Pub Date : 2014-12-01DOI: 10.1016/j.hkjot.2014.12.001
Lucy Dall'Alba , Marion Gray , Gary Williams , Sharon Lowe
Objective/Background
This study aims to explore the occupational therapists' role in early intervention for children diagnosed with a rare developmental disability.
Methods
A survey was distributed by mail or online, to eligible occupational therapists currently used by the Disability and Community Care Services throughout Queensland, Australia. Eligible occupational therapists were those working with children aged 0–6 years. Two in-depth phone interviews were also undertaken.
Results
Eleven participants who had previously worked with at least one child with a rare developmental disability returned the survey. One participant nominated for a follow-up interview and a second interview with a speech and language pathologist was conducted to gain a multidisciplinary perspective. The most common areas requiring intervention were play support (85.3%), activities of daily living, communication, gross motor, and fine motor skills (79.4%).
Conclusion
Family-centred practice, play therapy, and individually tailored programmes are identified as key practice areas for this population. The important role occupational therapists play in early intervention teams is highlighted; however, further research is needed to develop the evidence base for best practice with particular rare developmental conditions.
{"title":"Early Intervention in Children (0–6 Years) with a Rare Developmental Disability: The Occupational Therapy Role","authors":"Lucy Dall'Alba , Marion Gray , Gary Williams , Sharon Lowe","doi":"10.1016/j.hkjot.2014.12.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.12.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This study aims to explore the occupational therapists' role in early intervention for children diagnosed with a rare developmental disability.</p></div><div><h3>Methods</h3><p>A survey was distributed by mail or online, to eligible occupational therapists currently used by the Disability and Community Care Services throughout Queensland, Australia. Eligible occupational therapists were those working with children aged 0–6 years. Two in-depth phone interviews were also undertaken.</p></div><div><h3>Results</h3><p>Eleven participants who had previously worked with at least one child with a rare developmental disability returned the survey. One participant nominated for a follow-up interview and a second interview with a speech and language pathologist was conducted to gain a multidisciplinary perspective. The most common areas requiring intervention were play support (85.3%), activities of daily living, communication, gross motor, and fine motor skills (79.4%).</p></div><div><h3>Conclusion</h3><p>Family-centred practice, play therapy, and individually tailored programmes are identified as key practice areas for this population. The important role occupational therapists play in early intervention teams is highlighted; however, further research is needed to develop the evidence base for best practice with particular rare developmental conditions.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137285133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1016/j.hkjot.2015.02.001
{"title":"The 30th Anniversary of the Hong Kong Journal of Occupational Therapy (HKJOT)","authors":"","doi":"10.1016/j.hkjot.2015.02.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2015.02.001","url":null,"abstract":"","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2015.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137285131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.hkjot.2014.08.001
Kenneth Fong (Editor-in-Chief)
{"title":"Occupational Therapists in the 21st Century: Time for a New Standard?","authors":"Kenneth Fong (Editor-in-Chief)","doi":"10.1016/j.hkjot.2014.08.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.08.001","url":null,"abstract":"","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.hkjot.2014.01.002
Young-Rim Paik , Su-Kyoung Kim , Jae-Shin Lee , Byoung-Jin Jeon
Objective/Background
To compare the effects of simple and task-oriented mirror therapies on upper extremity function in stroke patients with hemiplegia.
Methods
A single-subject, reversal (applied behaviour analysis) research design was used, and the study included four patients and two treatments. Treatment 1 involved simple mirror therapy that was performed using simple upper limb movements. Treatment 2 involved task-oriented mirror therapy that required each patient to perform functional movements associated with the tasks of daily living. Changes in upper extremity function were assessed during 23 sessions using box and block test, cube carry, and card turning tests. The Fugl-Meyer Assessment of upper extremity function was also performed.
Results
The upper extremity function of all patients increased after mirror therapy. However, the improved upper extremity function of the patients undergoing simple mirror therapy was not maintained after the conclusion of the therapy. By contrast, the improved upper extremity function of the patients receiving task-oriented mirror therapy continued to improve, even after therapy cessation.
