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Positive risk-taking within social care for adults with physical disabilities: A review of guidelines in practice in England 肢体残疾成人社会护理中的积极冒险:英格兰实践指南回顾
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-16 DOI: 10.1177/03080226241246511
Leanne Field, Liana Nagy, Tarnya Knaggs, Johnny Collett
Introduction:Despite practice guidelines, professionals do not feel confident in implementing positive risk-taking. This may be due to the guidance provided.Method:A scoping review of current organisational guidance for the professional practice of positive risk-taking within Adult Social Care services for people with a physical disability. Guidelines were obtained from Local Authorities in England in October 2020. The data were extracted using TIDieR to describe positive risk-taking as an intervention. The quality of the guidelines was assessed using AGREE II.Findings:In all, 36 Local Authorities responded out of 106 contacted. A total of 21 documents were included for review. Substantial variability was found in terminology, definitions and risk grading between documents. The greatest consistency was found in how to implement a positive risk-taking intervention. Consistency was also found in the policy that documents cited. There was little reference to evidence to support intervention components. Overall, AGREE II quality scores were low and stakeholder involvement, specifically with regard to the views and preferences of service users, was largely absent.Conclusion:There is a need for a greater consensus to guide the professional practice of positive risk-taking. Determining the extent of current evidence and establishing an evidence base may facilitate more consistent guidelines and support professionals’ confidence in implementing positive risk-taking.
导言:尽管有实践指南,但专业人员对实施积极承担风险的做法并不自信。方法:在为肢体残障人士提供的成人社会护理服务中,对当前积极承担风险的专业实践组织指南进行范围审查。指南于 2020 年 10 月从英格兰地方政府获得。使用 TIDieR 提取数据,将积极冒险作为一种干预措施进行描述。结果:在联系的 106 个地方当局中,共有 36 个做出了回应。共有 21 份文件被纳入审查范围。不同文件在术语、定义和风险分级方面存在很大差异。在如何实施积极的冒险干预方面发现了最大的一致性。在文件引用的政策方面也发现了一致性。很少有文件提及支持干预措施的证据。总体而言,AGREE II 的质量得分较低,利益相关者的参与,特别是服务使用者的观点和偏好,在很大程度上缺失。确定当前证据的范围并建立证据基础,可促进制定更加一致的指导原则,并增强专业人员实施积极的风险承担方法的信心。
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引用次数: 0
Psychometric evaluation and feasibility of the Persian-Relative Mastery Scale in the caregivers 波斯语相对掌握量表在护理人员中的心理计量评估和可行性研究
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-13 DOI: 10.1177/03080226241246137
Afsoon Hassani Mehraban, Fatemeh Motaharinezhad, Setareh Ghahari, Laleh Lajevardi, Mohammad Mohebbirad
Purpose:This study aimed to evaluate the validity, reliability, and feasibility of the Persian version of the Relative Mastery Scale as a measure of the Occupational Adaptation Model in caregivers of people with multiple sclerosis.Method:In a cross-sectional study, after translation, face and content validity, the caregivers completed the Relative Mastery Scale and the Canadian Occupational Performance Measure. Expanded Disability Status Scale for people with multiple sclerosis was reported by neurologist. Also, convergent validity, internal consistency, test–retest reliability, and exploratory factor analyses were evaluated.Results:A total of 150 caregivers completed both instruments. Cronbach’s α = 0.852 and ICC = 0.838 were good. The convergent validity of the total Relative Mastery Scale score was confirmed with a significant correlation with Canadian Occupational Performance Measure ( r > 0.67, p < 0.001) and Expanded Disability Status Scale score ( r > 0.34, p < 0.001). The Persian-Relative Mastery Scale was found as a multidimensional instrument with three items that appeared to be redundant.Conclusion:The Persian-Relative Mastery Scale had acceptable reliability and validity for evaluating mastery in Persian-speaker caregivers.
