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Investigating the relevance of the advanced activities of daily living tool for the screening and diagnosis of mild cognitive impairment and dementia to the Sub-Saharan African migrant population in Belgium: A qualitative focus group study 调查高级日常生活活动工具在筛查和诊断轻度认知障碍和痴呆症方面与比利时撒哈拉以南非洲移民人口的相关性:焦点小组定性研究
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-31 DOI: 10.1177/03080226231213215
Mary Edna J Lamnteh, Ellen Gorus, Van De Velde Dominique, Njemini Rose, De Vriendt Patricia
Introduction:Early diagnosis of dementia is partly based on the evaluation of the basic (b-), instrumental (i-) and advanced (a-) activities of daily living (ADL). Adapting the item content of assessment tools to maintain relevance, understanding, and equivalence of the items and scales across other groups is pertinent. However, there are limited assessment tools developed on or adapted for use on the growing older Sub-Saharan African (SSA) migrant population in Europe. Focusing on the item content, we evaluated the relevance of the advanced activities of daily living (a-ADL) tool to the older SSA migrant population in Belgium.Method:Two focus group discussions were organized with participants from the SSA community in Gent, Belgium. Relevant, irrelevant, unclear, and new items were identified. The data was analyzed through the inductive method while consensus agreements were used to arrive at refined themes.Results:Out of the 49 items on the tool, both groups unanimously agreed that 15 items were relevant and 23 irrelevant. Thirteen new items were identified, whereas 15 items were considered unclear.Conclusion:Participants agreed the tool was relevant but should be adapted. Verification and validation of these results in a larger SSA older migrant population in Belgium is strongly recommended.
导言:痴呆症的早期诊断部分基于对基本(b-)、工具性(i-)和高级(a-)日常生活活动(ADL)的评估。对评估工具的项目内容进行调整,以保持项目和量表在其他群体中的相关性、理解性和等效性是非常重要的。然而,针对欧洲日益增长的撒哈拉以南非洲(SSA)老年移民群体开发或改编的评估工具十分有限。方法:我们组织了两次焦点小组讨论,参与者来自比利时根特的 SSA 社区。确定了相关、不相关、不明确和新的项目。结果:在工具的 49 个项目中,两个小组一致认为 15 个项目相关,23 个项目不相关。结论:参与者一致认为该工具是相关的,但应加以调整。强烈建议在比利时更多的 SSA 老年移民中验证和确认这些结果。
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引用次数: 0
Participant and caregiver experiences of an activities of daily living-focused cognitive stimulation program for individuals with mild-to-moderate dementia (CS-ADL) 针对轻度至中度痴呆症患者的以日常生活活动为重点的认知刺激计划(CS-ADL)的参与者和护理者体验
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-17 DOI: 10.1177/03080226231225358
Simone Ryan, Manigandan Chockalingam, Orla Brady
Individuals with dementia experience a progressive deterioration in their cognitive and functional abilities, and as a result, require support from informal family caregivers. Non-pharmacological interventions, such as cognitive stimulation, are increasingly being used to address this deterioration. This study explored the participant and caregiver experiences of CS-ADL (Cognitive Stimulation in Activities of Daily Living), an activities of daily living-focused group cognitive stimulation program for individuals with mild-to-moderate dementia. A descriptive qualitative design was implemented. CS-ADL participants and caregivers were recruited in dyads through a Psychiatry of Later Life service where CS-ADL was delivered. Semi-structured interviews were completed with each dyad either in-person or via the telephone. Data retrieved were analyzed through reflexive thematic analysis. CS-ADL was experienced as an acceptable intervention that positively influenced the everyday life of both dyad members, with benefits reported in the memory, mood, daily routine, and social interaction of participants. Furthermore, the facilitation style of group facilitators positively influenced participants’ engagement in CS-ADL. Limited data was gathered regarding the experience of activities of daily living. This is the first study to explore experiences of CS-ADL, producing a preliminary addition to the evidence-base for CS-ADL. However, further research is required to confirm study findings and explore the experiences of activities of daily living in greater depth.