Conclusion
Task-oriented mirror therapy in stroke patients provided more effective improvement in the upper extremity function of the hemiplegic stroke victims.
{"title":"Simple and Task-oriented Mirror Therapy for Upper Extremity Function in Stroke Patients: A Pilot Study","authors":"Young-Rim Paik , Su-Kyoung Kim , Jae-Shin Lee , Byoung-Jin Jeon","doi":"10.1016/j.hkjot.2014.01.002","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.01.002","url":null,"abstract":"<div><h3>Objective/Background</h3><p>To compare the effects of simple and task-oriented mirror therapies on upper extremity function in stroke patients with hemiplegia.</p></div><div><h3>Methods</h3><p>A single-subject, reversal (applied behaviour analysis) research design was used, and the study included four patients and two treatments. Treatment 1 involved simple mirror therapy that was performed using simple upper limb movements. Treatment 2 involved task-oriented mirror therapy that required each patient to perform functional movements associated with the tasks of daily living. Changes in upper extremity function were assessed during 23 sessions using box and block test, cube carry, and card turning tests. The Fugl-Meyer Assessment of upper extremity function was also performed.</p></div><div><h3>Results</h3><p>The upper extremity function of all patients increased after mirror therapy. However, the improved upper extremity function of the patients undergoing simple mirror therapy was not maintained after the conclusion of the therapy. By contrast, the improved upper extremity function of the patients receiving task-oriented mirror therapy continued to improve, even after therapy cessation.</p></div><div><h3>Conclusion</h3><p>Task-oriented mirror therapy in stroke patients provided more effective improvement in the upper extremity function of the hemiplegic stroke victims.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.hkjot.2014.05.001
Phoebe L.C. Chan, Serena S.W. Ng, Dora Y.L. Chan
Objective/Background
The reliability and validity of the Chinese version of the Kid-KINDLR questionnaire were examined with school-aged children in Hong Kong.
Methods
A total of 112 healthy children were selected by convenience sampling from two primary schools and 30 children with global developmental delay were selected from an outpatient occupational therapy department of a convalescent hospital. The Kid-KINDLR questionnaire was translated using independent forward and backward translation. The content validity of the translated instrument was evaluated by four experts. Internal consistency, factor analysis, and construct validity were examined in the healthy children group, whereas known-group comparison was performed in the group with global developmental delay.
Results
The significance value of the Shapiro–Wilk test was greater than 0.05, indicating that the sample displayed a normal distribution. The total score had good internal consistency (Cronbach's alpha = .77); however, the consistency of the subscales varied (Cronbach's alpha ranged from .47 to .70). The children and parent questionnaires did not load onto the six factors originally hypothesized. Instead, seven factors were generated. Evidence supporting the questionnaire's validity included a lack of age and sex bias and positive known-group differentiation (Wilks' lambda = 0.906, p = .035).
Conclusion
The Chinese version of the Kid-KINDLR questionnaire exhibited good psychometric properties, but the internal consistency of the translated instrument needs further improvement. It is recommended that practitioners focus on the Kid-KINDLR total score when interpreting the Kid-KINDLR data. Overall, the study findings indicate that the Chinese version of the Kid-KINDLR is an important tool for use in clinical practice.
