Pub Date : 2023-10-01Epub Date: 2022-05-30DOI: 10.1080/07380577.2022.2081752
William Sit, Carolyn Wheeler, Noralyn Pickens
The aim of this scoping review was to identify what current and potential opportunities exist for occupational therapy in primary healthcare for underserved populations. Search phrases were utilized across several databases and Occupational Therapy specific journals were hand searched. Nineteen articles met inclusion criteria: English, 2009-2021, services delivered by occupational therapy practitioners or supervised students, for underserved populations/individuals, in community-based care, and primary health care settings. Five synergistic themes emerged from the literature are discussed: Client-centered, team collaboration, holistic and preventative health and wellness, evidence-based program evaluation, and innovative service delivery.
{"title":"Occupational Therapy in Primary Health Care for Underserved Populations: A Scoping Review.","authors":"William Sit, Carolyn Wheeler, Noralyn Pickens","doi":"10.1080/07380577.2022.2081752","DOIUrl":"10.1080/07380577.2022.2081752","url":null,"abstract":"<p><p>The aim of this scoping review was to identify what current and potential opportunities exist for occupational therapy in primary healthcare for underserved populations. Search phrases were utilized across several databases and Occupational Therapy specific journals were hand searched. Nineteen articles met inclusion criteria: English, 2009-2021, services delivered by occupational therapy practitioners or supervised students, for underserved populations/individuals, in community-based care, and primary health care settings. Five synergistic themes emerged from the literature are discussed: Client-centered, team collaboration, holistic and preventative health and wellness, evidence-based program evaluation, and innovative service delivery.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-03-31DOI: 10.1080/07380577.2022.2056777
Linda Stigen, Evastina Bjørk, Anne Lund
This study describes interventions provided by community occupational therapists for persons with cognitive impairments. Using an online questionnaire, a cross-sectional study was conducted, collecting data from 497 of the 1367 occupational therapists in Norwegian community-based services. The most common interventions provided were environmental modifications (87%), implementation of assistive devices (85%), and training of activities of daily life (ADL) (77%). Two main reasons to carry out these interventions were identified as the initial assessment of clients (89%) and expectations of others. The most preferred interventions were ADL training (77%), cognitive training (63%), and environmental modifications (56%). Chi-squared tests identified a significant difference (p < 0.001) between interventions provided and preferred interventions on all interventions except environmental modifications. The findings provide an insight into interventions provided for persons with cognitive impairments in community services.
{"title":"Occupational Therapy Interventions for Persons with Cognitive Impairments Living in the Community.","authors":"Linda Stigen, Evastina Bjørk, Anne Lund","doi":"10.1080/07380577.2022.2056777","DOIUrl":"https://doi.org/10.1080/07380577.2022.2056777","url":null,"abstract":"<p><p>This study describes interventions provided by community occupational therapists for persons with cognitive impairments. Using an online questionnaire, a cross-sectional study was conducted, collecting data from 497 of the 1367 occupational therapists in Norwegian community-based services. The most common interventions provided were environmental modifications (87%), implementation of assistive devices (85%), and training of activities of daily life (ADL) (77%). Two main reasons to carry out these interventions were identified as the initial assessment of clients (89%) and expectations of others. The most preferred interventions were ADL training (77%), cognitive training (63%), and environmental modifications (56%). Chi-squared tests identified a significant difference (p < 0.001) between interventions provided and preferred interventions on all interventions except environmental modifications. The findings provide an insight into interventions provided for persons with cognitive impairments in community services.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-05-17DOI: 10.1080/07380577.2022.2076186
Samantha Grant, Rachel Reed, Amy Armstrong-Heimsoth, Roy St Laurent, Jodi Thomas
Research has demonstrated the Head Control Scale to have almost perfect inter-rater reliability when utilized by experienced clinicians. This study examines if further clinical experience or additional training is required to use the scale for assessment of head control in a reliable and effective manner. First and second year physical and occupational therapy students were shown five videotaped subjects of varying ages and abilities in four positions (supine, prone, supported sitting, and pull to sit). Students then utilized each subscale of the HCS to rate every subject on the rating scale in each of the positions. When utilizing the kappa coefficient statistic, the inter-rater reliability among student participants was "almost perfect" on each of the subscales. Thus, the Head Control Scale was found to be reliable with no significant difference in interrater reliability when used by clinicians or students suggesting that additional training or expertise is not required to reliably use this scale in clinical practice.