痴呆症患者的认知能力和功能会逐渐退化,因此需要非正式家庭照顾者的支持。认知刺激等非药物干预措施正越来越多地被用于应对这种退化。本研究探讨了参与者和照顾者对 CS-ADL(日常生活活动中的认知刺激)的体验,这是一项针对轻度至中度痴呆症患者的以日常生活活动为重点的团体认知刺激计划。该项目采用描述性定性设计。CS-ADL 的参与者和照顾者是通过提供 CS-ADL 的 "晚年精神病学"(Psychiatry of Later Life)服务机构招募的。通过面谈或电话,对每对夫妇进行了半结构化访谈。通过反思性主题分析法对检索到的数据进行了分析。结果显示,CS-ADL 是一种可接受的干预方法,它对双方成员的日常生活都产生了积极影响,参与者在记忆、情绪、日常生活和社会交往等方面都受益匪浅。此外,小组主持人的引导风格也对参与者参与 CS-ADL 有积极影响。关于日常生活活动体验的数据收集有限。这是第一项探索 CS-ADL 体验的研究,为 CS-ADL 的证据基础提供了初步补充。然而,还需要进一步的研究来证实研究结果,并更深入地探讨日常生活活动的体验。
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引用次数: 0
Psychometric properties of the Bengali-Translated Occupational Self-Assessment Short Form 孟加拉语职业自我评估简表的心理计量特性
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-17 DOI: 10.1177/03080226231223605
Azharul Islam, Sanghun Nam, Shamima Akter, Yu Ishibashi
The Occupational Self-Assessment-Short Form (OSA-SF) is a client-centered instrument designed to assess goal setting and intervention planning for adults with a client-centered approach. This study aimed to assess the psychometric properties of the Bengali-translated Occupational Self-Assessment-Short Form (BOSA-SF), which could enable occupational therapists to evaluate the occupational competence and value of Bengali adults. A total of 170 adult participants participated in the study after the translation phase. The data were analyzed using confirmatory factor analysis and Rasch analysis. Among the 12 items, 11 on the competence scale and all 12 on the value scale were unidimensional and demonstrated local independence. The 11 competence items and 12 value items were fitted to the Rasch model, demonstrating good validity and reliability. The 11-item BOSA-SF demonstrates to be a valid and reliable tool for use in client-centered goal setting and intervention planning for Bengali adults. Nonetheless, further research is warranted to conduct more comprehensive analyses that thoroughly assess the functions of the BOSA-SF in various contexts.
职业自我评估简表(OSA-SF)是一种以客户为中心的工具,旨在以客户为中心的方法评估成人的目标设定和干预计划。本研究旨在评估孟加拉语职业自我评估简表(BOSA-SF)的心理测量特性,以便职业治疗师评估孟加拉语成人的职业能力和价值。经过翻译阶段后,共有 170 名成人参加了研究。研究采用确认性因子分析和 Rasch 分析法对数据进行了分析。在 12 个项目中,能力量表中的 11 个项目和价值量表中的全部 12 个项目均为单维度,并表现出局部独立性。11 个能力项目和 12 个价值项目均符合 Rasch 模型,显示出良好的效度和信度。11 个项目的 BOSA-SF 证明是一种有效、可靠的工具,可用于孟加拉成年人以客户为中心的目标设定和干预规划。尽管如此,仍有必要开展进一步的研究,以进行更全面的分析,彻底评估 BOSA-SF 在各种情况下的功能。
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引用次数: 0
Sensory approaches for adults with severe or profound and multiple learning disabilities: A systematic literature review 针对严重或极度多重学习障碍成人的感官方法:系统文献综述
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-12 DOI: 10.1177/03080226231208717
Jennifer Humpheson
Sensory approaches are often used by Occupational Therapists working with clients with a severe or profound and multiple learning disabilities (SLD/PMLD). The aims of this review were to synthesise the outcomes of sensory approaches for adults with an SLD/PMLD and describe the key intervention components. A mixed methods literature review of three databases was completed to identify studies where sensory approaches were used for clients with an SLD/PMLD. Peer-reviewed research articles published between January 1990 and April 2021 were included. Data quality was assessed using the Mixed Methods Appraisal Tool. A convergent-segregated approach to synthesis was taken, including thematic analysis of qualitative data and a narrative review of quantitative data. Eighteen studies were included. Positive outcomes were reductions in challenging behaviour, stress and improved engagement, attention and communication. Three themes emerged, suggesting important components of sensory approaches for clients with an SLD/PMLD: matching sensory stimuli to the needs of the individual, sensory integration therapists and caregivers as facilitators and increased intervention duration and frequency. Evidence suggests that sensory approaches support positive social, emotional and cognitive outcomes for individuals with an SLD/PMLD. Essential features of sensory approaches for this client group are sensitive use of sensory stimuli, skilled facilitators and more intensive intervention protocols.