目的/背景本研究以香港学龄儿童为研究对象，对中文版Kid-KINDLR问卷的信度和效度进行检验。方法采用方便抽样法抽取两所小学健康儿童112名和某康复医院门诊职业治疗科整体发育迟缓儿童30名。Kid-KINDLR问卷采用独立正向和反向翻译。翻译工具的内容效度由4位专家进行评估。在健康儿童组进行内部一致性、因子分析和结构效度检验，而在整体发育迟缓组进行已知组比较。结果夏皮罗-威尔克检验的显著性值大于0.05，表明样本呈正态分布。总分具有良好的内部一致性(Cronbach’s alpha = .77);然而，亚量表的一致性各不相同(Cronbach's alpha在0.47到0.70之间)。孩子和家长的调查问卷并没有体现最初假设的六个因素。相反，产生了七个因素。支持问卷效度的证据包括缺乏年龄和性别偏见以及积极的已知组分化(Wilks’lambda = 0.906, p = 0.035)。结论中文版Kid-KINDLR问卷具有较好的心理测量特性，但翻译后的问卷内部一致性有待进一步提高。建议从业者在解释Kid-KINDLR数据时关注Kid-KINDLR总分。总的来说，研究结果表明中文版的Kid-KINDLR在临床实践中是一个重要的工具。
{"title":"Psychometric Properties of the Chinese Version of the Kid-KINDLR Questionnaire for Measuring the Health-related Quality of Life of School-aged Children","authors":"Phoebe L.C. Chan, Serena S.W. Ng, Dora Y.L. Chan","doi":"10.1016/j.hkjot.2014.05.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.05.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The reliability and validity of the Chinese version of the Kid-KINDL<sup>R</sup> questionnaire were examined with school-aged children in Hong Kong.</p></div><div><h3>Methods</h3><p>A total of 112 healthy children were selected by convenience sampling from two primary schools and 30 children with global developmental delay were selected from an outpatient occupational therapy department of a convalescent hospital. The Kid-KINDL<sup>R</sup> questionnaire was translated using independent forward and backward translation. The content validity of the translated instrument was evaluated by four experts. Internal consistency, factor analysis, and construct validity were examined in the healthy children group, whereas known-group comparison was performed in the group with global developmental delay.</p></div><div><h3>Results</h3><p>The significance value of the Shapiro–Wilk test was greater than 0.05, indicating that the sample displayed a normal distribution. The total score had good internal consistency (Cronbach's alpha = .77); however, the consistency of the subscales varied (Cronbach's alpha ranged from .47 to .70). The children and parent questionnaires did not load onto the six factors originally hypothesized. Instead, seven factors were generated. Evidence supporting the questionnaire's validity included a lack of age and sex bias and positive known-group differentiation (Wilks' lambda = 0.906, <em>p</em> = .035).</p></div><div><h3>Conclusion</h3><p>The Chinese version of the Kid-KINDL<sup>R</sup> questionnaire exhibited good psychometric properties, but the internal consistency of the translated instrument needs further improvement. It is recommended that practitioners focus on the Kid-KINDL<sup>R</sup> total score when interpreting the Kid-KINDL<sup>R</sup> data. Overall, the study findings indicate that the Chinese version of the Kid-KINDL<sup>R</sup> is an important tool for use in clinical practice.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.hkjot.2014.04.002
Ted Brown , Brett Williams , Laura Jolliffe
Background
Occupational therapy graduates are expected to assume leadership roles in a variety of contexts and capacities.
Objective
To investigate the leadership styles of undergraduate occupational therapy students.
Methods
First, second, third, and fourth year undergraduate occupational therapy students from one Australian university were asked to complete the What’s My Leadership Style (WMLS) questionnaire.
Results
The total sample response rate was 86.3% (n = 182/211). Overall there was a statistically significant difference in students’ preference for the leadership styles (p < .001). The two most preferred leadership styles were the Considerate and Spirited styles while the two least preferred were the Direct and Systematic leadership styles. There were no statistically significant differences in preference for any of the four leadership styles based on students’ sex, age, or year level of study.
Conclusion
The Considerate leadership style is characterised by creating comfortable working environments, following established procedures, and creating an easy work pace, while the Spirited leadership style is about inspiring people, generating excitement, turning work into play, and rallying people. It is recommended that leadership be integrated into occupational therapy curricula so as to adequately equip students for future professional practice.
