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Mexican American Intergenerational Research: Transformative Model of Occupational Therapy. 墨西哥裔美国人代际研究:职业疗法的变革模式。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6301510
Maritza Montiel Tafur, Yvonne de la Torre Montiel, Miguel Montiel

Thirty-seven interviews of Mexican American women who crossed the border into the United States during the era of the Mexican Revolution of 1910 were analyzed using constructivist grounded theory methods. The intent is to expand the occupational therapy profession's occupational consciousness and cultivate cultural humility. Four themes emerged from the data: suffering, work, yearning for an education, and compassion for others. The findings suggest that environmental barriers such as hierarchy (patriarchy and discrimination) and physical barriers (limited access to built environments, lack of nonexploitative work opportunities, and hostile educational institutions) prevented occupational participation. Small acts of resistance through everyday living (finding joy, playing, self-sufficiency, and community organizing) were identified as facilitators of occupational participation. The research findings challenge proposed assumptions found within the occupational therapy literature: (1) humans and occupations exist as separate from their environments, and (2) work, productivity, and leisure contribute positively to health. The Transformative Model of Occupational Therapy is introduced as a decolonized framework that inextricably links individual health to community and global health. The model centers play, social participation, work, and education as occupations that contribute to the common good. These occupations are kept in equilibrium within the Four Pillars of Culture (self-determination, compassion, sustainability, and language) or the cultural values identified and derived from the stories.

本研究采用建构主义基础理论方法,分析了对 1910 年墨西哥革命时期越境进入美国的 37 名墨西哥裔美国妇女的访谈。目的是扩大职业治疗专业的职业意识,培养文化谦逊。数据中出现了四个主题:苦难、工作、对教育的渴望和对他人的同情。研究结果表明,环境障碍,如等级制度(父权制和歧视)和物理障碍(进入建筑环境受限、缺乏非剥削性工作机会和敌对的教育机构)阻碍了职业参与。通过日常生活(寻找快乐、玩耍、自给自足和社区组织)进行的小规模反抗被认为是职业参与的促进因素。研究结果挑战了职业疗法文献中提出的假设:(1)人类和职业的存在与其环境是分离的;(2)工作、生产力和休闲对健康有积极的促进作用。职业疗法的变革模式是作为一个非殖民化框架引入的,它将个人健康与社区和全球健康密不可分地联系在一起。该模式以游戏、社会参与、工作和教育为中心,将其视为有助于共同利益的职业。这些职业在 "文化四大支柱"(自决、同情、可持续性和语言)或从故事中确定和衍生的文化价值中保持平衡。
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引用次数: 0
A Profile of Occupational Therapists Working in School-Based Practice in Australian Primary Schools 在澳大利亚小学从事校本实践工作的职业治疗师简介
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-04-26 DOI: 10.1155/2024/2077870
Jill Jeremy, Ilektra Spandagou, Joanne Hinitt
Inclusive education has increased the demand for school-based occupational therapy services and has reconceptualised the practice in mainstream schools. Therapists are now expected to work collaboratively with teachers within tiered intervention models to support access and participation of all students, including those with disabilities, within the natural classroom context. School-based occupational therapy has become a specialised area of practice, as therapists work within educational, rather than health, systems and processes. While the growth in demand and expanded scope of practice is positive for the profession, predicted workforce shortages and the necessity for specialised and enhanced practice present significant challenges. The ability of the profession to fully support the demands of an inclusive education system remains unclear. As accurate, up-to-date information on the school-based therapy workforce is the foundation for planning future personnel needs, knowledge of the current state of the workforce is critical. There is a paucity of national data regarding this growing area of practice. The aim of this study is to describe a current profile of school-based occupational therapists to better understand the workforce, practice patterns, and the funding landscape in Australia. A convenient and purposive sample of 108 Australian paediatric occupational therapists working in mainstream primary schools in New South Wales, Queensland, and Victoria was surveyed in this quantitative study, which was analysed using descriptive statistics. Results provide some insights into the workforce and practice of school-based therapy in Australia offering preliminary data for future planning in this important and growing area of paediatric practice. While specific to the local context, results invite cross-national and global comparison to reveal universal trends and localised nuances across diverse settings.
