Pub Date : 2023-11-29DOI: 10.1177/03080226231207277
H. Honoré, Mette Boll, A. Ø. Hansen, H. K. Kristensen
Assessment of occupational balance is of clinical relevance for occupational therapists working with patients with reduced occupational performance. Clinical practice lacks validated assessment tools to measure occupational balance. To establish the content validity of the 11-item Danish version of the Occupational Balance Questionnaire (OBQ-DK) with a radar chart add-on for use in occupational therapy practice. A convergent mixed-methods study was performed investigating content validity. Three group interviews were conducted in 3 settings with 12 occupational therapists. A deductive content analysis covered face validity, relevance, comprehensiveness and comprehensibility. The relevance of the 11 items was further assessed using a content validity index. All items were found to be relevant to the construct of occupational balance. Even so, concerns were raised regarding content validity. The comprehensiveness was questioned regarding the coverage of the balance of meaningful occupations. Comprehensibility was questioned for 6 of the 11 items, and the response scale. Content validity was investigated. The doubts raised in relation to comprehensiveness call for new wordings or elaborate instructions to enhance constructional clarity. The response scale levels should be adapted.
{"title":"Putting occupational balance on the radar: Content validity of the 11-item Danish Occupational Balance Questionnaire","authors":"H. Honoré, Mette Boll, A. Ø. Hansen, H. K. Kristensen","doi":"10.1177/03080226231207277","DOIUrl":"https://doi.org/10.1177/03080226231207277","url":null,"abstract":"Assessment of occupational balance is of clinical relevance for occupational therapists working with patients with reduced occupational performance. Clinical practice lacks validated assessment tools to measure occupational balance. To establish the content validity of the 11-item Danish version of the Occupational Balance Questionnaire (OBQ-DK) with a radar chart add-on for use in occupational therapy practice. A convergent mixed-methods study was performed investigating content validity. Three group interviews were conducted in 3 settings with 12 occupational therapists. A deductive content analysis covered face validity, relevance, comprehensiveness and comprehensibility. The relevance of the 11 items was further assessed using a content validity index. All items were found to be relevant to the construct of occupational balance. Even so, concerns were raised regarding content validity. The comprehensiveness was questioned regarding the coverage of the balance of meaningful occupations. Comprehensibility was questioned for 6 of the 11 items, and the response scale. Content validity was investigated. The doubts raised in relation to comprehensiveness call for new wordings or elaborate instructions to enhance constructional clarity. The response scale levels should be adapted.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"78 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-29DOI: 10.1177/03080226231206674
Megan Barbara van Wyk, Susan de Klerk, L. J. Jacobs-Nzuzi Khuabi
Acquired brain injuries (ABIs) form part of the caseload of occupational therapists treating adult clients with neurological conditions. One adjunct to treatment of the upper limb condition following ABI is splinting. Little is known about the occupational therapy splinting practices in this field. This study aimed to describe these practices within a South African context. A quantitative, cross-sectional survey design was utilised. A convenience sample of occupational therapists from across South Africa completed a survey. The survey comprised of demographic factors; types of splints used; wear schedule regimens during the motor recovery phases and influencing factors. Data were analysed using Statistical Package for Social Sciences. Fifty-two participants ( n = 115) completed the survey, representing a 45.2% response rate. Participants (52.9% ( n = 27) indicated that splints are provided to 25% of clients with ABI. Splints are used to maintain soft tissue length and to ensure correct biomechanical alignment. Splinting for clients with ABI in South Africa is used as a preventative and maintenance approach. Failing more high-level evidence to support the use of splints for clients with ABI, therapists should consider the client-, therapist- and environment-related factors when determining the suitability and appropriateness of splinting clients with ABI.
