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Is the Morriston Occupational Therapy Outcome Measure (MOTOM) an appropriate tool for reablement services? 莫里斯顿职业治疗结果测量法(MOTOM)是否适合用于康复服务?
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-06 DOI: 10.1177/03080226241269255
Sophie Tooke, Julia Warrener, Tamsin Leah, Joanna Ward, Jeremy Dearling
Introduction:The Care Act (2014) requires local authorities to provide reablement services but does not standardise how to do this, leading to different services utilising different outcome measures. This article investigates the Morriston Occupational Therapy Outcome Measure, which has been under researched in community reablement settings.Method:A questionnaire was distributed to the staff working within one local authority to seek their experience of using the Morriston Occupational Therapy Outcome Measure. The questionnaire consisted of closed and open-ended questions to gain insights into their understanding and experience of the Morriston Occupational Therapy Outcome Measure.Findings:Quantitative findings showed that staff felt they understood the Morriston Occupational Therapy Outcome Measure, and most respondents agreed that the Morriston Occupational Therapy Outcome Measure was an effective tool for reablement services. However, staff provided contradictory responses as to whether the Morriston Occupational Therapy Outcome Measure was applied consistently or that service users understand the assessment.Qualitative:Findings showed the Morriston Occupational Therapy Outcome Measure is a service user tool, service provider tool, and it provides quality assurance. However, the Morriston Occupational Therapy Outcome Measure can have restricted applicability and within this local authority, more training was needed to improve the consistency of goal-scoring.Conclusion:The Morriston Occupational Therapy Outcome Measure does have strengths within reablement services; however, to ensure it is an effective tool, this research highlights the need for a high level of training.
导言:《护理法案》(2014 年)要求地方当局提供复能服务,但并未对如何提供复能服务进行标准化,导致不同的服务机构采用不同的结果测量方法。本文对莫里斯顿职业治疗结果测量法进行了调查,该方法在社区可再适应设置中的研究不足。方法:我们向一个地方当局的工作人员发放了一份调查问卷,以了解他们使用莫里斯顿职业治疗结果测量法的经验。调查结果:定量调查结果显示,工作人员认为他们了解莫里斯顿职业治疗结果测量法,而且大多数受访者都认为莫里斯顿职业治疗结果测量法是一种有效的康复服务工具。定性:调查结果显示,莫里斯顿职业治疗结果衡量标准是服务使用者和服务提供者的工具,它提供了质量保证。然而,莫里斯顿职业治疗结果测量法的适用性可能会受到限制,在该地方当局中,需要进行更多培训,以提高目标评分的一致性。结论:莫里斯顿职业治疗结果测量法在可再适应服务中确实具有优势;然而,为确保其成为有效的工具,本研究强调需要进行高水平的培训。
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引用次数: 0
Book of Abstracts 摘要集
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-01 DOI: 10.1177/03080226241265797
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引用次数: 0
Implementing constraint-induced movement therapy into practice in sub-acute stroke: Experiences and perceptions of stroke survivors and therapists 在亚急性中风的实践中实施约束诱导运动疗法:中风幸存者和治疗师的经验和看法
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-26 DOI: 10.1177/03080226241261183
Kathryn A Jarvis, Nicola MJ Edelstyn, Susan M Hunter
Introduction:Constraint-induced movement therapy has been shown to be effective in a sub-group of sub-acute stroke survivors but has not been widely implemented in the United Kingdom. This study explored therapist and stroke survivor perceptions and experiences of constraint-induced movement therapy and explored the non-agreement (incongruence) and agreement (congruence) of these perspectives.Method:Consenting occupational therapists ( n = 3) and physiotherapist ( n = 5) participated in a focus group discussion. Four-stroke survivors undertook pre- and post-constraint-induced movement therapy interviews. Stroke survivor participants selected and undertook an evidence-based constraint-induced movement therapy protocol. Focus groups and interview audio recordings were independently analysed thematically. Therapist and stroke survivor views were subsequently synthesised using meta-ethnographic principles.Findings:Four over-arching themes were identified: motivation and determination to participate in constraint-induced movement therapy; who benefits; which protocol; making constraint-induced movement therapy feasible. The final over-arching theme comprised five sub-themes: fatigue and sleep; pain; transport; need for support; training, support and mentorship for therapists. Stroke survivors and therapists held contrasting views on three themes.Conclusion:Participating stroke survivors successfully undertook a self-selected, evidence-based constraint-induced movement therapy protocol. The identified enablers and barriers should inform future constraint-induced movement therapy protocol development. The contrasting views held by therapists and stroke survivors reinforce the need for collaborative communication and opportunity for choice during constraint-induced movement therapy.