全纳教育增加了对校本职业治疗服务的需求,也重新定义了主流学校的职业治疗实践。现在,人们希望治疗师在分层干预模式下与教师合作,支持所有学生(包括残疾学生)在自然课堂环境中的接触和参与。学校职业疗法已成为一个专业化的实践领域,因为治疗师是在教育系统和流程中工作,而不是在健康系统和流程中工作。虽然需求的增长和实践范围的扩大对这一行业来说是积极的,但预计的劳动力短缺以及专业化和强化实践的必要性带来了巨大的挑战。该专业是否有能力全力支持全纳教育系统的需求,目前仍不清楚。有关校本治疗师队伍的准确、最新信息是规划未来人员需求的基础,因此了解该队伍的现状至关重要。有关这一日益增长的实践领域的全国性数据十分匮乏。本研究旨在描述校本职业治疗师的现状,以便更好地了解澳大利亚的职业治疗师队伍、实践模式和资金状况。在这项定量研究中,我们对在新南威尔士州、昆士兰州和维多利亚州主流小学工作的 108 名澳大利亚儿科职业治疗师进行了抽样调查,并采用描述性统计方法进行了分析。研究结果提供了一些有关澳大利亚校本治疗的劳动力和实践的见解,为这一重要且不断发展的儿科实践领域的未来规划提供了初步数据。虽然研究结果是针对当地情况的,但也需要进行跨国和全球比较,以揭示不同环境下的普遍趋势和当地的细微差别。
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引用次数: 0
Developing Client Self-Advocacy in Occupational Therapy: Are We Practicing What We Preach? 在职业治疗中培养客户的自我主张能力:我们是否言行一致?
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-03-27 DOI: 10.1155/2024/1662671
Laura VanPuymbrouck, Emily M. Chun, Elizabeth D. Hesse, Kelsey Ranneklev, Camila Sanchez
Background. Developing client self-advocacy is in occupational therapy’s (OT) scope of practice; however, there is limited understanding of if, or how, occupational therapists learn about self-advocacy interventions as well as implement self-advocacy into clinical practice. Objective. This study sought to identify if and how therapists learn about self-advocacy intervention approaches and identify if and how therapists implement self-advocacy into their work with clients. Method. A survey was distributed via email to academic and professional listservs in the United States, and data were collected using REDCap survey software. Descriptive statistics were analyzed data using REDCap/SPSS. Comparative statistics, Kruskal-Wallis’s tests, Chi-square tests for independence, and Pearson’s correlation tests analyzed differences across groups of respondents. Results. Practicing and licensed occupational therapists () across the United States completed the survey. Findings indicate a majority (59.5%) of occupational therapists not learning strategies for addressing or developing client self-advocacy. Of significance, 21.7% of participants had never been exposed to concepts of client self-advocacy in academic or clinical education. Practitioners who did address self-advocacy did so indirectly through teaching-related skills (76.6%). Conclusion. Many clients of OT will need self-advocacy skills in order to address issues of exclusion and discrimination that prohibit full participation in society. Occupational therapists must prioritize incorporating client self-advocacy into curricula and clinical practice.