目的:本研究旨在评估波斯语版相对掌握量表作为多发性硬化症患者护理人员职业适应模型测量方法的有效性、可靠性和可行性。方法:在一项横断面研究中,经过翻译、面效和内容效度验证后,护理人员完成了相对掌握量表和加拿大职业表现测量法。神经科医生报告了多发性硬化症患者残疾状况扩展量表。结果:共有 150 名护理人员完成了这两份问卷。Cronbach'sα=0.852,ICC=0.838,结果良好。相对掌握量表的总分与加拿大职业表现测量(Canadian Occupational Performance Measure)(r > 0.67, p < 0.001)和残疾状况扩展量表(Expanded Disability Status Scale)(r > 0.34, p < 0.001)具有显著的相关性,这证实了相对掌握量表的收敛效度。结论:波斯语相对掌握量表在评估波斯语护理人员的掌握情况方面具有可接受的信度和效度。
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引用次数: 0
Using the PLUS Framework to support supervisors to make the most of practice education supervision: Experiences from Singapore 使用 PLUS 框架支持督导员充分利用实践教育督导:新加坡的经验
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-13 DOI: 10.1177/03080226241246139
Karina M. Dancza, Corrine Hoo, Jacintha Goh Xin En, Jervyn Charity Tan, Lee Shu Hui, Rialyn Fae Lagui Masaoy, Ong Chooi Yin, Pay Pei Qi, Sharmaine Yong Mei Xing
Introduction:Practice education is a crucial component of occupational therapy education, providing students with hands-on experience in real-world settings. Supervisors play a vital role in shaping students’ learning experiences, and the Professional Learning through Useful Support Framework, developed in the United Kingdom, serves as a guide for supervisors. However, its applicability in different cultural contexts remains uncertain. This qualitative study explores the perspectives and experiences of supervisors in Singapore who used the Professional Learning through Useful Support Framework to guide their supervision of students.Method:Nine new and five experienced supervisors participated in semi-structured interviews, during a 7-week practice education period. Interviews were transcribed and analysed using template analysis.Findings:Three themes were developed: The Professional Learning through Useful Support Framework brought awareness to supervisors’ supervisory techniques and guided their actions; The Professional Learning through Useful Support Framework gave permission to use a range of supervisory strategies; and The Professional Learning through Useful Support Framework could be used as a catalyst for enhancing support for supervisors.Conclusion:The Professional Learning through Useful Support Framework positively influenced supervisor communication and encouraged a purposeful approach to student supervision. Challenges emerged in implementing the concept of ‘safe failure’ due to cultural attitudes towards success, necessitating cultural adaptation. The study suggests introducing educational opportunities and ongoing support to use the Framework to enhance supervisor skills.
导言:实践教育是职业治疗教育的重要组成部分,它为学生提供了在真实世界环境中的实践经验。督导在塑造学生的学习经历方面起着至关重要的作用,英国制定的 "通过有用的支持进行专业学习框架 "为督导提供了指导。然而,该框架在不同文化背景下的适用性仍不确定。本定性研究探讨了新加坡督导在使用 "通过有用的支持进行专业学习 "框架指导督导学生时的观点和经验。方法:在为期 7 周的实践教育期间,9 名新督导和 5 名经验丰富的督导参加了半结构式访谈。结果:形成了三个主题:结论:"通过有用的支持进行专业学习 "框架对督导人员的督导技巧产生了积极影响,并鼓励他们采用有目的的方法对学生进行督导。由于对成功的文化态度,在实施 "安全失败 "概念时出现了挑战,需要进行文化适应。这项研究建议提供教育机会和持续支持,以利用该框架提高督导技能。
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引用次数: 0
Post-stroke depression, activities of daily living, and occupational therapy intervention: An observational survey 中风后抑郁、日常生活活动和职业治疗干预:观察调查
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-12 DOI: 10.1177/03080226241246138
Anello Sara, Diletta Maria Pisaniello, Pier Carlo Battain
Introduction:Post-stroke depression is a frequent but under-diagnosed condition. Nevertheless, it impacts participation in activities of daily living (ADLs) and the rehabilitation process. The aim of this study is to analyze the influence of post-stroke depression on participation in ADLs and on occupational therapy (OT) intervention in adults.Methods:An observational study was conducted through a survey. The questionnaire covered OTs view about the influence of post-stroke depression on ADLs and occupational therapy treatment. Data collected by online questionnaire were analyzed through STATA®, using a mixed method. Quantitative data were analyzed through descriptive statistics. Qualitative data were analyzed by thematic analysis.Results:Sixty-three surveys were valid. Stroke adults manifest hopelessness toward the future, crying and nervousness (“often” / “always” >50%). They have often worse occupational performance than patients with stable mood (55.56%), especially in self-care activities (35.92%). The performance limiting factors are low volition (41%), reduced motor skills (30%), and reduced cognitive skills (19%). OT intervention with these patients aims to increase volition (21.30%), recover roles (16.61%), and improve self-care activities (14.08%).Conclusion:Mood disorders negatively affect participation in ADLs and OT intervention. This study highlights the importance of volitional factors in promoting occupational engagement and provides guidance for OT treatment. Further investigation through specific studies appears necessary.
