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The use of virtual reality for activities of daily living rehabilitation after brain injury: A scoping review. 虚拟现实技术在脑损伤后日常生活康复中的应用:范围综述。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-10-01 Epub Date: 2024-05-17 DOI: 10.1111/1440-1630.12957
Jasleen Grewal, Janice J Eng, Brodie M Sakakibara, Julia Schmidt

Introduction: Individuals with acquired brain injury (ABI) experience high rates of poor functional outcomes such as inability to complete activities of daily living (ADL). Occupational therapy needs to be customised to the individual's function, goals, and environment to facilitate improvement in ADLs after ABI. Virtual reality (VR) is a novel treatment approach that aims to improve skills within an individualised environment. This study aimed to review the current literature for the use of VR platforms that incorporate ADLs to improve functional outcomes after ABI.

Methods: This review followed the six-stage framework by Arksey & O'Malley (2005). Electronic databases were searched for peer-reviewed journal articles based on inclusion and exclusion criteria.

Results: One thousand and six hundred eighty articles were screened, including 413 full text articles and 13 articles were included for review. Among the 13 articles, six were RCTs and the rest were pre-post intervention studies. Studies largely used non-immersive VR platforms, which incorporated ADLs such as grocery shopping, aiming to improve functional outcomes.

Consumer and community consultation: Consumer and community were not involved in executing this study.

Conclusion: This review suggests mixed results if VR is effective at treating upper limb, cognition, and ADL function after ABI. Using their clinical reasoning, occupational therapists can determine the suitability of VR for ADL rehabilitation for specific patient populations and settings. Plain Language Summary Individuals who sustain an acquired brain injury can have difficulty performing their daily activities such as, making a meal or getting dressed, because of limited function (e.g., physical and cognitive problems). To help improve their ability to complete daily activities, occupational therapy needs to be customised to the individual's function, goals, and environment. Virtual reality is a new rehabilitation approach that allows individuals to improve their function in an individualised environment. In this study, we reviewed the current studies that have used virtual reality platforms that incorporate daily activities to improve function after acquired brain injury. We searched databases and screened the titles and abstracts of 1,680 studies. Then, 413 full-text studies were screened, and 13 studies were included. Studies mostly used non-immersive platforms to practise daily activities such as, grocery shopping, aiming to improve function after acquired brain injury. This review suggests mixed results if virtual reality can effectively treat function after acquired brain injury.