背景。培养客户的自我主张能力属于职业治疗(OT)的实践范围;然而,人们对职业治疗师是否或如何学习自我主张干预措施以及在临床实践中实施自我主张的了解却很有限。研究目的本研究旨在确定职业治疗师是否以及如何学习自我倡导干预方法,并确定职业治疗师是否以及如何将自我倡导应用到他们的客户工作中。研究方法。通过电子邮件向美国的学术和专业列表服务器分发调查问卷,并使用 REDCap 调查软件收集数据。使用 REDCap/SPSS 对数据进行描述性统计分析。比较统计、Kruskal-Wallis 检验、Chi-square 独立性检验和 Pearson 相关性检验分析了各组受访者之间的差异。结果。全美执业和持证职业治疗师()完成了调查。调查结果显示,大多数职业治疗师(59.5%)没有学习解决或发展客户自我主张的策略。值得注意的是,21.7%的参与者从未在学术或临床教育中接触过客户自我主张的概念。确实接触过自我主张的从业人员(76.6%)是通过教学相关技能间接接触到自我主张的。结论。许多职业治疗师的服务对象需要自我主张技能,以解决阻碍其充分参与社会的排斥和歧视问题。职业治疗师必须优先将客户自我主张纳入课程和临床实践。
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引用次数: 0
Applying Concepts of Curriculum Design and Cultural Adaptation: Collaborating on a Dual-Degree Occupational Therapy Program in Mainland China 应用课程设计和文化适应的概念:在中国大陆合作开展职业治疗双学位项目
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-03-18 DOI: 10.1155/2024/1088666
Julie McLaughlin Gray, Ling Yu (Elena) Meng, Adley Chan, Cameron Chang, Yijun Liu, Liguo Qian, Hui Wang, Ninghua Wang, Yanyan Yang, Mouwang Zhou, Grace T. Baranek
Occupational therapy is a profession with origins rooted in Western values. As culture plays an important role in shaping theory and practice, the curriculum design of academic programs that train future rehabilitation professionals should reflect the local context. As part of an international partnership, a dual-degree graduate program in occupational therapy was established between a Chinese and an American university. A team composed of members from both institutions collaborated on culturally adapting an entry-level master’s program in occupational therapy for China, based on a U.S. program, which welcomed its first cohort in September 2019. This article details the timeline and process of program design and adaptation from conception, through implementation to evaluation and revision, with the aim of offering a framework for curriculum adaptation of other academic programs in the U.S. and internationally. The adapted curriculum includes the program mission, vision, and philosophy; the curriculum model with program outcomes and threads; the program scope and sequence; materials and resources; and course-specific objectives, learning activities, and assessments. The authors also share lessons learned through this experience of international collaboration as well as next steps for program evaluation and sustainability. The detailed overview of this international collaboration offers suggestions for individuals and institutions seeking to develop global partnerships and adapt curricula across cultural contexts.
职业治疗是一门源于西方价值观的专业。由于文化对理论和实践的形成起着重要作用,因此培养未来康复专业人员的学术项目的课程设计应反映当地的情况。作为国际合作项目的一部分,中美两所大学建立了职业疗法双学位研究生项目。由两所院校成员组成的团队合作,在美国项目的基础上,对中国的职业治疗入门级硕士项目进行了文化调整,并于2019年9月迎来了第一批学生。本文详细介绍了该项目从构思、实施到评估和修订的设计和改编的时间表和过程,旨在为美国和国际上其他学术项目的课程改编提供一个框架。改编后的课程包括:课程使命、愿景和理念;包含课程成果和主线的课程模型;课程范围和顺序;材料和资源;以及课程具体目标、学习活动和评估。作者还分享了从这次国际合作中吸取的经验教训,以及项目评估和可持续发展的下一步措施。对这一国际合作的详细概述为寻求发展全球伙伴关系和调整跨文化课程的个人和机构提供了建议。
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引用次数: 0
A Quasi-Experimental Study Investigating the Impact of a Lifestyle Redesign Program on the Well-Being of Korean University Students 生活方式再设计计划对韩国大学生幸福感影响的准实验研究
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-15 DOI: 10.1155/2024/2683453
Sun-Joung Leigh An, Gyu-Rin Kim
Background. Korean university students (KUS) face numerous challenges that can jeopardize their well-being, including academic stress, peer pressure, irregular sleep patterns, unhealthy eating habits, lack of physical exercise, and difficulties in time management, resulting in unhealthy habits and fluctuations in lifestyle. Consequently, there is a growing need for interventions tailored to this population. Aim. This study explored the effects of a Lifestyle Redesign (LR) intervention on Korean university students’ well-being including occupational participation, satisfaction, perceived stress levels, and quality of life. Method. A quasi-experimental study with 33 KUS (17 intervention, 16 control) assessed the effects of a 10-week LR intervention on well-being of the students. Pre- and postintervention changes were measured using Canadian Occupational Performance Measure (COPM), Stress Response Inventory (SRI), and World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF). The intervention, delivered by trained OTs, comprised of individual and group sessions. Results. Statistically significant improvement was observed in occupational performance. While statistical significance was not consistently achieved in the rest of other areas, the LR group displayed positive trends. The LR group exhibited higher COPM satisfaction scores, lower SRI scores (indicating reduced stress), and elevated WHOQOL-BREF scores compared to the control group. Conclusion. This study contributes to the understanding of the importance of addressing lifestyle changes and habits in the well-being of university students, especially in the context of academic stress and peer pressure. Future research with larger, more diverse samples and extended intervention periods may offer further insights into the benefits of LR programs in university settings.