导言:脑卒中后抑郁症是一种常见病,但诊断不足。然而,它对日常生活活动(ADLs)的参与和康复过程都有影响。本研究旨在分析中风后抑郁症对成人参与日常生活和职业治疗干预的影响。调查问卷涵盖了职业治疗师对卒中后抑郁对ADL和职业治疗的影响的看法。通过 STATA® 对在线问卷收集的数据进行了混合分析。定量数据通过描述性统计进行分析。结果:63 份调查问卷有效。脑卒中成人表现为对未来绝望、哭泣和紧张("经常"/"总是">50%)。与情绪稳定的患者(55.56%)相比,他们的职业表现往往更差,尤其是在自理活动方面(35.92%)。限制他们表现的因素包括意志力低下(41%)、运动能力下降(30%)和认知能力下降(19%)。对这些患者进行定向行走干预的目的是提高意志力(21.30%)、恢复角色(16.61%)和改善自理活动(14.08%)。这项研究强调了自愿因素在促进职业参与中的重要性,并为定向行走治疗提供了指导。看来有必要通过具体研究进行进一步调查。
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引用次数: 0
Every parent matters: The value of a parent-centric approach to supporting parenting occupations and roles 每位家长都很重要:以父母为中心的方法在支持父母职业和角色方面的价值
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-09 DOI: 10.1177/03080226241241221
Margaret McGrath, Anne Honey, Yvonne Codd, John V Rider, Rodolfo Morrison, Carla Matta Abizeid, Hiba Zein, Hwei Lan Tan, So Sin Sim, Farahiyah Wan Yunus, Muhammad Hibatullah Romli, Evelina Pituch
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引用次数: 0
Development of a clinical hand rehabilitation guideline for second to fifth metacarpal fracture rehabilitation: A Delphi method 为第二至第五掌骨骨折康复制定临床手部康复指南:德尔菲法
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-03 DOI: 10.1177/03080226241241990
Monique M Keller, Roline Barnes, Corlia Brandt
Introduction:Metacarpal fractures are viewed as minor injuries, potentially leading to reduced hand function and productivity, especially in working-age people. The study aimed to develop and finalise a second to fifth metacarpal fractures clinical hand rehabilitation guideline.Methods:A three-round eDelphi method, employing REDCap questionnaires and informed by a previous clinical hand rehabilitation guideline, facilitated expert consensus. Experience and qualifications guided expert selection. Consensus was defined as 75% or more experts selecting four or five on a Likert scale or ‘yes’ in ‘yes/no’ questions. Open-ended responses were incorporated, following Conducting and Reporting of Delphi Studies recommendations.Results:Fifteen experts specialising in hand injury management, including orthopaedic surgeons, occupational therapists and physiotherapists, were invited to participate, with attrition of one expert in three rounds. In Round 1, 10 (28.5%), Round 2, 6 (18%) and Round 3, 16 (36%) guideline statements were accepted. Consensus was reached for including grasp types in rehabilitation; activities of daily living (ADLs) types under light, medium and heavy categories; time when early active mobilisation should commence and splint types after conservative management, K-wires and surgical fixation.Conclusion:The finalised clinical hand rehabilitation guideline based on the Occupational Therapy Intervention Process Model (OTIPM) framework may benefit occupation return.