{"title":"The Head Control Scale: Inter-Rater Reliability among Therapy Students.","authors":"Samantha Grant, Rachel Reed, Amy Armstrong-Heimsoth, Roy St Laurent, Jodi Thomas","doi":"10.1080/07380577.2022.2076186","DOIUrl":"10.1080/07380577.2022.2076186","url":null,"abstract":"<p><p>Research has demonstrated the Head Control Scale to have almost perfect inter-rater reliability when utilized by experienced clinicians. This study examines if further clinical experience or additional training is required to use the scale for assessment of head control in a reliable and effective manner. First and second year physical and occupational therapy students were shown five videotaped subjects of varying ages and abilities in four positions (supine, prone, supported sitting, and pull to sit). Students then utilized each subscale of the HCS to rate every subject on the rating scale in each of the positions. When utilizing the kappa coefficient statistic, the inter-rater reliability among student participants was \"almost perfect\" on each of the subscales. Thus, the Head Control Scale was found to be reliable with no significant difference in interrater reliability when used by clinicians or students suggesting that additional training or expertise is not required to reliably use this scale in clinical practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-06-13DOI: 10.1080/07380577.2022.2086335
Laura Stimler, Claudine Campbell, Leah Cover, Mackenzi Pergolotti
Adolescent and young adult cancer survivors experience barriers to occupational participation following cancer treatment. This article aims to identify the scope of occupational therapy evidence for adolescent and young adult cancer survivors. A scoping review of articles cited in CINAHL Complete, MEDLINE (EBSCO), Academic Search Complete, APA PsycINFO, and PubMed was performed. The initial search yielded 391 articles, with eight publications included in the final review. Results revealed a significant lack of age-specific occupational therapy-based resources for adolescent and young adult cancer survivors. Evidence supports the use of self-management, physical activity, therapeutic exercise, activities of daily living training and adaptation, and app-based coaching to improve client outcomes. Further research is required to determine the effectiveness of occupational therapy services, as well as to establish evidence-based guidelines for practice.
{"title":"Current Trends in Occupational Therapy for Adolescent and Young Adult Cancer Survivors: A Scoping Review.","authors":"Laura Stimler, Claudine Campbell, Leah Cover, Mackenzi Pergolotti","doi":"10.1080/07380577.2022.2086335","DOIUrl":"10.1080/07380577.2022.2086335","url":null,"abstract":"<p><p>Adolescent and young adult cancer survivors experience barriers to occupational participation following cancer treatment. This article aims to identify the scope of occupational therapy evidence for adolescent and young adult cancer survivors. A scoping review of articles cited in CINAHL Complete, MEDLINE (EBSCO), Academic Search Complete, APA PsycINFO, and PubMed was performed. The initial search yielded 391 articles, with eight publications included in the final review. Results revealed a significant lack of age-specific occupational therapy-based resources for adolescent and young adult cancer survivors. Evidence supports the use of self-management, physical activity, therapeutic exercise, activities of daily living training and adaptation, and app-based coaching to improve client outcomes. Further research is required to determine the effectiveness of occupational therapy services, as well as to establish evidence-based guidelines for practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10964189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-04-06DOI: 10.1080/07380577.2022.2059824
Ghodsiyeh Joveini, Mohammad Malja, Mahnaz Hejazi-Shirmard
Ataxia-telangiectasia is a rare neurodegenerative disorder characterized by progressive cerebellar ataxia, oculomotor apraxia, and choreoathetosis. Ataxia-telangiectasia is a devastating disease that negatively affects the participation of patients in daily occupations and consequently has adverse impacts on the quality of life of them and their families. This study aimed to investigate the effects of an occupational therapy intervention based on the Person-Environment-Occupation Model (PEO) on a 9-year old boy with ataxia-telangiectasia. Following a ten-session intervention, the client experienced significant improvement in occupational performance as well as participation in daily occupations as measured by Canadian Occupational Performance Measure (COPM) and the Pediatric Evaluation of Disability Inventory (PEDI), respectively.
