Hong Kong Journal of Occupational Therapy最新文献

Objective/Background

The prevalence of depression in women is two times as much as that in men. However, the rehabilitation programme for return to work for patients with depression in Japan mainly focuses on male individuals. Japanese working women usually have the central role in housework in addition to paid work. Therefore, we hypothesized that Japanese working women with depression need a support programme for housework as well as paid work. The purpose of this study was to investigate the stress factors relevant to the existence of depression, in both paid work and housework, among working women.

Methods

This study recruited 35 women with depression and 35 women without depression. We carried out a cross-sectional investigation with two questionnaires having the same structure: The National Institute for Occupational Safety and Health (NIOSH) Generic Job Stress Questionnaire (for paid work) and the NIOSH Generic Housekeeping Labor Stress Questionnaire (for housework). We extracted the stress factors contributing to the existence of depression using logistic regression.

Results

Three stress factors were found—two in housework, and one in paid work. In housework, variance in workload and underutilization of abilities were associated with the presence of depression. In paid work, interpersonal conflict was an associated factor.

Conclusion

Rehabilitation programmes involving variance in workload and under self-evaluation in housework, and interpersonal conflict in paid work must be adequately addressed to support working women with depression.

Objective/Background

Consequent to the introduction of occupational therapy (OT) training programmes in Nigeria in the past decade, this study sought to assess the awareness and knowledge of Nigerian medical and other health career undergraduates about OT.

Methods

Three hundred and eighty-one undergraduates and students of other health disciplines from the College of Health Sciences, Obafemi Awolowo University (OAU), Ile-Ife, Nigeria responded to a validated three section questionnaire assessing their awareness and knowledge about OT. The collected data were analysed using descriptive statistics of mean and percentages and inferential statistics of chi-square test of association.

Results

The mean age of the respondents was 20.96 ± 2.88 years. Over 80% of the respondents were aware of the OT profession, with higher rates among male respondents (83.7%), students in the 2nd year of study (94.7%), and those in the medical rehabilitation programme (99.1%). Amongst the respondents, < 40% had good knowledge of OT while a majority had knowledge ranging from poor to moderate (62.7%). Respondents' course of study and level of study were significantly associated with awareness and knowledge about OT.

Conclusion

Nigerian medical and health sciences undergraduates had high awareness, but poor to moderate knowledge about the OT profession, roles, and work settings. Level of awareness and knowledge about OT were significantly influenced by the rehabilitation-related course of study and lower level of study. Replication of similar studies in countries with different cultural backgrounds is suggested.

Objective/Background

The purpose of this study was to assess whether the incorporation of an environmental assessment for accessibility, as part of an “Activity Analysis” course, would enhance new students' knowledge, competence, awareness, and interest in accessibility issues for people with disabilities.

Methods

In this research, we included an out-of-class training of environmental assessment for accessibility. One hundred and two 1st-year occupational therapy students at Tel Aviv University participated in this research. Of the 102 participants, 56 experienced the training and 46 did not but attended the regular Activity Analysis course. The students explored a typical community environment, during which a specific checklist was used for assessing levels of accessibility. The “Accessibility-Knowledge Competence Awareness and Interests” questionnaire was administered before and after the course to both groups.

Results

Students who participated in the out-of-class training showed significant increases in their knowledge, competence, and partial awareness of accessibility and also had better grades in two separate courses that required knowledge of accessibility. There was no significant difference in the results of the Accessibility-Knowledge Competence Awareness and Interests before and after the Activity Analysis course in the control group.

Conclusion

The findings of the current study support the contribution of teaching 1st-year occupational therapy students the principles and practices of accessibility for people with disabilities, by improving their knowledge and level of competence at this early stage of their professional lives. Further studies are needed, however, to determine the optimal course of implementation in order to enhance awareness and interest in the subject of accessibility.

Adult neurogenesis, defined as the generation of new neurons in adulthood, has been a fascinating discovery in neuroscience, as the continuously replenishing neuronal population provides a new perspective to understand neuroplasticity. Besides maintaining normal physiological function, neurogenesis also plays a key role in pathophysiology and symptomatology for psychiatric conditions. In the past decades, extensive effort has been spent on the understanding of the functional significance of neurogenesis in psychiatric conditions, mechanisms of pharmacological treatment, and discovery of novel drug candidates for different conditions. In a clinical situation, however, long-term rehabilitation treatment, in which occupational therapy is the key discipline, is a valuable, economical, and commonly used treatment alternative to psychotropic medications. Surprisingly, comparatively few studies have investigated the biological and neurogenic effects of different psychiatric rehabilitative treatments. To address the possible linkage between psychiatric rehabilitation and neurogenesis, this review discusses the role of neurogenesis in schizophrenia, major depression, and anxiety disorders. The review also discusses the potential neurogenic effect of currently used psychiatric rehabilitation treatments. With a better understanding of the biological effect of psychiatric rehabilitation methods and future translational studies, it is hoped that the therapeutic effect of psychiatric rehabilitation methods could be explained with a novel perspective. Furthermore, this knowledge will benefit future formulation of treatment methods, especially purposeful activities in occupational therapy, for the treatment of psychiatric disorders.

Background/Objective

The aim of this study was to examine the reliability and validity of the Chinese version of the School Function Assessment (SFA) for primary school students with cerebral palsy (CP) in Guangzhou, China.

Methods

Ninety-three students with CP were recruited by convenience sampling from a special school. The Chinese version of the SFA was administered and an exploratory factor analysis with direct oblique rotation was used to extract the factor structure underlying the Activity Performance scales of the SFA. An intraclass correlation one-way random single measure was performed to study external reliability. Cronbach's alpha was used to study internal consistency.