导言:约束诱导运动疗法已被证明对亚急性中风幸存者亚群有效,但尚未在英国广泛实施。本研究探讨了治疗师和中风幸存者对约束诱导运动疗法的看法和体验,并探讨了这些观点的不一致(不协调)和一致(协调)情况。方法:征得同意的职业治疗师(3 人)和物理治疗师(5 人)参加了焦点小组讨论。四名中风幸存者接受了约束诱导运动疗法前后的访谈。脑卒中幸存者选择并接受了以证据为基础的约束诱导运动疗法方案。对焦点小组和访谈录音进行了独立的专题分析。研究结果:确定了四个总体主题:参与约束诱导运动疗法的动机和决心;谁能受益;哪种方案;使约束诱导运动疗法可行。最后一个总主题包括五个分主题:疲劳和睡眠;疼痛;交通;需要支持;治疗师的培训、支持和指导。中风幸存者和治疗师对三个主题的看法截然不同。结论:参与研究的中风幸存者成功地进行了自我选择、以证据为基础的约束诱导运动疗法。所发现的促进因素和障碍应为未来制约诱导运动疗法方案的制定提供参考。治疗师和中风幸存者持有的截然不同的观点加强了在限制诱导运动疗法中进行合作交流和提供选择机会的必要性。
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引用次数: 0
Study repeats findings demonstrating in-person instruction improves empathic awareness: Curriculum emphasizes literary narratives, narrative reasoning, person-to person interaction, and close reading 该研究重复了有关亲自授课可提高移情意识的研究结果:课程强调文学叙事、叙事推理、人与人之间的互动和精读
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-25 DOI: 10.1177/03080226241265228
Cavenaugh Kelly, Kim McKeage
Despite the widely accepted importance of clinician empathy in quality healthcare, no occupational therapy-based pedagogy has consistently demonstrated the ability to improve the level of empathic awareness in students. In an effort to replicate 2020 findings that demonstrated the close reading of literary narratives improves empathic awareness in occupational therapy students ( p < 0.001), the study’s curriculum and methodology were repeated in 2021 and 2022. Results demonstrated that classes taught fully in-person repeated findings ( p < 0.001), while classes taught online (2021) did not ( p > 0.001). Study implications include the potential of an in-person curriculum that emphasizes literary narratives to facilitate empathic awareness in occupational therapy students, and the possible limitations of online instruction to foster greater understanding of client needs.
尽管临床医生的同理心在高质量医疗保健中的重要性已被广泛接受,但还没有任何一种基于职业治疗的教学法能够持续证明能够提高学生的同理心意识水平。2020 年的研究结果表明,细读文学叙事能提高职业治疗专业学生的移情意识(p <0.001),为了复制这些研究结果,我们在 2021 年和 2022 年重复了这项研究的课程和方法。结果表明,完全面对面授课的班级重复了研究结果(p <0.001),而在线授课的班级(2021 年)没有重复研究结果(p >0.001)。研究意义包括:强调文学叙事的面授课程有可能促进职业治疗专业学生的移情意识,而在线教学在促进学生更好地了解客户需求方面可能存在局限性。
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引用次数: 0
Exploring the impact of early-stage dementia on everyday activities 探索早期痴呆症对日常活动的影响
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-24 DOI: 10.1177/03080226241261178
Bethan M Edwards, Monica Busse, Teena J Clouston, Ben Hannigan
Introduction:This paper explores the impact that early-stage dementia has on everyday activities from the perspective of people living with dementia, their supporters and occupational therapy practitioners.Method:People living with dementia and their supporters ( n = 10), and occupational therapy practitioners ( n = 21) took part in semi-structured interviews, with transcripts analysed thematically.Findings:Six primary themes were identified across participants, namely: (1) ‘Everybody seems to be different, [but] they are similar’; (2) An awareness of change: ‘Something’s not quite right’; (3) ‘ Changes’ and ‘ difficulties’ associated with complex and unfamiliar activities; (4) Social withdrawal and exclusion: ‘I’ve felt like I was a leper’; (5) Post-diagnostic mental health: ‘. . . a dark place’; and (6) A process of adaptation: ‘I’m still who I am, I can still do things. . .’Conclusion:Findings indicate that occupational therapy intervention programmes for people living with early-stage dementia should target difficulties associated with a broad range of activity types, and include components that target mental health and motivational needs. The study adds to existing knowledge about the need to personally tailor interventions to ensure that they meet individual needs, experiences, and circumstances. Findings will inform the development of an occupational therapy intervention programme theory (theory of change) for early-stage dementia.