背景。韩国大学生(KUS)面临着许多可能危及其身心健康的挑战,包括学业压力、同龄人压力、不规律的睡眠模式、不健康的饮食习惯、缺乏体育锻炼以及时间管理方面的困难,从而导致不健康的生活习惯和生活方式的波动。因此,越来越需要针对这一群体的干预措施。研究目的本研究探讨了生活方式再设计(LR)干预对韩国大学生福祉的影响,包括职业参与、满意度、感知压力水平和生活质量。研究方法一项由 33 名韩国大学生(17 名干预者,16 名对照者)参加的准实验研究评估了为期 10 周的生活方式再设计干预对学生幸福感的影响。干预前后的变化通过加拿大职业表现测量(COPM)、压力反应量表(SRI)和世界卫生组织生活质量量表简写本(WHOQOL-BREF)进行测量。干预由训练有素的职业治疗师提供,包括个人和小组课程。干预结果据统计,患者的职业表现有了明显改善。虽然在其他方面没有持续达到统计学意义,但 LR 组显示出积极的趋势。与对照组相比,LR 组的 COPM 满意度得分更高,SRI 得分更低(表明压力减少),WHOQOL-BREF 得分更高。结论本研究有助于了解改变生活方式和习惯对大学生健康的重要性,尤其是在学业压力和同伴压力的背景下。未来的研究将使用更大、更多样化的样本,并延长干预时间,这将有助于进一步了解大学环境中生活方式改变计划的益处。
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引用次数: 0
The Effect of Leisure Intervention on Occupational Performance and Occupational Balance in Individuals with Substance Use Disorder: A Pilot Study 休闲干预对药物使用障碍患者职业表现和职业平衡的影响:试点研究
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-14 DOI: 10.1155/2024/6299073
Majid Farhadian, Malahat Akbarfahimi, Peyman Hassani Abharian, Mitra Khalafbeigi, Farzaneh Yazdani
<i>Background and Purpose</i>. Leisure, as an occupation, played a crucial role in promoting individuals’ health and well-being. However, the specific impact of leisure as an intervention for individuals with substance use disorder remains unclear. This pilot study was aimed at investigating the effect of a leisure intervention on occupational performance and occupational balance in individuals with substance use disorder. <i>Methods</i>. The sample for this quasiexperimental pretest–posttest with a two-month follow-up design comprised nine individuals aged between 18 and 55 years, selected using a convenience sampling method. The intervention consisted of a 2-month group leisure participation program, conducted twice a week, followed by a 2-month follow-up period. Primary outcome measures included occupational performance and occupational balance, and secondary outcome measures were leisure participation, quality of life, and drug craving. Outcome measures were assessed three times: preintervention, postintervention, and after the follow-up period. The outcome measures included the Canadian Occupational Performance Measure (COPM), Occupational Balance Questionnaire-11 (OBQ11), Nottingham Leisure Questionnaire (NLQ), 36-Item Short-Form Health Survey (SF-36), and Desire to Drug Questionnaire (DDQ). Data analysis was performed using the Friedman test and Wilcoxon signed-rank test as a post hoc procedure, with a significance level set at 5%. <i>Results</i>. The findings showed significant improvements in participants’ occupational performance in postintervention and follow-up assessments (<span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 18.973 11.7782" width="18.973pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,11.342,0)"></path></g></svg><span></span><span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="22.555183800000002 -8.34882 21.921 11.7782" width="21.921pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,22.605,0)"></path></g><g transform="matrix(.013,0,0,-0.013,28.845,0)"></path></g><g transform="matrix(.013,0,0,-0.013,31.809,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,38.049,0)"></path></g></svg>,</span></span> <span><svg height="8.55521pt" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -8.34882 16.751 8.55521" width="16.751pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,9.12,0)"></path></g></svg><span></span><span><svg height="8.55521pt" style="vertical-align:-0.2063904pt" version="1.1" viewbox="20.3331838 -8.34882 21.912 8.55521" width="21.912pt" xmlns="http://www.w3.org/2000/svg"