导言:后天性脑损伤(ABI)患者的功能障碍发生率很高,例如无法完成日常生活活动(ADL)。职业疗法需要根据患者的功能、目标和环境进行定制,以促进其在 ABI 后改善 ADL。虚拟现实(VR)是一种新颖的治疗方法,旨在个性化的环境中提高技能。本研究旨在回顾目前有关使用虚拟现实平台(VR platforms)结合ADLs改善ABI后功能结果的文献:本综述遵循 Arksey & O'Malley(2005 年)的六阶段框架。根据纳入和排除标准,在电子数据库中搜索同行评审的期刊文章:共筛选出 1680 篇文章,其中包括 413 篇全文文章,13 篇文章被纳入审查范围。在这 13 篇文章中,有 6 篇是研究性临床试验,其余的都是事后干预研究。研究大多使用非沉浸式 VR 平台,其中包括日常活动(如买菜),旨在改善功能结果:消费者和社区未参与本研究的实施:本综述表明,VR 对治疗 ABI 后的上肢、认知和 ADL 功能是否有效,结果不一。职业治疗师可以通过临床推理,确定虚拟现实技术是否适合特定患者群体和环境的 ADL 康复。白话摘要 后天性脑损伤患者由于功能受限(如肢体和认知问题),在进行日常活动(如做饭或穿衣)时可能会遇到困难。为了帮助他们提高完成日常活动的能力,职业疗法需要根据个人的功能、目标和环境进行定制。虚拟现实是一种新的康复方法,可以让患者在个性化的环境中改善自身功能。在本研究中,我们回顾了目前使用虚拟现实平台结合日常活动改善后天性脑损伤后功能的研究。我们检索了数据库,筛选了 1,680 项研究的标题和摘要。随后,我们筛选了 413 篇全文研究,并纳入了 13 篇研究。研究大多使用非沉浸式平台来练习日常活动,如购物,旨在改善后天性脑损伤后的功能。本综述认为,虚拟现实能否有效治疗后天性脑损伤后的功能,结果不一。
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引用次数: 0
A scoping review of coaching in occupational therapy: Mapping methods, populations and outcomes 职业疗法辅导的范围界定审查:绘制方法、人群和结果图。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-09-24 DOI: 10.1111/1440-1630.12991
Fiona Graham, Dorothy Kessler, Melissa Nott, Charmaine Bernie, Parimala Kanagasabai, Christine A. Barthow
<div> <section> <h3> Introduction</h3> <p>Coaching is proposed as a core enabling skill of occupational therapy and increasingly suggested for a diverse range of health populations. In recent years, research on coaching has proliferated, emerging from within and outside of occupational therapy. Yet, concern has been raised about the absence of theoretical underpinning and diversity of descriptions of coaching in occupational therapy, as well as low-quality evidence supporting its effectiveness. The aim of this study is to map the use of coaching by occupational therapists from 2007 to 2022 to identify the populations, settings and outcomes it is applied to, differences between coaching interventions and evidence supporting its use.</p> </section> <section> <h3> Methods</h3> <p>This systematic scoping review applied Arksey and O'Malley's five-stage methodological framework with further methodological direction using the Levac framework. There was no consumer involvement in undertaking this review.</p> </section> <section> <h3> Results</h3> <p>Findings from 60 research publications on coaching indicate its use with populations across the lifespan in primarily community settings to improve occupational performance, participation and self-efficacy. A wide range of coaching interventions are designed or used by occupational therapists, with Occupational Performance Coaching being the most researched (16/27, 59% of named interventions). Common elements of coaching interventions included collaborative goal setting and problem-solving; however, a lack of described theory or coaching methods persists. High-quality study designs indicate its effectiveness; however, an absence of fidelity definition or monitoring limits interpretation of many studies.</p> </section> <section> <h3> Conclusion</h3> <p>The language of coaching is becoming common practice within occupational therapy, and evidence indicates effectiveness of some coaching interventions. Advances in coaching research and use by occupational therapists will be aided by an explicit statement of the theoretical basis for coaching interventions, with congruent coaching methods, mechanisms and outcomes stated.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>This scoping review maps the use of coaching by occupational therapists in current published research. Key aspects of coaching examined include how coaching is defined, who it is used with and how effective it is. The kinds of outcomes th
导言:教练被认为是职业疗法的一项核心辅助技能,越来越多的人建议将其用于不同的健康人群。近年来,职业疗法内外关于教练的研究层出不穷。然而,人们对职业疗法中教练缺乏理论支撑和描述的多样性,以及支持其有效性的低质量证据表示担忧。本研究旨在绘制 2007 年至 2022 年职业治疗师使用教练的地图,以确定其应用的人群、环境和结果、教练干预之间的差异以及支持其使用的证据:这项系统性的范围界定研究采用了 Arksey 和 O'Malley 的五阶段方法框架,并使用 Levac 框架进行了进一步的方法指导。结果:从 60 篇关于教练的研究论文中得出的结论表明,教练是一种有效的方法:从 60 篇有关教练的研究出版物中得出的结论表明,教练主要在社区环境中用于提高职业表现、参与度和自我效能。职业治疗师设计或使用了多种教练干预措施,其中研究最多的是职业表现教练(16/27,占命名干预措施的 59%)。教练干预的共同要素包括合作设定目标和解决问题;但是,仍然缺乏相关理论或教练方法的描述。高质量的研究设计表明了教练的有效性;然而,缺乏保真度定义或监测限制了对许多研究的解释:结论:在职业治疗中,教练语言正成为一种普遍做法,有证据表明一些教练干预措施是有效的。明确阐述教练干预的理论基础,并说明一致的教练方法、机制和结果,将有助于教练研究的进展和职业治疗师对教练的使用。研究了教练的主要方面,包括如何定义教练、教练的使用对象以及教练的有效性。此外,还报告了辅导旨在改善的结果类型。对 633 篇出版物中的 60 篇研究出版物进行了全面分析。在过去 10 年中,职业治疗师对教练的使用迅速增长。有确凿证据表明,当目标描述的是日常生活活动中的变化时,辅导对于实现接受职业治疗者的个人目标非常有效。教练式干预正被用于各种残疾和慢性病患者及其照顾者/父母(最常见的是有发育问题儿童的父母)。职业治疗师所使用的教练式干预的主要特点包括合作性目标设定、共同解决问题和客户主导的行动规划。教练的某些要素也被用于其他干预措施中,方法范围更广。辅导被认为是通过支持个人的自我信念来发挥作用的,即他们可以做出改变。支持教练的理论各不相同,但通常都侧重于自我决定、行为改变和职业治疗理论。然而,许多辅导干预措施并没有详细描述任何理论基础或辅导方法。未来对职业治疗中的辅导进行研究时,应确保清楚地解释辅导的理论基础、辅导方法,并对辅导的应用效果进行监测。
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引用次数: 0
