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Flourishing through Leisure Practice Model, Capabilities Approach, and MacIntyre’s Theory of Flourishing: Compatible and Interrelated 休闲实践中的繁荣模式、能力方法与麦金太尔的繁荣理论:兼容与关联
IF 0.6 Q4 REHABILITATION Pub Date : 2020-03-16 DOI: 10.18666/TRJ-2020-V54-I1-9688
James B. Wise
Flourishing is a burgeoning concept in therapeutic recreation (TR) with some authors arguing for it to be a principal goal of the profession. However, there are three conceptualizations in the literature raising questions of compatibility and interrelationship. Are the Capabilities Approach (Nussbaum, 2006), MacIntyre’s (2007) theory of flourishing, and the Flourishing through Leisure: An Ecological Extension of the Leisure and Well-Being Model (FTL; Anderson & Heyne, 2012a) compatible, and if so, how are they interrelated? An investigation revealed the conceptualizations are harmonious and nested according to level of generality. The Capabilities Approach is the most abstract and serves as a foundation that accommodates MacIntyre’s theory which, in turn, details multiple capabilities and their contributions to flourishing. The FTL model links both to service recipients by transforming theoretical rhetoric into specific actions professionals take to facilitate flourishing. Considered jointly, the complementary entities serve at least two functions. They mutually support flourishing as a principal goal and supply clear guidelines on how to help people live well. Subscribe to TRJ
繁荣是治疗娱乐(TR)中一个新兴的概念,一些作者认为这是该行业的主要目标。然而,文献中有三个概念提出了兼容性和相互关系的问题。能力方法(Nussbaum,2006)、麦金太尔(MacIntyre,2007)的繁荣理论和通过休闲而繁荣:休闲与幸福模型的生态扩展(FTL;Anderson&Heyne,2012a)是否兼容?如果兼容,它们是如何相互关联的?一项调查显示,这些概念是和谐的,并根据一般性水平嵌套。能力方法是最抽象的,它是麦金太尔理论的基础,而麦金太尔的理论又详细描述了多种能力及其对繁荣的贡献。FTL模式通过将理论修辞转化为专业人士为促进繁荣而采取的具体行动,将两者与服务对象联系起来。共同考虑,互补实体至少有两项职能。他们相互支持将繁荣作为主要目标,并就如何帮助人们过上好日子提供了明确的指导方针。订阅TRJ
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引用次数: 3
Changes in Family Leisure Functioning Following a Family Camp for Children with Autism Spectrum Disorder (ASD) 自闭症谱系障碍儿童家庭夏令营后家庭休闲功能的变化
IF 0.6 Q4 REHABILITATION Pub Date : 2020-03-16 DOI: 10.18666/TRJ-2020-V54-I1-9418
Karen C. Wenzel, Jasmine A. Townsend, Brent L. Hawkins, Brook T. Russell
The purpose of this study was to examine the immediate and long-term effect of participation in a family camp designed specifically for families with a child with ASD. The variables studied were family recreation, family recreation satisfaction, family communication, satisfaction with family function, and satisfaction with family life, as reported by the parents. Findings indicated changes in family functioning, family communication, satisfaction with family function, and satisfaction with family life. The trend analyses indicated the parents reported a general increase in satisfaction with their family function and family life, and a statistically significant increase was observed in satisfaction with family life (p = .045). These findings partially support previous research demonstrating that increased parental involvement has a positive effect on parental and family well-being for families with a child with ASD. Implications for recreational therapy practice in providing interventions for families with a child with ASD and future research are discussed. Subscribe to TRJ
本研究的目的是检验参加专门为患有自闭症儿童的家庭设计的家庭营地的直接和长期影响。研究的变量是父母报告的家庭娱乐、家庭娱乐满意度、家庭沟通、对家庭功能的满意度和对家庭生活的满意度。研究结果表明,家庭功能、家庭沟通、对家庭功能的满意度和对家庭生活的满意度发生了变化。趋势分析表明,父母对家庭功能和家庭生活的满意度普遍提高,并且观察到对家庭生活的满意度在统计学上显著增加(p=.045)。这些发现部分支持了先前的研究,即父母参与的增加对患有自闭症儿童的家庭的父母和家庭幸福感有积极影响。讨论了娱乐治疗实践在为患有自闭症儿童的家庭提供干预方面的意义以及未来的研究。订阅TRJ
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引用次数: 5
The Impact of a Sensory Garden for People with Dementia 感官花园对痴呆症患者的影响
IF 0.6 Q4 REHABILITATION Pub Date : 2020-03-16 DOI: 10.18666/TRJ-2020-V54-I1-10077
H. Collins, M. V. Puymbroeck, Brent L. Hawkins, J. Vidotto