{"title":"Leadership Style Preference of Undergraduate Occupational Therapy Students in Australia","authors":"Ted Brown , Brett Williams , Laura Jolliffe","doi":"10.1016/j.hkjot.2014.04.002","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Occupational therapy graduates are expected to assume leadership roles in a variety of contexts and capacities.</p></div><div><h3>Objective</h3><p>To investigate the leadership styles of undergraduate occupational therapy students.</p></div><div><h3>Methods</h3><p>First, second, third, and fourth year undergraduate occupational therapy students from one Australian university were asked to complete the What’s My Leadership Style (WMLS) questionnaire.</p></div><div><h3>Results</h3><p>The total sample response rate was 86.3% (<em>n</em> = 182/211). Overall there was a statistically significant difference in students’ preference for the leadership styles (<em>p</em> < .001). The two most preferred leadership styles were the Considerate and Spirited styles while the two least preferred were the Direct and Systematic leadership styles. There were no statistically significant differences in preference for any of the four leadership styles based on students’ sex, age, or year level of study.</p></div><div><h3>Conclusion</h3><p>The Considerate leadership style is characterised by creating comfortable working environments, following established procedures, and creating an easy work pace, while the Spirited leadership style is about inspiring people, generating excitement, turning work into play, and rallying people. It is recommended that leadership be integrated into occupational therapy curricula so as to adequately equip students for future professional practice.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.hkjot.2014.04.001
Chow S. Lam
{"title":"Is More Choice Better? Some Thoughts on Autonomy and Self-determination for People with Psychiatric Disabilities","authors":"Chow S. Lam","doi":"10.1016/j.hkjot.2014.04.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.04.001","url":null,"abstract":"","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.hkjot.2014.03.001
Chih-Ying Li , LyInn Chung , Ping-Chuan Hsiung , Tsyr-Jang Chen , Shu-Kai Liu , Ay-Woan Pan
Objective/Background
The Kinetic-House-Tree-Person (KHTP) drawing test is widely used by psychiatric occupational therapists in Taiwan; however, very little support has been provided through studies examining its psychometric properties. The aim of the study is to validate a scoring system for the KHTP on a group of people with psychiatric disorders.
Methods
A total of 66 individuals with psychiatric disorders were recruited for this study along with 53 college students as a comparative group. Each participant completed the KHTP test. Half of the individuals with psychiatric disorders (33 people) completed the KHTP again following a 2-week period. The KHTP scoring system contains 54 items representing drawing characteristics. Two independent raters determined the score of the drawings, with the validity and reliability of the KHTP scoring system being subsequently examined by the Rasch and traditional analysis.
Results
The results reveal both validity and unidimensionality of the KHTP scoring system, demonstrating acceptable test–retest reliability. The intraclass correlation coefficient of the scoring system's inter-rater reliability was .76, with significant statistical differences found between the KHTP scores of college students and individuals with psychiatric disorders.
Conclusion
The KHTP scoring system has acceptable construct validity, inter-rater reliability, and test–retest reliability. Because drawing tests have the advantage of expressing nonverbal characteristics, the scoring system should prove to be very useful for those who are unwilling or unable to communicate verbally. This study therefore provides valuable information for clinical application, particularly for the psychiatric rehabilitation professions.
{"title":"A Psychometric Study of the Kinetic-House-Tree-Person Scoring System for People with Psychiatric Disorders in Taiwan","authors":"Chih-Ying Li , LyInn Chung , Ping-Chuan Hsiung , Tsyr-Jang Chen , Shu-Kai Liu , Ay-Woan Pan","doi":"10.1016/j.hkjot.2014.03.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.03.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>The Kinetic-House-Tree-Person (KHTP) drawing test is widely used by psychiatric occupational therapists in Taiwan; however, very little support has been provided through studies examining its psychometric properties. The aim of the study is to validate a scoring system for the KHTP on a group of people with psychiatric disorders.</p></div><div><h3>Methods</h3><p>A total of 66 individuals with psychiatric disorders were recruited for this study along with 53 college students as a comparative group. Each participant completed the KHTP test. Half of the individuals with psychiatric disorders (33 people) completed the KHTP again following a 2-week period. The KHTP scoring system contains 54 items representing drawing characteristics. Two independent raters determined the score of the drawings, with the validity and reliability of the KHTP scoring system being subsequently examined by the Rasch and traditional analysis.</p></div><div><h3>Results</h3><p>The results reveal both validity and unidimensionality of the KHTP scoring system, demonstrating acceptable test–retest reliability. The intraclass correlation coefficient of the scoring system's inter-rater reliability was .76, with significant statistical differences found between the KHTP scores of college students and individuals with psychiatric disorders.</p></div><div><h3>Conclusion</h3><p>The KHTP scoring system has acceptable construct validity, inter-rater reliability, and test–retest reliability. Because drawing tests have the advantage of expressing nonverbal characteristics, the scoring system should prove to be very useful for those who are unwilling or unable to communicate verbally. This study therefore provides valuable information for clinical application, particularly for the psychiatric rehabilitation professions.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although a number of studies have considered the effects of reminiscence therapy, none have examined whether a therapy that combines reminiscence with productive activity has a beneficial effect on elderly dementia patients. This study tests our hypothesis that productive activities with reminiscence in occupational therapy (PAROT) can alleviate depressive symptoms and improve task performance of elderly dementia patients.