方法:痴呆症患者及其支持者(10 人)和职业治疗从业人员(21 人)参加了半结构式访谈,并对访谈记录进行了主题分析。研究结果:在所有参与者中确定了六个主要的主题,即:(1)"每个人似乎都不一样,[但]他们又很相似";(2)对变化的认识:"有些东西不太对劲";(3)与复杂和陌生活动相关的 "变化 "和 "困难";(4)社会退缩和排斥:"我感觉自己像个麻风病人";(5)诊断后的心理健康:"..一个黑暗的地方";(6) 适应过程:"我仍然是我,我仍然可以做事......"。...... "结论:研究结果表明,针对早期痴呆症患者的职业治疗干预计划应针对与各种活动类型相关的困难,并包含针对心理健康和动机需求的内容。这项研究补充了现有的知识,即有必要对干预措施进行个人定制,以确保其满足个人需求、经历和情况。研究结果将为早期痴呆症职业治疗干预方案理论(变化理论)的发展提供参考。
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引用次数: 0
What is the occupational impact of myalgic encephalomyelitis/chronic fatigue syndrome for adults living in Australia? 肌痛性脑脊髓炎/慢性疲劳综合征对澳大利亚成年人的职业影响有多大?
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-06-24 DOI: 10.1177/03080226241254720
Roshni Thomas, Julie Hughes, Cheryl Kotzur
Introduction:Occupational recovery for people living with myalgic encephalomyelitis/chronic fatigue syndrome requires better assessment and understanding of the occupational impact of this debilitating condition. This study explores the lived experience of Australian adults with myalgic encephalomyelitis/chronic fatigue syndrome using the Model of Human Occupation.Methods:The research design was a cross-sectional descriptive study, and participants were recruited via social media to complete an online survey. A Model of Human Occupation Tool, The Occupational Self-Assessment, captured an individual’s perceptions of occupational identity and competence.Results:Results were analysed using descriptive statistics and non-parametric tests. The free-text responses were summarised. Twenty-nine participants completed the Occupational Self-Assessment. A decrease in occupational participation across all domains was evident. Qualitative themes of loneliness, feeling confined, feeling like a burden and loss of previous life/roles were collated, showing an adverse impact on occupational identity. A lack of independence and control showed a reduction in occupational competence.Conclusions:The study confirmed the impact of myalgic encephalomyelitis/chronic fatigue syndrome on occupational identity and competence. These individuals struggled with occupational adaptation and would benefit from occupational support. Occupational therapists could use the Occupational Self-Assessment to identify areas of need, set goals and facilitate better occupational adaptation.
导言:要使患有肌痛性脑脊髓炎/慢性疲劳综合症的人实现职业康复,就必须更好地评估和了解这种使人衰弱的疾病对职业的影响。本研究采用人类职业模型,探讨澳大利亚成年肌痛性脑脊髓炎/慢性疲劳综合征患者的生活经历。研究方法:研究设计为横断面描述性研究,通过社交媒体招募参与者完成在线调查。结果:使用描述性统计和非参数检验对结果进行了分析。对自由文本回答进行了总结。29 名参与者完成了职业自我评估。所有领域的职业参与度都明显下降。收集整理的定性主题包括孤独感、束缚感、负担感和失去以往的生活/角色,显示出对职业认同的不利影响。结论:这项研究证实了肌痛性脑脊髓炎/慢性疲劳综合症对职业认同和职业能力的影响。这些人在职业适应方面遇到困难,将受益于职业支持。职业治疗师可以利用职业自我评估来确定需求领域、设定目标并促进更好的职业适应。
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引用次数: 0
A meta-ethnography of identity formation among people with early-onset dementia 早期痴呆症患者身份形成的元民族志
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-05-31 DOI: 10.1177/03080226241253699
Jesper Larsen Maersk, Hanne Peoples, Hanne Kaae Kristensen, Jeanette Præstegaard
Introduction:Living with dementia can be challenging, even more so for people diagnosed before age 65. Loss of identity is one of the main subjective consequences dementia poses at this stage in life due to the loss of social relations and daily activities. While a growing body of research is reporting the experienced impact of early-onset dementia on identity for this group, studies synthesizing this knowledge are very limited. Therefore, we have conducted a meta-ethnographic review to explain how people with early-onset dementia form their sense of identity.Method:A systematic review of literature from five databases was conducted. Ten original studies published between 2004 and 2020 were included and analyzed using an interpretive approach.Findings:A conceptual interpretation emerged from the analysis, showing that social arenas and activities of daily life, as well as assumptions about dementia and natural aging made by the participants and society, influenced the participants’ sense of identity.Conclusion:Being in nonjudgmental environments can support people with early-onset dementia in creating continuity and positive connections in their personal history. Providing such environments can be a viable venue for healthcare professionals to support people with early-onset dementia in maintaining a positive sense of identity.
