OCCUPATIONAL THERAPY IN HEALTH CARE最新文献

This systematic review aimed to assess the effectiveness of parenting education for adolescent parents and its potential impact on their children's health and development. Only nine studies met the inclusion criteria. Results indicated that children of adolescent parents who received parenting education had better outcomes in academic achievement, emotional regulation, secure attachment styles, expressive language, and lower hospitalizations. Investing in parenting education may improve outcomes for children.

As adequate sleep is an indicator of healthy aging, it is of concern that in India, the prevalence of sleep disorders is significant among older women. Using a qualitative approach, we aimed to understand how older Indian women perceive, engage in, and experience sleep and the factors influencing their sleep. Eight urban-residing older women from a southern Indian district were interviewed. Three main themes emerged: perceptions about sleep and sleep disturbances, causes and consequences of disturbed sleep, and sleep practices. Results may guide contextually relevant occupational assessments and interventions to support good sleep and healthy aging of this vulnerable population.

This study exploring the impact of everyday mothering occupations on maternal confidence may have implications for maternal wellbeing, with New Zealand mothers positioned as experts to rank the occupations that evoke feelings of maternal confidence. This study was investigating general mothering experiences, and therefore did not screen for mothers at risk. Delphi surveys were used as a facilitation technique to reach consensus. Participants (N = 7) were presented with a list of mothering occupations informed by literature and additional items previously identified by participants and asked to rank the items for their efficacy at evoking feelings of maternal confidence. A second ranking round was completed, following the collated response from the first ranking. Consensus was reached between surveys. The top nine of 47 items did not change their ranked positions and a list of the top mothering occupations for evoking maternal confidence, as ranked by a panel of mothers, was developed. This study found that mothers ranked co-occupations and watching their babies highly for evoking feelings of maternal confidence. The influence on maternal confidence of specific occupations and tasks demonstrates the potential value of occupational therapy input during the perinatal phase.

This qualitative narrative study describes the stories of persons with Long COVID. Four individuals participated in semi-structured interviews with photo elicitation. Thematic analysis yielded six themes: symptom complexity, deep emotional impact, changes to daily life, not being believed, navigating healthcare alone, and positive influence of social support illustrating that persons with Long COVID experience major changes in their bodies, routines, and relationships. The results can inform occupational therapy services by encouraging occupational therapy practitioners to pursue updated Long COVID-specific continuing education and address the functional limitations, role competencies, support systems, and life priorities of these clients.

This study explored the caregiving experiences and expectations of mothers of children with disabilities. Eighteen mothers agreed to participate and share their caregiving experiences and expectations through a semi-structured interview. Using thematic data analysis, three main themes emerged: transformation of a mother, expectations regarding own needs, and expectations regarding child's needs. Findings indicated that mothers required support due to the loss of their role, changes in lifestyle, the impact on family structure, and shortened routines. Mothers reported needing support for their mental and physical health, as well as help with sleep problems. They also expressed a desire to learn how to improve their children's social skills, body structure and function, and independence. The findings highlight the importance of occupational therapists using appropriate approaches based on the mothers' experiences and expectations to improve caregiving.

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.