Methods
Thirty-six patients with dementia were randomly divided into two groups, namely, an intervention group (n = 17) and a control group (n = 19). The intervention group had six activity sessions (making rice balls and cakes; one session/week) while reminiscing about the activity. Measurements were performed using the Cornell Scale for Depression in Dementia (CSDD), Multidimensional Observation Scale for Elderly Subjects (MOSES), Vitality Index, and Mini-Mental State Examination (MMSE). The performance of the patients was assessed based on photographs of the products after the first and sixth sessions.
Results
Six patients dropped out while the study was in progress, thus leaving 15 patients in the intervention group and 15 patients in the control group. The scores of depression symptoms in CSDD and MOSES were significantly improved for the intervention group, while within-group comparison showed no significant differences in CSDD, MOSES, or MMSE total scores. In terms of task performance, 88% of the patients in the intervention group, including two patients with severe dementia, showed significant improvement in making the product.
Conclusion
Our study suggests that PAROT may alleviate depressive symptoms and improve the task performance of elderly people with dementia.
{"title":"Effects of Productive Activities with Reminiscence in Occupational Therapy for People with Dementia: A Pilot Randomized Controlled Study","authors":"Toshimichi Nakamae , Kayano Yotsumoto , Eri Tatsumi , Takeshi Hashimoto","doi":"10.1016/j.hkjot.2014.01.003","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.01.003","url":null,"abstract":"<div><h3>Objective/Background</h3><p>Although a number of studies have considered the effects of reminiscence therapy, none have examined whether a therapy that combines reminiscence with productive activity has a beneficial effect on elderly dementia patients. This study tests our hypothesis that productive activities with reminiscence in occupational therapy (PAROT) can alleviate depressive symptoms and improve task performance of elderly dementia patients.</p></div><div><h3>Methods</h3><p>Thirty-six patients with dementia were randomly divided into two groups, namely, an intervention group (<em>n</em> = 17) and a control group (<em>n</em> = 19). The intervention group had six activity sessions (making rice balls and cakes; one session/week) while reminiscing about the activity. Measurements were performed using the Cornell Scale for Depression in Dementia (CSDD), Multidimensional Observation Scale for Elderly Subjects (MOSES), Vitality Index, and Mini-Mental State Examination (MMSE). The performance of the patients was assessed based on photographs of the products after the first and sixth sessions.</p></div><div><h3>Results</h3><p>Six patients dropped out while the study was in progress, thus leaving 15 patients in the intervention group and 15 patients in the control group. The scores of depression symptoms in CSDD and MOSES were significantly improved for the intervention group, while within-group comparison showed no significant differences in CSDD, MOSES, or MMSE total scores. In terms of task performance, 88% of the patients in the intervention group, including two patients with severe dementia, showed significant improvement in making the product.</p></div><div><h3>Conclusion</h3><p>Our study suggests that PAROT may alleviate depressive symptoms and improve the task performance of elderly people with dementia.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137255818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-01DOI: 10.1016/j.hkjot.2013.09.001
Serena S.W. Ng, Dora Y.L. Chan, Marko K.L. Chan, Kathy K.Y. Chow
Objective/Background
To devise an Occupational Lifestyle Redesign Programme (OLSR), in addition to the existing conventional therapy programme, in a local rehabilitation hospital in order to help stroke outpatients improve their self-efficacy and commitment in self-management after a stroke attack using goal-oriented, challenging, and well-being building activities. The long-term effect on the poststroke quality of life (QOL) and community integration has to be explored.
