OCCUPATIONAL THERAPY IN HEALTH CARE最新文献

This study aimed to identify the functional priorities of parents/guardians of Brazilian children and adolescents with cerebral palsy (CP) and to examine possible variations in priorities concerning different age groups and functional classifications. This cross-sectional study included 171 children with CP (mean age: 7.68 ± 3.32 years). The Canadian Occupational Performance Measure was administered to the families to identify functional priorities. Among the 740 functional priorities identified, activities of daily living (ADLs) were the most frequent, followed by priorities related to body functions, motor skills, and play. The functional priorities were similar across different functional levels and age groups.

This case study shares the knowledge gained from working with an individual having lived experience of a health condition contributing toward an occupational therapy education module through the reflections of an occupational therapy academic and an individual with lived experience working in a university. The primary goal is to establish an empirical evidence base for involvement of people with lived experience in occupational therapy education and to encourage other educators and individuals with lived experience to follow this model of teaching and learning in their curricula. Based on the belief that teaching and learning through co-production creates a 'triangle' of benefit for individuals with lived experience, students and academics. Individuals with lived experience are seen as powerful, independent, and strong despite their medical condition. Students learn more about important aspects of service provision beyond direct medical and therapy knowledge and academics learn about and model this new way of working. The aim is to promote development of co-production learning activities in occupational therapy education.

This exploratory study explored second-year students' experience with reflective activities in a Canadian Master's in Occupation Therapy program. A survey and follow-up interviews were conducted to examine multiple perspectives and the influences of reflective activities on students. Data were analyzed using descriptive statistics, Pearson Chi-Square, and thematic analysis. Findings revealed that reflections on personal or societal perspectives were perceived to be more beneficial than reflections on clinical simulations. Three themes emerged: (1) key elements influencing the reflective experience, (2) diverse experiences of reflective activity, and (3) the perceived outcomes resulting from positive reflective experiences. This study highlights the significance of reflective activities in occupational therapy education and identifies key elements that shape students' experiences with reflective activities.

As occupational therapists gain recognition for their work in primary care, it is important to explore the services they provide within these settings. A qualitative study was employed whereby six licensed occupational therapists within the United States were invited via email to engage in semi-structured interviews. Interview transcripts were analyzed individually by six researchers and as a team using consensus coding. Four themes emerged: "Primary Care Benefits", "Occupational Therapy Process and Distinct Value", "Primary Care Interventions", and "Complexities of Primary Care: Patient Conditions and Challenges." Occupational therapists described a range of benefits to being positioned within primary care. Problem solving around patient barriers, funding and logistical challenges are important considerations. Emphasizing 'occupation-based practice' and 'doing' within therapy are vital for occupational therapists who wish to advocate for their services and apply their distinct skill set within primary care settings.

We examined the effectiveness of occupational therapy intervention combined with standard rehabilitation in patients undergoing high tibial osteotomy (HTO). Overall, 115 patients with HTO for knee osteoarthritis were examined. An intervention group (n = 50), who received occupational therapy and standard rehabilitation, was compared to a control group (n = 65), who underwent standard rehabilitation only (n = 65). Compared with the control group, the intervention group had significantly lower Hospital Anxiety and Depression Scale depression and anxiety scores (both p < 0.05), with between-group differences showing large- and medium-effect sizes, respectively (d = 1.06 and 0.61). Results suggest occupational therapy with rehabilitation during hospitalization improves depression and anxiety rates in patients post-HTO.

Theories, models, and frameworks provide the foundation for occupational therapy education, research, and clinical practice. While most have a systems approach focus, other factors, such as societal influences and structural inequities, also contribute to health. Using a cross-sectional design, this study identified the gaps in occupational therapy models of practice and presents a novel approach, the PAIRE (Recognize Privilege, Acknowledge Injustice, and Reframe Perspective to Reach Equity) Model. PAIRE is focused on achieving occupational equity through the reciprocal and intersectional impact of the provider/team, the person/people seeking occupational therapy, and the occupation-in-context, with continuous influences of access, context, and justice. We describe the components of PAIRE and illustrate its functionality in education, research, and clinical practice contexts as well as case examples.

The study aimed to explore six public service users' perspectives on the impact their upper limb injury or condition has on their everyday lives while receiving occupational therapy intervention at a public hospital in the context of the Northern Cape of South Africa. An interpretivist phenomenological approach was employed. Data was collected using reflexive photography and semi-structured interviews. Three main themes were generated during inductive reasoning, namely the impact on role fulfillment, change in occupational task performance and the factors impacting performance in preferred occupations. Participants confirmed that to present a contextually relevant and responsive service, Occupation-Based Hand Therapy (OBHT) approaches must be considered.

Nomophobia (NO MObile PHone Phobia) is a psychological condition in which people are anxious of being cut off from their mobile phones and been associated with adverse consequences to physical and psychosocial health. The objective of this study was to measure the impact of nomophobia on musculoskeletal problems in the upper extremity among adults. The Nomophobia scale (NMP-Q) was used to measure addiction to smartphone use among 5,087 Middle Eastern adults. A snowball sampling approach was used to recruit the participants between March and June 2021. Results showed that nomophobia was evident in 1,119 participants (22%) with a mean NMP-Q score of 114.1 (SD 11.1). A total of 3,396 upper extremity symptoms were reported among our participants. The binomial logistic regression showed that NMP-Q score is a significant predictor of symptoms to the thumb only (β = 0.01, p = .026). This study has provided evidence of the negative physical consequences of addiction to smartphone use. Participants with thumb-related symptoms were more prone to sustain other concurrent upper extremity symptoms, probably due to their maladaptive habits of using the phone. Thus, it is important to increase awareness about the risks associated with the use of smartphones. Implications for occupational therapy are presented.

To describe aspects of occupational therapy practice in the rehabilitation of adults with occupational dysfunction following a neurological injury in Argentina, a cross-sectional, descriptive study was conducted. One hundred and sixty-seven occupational therapists completed an online, self-administered questionnaire. The preferred professional model was the Model of Human Occupation and the most frequently administered assessment was the Functional Independence Measure. The most frequent interventions were sitting balance, fine motor skills, and dressing. There is an inclination to work on neuromusculoskeletal functions, followed by training in activities of daily living. No statistically significant differences were found between the type of interventions and care method, type of sessions, and rehabilitation stage. Results indicate that although occupational therapists use a combination of practice approaches, the footprints of reductionism are still present in professional exercise.