Inclusive research: Making more impact through accessibility and collaboration 包容性研究:通过无障碍环境与合作产生更大影响
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-09-12 DOI: 10.1111/1440-1630.12990
Jacki Liddle, Bobby Redman, Dennis Frost, Peter Worthy, Phil Jamieson, Sarah J. Wallace
<p>In health, the value of research evidence in informing practice, service decisions and funding is well established and an embedded part of everyday practice (e.g., Bennett & Bennett, <span>2000</span>). However, there are concerns about the state of health research for these purposes. The timeframes for embedding robust research findings into practice are slow (often cited at 17 years) and even with focused efforts in implementation science, practice is often lagging behind research (Juckett et al., <span>2019</span>). In addition, there can be gaps or quality concerns within published research about particular practice areas, populations and settings. More broadly, some areas of research are also noting a <i>replicability crisis</i> where earlier findings are unable to be replicated in subsequent studies, bringing the validity of original findings into question. The challenge of <i>research waste</i>, where expensive research may be unpublished, unread or unable to be used in practice is also challenging researchers to focus on and disseminate useful, prioritised, needed and high-quality research (Chalmers et al., <span>2014</span>). These research challenges should raise concerns for occupational therapists, health services and consumers of health services, and has led to proposed changes in the way research needs to be conducted and applied (Korbmacher et al., <span>2023</span>).</p><p>We believe an important tool to begin to address many of these concerns is inclusive research. We are a team of researchers who contribute to allied health research and have either or both living experience of disability/health conditions and health or technology qualifications. By inclusive research we mean research which is conducted in partnership with interest holders in the research, particularly living experience experts/consumers, families, communities, clinicians, managers and policy makers. In addition, we contend research should use inclusive ways of defining and engaging with participants to collect data. Finally, dissemination and implementation of findings should be planned for and enacted within the partnered research, ensuring the research is usable and used.</p><p>Partnering with interest holders, particularly those with living experience, has many benefits for the planning and conduct of research. These partnerships can allow for meaningful prioritisation of research areas, inclusive design and planning of projects and consideration of implementation requirements. It can allow for troubleshooting research challenges (e.g., recruitment, communication about the study, online approaches to engagement, outcome measurement and design of implementation strategies) (Liddle et al., <span>2022</span>). It can also support research dissemination, ensuring that those people who will use, or should know about the research, can engage with the information in an accessible format (e.g., easy-read, audio and visual formats). Importantly, these partnersh
与利益相关者合作可以支持这一进程。在健康研究中,我们长期以来一直将受研究影响的人群排除在外,比较常见的排除情况包括认知障碍、交流改变、合并症以及需要语言翻译。考虑到医疗实践的性质,这就有可能在制定证据基础时没有考虑到受研究结果影响的关键人群(O'Connor 等人,2022 年)。我们可以通过制定包容性的同意和批准程序以及研究参与/数据收集方法来解决这一排斥问题。与生活体验专家合作的专职医疗人员非常适合开发这些方法(例如,Campbell 等人,2023 年)。可以通过应用简单的原则来支持交流访问,例如包含图片、增加字体大小和留白、关键词加粗,以及使用多种方式,包括音频和视频(Finch 等人,2024 年;Hinckley &amp; El-Khouri, 2023 年;Rose 等人,2003 年)。还可以利用技术,以可访问和可定制的格式分享研究成果。其中一个例子就是共同设计的失语症研究图书馆(https://www.aphasialibrary.org/)。我们建议在设计研究时,让参与者从多种可能的参与方式中进行选择。我们建议在设计研究时,为参与者提供多种可能的参与方式供其选择,其中包括提供支持人员参与的选择;在线或亲自参与的选择;同步或异步参与的选择;书面或口头参与的选择(例如,Worthy 等人,2023 年)。摒弃所有人都必须以完全相同的方式参与的僵化规程,将支持更加多样化和真正的参与(例如,Burton 等人,2024 年)。如果参与者能够选择方便、可接受的参与方式,就有可能支持符合伦理的研究实践,招募到真正具有代表性的样本,并减轻参与者的负担。虽然解释收集数据的各种方式可能不那么简洁,但这很可能有助于提高所学知识的质量。还应该指出的是,许多为确保痴呆症或失语症患者能够参与研究而制定的研究参与策略,对没有这些症状的参与者也很有帮助,并会受到他们的欢迎。例如,提供预约提醒、不同形式的简短准备信息、为会议准备提供支架、选择最适合功能的时间或参与方式、在线(异步/在您自己的时间)选项以及让辅助人员参与的选项,这些都受到了许多参与者的赞赏。采用这些及其他灵活和包容性策略的研究已经与通常难以参与研究的参与者进行了接触,包括来自农村和偏远地区的人、承担多重繁重角色的人(专业人员、护理人员等)以及残疾人(Liddle,2019 年)。这无疑会丰富研究内容和研究结果。此外,让全纳者参与研究有可能带来更有效的发现和实践,并考虑到与认知和交流有关的需求。包括职业疗法研究在内的健康研究需要关注,以确保其广泛的相关性和真正的影响力。采用与生活体验专家合作开发的包容性方法,是着手解决这一问题的途径之一。
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引用次数: 0
Utilising co-design to develop a lived experience informed personal safety tool within a mental health community rehabilitation setting 利用共同设计,在精神健康社区康复环境中开发一种基于生活经验的个人安全工具。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-08-12 DOI: 10.1111/1440-1630.12988
Anna Francis, Amily Le, Karen Adams-Leask, Nicholas Procter