背景和目的。休闲作为一种职业,在促进个人健康和幸福方面发挥着至关重要的作用。然而,休闲作为一种干预措施对药物使用障碍患者的具体影响仍不清楚。本试验性研究旨在调查休闲干预对药物使用障碍患者的职业表现和职业平衡的影响。研究方法这项为期两个月的随访式实验前测后测样本包括九名年龄在 18 至 55 岁之间的患者,采用便利抽样法选出。干预措施包括为期 2 个月的小组休闲参与计划,每周进行两次,随后进行为期 2 个月的随访。主要结果测量包括职业表现和职业平衡,次要结果测量包括休闲参与、生活质量和药物渴求。结果测量共进行了三次评估:干预前、干预后和随访期结束后。结果测量包括加拿大职业表现测量(COPM)、职业平衡问卷-11(OBQ11)、诺丁汉休闲问卷(NLQ)、36项短式健康调查(SF-36)和药物渴望问卷(DDQ)。数据分析采用弗里德曼检验和 Wilcoxon 符号秩检验作为事后分析程序,显著性水平设定为 5%。结果结果显示,干预后和随访评估中,参与者的职业表现有了明显改善(、),从干预前到干预后(、)以及随访期后(、),职业平衡得到了改善。此外,在休闲参与、生活质量和减少药物渴求方面也有明显改善。结论。研究结果表明,休闲干预对职业表现和职业平衡都有积极影响,这表明休闲干预有可能成为对药物使用障碍患者有益的治疗方法。有必要开展更多研究,以深入探讨和验证休闲干预在这一特定人群中的有效性。
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引用次数: 0
Worldwide Survey on Digital Assistive Technology (DAT) Provision. 全球数字辅助技术 (DAT) 提供情况调查。
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-06 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9536020
Isabel Margot-Cattin, Anne Deblock-Bellamy, Julie Wassmer, Ritchard Ledgerd, Claudia von Zweck, World Federation Of Occupational Therapists Wfot

Occupational therapists have long been involved in assistive technology (AT) provision worldwide. AT is recognized by the World Health Organization (WHO) to enhance functioning, independence, and autonomy and ultimately promote well-being for people living with disabilities. With the digitalisation of societies, the everyday lives and occupations of individuals are changing, becoming more reliant on digital solutions. The development of digital assistive technology (DAT) also offers opportunities for people with disabilities to access, interact, and pilot the digital world. However, we do not know how occupational therapists are involved in DAT provision worldwide. A survey was conducted in the global occupational therapist's community in June 2022 to describe DAT provision and the factors influencing it. Occupational therapy practitioners were included (n = 660) in the analysis. In DAT provision, occupational therapists mostly provide advice to people, assess their needs, provide instruction or training, prescribe DAT, and fit DAT to people and their environment. The clients served through DAT provision are most frequently people with neurological impairments, chronic illnesses, sensory impairments, and older people. The reasons for providing DAT focus on education, work, school, and leisure. It is expected that DAT provision will enhance independence, self-esteem, occupational participation, and social relationships. Issues faced by occupational therapists when providing DAT are costs of product and funding schemes, sufficient knowledge, and access to knowledge sources. Survey respondents are mostly from Western countries with access to the Internet and the digital world, including having digital literacy, highlighting the digital divide that exists between world regions and countries, but also within countries worldwide. There is a need to continue research to better understand the issues related to digitalisation and the digital participation of people living with disabilities.

长期以来,职业治疗师一直在世界各地参与提供辅助技术(AT)。世界卫生组织(WHO)承认,辅助技术可以增强残疾人的功能、独立性和自主性,并最终促进他们的福祉。随着社会的数字化,个人的日常生活和职业也在发生变化,变得更加依赖于数字化解决方案。数字辅助技术(DAT)的发展也为残疾人访问、互动和引导数字世界提供了机会。然而,我们并不了解职业治疗师在全球范围内是如何参与提供数字辅助技术的。2022 年 6 月,我们在全球职业治疗师群体中开展了一项调查,以描述 DAT 的提供情况及其影响因素。职业治疗从业人员(n = 660)被纳入分析范围。在提供 DAT 的过程中,职业治疗师主要向人们提供建议,评估他们的需求,提供指导或培训,开具 DAT,并使 DAT 与人们及其环境相匹配。通过提供 DAT 服务的客户多为神经系统受损者、慢性病患者、感官障碍者和老年人。提供 DAT 的原因主要集中在教育、工作、学校和休闲方面。提供 DAT 的预期目的是增强独立性、自尊、职业参与和社会关系。职业治疗师在提供 DAT 时面临的问题是产品成本和资助计划、足够的知识和获取知识的途径。调查受访者大多来自西方国家,他们有机会接触互联网和数字世界,包括具备数字素养,这凸显了世界不同地区和国家之间以及世界不同国家内部存在的数字鸿沟。有必要继续开展研究,以更好地了解与数字化和残疾人数字参与有关的问题。
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引用次数: 0
Retracted: Fusion of Emotional Thinking and Mental Health of Students in Vocal Music Teaching. 撤稿:声乐教学中学生情感思维与心理健康的融合。
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9879034
Occupational Therapy International

[This retracts the article DOI: 10.1155/2023/4604885.].