职业治疗师在为患有严重或极度多重学习障碍(SLD/PMLD)的客户提供服务时,经常会使用感官疗法。本综述的目的是综合感官疗法对患有严重或极度多重学习障碍(SLD/PMLD)的成人的治疗效果,并描述干预措施的主要组成部分。我们采用混合方法对三个数据库进行了文献综述,以确定针对 SLD/PMLD 患者使用感官疗法的研究。其中包括 1990 年 1 月至 2021 年 4 月间发表的经同行评审的研究文章。使用混合方法评估工具对数据质量进行了评估。采用聚合-分离的方法进行综合,包括对定性数据进行主题分析和对定量数据进行叙述性回顾。共纳入了 18 项研究。积极的成果是挑战性行为和压力的减少,以及参与度、注意力和沟通能力的提高。研究中出现了三个主题,它们表明了针对患有特殊发育障碍/小儿麻痹症客户的感官疗法的重要组成部分:根据个人需求匹配感官刺激、感觉统合治疗师和护理人员作为促进者以及增加干预时间和频率。有证据表明,感官疗法可帮助患有特殊发育障碍/小儿麻痹症的患者在社交、情感和认知方面取得积极成果。针对这一客户群体的感官疗法的基本特征是敏感地使用感官刺激、熟练的促进者和更密集的干预方案。
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引用次数: 0
Research priority 5: Setting the stage for research on the impact of occupational therapy in primary care 研究重点 5:为研究职业疗法在初级保健中的影响创造条件
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-09 DOI: 10.1177/03080226231225359
Lori Letts, Catherine Donnelly, C. Hand, Leanne L. Leclair, P. Wener
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引用次数: 0
An exploration into the occupational identity of women following breast cancer and treatment: A qualitative study 探索乳腺癌和治疗后妇女的职业认同:定性研究
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-09 DOI: 10.1177/03080226231225103
Courtney Hopkins, Angela Murphy, Rebecca Haythorne, Daniel Marinho Cezar da Cruz
The number of women surviving after breast cancer is increasing, along with the length of time they are living with the after-effects of treatment. Although the treatment’s effects are known to impact occupational participation, little is known about how breast cancer could affect occupational identity. This study aims to illuminate the lived experience of women long-term after breast cancer treatment through an occupational perspective in order to explore how they perceive their occupational identity. A qualitative study with semi-structured interviews was conducted with six women, who had all received a diagnosis of breast cancer and treatment for longer than a year. Reflexive Thematic Analysis was used to analyse the data. Three intertwined themes describe the participants’ experience. (1) ‘Disruptions in daily life and Environmental support’, (2) ‘Be able to do’ and identity, and (3) ‘Doing what matters and is possible’. Findings revealed that the occupational identities of the participants were maintained. Cancer treatment effects appear to impact occupational competence that corresponded to participants’ occupational identities, suggesting difficulties in the order of occupational adaptation. Our findings contribute to understanding the challenges to occupational participation related to the occupational identity of women following breast cancer and treatment.