后天性脑损伤（ABI）是职业治疗师为患有神经系统疾病的成年客户提供治疗的病例之一。夹板是治疗后天性脑损伤上肢状况的辅助手段之一。人们对这一领域的职业治疗夹板实践知之甚少。本研究旨在描述南非的这些做法。研究采用了横断面定量调查设计。来自南非各地的方便抽样职业治疗师完成了调查。调查内容包括人口统计学因素、使用的夹板类型、运动恢复阶段的穿戴计划和影响因素。数据使用社会科学统计软件包进行分析。52名参与者（n = 115）完成了调查，回复率为45.2%。参与者（52.9%，n = 27）表示，有 25% 的 ABI 患者使用夹板。夹板用于保持软组织长度，确保正确的生物力学排列。在南非，为患有 ABI 的患者提供夹板是一种预防和维护方法。如果没有更多高水平的证据来支持为有 ABI 的客户使用夹板，治疗师在确定是否适合为有 ABI 的客户使用夹板时，应考虑与客户、治疗师和环境相关的因素。
{"title":"Occupational therapy upper limb splinting practice for clients with acquired brain injuries: A cross-sectional study from South Africa","authors":"Megan Barbara van Wyk, Susan de Klerk, L. J. Jacobs-Nzuzi Khuabi","doi":"10.1177/03080226231206674","DOIUrl":"https://doi.org/10.1177/03080226231206674","url":null,"abstract":"Acquired brain injuries (ABIs) form part of the caseload of occupational therapists treating adult clients with neurological conditions. One adjunct to treatment of the upper limb condition following ABI is splinting. Little is known about the occupational therapy splinting practices in this field. This study aimed to describe these practices within a South African context. A quantitative, cross-sectional survey design was utilised. A convenience sample of occupational therapists from across South Africa completed a survey. The survey comprised of demographic factors; types of splints used; wear schedule regimens during the motor recovery phases and influencing factors. Data were analysed using Statistical Package for Social Sciences. Fifty-two participants ( n = 115) completed the survey, representing a 45.2% response rate. Participants (52.9% ( n = 27) indicated that splints are provided to 25% of clients with ABI. Splints are used to maintain soft tissue length and to ensure correct biomechanical alignment. Splinting for clients with ABI in South Africa is used as a preventative and maintenance approach. Failing more high-level evidence to support the use of splints for clients with ABI, therapists should consider the client-, therapist- and environment-related factors when determining the suitability and appropriateness of splinting clients with ABI.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-25DOI: 10.1177/03080226231213525
A. Drummond, Genevieve Smyth
{"title":"Fit notes: A call to arms","authors":"A. Drummond, Genevieve Smyth","doi":"10.1177/03080226231213525","DOIUrl":"https://doi.org/10.1177/03080226231213525","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"34 14","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139237938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-25DOI: 10.1177/03080226231212984
Stephanie Tsai, Gwenn Petrillo, Elyse Peterson
Patients recovering from cardiothoracic surgery in acute care experience physical and psychosocial challenges impacting participation in activities of daily living. Occupational therapists are well positioned to address these needs; however, there is little evidence exploring occupational therapy’s role in this area. This retrospective study of electronic medical records examined changes in activities of daily living participation for adult patients ( n = 37) who received occupational therapy in acute care while recovering from cardiothoracic surgery via median sternotomy. Wilcoxon signed-rank tests and paired t-tests compared patients’ scores on the Functional Independence Measure (FIM) and Activity Measure for Post-Acute Care “6-Clicks” Daily Activity Inpatient Short Form at occupational therapy evaluation and discharge from their inpatient stay. Patients showed statistically significant improvements on both assessments in activities of daily living participation while receiving occupational therapy services following cardiothoracic surgery. Lower body dressing, toileting, and bed mobility showed the greatest increases in the FIM categories. Occupational therapists are valuable in addressing the complex needs of patients recovering from cardiothoracic surgery in acute care. Continued research is needed to provide further evidence supporting occupational therapy’s unique role in this setting.