{"title":"Effectiveness of Person-Environment-Occupation Model on a Pediatric Neurodegenerative Disease: A Case Report of a Child with Ataxia-Telangiectasia.","authors":"Ghodsiyeh Joveini, Mohammad Malja, Mahnaz Hejazi-Shirmard","doi":"10.1080/07380577.2022.2059824","DOIUrl":"https://doi.org/10.1080/07380577.2022.2059824","url":null,"abstract":"<p><p>Ataxia-telangiectasia is a rare neurodegenerative disorder characterized by progressive cerebellar ataxia, oculomotor apraxia, and choreoathetosis. Ataxia-telangiectasia is a devastating disease that negatively affects the participation of patients in daily occupations and consequently has adverse impacts on the quality of life of them and their families. This study aimed to investigate the effects of an occupational therapy intervention based on the Person-Environment-Occupation Model (PEO) on a 9-year old boy with ataxia-telangiectasia. Following a ten-session intervention, the client experienced significant improvement in occupational performance as well as participation in daily occupations as measured by Canadian Occupational Performance Measure (COPM) and the Pediatric Evaluation of Disability Inventory (PEDI), respectively.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-06-03DOI: 10.1080/07380577.2022.2081753
Siobhan Walsh, Amy Ransohoff Brisson, Raechel Flaherty, Daniel Geller, Jennifer Tokash, Grace Kim
There is mounting evidence that the vascular manifestations associated with COVID-19 are linked to ischemic strokes. The emergence of patients with both COVID-19 and cerebrovascular accidents (COV-CVA) has created a need to adjust occupational therapy service delivery for inpatients with this dual diagnosis. This clinical perspective paper conceptualizes COV-CVA as a health condition using the International Classification of Functioning, Disability and Health Framework (ICF). The Occupational Therapy Practice Framework-4 was used to guide clinical considerations and recommendations for the evaluation, intervention, and discharge planning of patients with COV-CVA.
{"title":"Application of the ICF and OTPF-4 to Conceptualize the Dual Diagnosis of COVID-19 and Stroke: Implications for Occupational Therapy Practice in Acute and Inpatient Rehabilitation.","authors":"Siobhan Walsh, Amy Ransohoff Brisson, Raechel Flaherty, Daniel Geller, Jennifer Tokash, Grace Kim","doi":"10.1080/07380577.2022.2081753","DOIUrl":"10.1080/07380577.2022.2081753","url":null,"abstract":"<p><p>There is mounting evidence that the vascular manifestations associated with COVID-19 are linked to ischemic strokes. The emergence of patients with both COVID-19 and cerebrovascular accidents (COV-CVA) has created a need to adjust occupational therapy service delivery for inpatients with this dual diagnosis. This clinical perspective paper conceptualizes COV-CVA as a health condition using the International Classification of Functioning, Disability and Health Framework (ICF). The Occupational Therapy Practice Framework-4 was used to guide clinical considerations and recommendations for the evaluation, intervention, and discharge planning of patients with COV-CVA.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-03-27DOI: 10.1080/07380577.2022.2053923
Sara Stephenson, Erika Kemp, Anne Kiraly-Alvarez, Paula Costello, Catherine Lockmiller, Brianna Parkhill
Introduction: This scoping review explores the professional literature in allied healthcare to determine which self-assessments of mentor skills are the most valid and reliable for use in occupational therapy doctoral capstone programs. The aims of this scoping review include mapping evidence related to mentor assessments in healthcare, exploring implications for occupational therapy doctoral mentor training programs, and identifying common characteristics of mentor self-assessments for occupational therapy programs to consider when developing capstone mentoring resources.
Methods: Researchers applied and reported via PRISMA Extension for Scoping Reviews (PRISMA-ScR). A librarian and authors formulated keywords and database selections to search PubMed/MEDLINE/PMC, and Embase were searched from across healthcare professions for training outcomes, mentor self-assessment, mentor attributes, and use of researcher-developed assessments. The search was limited to English publications from the last 20 years. Data were extracted for quantitative information regarding study characteristics and qualitative information about mentoring skills.
Results: A total of 852 results were delivered across all databases. Nineteen papers met the final eligibility criteria and were included in the data extraction. Populations were included from several healthcare professions, including 11 nursing, four healthcare researchers, one pharmacy, one midwifery, one medicine, and one medical dietetics. Countries included the United States (n = 7), Finland (n = 5), United Kingdom (n = 4), Japan (n = 1), South Africa (n = 1) and Canada (n = 1).
Conclusion: The authors identified four valid self-assessment tools, demonstrating III and IV levels of evidence, that may be implemented by occupational therapy programs as they develop resources for mentor programs. Occupational therapy programs can use the mentor attributes found in this scoping review to create their own mentor assessment measures or may choose to use a validated tool. The authors recommend additional research in mentor education and mentor skill acquisition.