The purpose of this study was to determine the impact of sensory garden interventions on agitation and quality of life for people with dementia. The sensory garden consisted of plants that stimulated all the senses. Four people diagnosed with dementia residing in assisted living participated in the multiple treatment single-subject design (A 1 -B-BC-A 2 ) study. Baseline phase A 1 lasted two weeks, intervention B and BC were four weeks each, and return to baseline A 2 was two weeks, for a total of 12 weeks. Intervention B was an indoor sensory garden, and intervention BC was an approximated outside sensory garden. The Agitated Behavior Mapping Instrument, Cohen-Mansfield Agitation Inventory, and Dementia Quality of Life-Proxy were used to collect data. Data revealed positive trends following the sensory garden interventions on decreasing agitation and improving quality of life. Intervention B worked best for two participants and intervention BC for the remaining two participants. Applications to recreational therapy practice are provided. Subscribe to TRJ
本研究的目的是确定感官花园干预对痴呆症患者躁动和生活质量的影响。感官花园由刺激所有感官的植物组成。四名居住在辅助生活中的被诊断为痴呆症的人参与了多治疗单受试者设计(A1-B-BC-A2)研究。基线A1期持续两周,干预B期和BC期各为四周,恢复基线A2期为两周,共12周。干预B是一个室内感觉花园,干预BC是一个近似的室外感觉花园。使用激动行为映射仪、Cohen Mansfield激动量表和痴呆症生活质量代理来收集数据。数据显示,在感官花园干预后,在减少焦虑和提高生活质量方面出现了积极的趋势。干预措施B对两名参与者效果最好,干预措施BC对其余两名参与者最有效。提供了在娱乐治疗实践中的应用。订阅TRJ
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引用次数: 9
Impact of a Pilot Adaptive Sports Intervention on Residents at a Skilled Nursing Facility 试点适应性运动干预对熟练护理机构住院患者的影响
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9755
L. Bedini, L. Kelly, K. McKenzie, K. Mitchell
The purpose of this pilot study was to measure the im-pact of an adaptive sports intervention on several out-comes including the components of self-determination (i.e., autonomy, competence, relatedness), loneliness, and mobility for residents of a skilled nursing facility (SNFs). This study employed a physician-prescribed, 4-week adaptive sports intervention specifically adapted for the residents of a SNF. The program was administered by Certified Therapeutic Recreation Specialists® (CTRS), and facilitated six participants in weekly practice (basket-ball, baseball, golf, shuffleboard) and competition against residents in other local facilities. This mixed-methods study employed pre-test/post-test outcome evaluation using the UCLA Loneliness Scale, Basic Psychological Needs Satisfaction Scale (BPNSS) (competence, autono-my, relatedness), Timed Up and Go Test, as well as struc-tured qualitative interviews. Results of this study showed improvements for all participants across most or all cog-nitive, physical, emotional, and/or social domains and all measures showed positive movement. Results also sug-gested improvements in identity, belonging, importance, and the potential for transfer of these benefits to greater social engagement, lower fall risk, and decreased depression. Practical recommenda-tions are provided. In addition, replication and expansion of this design is warranted. Subscribe to TRJ
这项试点研究的目的是衡量适应性体育干预对一些产出的影响,包括自主性(即自主性、能力、相关性)、孤独感和熟练护理机构(SNF)居民的流动性。这项研究采用了一种医生处方的、为期4周的适应性运动干预,专门针对SNF的居民。该项目由认证治疗娱乐专家®(CTRS)管理,并为六名参与者提供了每周练习(篮球、棒球、高尔夫、洗牌)和与当地其他设施的居民比赛的便利。这项混合方法研究采用了测试前/测试后的结果评估,使用了加州大学洛杉矶分校孤独感量表、基本心理需求满意度量表(BPNSS)(能力、自主性、关联性)、Timed Up and Go test,以及结构化的质性访谈。这项研究的结果显示,所有参与者在大多数或所有认知、身体、情感和/或社交领域都有所改善,所有指标都显示出积极的运动。研究结果还表明,身份、归属感、重要性以及将这些好处转化为更大的社会参与、更低的跌倒风险和减少抑郁的潜力都有所改善。提供了实用的建议。此外,这种设计的复制和扩展是有保证的。订阅TRJ
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引用次数: 2
The Effects of Therapeutic Horseback Riding on Balance 治疗性骑马对平衡的影响
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/TRJ-2019-V53-I4-9773
S. K. Anderson