Results

The findings showed that the Chinese version of the SFA had high internal consistency with test–retest reliability [ICC (1, k) = 0.49–0.97].

Conclusion

This study has established the applicability of the SFA for both clinical and research purposes in the Chinese population, and presented evidence of satisfactory psychometric properties in use with primary school students with CP in special schools.

Background/Objective

Recent evidence showed that golf can develop balance amongst the elderly. This study aimed at evaluating if exergaming, in particular cyber-golfing, can be a feasible and inexpensive alternative to this valuable exercise.

Methods

Twenty healthy community-dwelling elderly were recruited, and they were randomly assigned to either the experimental group (n = 10) or the control group (n = 10). Daily cyber-golfing training for 2 weeks was assigned to the participants of the experimental group, where regular table games with equal lengths and durations were arranged for the control group.

Results

The results revealed that the participants in the experimental group showed significantly better post-training performances in the functional-reach test, F_(2,17) = 5.16, p = .04, and single-leg-stance test, F_(2,17) = 5.32, p = .03, than those in the control group.

Conclusion

The results of this study suggest that cyber-golfing might be an alternative to golfing, which is capable of enhancing balance ability amongst community-dwelling elderly. The potential of exergaming as a clinical tool for geriatric rehabilitation was discussed.

Background/Objective

The Everyday Technology Use Questionnaire (ETUQ), which evaluates the perceived relevance of and the perceived ability in everyday technology (ET) use, has demonstrated acceptable psychometric properties in Swedish studies of older adults. The aim of this study was to examine the reliability and validity of the ETUQ in a Japanese context in older Japanese adults.

Methods

A sample of older Japanese adults (n = 164) including persons with (n = 32) and without (n = 132) cognitive impairment was interviewed with the ETUQ, including original items (ETs) and added Japanese context-specific items. Data were analyzed using a Rasch measurement model.

Results

The analysis demonstrated acceptable functioning of the rating scale, internal scale validity, person response validity, and person-separation reliability of the Japanese ETUQ according to the Rasch model. However, evidence supporting unidimensionality in the Japanese ETUQ was not consistent in this sample. The added Japanese items did not significantly change the estimated individual person measures of perceived ability to use ET.

Conclusion

The Japanese ETUQ seems to be a sensitive tool to evaluate perceived ability in ET use among elderly people in Japan with and without cognitive impairment. Therefore, it could be used in research and clinical practice.

Background/Objective

Pressure injuries are a common yet largely preventable complication of hospitalisation. Whilst occupational therapists commonly prescribe pressure-relieving devices to reduce these risks, evidence to support clinical decision-making is limited. The purpose of this study was thus to examine research literature as to the efficacy of pneumatic cushions for general acute/subacute patient populations.

Methods

A systematic search of various databases was conducted, and the literature was then appraised using standardised inclusion/exclusion parameters.

Results

Three randomised controlled trials were identified that met search criteria.

Conclusion

Whilst there is currently preliminary evidence to support the effectiveness of pneumatic pressure-relieving cushions as compared to standard foam, specific recommendations as to a preferred make/model of cushion for use within general hospital settings are not supported at this time.

Background/Objective

This study reviewed the current evidence on the effectiveness of mirror therapy (MT) on improving the motor functions of the hemiplegic lower extremity (LE) in adult clients with stroke.

Methods

A systematic review was conducted of studies published in English in the 10-year period 2005–2015, retrieved from seven electronic databases: Medline, PubMed, CINAHL, PsychInfo, Science Direct, Cochrane and TBI Rehabilitation. Only articles that focused on the effects of MT on hemiparesis affecting LE function and performance were included. The methodological quality of the studies was appraised using the Physiotherapy Evidence Database Scale (PEDro).

Results

The literature search yielded 14 studies that satisfied the selection criteria, of which five (4 randomised controlled trials and 1 case study) were reviewed after screening. Despite the heterogeneity of the studies, they showed MT to be effective in improving some of the motor functions of the LE at different stages of stroke. However, they offered little evidence on MT's long-term effects and for when is the optimal stage to start MT after stroke onset.

Conclusion

Further research is needed to determine the best treatment regimen and optimal time to initiate MT intervention in terms of the phases of stroke. No firm conclusions can be drawn on the effectiveness of MT on the hemiplegic LE until more evidence is available.

Background/Objective

To evaluate the functional outcomes of moderate to severe burn patients with and without rehabilitation in terms of self-care performance and quality of life (QOL).

Methods

Fifty-five patients with total burn surface area of 30% or more were divided into two groups: rehabilitation and conventional care groups. The rehabilitation group underwent comprehensive rehabilitation interventions (e.g., occupational therapy, physiotherapy, and patient and family education) in addition to standard clinical interventions received by the conventional care group. The outcomes included self-care performance (Modified Barthel Index [MBI]), QOL (World Health Organization Quality of Life-BREF), pain and itchiness (Visual Analogue Scale [VAS]), quality of sleep, and mental health (Self-Rating Depression Scale [SDS] and Self-Rating Anxiety Scale) measured before and 3 months after the intervention.

Results

After the intervention, significant improvements were found in MBI, all dimensions of QOL, pain, and SDS in the rehabilitation group (all p < .05). In the conventional care group, significant improvements were found only in MBI (p < .001), the physical health dimension of QOL (p < .01), and pain (p < .001). Group comparisons showed that the rehabilitation group achieved significantly better outcomes after the intervention in MBI (p < .001), VAS score of itching (p = .009), and the physical health (p = .002), psychological health (p = .021), and social relationships dimensions of QOL (p < .001).

Conclusion

Patients with moderate to severe burn injuries can benefit from rehabilitation interventions in terms of physical health, mental health, performance of daily living, and QOL.