{"title":"Self-Assessments of Mentoring Skills in Healthcare Professions Applicable to Occupational Therapy: A Scoping Review.","authors":"Sara Stephenson, Erika Kemp, Anne Kiraly-Alvarez, Paula Costello, Catherine Lockmiller, Brianna Parkhill","doi":"10.1080/07380577.2022.2053923","DOIUrl":"10.1080/07380577.2022.2053923","url":null,"abstract":"<p><strong>Introduction: </strong>This scoping review explores the professional literature in allied healthcare to determine which self-assessments of mentor skills are the most valid and reliable for use in occupational therapy doctoral capstone programs. The aims of this scoping review include mapping evidence related to mentor assessments in healthcare, exploring implications for occupational therapy doctoral mentor training programs, and identifying common characteristics of mentor self-assessments for occupational therapy programs to consider when developing capstone mentoring resources.</p><p><strong>Methods: </strong>Researchers applied and reported via PRISMA Extension for Scoping Reviews (PRISMA-ScR). A librarian and authors formulated keywords and database selections to search PubMed/MEDLINE/PMC, and Embase were searched from across healthcare professions for training outcomes, mentor self-assessment, mentor attributes, and use of researcher-developed assessments. The search was limited to English publications from the last 20 years. Data were extracted for quantitative information regarding study characteristics and qualitative information about mentoring skills.</p><p><strong>Results: </strong>A total of 852 results were delivered across all databases. Nineteen papers met the final eligibility criteria and were included in the data extraction. Populations were included from several healthcare professions, including 11 nursing, four healthcare researchers, one pharmacy, one midwifery, one medicine, and one medical dietetics. Countries included the United States (n = 7), Finland (n = 5), United Kingdom (n = 4), Japan (n = 1), South Africa (n = 1) and Canada (n = 1).</p><p><strong>Conclusion: </strong>The authors identified four valid self-assessment tools, demonstrating III and IV levels of evidence, that may be implemented by occupational therapy programs as they develop resources for mentor programs. Occupational therapy programs can use the mentor attributes found in this scoping review to create their own mentor assessment measures or may choose to use a validated tool. The authors recommend additional research in mentor education and mentor skill acquisition.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-04-26DOI: 10.1080/07380577.2022.2066238
Adele Breen-Franklin, Steven San
As older adults move out of their homes and into continuing care retirement communities (CCRCs), literature describes the phenomenon of "relocation stress system" wherein many have difficulty transitioning to their new environment. To help students understand and appreciate working with older adults in this environment, an intergenerational project and fieldwork experience was developed between third year occupational therapy doctoral students and residents living in a CCRC. Students met with their clients during the semester and presented findings in class. This experience emphasized concepts of therapeutic use of self-wellness, clinical reasoning, and delivering client-centered, occupation-based care.
{"title":"Generation 2 Generation: OT Students' Experience with Well Older Adults in a CCRC.","authors":"Adele Breen-Franklin, Steven San","doi":"10.1080/07380577.2022.2066238","DOIUrl":"10.1080/07380577.2022.2066238","url":null,"abstract":"<p><p>As older adults move out of their homes and into continuing care retirement communities (CCRCs), literature describes the phenomenon of \"relocation stress system\" wherein many have difficulty transitioning to their new environment. To help students understand and appreciate working with older adults in this environment, an intergenerational project and fieldwork experience was developed between third year occupational therapy doctoral students and residents living in a CCRC. Students met with their clients during the semester and presented findings in class. This experience emphasized concepts of therapeutic use of self-wellness, clinical reasoning, and delivering client-centered, occupation-based care.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-03-31DOI: 10.1080/07380577.2022.2056779
Michelle Carrington, Md Shahidul Islam
Using an integrative review methodology, this paper describes the current literature on the use of telehealth technology to conduct occupational therapy home assessments. Searches of ProQuest Health and Medicine, PubMed and CINAHL accessed articles from January 2001 to 18 April 2021. Based on the screening and eligibility criteria, 10 articles published in English were included in the review. Three primary types of studies were identified: the feasibility of using telehealth technology to conduct home assessments; the efficiency of using telehealth technology to perform home assessments; and patient and therapist satisfaction using telehealth technology. This review ascertained that occupational therapy home assessments can be performed using telehealth technology, they are an efficient alternative to in-person assessments, and home assessments conducted via telehealth can be effective in achieving patient outcomes. Satisfaction with the use of telehealth, as an alternative service delivery model, has been identified by both patients and occupational therapists. The use of telehealth technology can increase the capacity of the occupational therapy profession to carry out home assessments although in-person home assessment is more accurate in detecting hazards in the home.