在急症护理中从心胸手术中恢复过来的患者会遇到生理和心理上的挑战，影响他们参与日常生活活动。职业治疗师能够很好地解决这些需求；然而，很少有证据表明职业治疗师在这一领域发挥了作用。这项对电子病历的回顾性研究考察了通过胸骨正中切开术进行心胸手术后恢复期间在急症护理中接受职业治疗的成年患者（37 人）在参与日常生活活动方面的变化。Wilcoxon 符号秩检验和配对 t 检验比较了患者在接受职业治疗评估和出院时在功能独立性测量（FIM）和急性期后护理 "6-Clicks "日常活动住院病人简表上的得分。在心胸手术后接受职业疗法服务期间，患者在参与日常生活活动方面的两项评估结果均显示出明显的统计学改善。在 FIM 类别中，下半身穿衣、如厕和床上活动能力的提高幅度最大。职业治疗师在满足急症护理中心胸外科术后康复患者的复杂需求方面具有重要价值。需要继续开展研究，为职业治疗在这种情况下的独特作用提供进一步的证据支持。
{"title":"Occupational therapy and participation in activities of daily living following cardiothoracic surgery in acute care: A retrospective study","authors":"Stephanie Tsai, Gwenn Petrillo, Elyse Peterson","doi":"10.1177/03080226231212984","DOIUrl":"https://doi.org/10.1177/03080226231212984","url":null,"abstract":"Patients recovering from cardiothoracic surgery in acute care experience physical and psychosocial challenges impacting participation in activities of daily living. Occupational therapists are well positioned to address these needs; however, there is little evidence exploring occupational therapy’s role in this area. This retrospective study of electronic medical records examined changes in activities of daily living participation for adult patients ( n = 37) who received occupational therapy in acute care while recovering from cardiothoracic surgery via median sternotomy. Wilcoxon signed-rank tests and paired t-tests compared patients’ scores on the Functional Independence Measure (FIM) and Activity Measure for Post-Acute Care “6-Clicks” Daily Activity Inpatient Short Form at occupational therapy evaluation and discharge from their inpatient stay. Patients showed statistically significant improvements on both assessments in activities of daily living participation while receiving occupational therapy services following cardiothoracic surgery. Lower body dressing, toileting, and bed mobility showed the greatest increases in the FIM categories. Occupational therapists are valuable in addressing the complex needs of patients recovering from cardiothoracic surgery in acute care. Continued research is needed to provide further evidence supporting occupational therapy’s unique role in this setting.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"45 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139238364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-25DOI: 10.1177/03080226231208055
Victoria Hogan, S. Hynes, Michael Hogan, Margaret Hodgins
Research focused on workforce issues and the working conditions of occupational therapists in Ireland is limited. The aim of this study was to characterise quality of working life and well-being in Irish occupational therapists. A cross-sectional, electronic survey of occupational therapists working in Ireland was conducted. The questionnaire included measures of quality of working life, well-being, workload, organisational constraints and turnover intentions. A total of 157 occupational therapists completed the survey. Quality of work life and well-being scores were lower than available norms. Organisational constraints and workload predicted lower quality of working life, F(7,119) = 13.669, p < 0.0005, while organisational constraints was the only significant predictor of well-being, F(10,123) = 3.698, p < 0.0005. Lower quality of working life predicted turnover intention, F(1,139) = 63.004. p < 0.0005. Results indicate that organisational constraints and workload are significant predictors of lower quality of working life. Lower quality of working life is also related to turnover intention. Quality of working life studies such as this can provide a form of problem diagnosis, in highlighting organisational factors that impede quality of working life.