导言:掌骨骨折被视为轻伤,可能导致手部功能和生产力下降,尤其是对工作年龄段的人而言。该研究旨在制定并最终确定第二至第五掌骨骨折临床手部康复指南。方法:采用三轮 eDelphi 方法,使用 REDCap 问卷并参考之前的临床手部康复指南,促进专家达成共识。专家的选择以经验和资历为导向。75%或以上的专家在李克特量表中选择4或5,或在 "是/否 "问题中选择 "是",即为达成共识。结果:15 位专门从事手部损伤管理的专家(包括矫形外科医生、职业治疗师和物理治疗师)应邀参加了讨论,在三轮讨论中,有一位专家流失。第一轮有 10 份(28.5%)、第二轮有 6 份(18%)、第三轮有 16 份(36%)指南声明被采纳。在以下方面达成了共识:康复中的抓握类型;轻、中、重度类别下的日常生活活动(ADLs)类型;早期积极活动应开始的时间以及保守治疗、K线和手术固定后的夹板类型。
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引用次数: 0
Thanks to reviewers 感谢审稿人
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-01 DOI: 10.1177/03080226241229370
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引用次数: 0
The role of Occupational Therapy in community development to combat social isolation and loneliness 职业疗法在社区发展中的作用,以消除社会隔离和孤独感
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-03-28 DOI: 10.1177/03080226241239564
Kate Cowen, Tracy Collins, Susan Carr, Gemma Wilson Menzfeld
Background:Social participation activities, an important area of occupation, have been effective in reducing social isolation and loneliness. However, most attendees are women, warranting the need to explore older men’s social participation needs.Methods:Qualitative methods, including interviews and a collaborative workshop, were used to explore the research aim. Public involvement included establishing partnerships with six staff from four community organisations and twelve older men. The project was informed by a steering committee. The steering group offered insight into all aspects of the research except analysis, which was performed thematically.Findings:Intergenerational engagements and the appropriate environment to establish connections with their communities were highlighted as beneficial to men. However, there is a lack of appropriate local spaces to connect communities through social participation. This suggests the need for occupational therapists to diversify their roles, moving beyond the individual and into community development.Conclusions:Occupational therapists’ unique and varied skill set, including the understanding of the profound impact of the environment on occupational engagement and, thus, well-being would offer valuable contributions to community development roles, including the built environment to ensure all communities have places for connection where individuals of all ages can thrive.
背景:社会参与活动是一个重要的职业领域,能够有效减少社会隔离和孤独感。方法:采用定性方法,包括访谈和合作研讨会,来探讨研究目标。公众参与包括与四个社区组织的六名工作人员和十二名老年男性建立伙伴关系。指导委员会为项目提供信息。研究结果:代际参与和与社区建立联系的适当环境被强调为对男性有益。然而,当地缺乏通过社会参与将社区联系起来的适当空间。结论:职业治疗师具有独特而多样的技能,包括了解环境对职业参与的深刻影响,因此,对福祉也有深刻影响,这将为社区发展做出宝贵贡献,包括建筑环境,以确保所有社区都有连接的场所,让所有年龄段的人都能茁壮成长。
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引用次数: 0
Enhancing occupational therapy education: Evaluating the impact of a STEAM-based assistive technology curriculum using Kirkpatrick’s four-level model 加强职业治疗教育:利用柯克帕特里克的四级模型评估基于 STEAM 的辅助技术课程的影响
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-03-21 DOI: 10.1177/03080226241239563
Chia-Hui Hung, Mei-Hsiang Chen, Shih-Chen Fan
Introduction:Integrating assistive technology (AT) into occupational therapy (OT) education is critical to educating students to utilize AT to enhance individual independence. This study aims to describe the development of a science, technology, engineering, arts, and mathematics (STEAM)-based AT curriculum in OT and evaluate its effectiveness using the Kirkpatrick model.Methods:An 18-week STEAM-based AT curriculum was created with lectures, hands-on activities, and a simulation exam. A one-group pretest–posttest observational study was undertaken with 40 undergraduate students to gauge its effectiveness. Their professionalism was evaluated using a multidimensional checklist, whereas a satisfaction survey gathered their feedback on the curriculum experience.Results:Level 1: Participants reported high satisfaction (mean = 4.61, SD = 0.36), with a 97.5% agreement. Level 2: 95% ( n = 38) passed the AT curriculum exam. Level 3: Therapists and patients expressed satisfaction with participants’ AT skills (therapists: t(39) = 12.22, p < 0.001; patients: t(39) = 8.84, p < 0.001). Level 4: Participants showed significant improvement in professionalism ( t(39) = 16.45, p < 0.001). Lastly, using the Kirkpatrick model, the STEAM-based AT curriculum passed the evaluation.Conclusions:The STEAM-based AT curriculum in OT enhances professionalism and potentially boosts patient satisfaction with AT services provision.
