旨在通过回顾养老院的历史,分析法规对娱乐治疗行业的影响,并为新冠肺炎世界的未来实践提供考虑,来解决居住在养老院的老年人的担忧。
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引用次数: 2
An Investigation Into the Use of Yoga in Recreational Therapy Practice 瑜伽在休闲治疗实践中的应用调查
IF 0.6 Q4 REHABILITATION Pub Date : 2021-03-03 DOI: 10.18666/TRJ-2021-V55-I1-10145
Abigail Kee Wiles, M. V. Puymbroeck, B. Crowe, A. Schmid
Yoga is used in health care with a variety of populations, but limited knowledge exists regarding the details of how yoga is implemented in recreational therapy (RT) practice. Therefore, the purpose of this study was to explore how yoga is implemented in RT practice. As part of a nation-wide survey and through the use of individual interviews, this secondary analysis investigated how yoga is being used in RT practice across the United States. Sixteen recreational therapists completed both a nation-wide online survey and semi-structured interviews. Quantitative results describe the populations in which yoga is being used in RT practice, as well as the characteristics of recreational therapists who also are employing yoga in their RT practice. Then, conventional and summative content analysis identified four categories related to yoga in RT practice: recreational therapists’ practices, treatment planning, outcomes, and yoga intervention. The findings revealed that yoga is implemented with a variety of populations as part of RT practice. Yoga should be implemented by recreational therapists who are trained to teach yoga or provide population-specific yoga sessions to meet specific patient needs. Limitations of the study and implications are discussed. Subscribe to TRJ
瑜伽被用于各种人群的医疗保健,但关于瑜伽如何在娱乐治疗(RT)实践中实施的细节,知识有限。因此,本研究的目的是探索瑜伽是如何在RT练习中实施的。作为一项全国性调查的一部分,通过个人访谈,这项二次分析调查了瑜伽在美国各地的RT练习中是如何使用的。16名娱乐治疗师完成了全国范围的在线调查和半结构化访谈。定量结果描述了瑜伽在RT练习中使用的人群,以及在RT练习时也使用瑜伽的娱乐治疗师的特征。然后,传统的和总结性的内容分析确定了与RT练习中的瑜伽相关的四个类别:娱乐治疗师的练习、治疗计划、结果和瑜伽干预。研究结果表明,瑜伽作为RT练习的一部分,在各种人群中都有实施。瑜伽应由受过瑜伽教学培训的娱乐治疗师实施,或提供特定人群的瑜伽课程,以满足特定患者的需求。讨论了该研究的局限性和意义。订阅TRJ
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引用次数: 1
Community Participation for Transition- Aged Youth with Intellectual and Developmental Disabilities: A Systematic Review 智障及发展障碍过渡年龄青年的社区参与:系统回顾
IF 0.6 Q4 REHABILITATION Pub Date : 2021-03-03 DOI: 10.18666/TRJ-2021-V55-I1-10296
Tania Santiago Perez, B. Crowe
All people, including individuals with intellectual and developmental disabilities (IDD) deserve to actively participate in the community in which they live. For transition aged-youth (TAY) with IDD, attaining successful community participation can be difficult. The purpose of this systematic review was to identify and synthesize the literature specific to recreational therapy interventions in the U.S. aimed at improving community participation among TAY with IDD. Literature specific to two domains of community participation were explored: a) interpersonal life; and b) community, civic and social life. Eight studies were reviewed using a thematic synthesis approach to identify common themes across studies. Findings revealed three themes: 1) programs with collaboration and community supports, 2) leisure education, and 3) social skills training. Facilitators, barriers, and promising approaches regarding community participation of TAY with IDD are described. Implications and limitations of the current literature are also addressed. Subscribe to TRJ