{"title":"Work-related quality of life of occupational therapists in Ireland","authors":"Victoria Hogan, S. Hynes, Michael Hogan, Margaret Hodgins","doi":"10.1177/03080226231208055","DOIUrl":"https://doi.org/10.1177/03080226231208055","url":null,"abstract":"Research focused on workforce issues and the working conditions of occupational therapists in Ireland is limited. The aim of this study was to characterise quality of working life and well-being in Irish occupational therapists. A cross-sectional, electronic survey of occupational therapists working in Ireland was conducted. The questionnaire included measures of quality of working life, well-being, workload, organisational constraints and turnover intentions. A total of 157 occupational therapists completed the survey. Quality of work life and well-being scores were lower than available norms. Organisational constraints and workload predicted lower quality of working life, F(7,119) = 13.669, p < 0.0005, while organisational constraints was the only significant predictor of well-being, F(10,123) = 3.698, p < 0.0005. Lower quality of working life predicted turnover intention, F(1,139) = 63.004. p < 0.0005. Results indicate that organisational constraints and workload are significant predictors of lower quality of working life. Lower quality of working life is also related to turnover intention. Quality of working life studies such as this can provide a form of problem diagnosis, in highlighting organisational factors that impede quality of working life.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139237025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-25DOI: 10.1177/03080226231208053
Ceri Lawrence, Diane Ellison
Medical discharges due to mental health conditions have steadily increased within the British Armed Forces since 2007, with post-traumatic stress disorder (PTSD) cited for 41% of these. Mental health conditions can adversely impact engagement in activities of daily living. Research has shown that meaningful activity has benefits for mental well-being and engagement in this population. This small-scale study aimed to determine whether scale modelling had a measurable impact on veteran well-being and to describe how the results of this study may inform future occupational therapy research with veterans. This was a retrospective quantitative design using the Short Warwick and Edinburgh Mental Wellbeing Scale to gather pre- and post-engagement data from veterans attending scale-modelling groups. N = 12. There was a positive difference between pre- and post-engagement in scale modelling, p < 0.05, and effect size 0.61 within a limited participant pool. The Model-of-Human-Occupation and the Occupational Perspective of Health framework demonstrated that participants who found meaning and value in an activity were most likely to benefit from it. This study suggests that scale modelling enables health, well-being and independence for veterans if found meaningful by them. This is a limited-size study contributing to an under-researched area, opening pathways for further research with this participant group.
{"title":"A small-scale study exploring the efficacy of scale modelling as an open intervention for military veterans with mental health conditions","authors":"Ceri Lawrence, Diane Ellison","doi":"10.1177/03080226231208053","DOIUrl":"https://doi.org/10.1177/03080226231208053","url":null,"abstract":"Medical discharges due to mental health conditions have steadily increased within the British Armed Forces since 2007, with post-traumatic stress disorder (PTSD) cited for 41% of these. Mental health conditions can adversely impact engagement in activities of daily living. Research has shown that meaningful activity has benefits for mental well-being and engagement in this population. This small-scale study aimed to determine whether scale modelling had a measurable impact on veteran well-being and to describe how the results of this study may inform future occupational therapy research with veterans. This was a retrospective quantitative design using the Short Warwick and Edinburgh Mental Wellbeing Scale to gather pre- and post-engagement data from veterans attending scale-modelling groups. N = 12. There was a positive difference between pre- and post-engagement in scale modelling, p < 0.05, and effect size 0.61 within a limited participant pool. The Model-of-Human-Occupation and the Occupational Perspective of Health framework demonstrated that participants who found meaning and value in an activity were most likely to benefit from it. This study suggests that scale modelling enables health, well-being and independence for veterans if found meaningful by them. This is a limited-size study contributing to an under-researched area, opening pathways for further research with this participant group.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"68 14","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139237101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-22DOI: 10.1177/03080226231214659
{"title":"Corrigendum to “Sattari M, Ahmadi Kahjoogh M. Concurrent validity of the Child Occupational Self-Assessment in children with attention-deficit/hyperactivity disorder. British Journal of Occupational Therapy. 2023. doi:10.1177/03080226221146460","authors":"","doi":"10.1177/03080226231214659","DOIUrl":"https://doi.org/10.1177/03080226231214659","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"2 2","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1177/03080226231208050
L. Ingham, Jan Burke, Catherine Purcell
COVID-19 accelerated the implementation of virtual working at pace, which carries the risk of missed opportunities for shared learning across organisations and services. This study therefore investigated the experiences of ‘virtual working’ among occupational therapy (OT) staff and students in Wales. The objectives were to establish the meaning of virtual working for occupational therapists (OTs), identify the perceived advantages and disadvantages of the technologies used to support virtual working and explore the specific contextual factors that impact on service delivery. An online questionnaire was completed by 191 registered and unregistered OT staff and students working in Wales, and 11 semi-structured interviews were conducted in a convergent mixed methods design. The questionnaire data confirmed that the use of virtual working has increased and impacts all areas of service delivery. The semi-structured interviews identified three themes: the art of OT, keeping doors open and looking forward. Virtual working can improve access to services, but one size does not fit all and its use in person centred care should be carefully considered. Virtual working should not compromise high quality service provision and the risks of virtual working to staff’s mental and physical health needs to be considered.