Methods
This is a retrospective study performed to compare two groups of matched samples of participants (25 each) who have or have not joined the OLSR programme. A telephonic interview was performed to gather the participants' responses. Self-reported outcome measures, including sickness impact [Stroke Adapted Sickness Impact Profile-30 (SA-SIP30)], motivation for general activity [General Activity Motivation Measure (GAMM)], community integration (Community Integration Questionnaire), and subjective well-being [World Health Organization Well-Being Index (WHO-5)] scores were assessed.
Results
Subjective well-being measures had significantly higher scores in the OLSR group (F = 5.52; p = .023). The OLSR group also reported a significantly better score in social integration (F = 4.302; p = .043). The SA-SIP30 mean score of the OLSR group [mean = 6.64; standard deviation (SD) = 4.35] was much lower, however, with significant difference in Mobility (F = 4.47; p = .04) and Household Management (F = 6; p = .015) subscores. The mean score of GAMM was also high in the OLSR group (mean = 41.32; SD = 11.98; p = .06). Improving “productive activity,” “social interaction,” “home management,” and “emotion” scores (based on factor analysis) are important goals to be achieved in a stroke rehabilitation programme so as to extend its scope from just physical restoration to building a better poststroke life.
Conclusion
The positive effect of OLSR programme has been shown to be effective in filling the gap of psychosocial adaptation in conventional stroke rehabilitation programmes. The patients in the OLSR programme had improved motivation levels and predicted better QOL in long term.
{"title":"Long-term Efficacy of Occupational Lifestyle Redesign Programme for Strokes","authors":"Serena S.W. Ng, Dora Y.L. Chan, Marko K.L. Chan, Kathy K.Y. Chow","doi":"10.1016/j.hkjot.2013.09.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2013.09.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>To devise an Occupational Lifestyle Redesign Programme (OLSR), in addition to the existing conventional therapy programme, in a local rehabilitation hospital in order to help stroke outpatients improve their self-efficacy and commitment in self-management after a stroke attack using goal-oriented, challenging, and well-being building activities. The long-term effect on the poststroke quality of life (QOL) and community integration has to be explored.</p></div><div><h3>Methods</h3><p>This is a retrospective study performed to compare two groups of matched samples of participants (25 each) who have or have not joined the OLSR programme. A telephonic interview was performed to gather the participants' responses. Self-reported outcome measures, including sickness impact [Stroke Adapted Sickness Impact Profile-30 (SA-SIP30)], motivation for general activity [General Activity Motivation Measure (GAMM)], community integration (Community Integration Questionnaire), and subjective well-being [World Health Organization Well-Being Index (WHO-5)] scores were assessed.</p></div><div><h3>Results</h3><p>Subjective well-being measures had significantly higher scores in the OLSR group (<em>F</em> = 5.52; <em>p</em> = .023). The OLSR group also reported a significantly better score in social integration (<em>F</em> = 4.302; <em>p</em> = .043). The SA-SIP30 mean score of the OLSR group [mean = 6.64; standard deviation (SD) = 4.35] was much lower, however, with significant difference in Mobility (<em>F</em> = 4.47; <em>p</em> = .04) and Household Management (<em>F</em> = 6; <em>p</em> = .015) subscores. The mean score of GAMM was also high in the OLSR group (mean = 41.32; SD = 11.98; <em>p</em> = .06). Improving “productive activity,” “social interaction,” “home management,” and “emotion” scores (based on factor analysis) are important goals to be achieved in a stroke rehabilitation programme so as to extend its scope from just physical restoration to building a better poststroke life.</p></div><div><h3>Conclusion</h3><p>The positive effect of OLSR programme has been shown to be effective in filling the gap of psychosocial adaptation in conventional stroke rehabilitation programmes. The patients in the OLSR programme had improved motivation levels and predicted better QOL in long term.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2013.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137433238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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