所有人,包括有智力和发育障碍(IDD)的人,都应该积极参与他们所生活的社区。对于患有缺碘症的过渡年龄青年(TAY)来说,获得成功的社区参与可能很困难。本系统综述的目的是识别和综合针对美国娱乐疗法干预的文献,旨在提高IDD TAY患者的社区参与。具体到社区参与的两个领域的文献进行了探讨:a)人际生活;b)社区,公民和社会生活。使用主题综合方法对八项研究进行了审查,以确定研究中的共同主题。调查结果显示了三个主题:1)合作和社区支持的项目,2)休闲教育,3)社交技能培训。本文描述了关于IDD TAY社区参与的促进因素、障碍和有希望的方法。本文还讨论了当前文献的含义和局限性。订阅TRJ
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引用次数: 1
Patient-Reported Outcome Measures: A Resource for Recreational Therapists 患者报告的结果测量:娱乐治疗师的资源
IF 0.6 Q4 REHABILITATION Pub Date : 2021-03-03 DOI: 10.18666/TRJ-2021-V55-I1-10383
B. McCormick, D. Austin
To our knowledge, information on patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) has not appeared in the literature of recreational therapy. This article provides an introduction to PROs and PROMs so recreational therapists may understand them and see their possible applications within recreational therapy. In this article, PROs and PROMs are described. Specific examples of PROMs, and resources for accessing them are provided. Discussion on the value of PROs in the enhancement of client care, challenges to the use of PROMs, and the relevance of PROMS to recreational therapy practice and research follows. It is concluded that the use of PROMs is an emerging approach that recreational therapists need to explore. Subscribe to TRJ
据我们所知,关于患者报告结果(PROs)和患者报告结果测量(PROM)的信息尚未出现在娱乐治疗的文献中。本文介绍了PROs和PROM,以便娱乐治疗师了解它们,并了解它们在娱乐治疗中的可能应用。本文介绍了PROs和PROM。提供了PROM的具体示例以及用于访问它们的资源。以下讨论了PROs在加强客户护理方面的价值、PROM使用的挑战以及PROM与娱乐治疗实践和研究的相关性。结论是,PROM的使用是一种新兴的方法,娱乐治疗师需要探索。订阅TRJ
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引用次数: 0
Efficacy of Therapeutic Recreation-Based Drumtastic® and Kid Yoga Rocks in an Early Childhood Public School Setting 以治疗性娱乐为基础的Drumtastic®和儿童瑜伽岩石在儿童早期公立学校环境中的疗效
IF 0.6 Q4 REHABILITATION Pub Date : 2021-03-03 DOI: 10.18666/TRJ-2021-V55-I1-10128
L. Litchke, T. Willemin, Allison Willemin, Carrie Ekins, Dean P. Owens
The intent of this study was to compare drumming and yoga to regular classroom physical activity in a school setting. Twenty-nine early childhood students with Autism Spectrum Disorder (ASD) engaged in 5-weeks of TR led Kid Yoga Rocks (KYR; n = 10), Drumtastic ® (DR; n = 11), or Classroom/recess control group (CR; n = 8). Statistical analysis revealed significant positive changes pre-post in cognition (p < .001) and mood/fun (p =.003) within DR and KYR groups. Significant positive affect change resulted in DR and KYR vs. CR (p < .001); though no difference between DR and KYR. No significant change in socialization with others pre-post for all three groups. However, near significant between groups change for personal relationships for KYR and DR vs. CR which showed DR significantly better (p = .023). Thus, TR led evidence-based practice in schools as a related service can benefit children with ASD including problem solving, memory, relationship building, and expression of positive emotion. Implications for TR practice in school settings and further research on the effects of yoga and drumming are warrented as a result of this study.  Subscribe to TRJ
这项研究的目的是将击鼓和瑜伽与学校环境中的常规课堂体育活动进行比较。29名患有自闭症谱系障碍(ASD)的幼儿学生参加了为期5周的TR主导的儿童瑜伽岩石(KYR;n = 10), Drumtastic®(DR;n = 11),或教室/课间控制组(CR;n = 8)。统计分析显示,DR和KYR组在认知(p < 0.001)和情绪/乐趣(p = 0.003)方面发生了显著的积极变化。DR和KYR相对于CR有显著的积极影响变化(p < 0.001);虽然DR和KYR没有区别。所有三个群体在离职前与其他人的社交没有显著变化。然而,KYR和DR与CR的个人关系在组间变化接近显著,其中DR明显更好(p = 0.023)。因此,以TR为主导的学校循证实践作为相关服务,可以使ASD儿童在解决问题、记忆、建立关系和表达积极情绪方面受益。本研究的结果是对学校环境中TR实践的影响以及对瑜伽和击鼓的影响的进一步研究进行了警告。订阅TRJ
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引用次数: 0
期刊
Therapeutic Recreation Journal
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