{"title":"Experiences of ‘virtual’ occupational therapy service delivery in Wales","authors":"L. Ingham, Jan Burke, Catherine Purcell","doi":"10.1177/03080226231208050","DOIUrl":"https://doi.org/10.1177/03080226231208050","url":null,"abstract":"COVID-19 accelerated the implementation of virtual working at pace, which carries the risk of missed opportunities for shared learning across organisations and services. This study therefore investigated the experiences of ‘virtual working’ among occupational therapy (OT) staff and students in Wales. The objectives were to establish the meaning of virtual working for occupational therapists (OTs), identify the perceived advantages and disadvantages of the technologies used to support virtual working and explore the specific contextual factors that impact on service delivery. An online questionnaire was completed by 191 registered and unregistered OT staff and students working in Wales, and 11 semi-structured interviews were conducted in a convergent mixed methods design. The questionnaire data confirmed that the use of virtual working has increased and impacts all areas of service delivery. The semi-structured interviews identified three themes: the art of OT, keeping doors open and looking forward. Virtual working can improve access to services, but one size does not fit all and its use in person centred care should be carefully considered. Virtual working should not compromise high quality service provision and the risks of virtual working to staff’s mental and physical health needs to be considered.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1177/03080226231209611
H. K. Kristensen
{"title":"Engagement in meaningful occupations for people with dementia: A valuable source for maintaining the quality of life in institutional settings","authors":"H. K. Kristensen","doi":"10.1177/03080226231209611","DOIUrl":"https://doi.org/10.1177/03080226231209611","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"7 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139259224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1177/03080226231201738
Sinead Purcell, Rose Galvin, Aoibhean Coughlan, Margaret O’Connor, Aoife O’Neill, Katie Robinson
Introduction: Upper limb apraxia is a post stroke disorder affecting the persons’ ability to perform everyday activities. This review aimed to determine the effectiveness of interventions on occupational performance outcomes. Method: A systematic review of literature (2000-2022) across five electronic databases was conducted. PRISMA guidelines were applied. Data were pooled using RevMan. Findings: Four studies reporting findings from three randomised controlled trials were included. The methodological quality of studies was low. Three treatment approaches were reported: (1) strategy training (2) gesture training (3) combined gesture and strategy training. Strategy training alone or in combination with gesture training was significantly more effective than control interventions in improving occupational performance scores (FEM, mean difference: 1.08, 95% confidence interval: −6.01–8.16, I2 = 0%). Conclusion: This review provides low quality evidence to support the use of strategy training alone, or in combination with gesture training, by Occupational Therapists to improve occupational performance and apraxia scores post intervention among people with post stroke upper limb apraxia.
{"title":"Interventions to improve the occupational performance of people with post stroke with upper limb apraxia – A systematic review and meta-analysis","authors":"Sinead Purcell, Rose Galvin, Aoibhean Coughlan, Margaret O’Connor, Aoife O’Neill, Katie Robinson","doi":"10.1177/03080226231201738","DOIUrl":"https://doi.org/10.1177/03080226231201738","url":null,"abstract":"Introduction: Upper limb apraxia is a post stroke disorder affecting the persons’ ability to perform everyday activities. This review aimed to determine the effectiveness of interventions on occupational performance outcomes. Method: A systematic review of literature (2000-2022) across five electronic databases was conducted. PRISMA guidelines were applied. Data were pooled using RevMan. Findings: Four studies reporting findings from three randomised controlled trials were included. The methodological quality of studies was low. Three treatment approaches were reported: (1) strategy training (2) gesture training (3) combined gesture and strategy training. Strategy training alone or in combination with gesture training was significantly more effective than control interventions in improving occupational performance scores (FEM, mean difference: 1.08, 95% confidence interval: −6.01–8.16, I2 = 0%). Conclusion: This review provides low quality evidence to support the use of strategy training alone, or in combination with gesture training, by Occupational Therapists to improve occupational performance and apraxia scores post intervention among people with post stroke upper limb apraxia.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"5 2","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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