患乳腺癌后存活下来的妇女人数不断增加,同时她们承受治疗后遗症的时间也越来越长。虽然人们知道治疗的效果会影响职业参与,但对乳腺癌如何影响职业认同却知之甚少。本研究旨在从职业角度揭示长期接受乳腺癌治疗的妇女的生活经历,以探讨她们如何看待自己的职业身份。本研究采用半结构式访谈法对六名女性进行了定性研究,她们都被诊断出患有乳腺癌并接受了一年以上的治疗。研究采用了反思性主题分析法来分析数据。三个相互交织的主题描述了参与者的经历。(1) "日常生活中的干扰和环境支持",(2) "能够做到 "和身份认同,(3) "做重要的和可能做的事"。研究结果显示,参与者的职业认同感得以保持。癌症治疗的影响似乎影响了与参与者职业认同相对应的职业能力,这表明在职业适应顺序上存在困难。我们的研究结果有助于理解妇女在乳腺癌和治疗后的职业身份对职业参与的挑战。
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引用次数: 0
Assessing physical literacy with school-aged children in occupational therapy practice: An exploratory qualitative study 在职业治疗实践中评估学龄儿童的体育素养:探索性定性研究
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2024-01-05 DOI: 10.1177/03080226231220566
Emma R. Clark, Amber Elliott, Alethea Jerebine, Lisa M Barnett
Physical literacy (the physical, psychological, social and cognitive capacities needed for movement and physical activity) is arguably important to occupational therapy yet is not explicit within current practice. This study aimed to understand how occupational therapists can engage with the physical literacy concept. Eight paediatric occupational therapists were recruited by purposive sampling. Participants completed up to three semi-structured interviews to understand perspectives on physical literacy, introduce a novel pictorial assessment and to seek feedback on the assessment after trialling. Interviews were transcribed verbatim and analysed using reflexive thematic analysis. Sixteen interviews were conducted. Four themes were identified: ‘Foreign tongue’ (occupational therapists have an understanding of physical literacy but used different terminology); ‘Sounds very OT oriented’ (illustrating the connection between physical literacy and occupational therapy); ‘We need the child’s voice’ (measure highlights the child’s perspective); and ‘Contemporary, useful BUT not for all’ (measure had utility for some children but was dependant on child’s condition). Occupational therapists can apply the physical literacy construct to traditional models and core concepts. The assessment can be used in paediatric occupational therapy practice supported by clinical reasoning, although future tool iterations may need to accommodate some children with disability.
可以说,身体素养(运动和体育活动所需的身体、心理、社会和认知能力)对职业治疗非常重要,但在当前的实践中却并不明确。本研究旨在了解职业治疗师如何参与身体素养概念的研究。我们通过有目的的抽样调查招募了八名儿科职业治疗师。参与者完成了多达三次半结构式访谈,以了解他们对身体素养的看法,介绍一种新颖的图形评估方法,并在试用该评估方法后征求反馈意见。访谈内容逐字记录,并采用反思性主题分析法进行分析。共进行了 16 次访谈。确定了四个主题:外语"(职业治疗师对身体素养有所了解,但使用的术语不同);"听起来非常面向职业治疗师"(说明了身体素养与职业治疗之间的联系);"我们需要儿童的声音"(测量突出了儿童的视角);以及 "现代、有用,但不适合所有人"(测量对某些儿童有用,但取决于儿童的状况)。职业治疗师可将身体素养构建应用于传统模式和核心概念。在临床推理的支持下,该评估可用于儿科职业治疗实践,但未来的工具迭代可能需要考虑到一些残疾儿童的情况。
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引用次数: 0
Public and professional involvement in a systematic review investigating the impact of occupational therapy on the self-management of rheumatoid arthritis 公众和专业人士参与职业疗法对类风湿关节炎自我管理影响的系统性研究
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2023-12-30 DOI: 10.1177/03080226231219106
James P Gavin, Laura Rossiter, Vicky Fenerty, Jenny Leese, Jo Adams, Alison Hammond, Eileen Davidson, Catherine L. Backman
Public and health professional involvement (PHPI) is essential in healthcare research yet uncommonly integrated into systematic reviews. We incorporated and evaluated PHPI in a mixed methods review of occupational therapy for self-management of rheumatoid arthritis (RA). Public partners were living with or caring for someone with RA. Our steering group comprised two public, two professionals (one occupational therapist, one rheumatologist), and one reviewer who planned the review’s PHPI (August 2021). Involvement was evaluated from public and health professional (PHP) perspectives using a survey and workshops (August–October 2022) exploring reasons for involvement, challenges and learning opportunities. Alongside the steering group, 16 public and 6 professionals were involved throughout the review. Five public refined the search strategy, with three assisting in subsequent review activities. PHPs helped interpret findings during three public ( n = 12) and one professional workshop ( n = 4). Three occupational therapists and one public co-authored (ED) publications. In evaluation, PHPs felt valued and that their involvement was well-integrated. The researchers underestimated the time required for communicating and conducting PHPI in the review. PHPI is worthwhile, feasible and can be integrated within a systematic review. PHP partners considered participation valuable; researchers must prioritise time to prepare and communicate PHPI activities.