导言:将辅助技术(AT)融入职业治疗(OT)教育对于教育学生利用辅助技术提高个人独立性至关重要。本研究旨在描述基于科学、技术、工程、艺术和数学(STEAM)的辅助技术课程在职业治疗中的发展情况,并使用柯克帕特里克模型评估其有效性。方法:我们创建了一个为期18周的基于STEAM的辅助技术课程,包括讲座、实践活动和模拟考试。对 40 名本科生进行了一组前测-后测观察研究,以评估其有效性。结果:第一级:参与者的满意度很高(平均值 = 4.61,标准差 = 0.36),同意率为 97.5%。第二级:95%(n = 38)的学员通过了辅助治疗课程考试。第三级:治疗师和患者对参与者的辅助治疗技能表示满意(治疗师:t(39) = 12.22,p <0.001;患者:t(39) = 8.84,p <0.001)。第 4 级:参与者的专业水平有了显著提高(t(39) = 16.45,p <0.001)。最后,根据 Kirkpatrick 模型,基于 STEAM 的辅助治疗课程通过了评估。
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引用次数: 0
Parents’ and carers’ attitudes to the use of digital technology and its role in the care of children with complex needs 家长和照护者对使用数字技术及其在照护有复杂需求儿童中的作用的态度
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-03-19 DOI: 10.1177/03080226241233112
Joanna Apps, Stephen Webb, Eve Hutton
Introduction:Parent/carers of disabled children want timely and personalized support. Research suggests that technology may address some limitations associated with traditional methods of communication with therapists (e.g. letter, telephone). This exploratory study examined United Kingdom (UK) parents and carers views on the use of digital technology (i.e. computers/phones) in supporting their child and the potential for its greater use in the care of children with complex needs.Methods:An online survey was distributed via special schools and support forums/networks. Questions explored use of and attitudes to digital technology in the care of children with complex needs. Descriptive statistical analyses and content analyses were undertaken on the data.Results:Respondents were 43 parents/carers whose children used rehabilitation services prior to the COVID-19 pandemic. The majority used digital technology frequently to support their child and saw the potential for greater use in rehabilitation services – provided this was not at the expense of in-person therapist contact.Conclusion:Parents and carers held positive views of digital technology as a tool to support their child and enhance rehabilitation services. Recommendations include regular service consultation on parental/child attitudes to digital service delivery and longitudinal studies to assess related health outcomes.
导言:残疾儿童的家长/监护人希望得到及时和个性化的支持。研究表明,技术可以解决与治疗师沟通的传统方法(如信件、电话)的一些局限性。这项探索性研究考察了英国(UK)家长和照护者对使用数字技术(即电脑/电话)为其子女提供支持的看法,以及在照护有复杂需求的儿童时更多使用数字技术的潜力。方法:通过特殊学校和支持论坛/网络分发了一份在线调查,问题涉及在照顾有复杂需求的儿童时数字技术的使用情况和态度。结果:受访者为43名家长/照顾者,他们的孩子在COVID-19大流行之前曾使用过康复服务。大多数人经常使用数字技术来支持他们的孩子,并认为数字技术有可能在康复服务中得到更广泛的应用--前提是不能以牺牲与治疗师的面对面接触为代价。结论:家长和照护者对数字技术作为支持他们孩子和加强康复服务的工具持积极态度。建议包括定期就家长/儿童对数字服务的态度进行服务咨询,并开展纵向研究以评估相关的健康结果。
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引用次数: 0
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British Journal of Occupational Therapy
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