[本文撤回了文章 DOI:10.1155/2023/4604885]。
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引用次数: 0
The Occupational Therapy Profession in Saudi Arabia 沙特阿拉伯的职业治疗专业
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2024-01-17 DOI: 10.1155/2024/9982661
Naif Qasem Aljabri, Kim Bulkeley, Anne Cusick
Objective. To provide an evidence-based description of how the occupational therapy profession operates in Saudi Arabia. Methods. A case study methodology set out an evidence-based description of occupational therapy in Saudi Arabia. Three procedures were used: (1) a structured narrative review of publications on occupational therapy in Saudi Arabia based on searches of seven healthcare databases; (2) an audit of “grey literature” about or referring to occupational therapy education, practice, research, or the profession in Saudi Arabia using Google Scholar, Google search, official documents and websites, and relevant global organisation such as the WFOT website and documents; and (3) consultation with occupational therapists to further discuss emerging evidence from peer-reviewed articles and grey literature about occupational therapy in Saudi Arabia. Data were collected in Arabic and English. Findings. Occupational therapy in Saudi Arabia is a rapidly growing and emerging profession primarily focused on rehabilitation practice. Between 2010 and 2019, seven academic organisations commenced bachelor’s degree programmes. Occupational therapy services in Saudi Arabia are concentrated in city-based secondary and tertiary healthcare services targeting rehabilitation and disability support. The practice aims to promote the reduction in impairment and increase activity performance and participation in valued life roles. Despite the increasing demand for occupational therapy services, there needs to be more access to and availability of their services. Enhancement of the awareness of occupational therapy among the public and other healthcare professionals is needed. A consistent definition of occupational therapy in Saudi Arabia would strengthen the profession, along with a national scope of practice, practice guidelines, increased workforce and development, and professional education information. Conclusion. Occupational therapy in Saudi Arabia is growing regarding the size of the workforce and the number of programmes and services provided, thus contributing to the health and well-being of the population primarily through rehabilitation. Further development of the profession is necessary.
目的以证据为基础,说明沙特阿拉伯的职业治疗专业是如何运作的。方法。采用案例研究法对沙特阿拉伯的职业疗法进行循证描述。采用了三个程序:(1) 通过搜索七个医疗保健数据库,对有关沙特阿拉伯职业疗法的出版物进行结构化叙述性综述;(2) 利用谷歌学术、谷歌搜索、官方文件和网站以及相关全球性组织(如世界职业疗法联合会网站和文件),对有关或涉及沙特阿拉伯职业疗法教育、实践、研究或职业的 "灰色文献 "进行审核;(3) 咨询职业治疗师,进一步讨论同行评审文章和灰色文献中有关沙特阿拉伯职业疗法的新证据。数据以阿拉伯语和英语收集。研究结果沙特阿拉伯的职业疗法是一个快速发展的新兴专业,主要侧重于康复实践。2010 年至 2019 年间,有七家学术机构开设了学士学位课程。沙特阿拉伯的职业疗法服务主要集中在城市的二级和三级医疗保健服务机构,以康复和残疾支持为目标。这种做法旨在促进减少损伤、提高活动能力和参与有价值的生活角色。尽管对职业治疗服务的需求不断增加,但仍需提供更多的服务。需要提高公众和其他医疗保健专业人员对职业疗法的认识。在沙特阿拉伯,对职业疗法进行统一的定义,并制定全国性的实践范围、实践指南、增加劳动力和发展以及专业教育信息,将有助于加强职业疗法的专业性。结论。沙特阿拉伯的职业疗法在劳动力规模、项目和服务数量方面都在不断增长,从而主要通过康复来促进人口的健康和福祉。有必要进一步发展这一专业。
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引用次数: 0
The Impact of Raising Children with Barth Syndrome on Parental Health-Related Quality of Life and Family Functioning: Preliminary Reliability and Validity of the PedsQL™ Family Impact Module 养育巴特综合征患儿对父母健康相关生活质量和家庭功能的影响:PedsQL™ 家庭影响模块的初步可靠性和有效性