The purpose of this study was to determine the effects of therapeutic horseback riding (THR) as an interven-tion to improve the balance of 30 individuals who par-ticipated in a Professional Association of Therapeutic Horsemanship International (PATH INTL) therapeutic riding member program. The study lasted 10 weeks, with each participant receiving the intervention once a week for thirty minutes. The therapeutic riding program in-cluded several standard components in each session to challenge the balance of riders with disabilities. A quasi-experimental one-group pre-test-post-test design was used to examine the effects of THR for a single session, short-term 10-week period, and sustained effects after the program ended. The Multi-Directional Reach Test (MDRT; Newton, 2001) was used to quantify balance during the study. Paired t -tests were conducted to exam-ine a relationship between THR and balance outcomes. Recreational therapy applications and research implica-tions are also discussed. Subscribe to TRJ
本研究的目的是确定治疗性骑马(THR)作为一种干预措施的效果,以改善国际治疗性马术专业协会(PATH INTL)治疗性骑马会员计划中30名参与者的平衡。该研究持续了10周,每个参与者每周接受一次干预,持续30分钟。治疗性骑行项目在每节课中都包含了几个标准组成部分,以挑战残疾骑手的平衡。使用准实验性的一组测试前-测试后设计来检查THR在单次治疗、短期10周期间的效果以及项目结束后的持续效果。多向伸展试验(MDRT;Newton,2001)用于量化研究期间的平衡。配对t检验是为了检验THR和平衡结果之间的关系。文中还讨论了娱乐疗法的应用和研究意义。订阅TRJ
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引用次数: 7
Understanding Administrators’ Perceptions of Recreational Therapy in Long-Term Care 了解管理人员对长期护理中娱乐治疗的看法
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9754
Tarah Loy, Brent L. Hawkins, Jasmine A. Townsend
Although research continues to suggest that recreational therapy benefits elderly residents in long-term care (Buettner & Fitzsimmons, 2011; Fitzsimmons, Sardina, & Buettner, 2014; Kolanowski, Fick, Frazer, & Penrod, 2010; Seitz et al., 2012), administrators often remain unfamiliar with the profession and the abilities of the Certified Therapeutic Recreation Specialist (CTRS) (Bedini & White, 2018; Harkins & Bedini, 2013). Through the use of semi-structured interviews, this qualitative study sought New England administrators’ perceptions of recreational therapy in the long-term care (LTC) industry. Thematic analysis of the data indicated three overarching themes: financial support, facility culture, and knowledge of recreational therapy. These three themes are suggested to influence administrators’ decisions to utilize recreational therapy (RT) in their facilities. Recommendations for the profession include administrator education on the benefits of recreational therapy; continuing with evidence-based research to advocate for the Centers for Medicare and Medicaid Services (CMS) coverage; and creating a facility culture through family, resident, and staff education where RT is considered a necessity in LTC. Subscribe to TRJ
尽管研究继续表明娱乐疗法对长期护理的老年人有益(Buettner & Fitzsimmons, 2011;Fitzsimmons, Sardina, & Buettner, 2014;Kolanowski, Fick, Frazer, & Penrod, 2010;Seitz等人,2012),管理人员往往不熟悉注册治疗娱乐专家(CTRS)的职业和能力(Bedini & White, 2018;Harkins & Bedini, 2013)。通过使用半结构化访谈,本定性研究寻求新英格兰管理人员对长期护理(LTC)行业休闲治疗的看法。数据的专题分析表明了三个主要主题:财政支持、设施文化和娱乐治疗知识。建议这三个主题影响管理者在其设施中使用娱乐治疗(RT)的决定。对专业人员的建议包括:对管理人员进行娱乐性治疗益处的教育;继续进行循证研究,倡导医疗保险和医疗补助服务中心(CMS)的覆盖;通过家庭、居民和员工教育创造一种设施文化,在LTC中,RT被认为是必要的。订阅TRJ
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引用次数: 1
Yoga as a Community-Based Recreational Therapy Intervention for Older Adults: A Pilot Study 瑜伽作为老年人社区娱乐疗法干预:一项试点研究
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9728
Em V. Adams, B. Crowe, M. V. Puymbroeck, Claire K. Allison, A. Schmid
The purpose of this multi-method pilot study was to ex-plore the efficacy of a yoga intervention on the leisure constraints and functional fitness of community-dwell-ing older adults. Seven community-dwelling older adults engaged in 16, 60-minute sessions of hatha yoga con-ducted twice a week for eight weeks at a local continuing education center. Individuals enrolled in either a seated yoga class ( n =4) or a standing yoga class ( n =3). Pre-/ post-measures included physical measures and a sur-vey of leisure constraints. A focus group was conducted with each group to determine their perspectives of par-ticipation. Results indicated significant improvement in lower-body strength and endurance. Balance, upper and lower body flexibility, upper-body