公众和卫生专业人员的参与(PHPI)在医疗保健研究中至关重要,但却很少被纳入系统性综述。我们在一项关于类风湿性关节炎(RA)自我管理的职业疗法的混合方法综述中纳入并评估了 PHPI。公众合作伙伴是与类风湿性关节炎患者共同生活或照顾患者的人。我们的指导小组由两名公众、两名专业人士(一名职业治疗师、一名风湿病学家)和一名审稿人组成,审稿人负责规划综述的 PHPI(2021 年 8 月)。通过调查和研讨会(2022 年 8 月至 10 月)探讨参与的原因、挑战和学习机会,从公众和健康专业人士(PHP)的角度对参与情况进行评估。除指导小组外,还有 16 名公众和 6 名专业人员参与了整个审查过程。五位公众对搜索策略进行了改进,三位协助了后续的审查活动。PHPs 在三次公众研讨会(12 人)和一次专业研讨会(4 人)上帮助解释研究结果。三位职业治疗师和一位公众共同撰写了(ED)出版物。在评估过程中,PHPs 认为自己受到了重视,他们的参与得到了很好的整合。研究人员在审查中低估了交流和开展 PHPI 所需的时间。PHPI 是有价值的、可行的,而且可以纳入系统综述。PHP 合作伙伴认为参与是有价值的;研究人员必须优先考虑准备和交流 PHPI 活动的时间。
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引用次数: 0
The strategies used by adults with visual impairment 视力障碍成人使用的策略
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2023-12-21 DOI: 10.1177/03080226231214369
J. Nastasi
Current research on visual impairment focuses on children and older adults with visual impairment. This study explored the strategies for living used by three middle-aged adults with visual impairment. A qualitative study with five interviews and three observation sessions was conducted with middle-aged adults with visual impairment. Data were analyzed by participant and across participants using open, axial, and selective coding. Codes were refined throughout the process yielding the themes of the study that were verified by the participants in the final interview. The following themes emerged from the study: incorporating useful strategies and technology into everyday life, socialization through participation in activities, utilizing state services to facilitate independence, desire for autonomy, and challenges in everyday life. The study highlights the importance of independence in everyday life through adaptive techniques/adaptation and a desire for autonomy.
目前有关视力障碍的研究主要集中在视力障碍儿童和老年人身上。本研究探讨了三位视力障碍中年人所使用的生活策略。这项定性研究对视力受损的中年人进行了五次访谈和三次观察。研究人员采用开放式、轴向和选择性编码方法,按参与者和不同参与者对数据进行了分析。编码在整个过程中不断完善,最终形成了研究主题,并在最后的访谈中得到了参与者的验证。研究得出了以下主题:将有用的策略和技术融入日常生活、通过参加活动实现社交、利用国家服务促进独立、渴望自主以及日常生活中的挑战。本研究强调了通过适应技术/适应和渴望自主在日常生活中独立的重要性。
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引用次数: 0
Putting occupational balance on the radar: Content validity of the 11-item Danish Occupational Balance Questionnaire 把职业平衡放在雷达上:11 项丹麦职业平衡问卷的内容有效性
IF 1.3 4区 医学 Q2 Health Professions Pub Date : 2023-11-29 DOI: 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.
职业平衡评估对职业治疗师治疗职业能力下降的患者具有临床意义。临床实践中缺乏有效的评估工具来测量职业平衡。旨在确定 11 个项目的丹麦版职业平衡问卷(OBQ-DK)的内容有效性,并将雷达图附加到职业治疗实践中。为调查内容有效性,我们开展了一项收敛性混合方法研究。在 3 个环境中对 12 名职业治疗师进行了 3 次小组访谈。演绎式内容分析涵盖了表面效度、相关性、全面性和可理解性。使用内容效度指数进一步评估了 11 个项目的相关性。结果发现,所有项目都与职业平衡这一概念相关。尽管如此,还是有人对内容有效性提出了担忧。关于有意义职业平衡的覆盖范围,其全面性受到质疑。11 个项目中的 6 个项目和反应量表的可理解性受到质疑。对内容有效性进行了调查。对全面性提出的质疑要求采用新的措辞或详细的说明,以提高结构的清晰度。应对反应量表的等级进行调整。
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引用次数: 0
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British Journal of Occupational Therapy
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