导言:痴呆症患者的生活充满挑战,对于 65 岁之前确诊的患者来说更是如此。由于失去了社会关系和日常活动,身份认同的丧失是痴呆症在这一人生阶段造成的主要主观后果之一。虽然越来越多的研究报告了早发性痴呆症对这一群体身份认同的影响,但综合这些知识的研究却非常有限。因此,我们进行了一项元人种学综述,以解释早发性痴呆症患者是如何形成其身份认同感的。研究结果:分析得出的概念性解释显示,社交场合和日常生活活动,以及参与者和社会对痴呆症和自然衰老的假设,影响了参与者的身份感。结论:在不做评判的环境中,可以帮助早发性痴呆症患者在个人历史中建立连续性和积极的联系。对于医护人员来说,提供这样的环境可以帮助早发性痴呆症患者保持积极的身份认同感。
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引用次数: 0
Assistive technology: Occupational therapy assessment and services for people with dementia 辅助技术:痴呆症患者的职业治疗评估和服务
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-05-21 DOI: 10.1177/03080226241252280
Eleanor Curnow, Fiona Maclean, Brendan McCormack
Introduction:Research suggests that services are not effectively providing suitable assistive technology for people with dementia. There is a need to understand the challenges facing practitioners to identify where service changes should be focussed to improve this situation.Method:This study used an online survey to explore the experiences of 41 occupational therapists working with people with dementia, and/or assistive technology. Eight participants subsequently agreed to participate in online discussion groups. Group discussions were transcribed and checked. Data responses from group discussions and open questions in the survey were analysed thematically using the person-centred framework to identify domains supporting or obstructing effective assistive technology service delivery.Results:Forty-one occupational therapist participants described challenges to providing person-centred assistive technology services. These included restricted access to assistive technology interventions, limited knowledge regarding developments in the field, variable funding, unsupportive systems, limited relevant training and difficulties working across health and social care sectors.Conclusion:There is a need to revise the systems surrounding the provision of assistive technology for people with dementia. Occupational therapists need access to training relative to this field, and systems need to be adapted to support the provision of person-centred care by widening access to assistive technology.
导言:研究表明,服务机构并没有有效地为痴呆症患者提供合适的辅助技术。研究方法:本研究采用在线调查的方式,对41名从事痴呆症患者和/或辅助技术工作的职业治疗师的经验进行了调查。八名参与者随后同意参加在线讨论小组。小组讨论内容均已转录并核对。我们采用以人为本的框架对小组讨论中的数据回复和调查问卷中的开放式问题进行了专题分析,以确定支持或阻碍有效提供辅助技术服务的领域。这些挑战包括:获得辅助技术干预的途径受限、对该领域发展的了解有限、资金不稳定、不支持的系统、相关培训有限以及跨医疗和社会护理部门工作的困难。职业治疗师需要获得与该领域相关的培训,同时需要对系统进行调整,通过扩大辅助技术的使用范围来支持提供以人为本的护理服务。
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引用次数: 0
Assessing the quality of life priorities in the elderly: Application of the Turkish-Adapted Mayers’ Lifestyle Questionnaire (3) 评估老年人生活质量的优先事项:土耳其改编的梅耶斯生活方式问卷的应用 (3)
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-29 DOI: 10.1177/03080226241249283
Medine Nur Özata Değerli, Onur Altuntaş, Gonca Bumin
Introduction:The growing aging population requires the development of new policies and programs to meet the needs and expectations of the elderly. Identifying priorities for the elderly’s quality of life can be the foundation for rehabilitation services provided to the elderly. This study aims to assess the quality of life priorities in the elderly using the Turkish-adapted Mayers’ Lifestyle Questionnaire (3).Method:The study included 171 elderly with a mean age of 74.72 ± 4.36 years. Participants completed a sociodemographic information form and the Turkish-Adapted Mayers’ Lifestyle Questionnaire (3).Results:Quality of life priorities for elderly people were independence in reading and writing, participation in paid and/or voluntary work, spiritual, and satisfying activities, and the ability to make choices about their lives.Conclusion:The study results showed that Mayers’ Lifestyle Questionnaire (3) supports setting priorities by examining the quality of life of elderly people from a multidimensional perspective. The use of Mayers’ Lifestyle Questionnaire (3) can contribute to the development of effective strategies aimed at improving the quality of life for elderly individuals. A holistic approach to each factor affecting quality of life will enable occupational therapists and other professionals involved with elderly people to consider person-centered factors in their interventions.