本文采用综合综述方法,描述了目前关于使用远程医疗技术进行职业治疗家庭评估的文献。ProQuest Health and Medicine、PubMed和CINAHL的搜索访问了2001年1月至2021年4月18日的文章。根据筛选和资格标准,10篇以英语发表的文章被纳入审查。确定了三种主要类型的研究:使用远程医疗技术进行家庭评估的可行性;利用远程医疗技术进行家庭评估的效率;以及使用远程医疗技术的患者和治疗师满意度。这项审查确定,职业治疗家庭评估可以使用远程医疗技术进行,这是面对面评估的有效替代方案,通过远程医疗进行的家庭评估可以有效地实现患者的结果。患者和职业治疗师都对使用远程医疗作为一种替代服务提供模式感到满意。远程医疗技术的使用可以提高职业治疗专业人员进行家庭评估的能力,尽管面对面的家庭评估在检测家庭危险方面更准确。
{"title":"The Use of Telehealth to Perform Occupational Therapy Home Assessments: An Integrative Literature Review.","authors":"Michelle Carrington, Md Shahidul Islam","doi":"10.1080/07380577.2022.2056779","DOIUrl":"10.1080/07380577.2022.2056779","url":null,"abstract":"<p><p>Using an integrative review methodology, this paper describes the current literature on the use of telehealth technology to conduct occupational therapy home assessments. Searches of ProQuest Health and Medicine, PubMed and CINAHL accessed articles from January 2001 to 18 April 2021. Based on the screening and eligibility criteria, 10 articles published in English were included in the review. Three primary types of studies were identified: the feasibility of using telehealth technology to conduct home assessments; the efficiency of using telehealth technology to perform home assessments; and patient and therapist satisfaction using telehealth technology. This review ascertained that occupational therapy home assessments can be performed using telehealth technology, they are an efficient alternative to in-person assessments, and home assessments conducted via telehealth can be effective in achieving patient outcomes. Satisfaction with the use of telehealth, as an alternative service delivery model, has been identified by both patients and occupational therapists. The use of telehealth technology can increase the capacity of the occupational therapy profession to carry out home assessments although in-person home assessment is more accurate in detecting hazards in the home.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01Epub Date: 2022-02-24DOI: 10.1080/07380577.2022.2041781
Jessica Edelstein, Lindsey Messenger, Adam R Kinney, James E Graham, Matt P Malcolm
Occupational therapy has been identified as a required service in the neuro critical care unit (NCCU), however who receives occupational therapy services and what services they receive are not well understood. We sought to determine if arousal deficits impacted patients' likelihood to receive an occupational therapy evaluation or specific types of occupational therapy interventions in the NCCU. When compared to patients without arousal deficits, patients who were experiencing agitation or light sedation, but not deep sedation, were more likely to receive occupational therapy interventions in the therapeutic activities category. Arousal deficits were not associated with receipt of occupational therapy services or occupational therapy interventions in the self-care or therapeutic exercise categories. Determining predictors of occupational therapy services will help ensure the timely delivery of services by improving the allocation of resources and identifying potential gaps in care.
{"title":"Predicting Receipt and Types of Occupational Therapy Services for Patients with Arousal Deficits in the Neuro Critical Care Unit.","authors":"Jessica Edelstein, Lindsey Messenger, Adam R Kinney, James E Graham, Matt P Malcolm","doi":"10.1080/07380577.2022.2041781","DOIUrl":"10.1080/07380577.2022.2041781","url":null,"abstract":"<p><p>Occupational therapy has been identified as a required service in the neuro critical care unit (NCCU), however who receives occupational therapy services and what services they receive are not well understood. We sought to determine if arousal deficits impacted patients' likelihood to receive an occupational therapy evaluation or specific types of occupational therapy interventions in the NCCU. When compared to patients without arousal deficits, patients who were experiencing agitation or light sedation, but not deep sedation, were more likely to receive occupational therapy interventions in the therapeutic activities category. Arousal deficits were not associated with receipt of occupational therapy services or occupational therapy interventions in the self-care or therapeutic exercise categories. Determining predictors of occupational therapy services will help ensure the timely delivery of services by improving the allocation of resources and identifying potential gaps in care.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}