strength, and self-re-ported leisure constraints did not show significant im-provements. Qualitative data showed that participants perceived psychosocial and physical benefits to yoga participation including increased energy and motivation to engage in other types of physical activities. Findings indicate the potential for the use of yoga to increase participation in other forms of leisure-time physical activity, but further evaluation of the influence of yoga on leisure constraints is warranted. Implications for recreational therapists are discussed, includ-ing helping clients identify community yoga classes that will best meet their needs based on class size, accessibility, and pace. Subscribe to TRJ
本研究的目的是探讨瑜伽干预对社区老年人休闲约束和功能健康的影响。七名居住在社区的老年人在当地的继续教育中心进行了为期八周的哈他瑜伽训练,每周两次,每次16次,每次60分钟。参加坐姿瑜伽课程(n =4)或站立瑜伽课程(n =3)的个体。前/后措施包括物理测量和休闲限制调查。每个小组都进行了焦点小组讨论,以确定他们的参与观点。结果显示下半身力量和耐力有明显改善。平衡、上半身和下半身柔韧性、上半身力量和自我报告的休闲约束没有显著的改善。定性数据显示,参与者认为参加瑜伽对心理社会和身体都有好处,包括增加精力和参与其他类型体育活动的动力。研究结果表明,瑜伽的使用有可能增加其他形式的休闲时间体育活动的参与,但需要进一步评估瑜伽对休闲限制的影响。讨论了对休闲治疗师的影响,包括帮助客户根据班级规模、可达性和速度确定最能满足他们需求的社区瑜伽课程。订阅TRJ
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引用次数: 4
The Feasibility of Collecting Salivary Cortisol for a Collaborative University- Public School Recreational Therapy Program 收集唾液皮质醇用于大学-公立学校合作娱乐治疗项目的可行性
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-9750
Kirstin L. Whitley, S. Lynch, C. L. Franssen, Lindsey S. Sparrock
The purpose of this study was to determine whether sali-vary cortisol sampling would be a feasible effectiveness outcome measure for a community-based RT program serving children with disabilities. The program utilized in this study provides weekly RT interventions in three 10-week cycles over an 18-month period for 62 children aged 3-21 enrolled in a local public school special edu-cation program. Salivary cortisol sampling, a biomarker for stress response, was collected via bioswab pre/post-intervention on weeks 1, 6, and 10 of each cycle. In or-der to determine feasibility, the collection rate, measur-ability, and comparability of saliva samples were tracked over the study period. The first goal of collecting 75% of the possible cryovials was not met due to an actual col-lection rate of 56%. Participant absence was found to be responsible for 62% of the uncollected cryovials. How-ever, of those collected, 95% were measurable and 77% were comparable, which met the second prediction of achieving measurable samples as a rate of 50% or bet-ter. Researchers deemed cortisol sampling as feasible as correcting collection errors, which caused 17% loss of the overall possible sample, will allow for an adequate sample size for statistical analysis in future studies. Subscribe to TRJ
本研究的目的是确定唾液皮质醇取样是否会成为社区为残疾儿童服务的RT项目的可行有效的结果测量。本研究中使用的项目在18个月的时间里,为62名3-21岁的当地公立学校特殊教育项目的儿童提供每周10周的RT干预。在每个周期的第1周、第6周和第10周,通过生物拭子收集干预前/后的唾液皮质醇样本(应激反应的生物标志物)。为了确定可行性,在研究期间对唾液样本的收集率、可测量性和可比性进行了跟踪。第一个目标是收集75%的可能的低温瓶,由于实际收集率为56%,因此没有达到目标。参与者的缺席导致62%的低温瓶未收集。然而,在收集到的样本中,95%是可测量的,77%是可比较的,这符合第二个预测,即获得可测量样本的比率为50%或更高。研究人员认为,皮质醇采样与纠正收集错误一样可行,收集错误导致了17%的可能样本损失,这将为未来研究的统计分析提供足够的样本量。订阅TRJ
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引用次数: 0
RT Belongs in Hospitals—A Response to Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital RT属于医院——现代医疗环境中对Haun生态思想的回应——以Mayo诊所、爱荷华大学医院和诊所/Stead家庭儿童医院为例
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-10194
Jo-Ellen Ross, Carol Graziano
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引用次数: 0
RT: Harnessing the Environment—A Response to Haun’s Ecological Ideology in Modern Day Healthcare Environments: Case Examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital RT:利用环境——对现代医疗环境中霍恩生态思想的回应:以梅奥诊所、爱荷华大学医院和诊所/斯特德家庭儿童医院为例
IF 0.6 Q4 REHABILITATION Pub Date : 2019-10-29 DOI: 10.18666/trj-2019-v53-i4-10193
Gretchen Snethen, J. Mitchell
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引用次数: 0
期刊
Therapeutic Recreation Journal
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