导言:随着老龄人口的不断增长,需要制定新的政策和计划来满足老年人的需求和期望。确定老年人生活质量的优先事项可以为向老年人提供康复服务奠定基础。本研究旨在使用经土耳其改编的《梅耶斯生活方式问卷》(3)评估老年人的生活质量优先事项。结果:老年人生活质量的优先事项是阅读和写作的独立性、参与有偿和/或志愿工作、精神和令人满意的活动,以及对自己的生活做出选择的能力。使用梅耶斯生活方式问卷(3)有助于制定旨在提高老年人生活质量的有效策略。对影响生活质量的每个因素采取综合方法,可使职业治疗师和其他与老年人打交道的专业人员在采取干预措施时考虑到以人为本的因素。
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引用次数: 0
The relationship between occupational therapists’ organizational commitment, perceived organizational support, and entrepreneurial orientations 职业治疗师的组织承诺、感知到的组织支持与创业取向之间的关系
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-16 DOI: 10.1177/03080226241245559
Ezginur Gündoğmuş, Medine Nur Özata Değerli, Hatice Abaoğlu
Introduction:Entrepreneurial orientation is a critical factor in the success of an organization and encourages higher performance. Individual entrepreneurial orientation can be influenced by organizational commitment and perceived organizational support. The study aimed to examine the relationship between occupational therapists’ organizational commitment, perceived organizational support levels, and their individual entrepreneurial orientation.Method:Using an online form, a cross-sectional survey study was conducted with 88 occupational therapists aged between 22 and 28. Occupational therapists completed a socio-demographic information form, the Organizational Commitment Scale, the Perceived Organizational Support Scale, and the Individual Entrepreneurial Orientation Scale. Data were analyzed using descriptive statistics and correlation analysis.Results:Significant positive correlations were found between occupational therapists’ individual entrepreneurial orientations and organizational commitment ( p = 0.015; r = 0.260) and perceived organizational support ( p = 0.045; r = 0.214).Conclusion:This study indicates that occupational therapists’ individual entrepreneurial orientation increases when their levels of organizational commitment and perceived organizational support increase. Therefore, organizations should strive to maintain high levels of organizational commitment and the support provided by the organization to enhance the entrepreneurial orientation of occupational therapists, which is important for their creativity and innovation.
导言:创业导向是一个组织成功与否的关键因素,它能促进组织提高绩效。个人创业取向会受到组织承诺和感知到的组织支持的影响。本研究旨在探讨职业治疗师的组织承诺、感知到的组织支持水平与其个人创业取向之间的关系。方法:本研究使用在线表格,对 88 名年龄在 22 岁至 28 岁之间的职业治疗师进行了横断面调查研究。职业治疗师填写了社会人口信息表、组织承诺量表、感知组织支持量表和个人创业取向量表。结果:职业治疗师的个人创业取向与组织承诺(p = 0.015;r = 0.260)和感知组织支持(p = 0.045;r = 0.214)之间存在显著的正相关。因此,组织应努力保持高水平的组织承诺和组织提供的支持,以增强职业治疗师的创业导向,这对他们的创造力和创新能力非常重要。
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引用次数: 0
期刊
British Journal of Occupational Therapy
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