IF 1.5 4区 医学 Q3 REHABILITATION Pub Date : 2023-12-30 DOI: 10.1155/2023/5588935
Yoonjeong Lim, Ickpyo Hong, Areum Han
<i>Objective</i>. This study examined the preliminary reliability and validity of the PedsQL™ Family Impact Module (PedsQL FIM) in families of children with Barth syndrome (BTHS). <i>Method</i>. A total of 72 parents with children or youth between the ages of 5 and 19 participated in this study. Thirty-three parents of children with BTHS and 39 parents of unaffected children completed the PedsQL FIM and a demographic information form. Internal consistency reliability and item-total correlations were calculated to test the reliability of the PedsQL FIM. Construct validity was examined using the known-groups method. We estimated the mean score differences of the PedsQL FIM between the two groups using three different models, including unadjusted, multivariate regression, and propensity score matching with inverse probability of treatment weighting (PS-IPTW) models. <i>Results</i>. The Cronbach’s alpha coefficients were greater than 0.70 for all scales of the PedsQL FIM, except for the communication scale. The item-total correlations were significant for all scales with moderate to high correlations (<span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 18.973 11.7782" width="18.973pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,11.342,0)"></path></g></svg><span></span><span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="22.555183800000002 -8.34882 15.658 11.7782" width="15.658pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,22.605,0)"></path></g><g transform="matrix(.013,0,0,-0.013,25.569,0)"></path></g><g transform="matrix(.013,0,0,-0.013,31.809,0)"></path></g></svg>).</span></span> In construct validity, the mean scores of the PedsQL FIM between the two groups were significantly different (<span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 18.973 11.7782" width="18.973pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"><use xlink:href="#g113-113"></use></g><g transform="matrix(.013,0,0,-0.013,11.342,0)"><use xlink:href="#g117-91"></use></g></svg><span></span><span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="22.555183800000002 -8.34882 15.658 11.7782" width="15.658pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,22.605,0)"><use xlink:href="#g113-47"></use></g><g transform="matrix(.013,0,0,-0.013,25.569,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,31.809,0)"><use xlink:href="#g113-54"></use></g></svg>)</span></span> for all scales and total score in the unadjusted and PS-IPTW models. However, in the multivar
研究目的本研究对巴特综合征(BTHS)患儿家庭的 PedsQL™ 家庭影响模块(PedsQL FIM)的可靠性和有效性进行了初步研究。研究方法。共有 72 位年龄在 5 到 19 岁之间的儿童或青少年的家长参与了这项研究。33名巴氏综合征患儿的家长和39名未受影响患儿的家长填写了 PedsQL FIM 和人口信息表。研究人员计算了 PedsQL FIM 的内部一致性可靠性和项目总相关性,以检验其可靠性。结构效度采用已知组法进行检验。我们使用三种不同的模型估算了两组间 PedsQL FIM 的平均得分差异,包括未调整模型、多元回归模型和倾向得分匹配与反向治疗概率加权模型 (PS-IPTW)。结果显示除沟通量表外,PedsQL FIM 所有量表的 Cronbach's alpha 系数均大于 0.70。所有量表的项目-总相关性都很显著,具有中度到高度相关性()。在建构效度方面,在未调整模型和 PS-IPTW 模型中,两组间 PedsQL FIM 的所有量表和总分的平均分均有显著差异()。然而,在多元回归模型中,家庭关系量表在两组之间的差异并不显著。结论PedsQL FIM 在评估 BTHS 患儿对父母健康相关生活质量(HRQoL)和家庭功能的影响时,表现出充分的测量特性,具有初步的可靠性和有效性。我们还需要开展进一步的研究,以检验 PedsQL FIM 在大量 BTHS 样本和其他儿科罕见疾病中的心理测量特性。
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Occupational Therapy International
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