Introduction

Mental health personal safety tools aim to promote a recovery focus and empower an individualised approach to consumer care. These clinical tools are predominantly utilised in acute mental health settings with a person during or straight after a crisis. There is currently a gap in the literature regarding the preparation of personal safety tools in non-acute mental health settings. This descriptive article discusses the learnings and outcomes from a co-designed project that aimed to develop a personal safety tool suitable for a community mental health rehabilitation setting.

Methods

Seven people with lived experience engaging within a mental health community-based rehabilitation service were recruited through convenience sampling to participate in the co-design project. A focus group approach was utilised during four group meetings to develop a personal safety tool template. Experiences and ideas about safety planning were transcribed during meetings and thematic analysis extracted key themes. Five steps underpinned the co-design process that included identifying the need, establishing the co-design group, planning, design and development, and review and closure.

Consumer and community involvement

Consumer involvement commenced at step two of the co-design process. The completed personal safety tool was designed with consumer input and review.

Findings

The personal safety tool consisted of nine intervention components. Four key themes emerged from focus group meetings that informed the content of the tool: (i) ensuring the personal safety tool is individualised and meaningful, (ii) promoting exploration of personal strengths and interests, (iii) enabling opportunities to learn self-management skills, and (iv) treating the personal safety tool as a dynamic and adaptable tool.

Conclusion

Findings suggest that a personal safety tool targeted to a mental health community-based rehabilitation setting should have an individualised and preventative focus to mental health care. Embedding co-design principles can support opportunities for meaningful consumer engagement and establishing consumer and clinician partnerships.

导言:心理健康个人安全工具旨在促进以康复为中心,并赋予消费者个性化的护理方法。这些临床工具主要用于急症心理健康环境中的危机期间或危机后的直接护理。目前,关于在非急性期心理健康环境中准备个人安全工具的文献还是空白。这篇描述性文章讨论了从一个共同设计的项目中获得的经验和成果,该项目旨在开发一种适用于社区心理健康康复环境的个人安全工具:方法:通过方便抽样的方式,招募了七名在精神健康社区康复服务机构中有生活经验的人参与共同设计项目。在四次小组会议期间,采用焦点小组的方法来开发个人安全工具模板。会议期间对有关安全规划的经验和想法进行了记录,并通过主题分析提取了关键主题。共同设计过程分为五个步骤,包括确定需求、建立共同设计小组、规划、设计和开发以及审查和结束:消费者和社区参与:消费者参与始于共同设计过程的第二步。消费者和社区的参与:消费者的参与始于共同设计过程的第二步,在设计完成的个人安全工具时考虑了消费者的意见和审查:结果:个人安全工具由九个干预部分组成。焦点小组会议提出了四个关键主题,为该工具的内容提供了参考:(i) 确保个人安全工具是个性化的、有意义的;(ii) 促进对个人优势和兴趣的探索;(iii) 提供学习自我管理技能的机会;(iv) 将个人安全工具视为动态的、可调整的工具:结论:研究结果表明,针对精神健康社区康复环境的个人安全工具应注重精神健康护理的个性化和预防性。将共同设计原则融入其中,可以为消费者提供有意义的参与机会,并建立消费者与临床医生之间的合作关系。
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引用次数: 0
Correction to “Mothering occupations: A review identifying mothering occupations” 更正 "母亲职业:确定母亲职业的综述"。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-08-05 DOI: 10.1111/1440-1630.12989

Odgers, S., Thomas, Y., and Tokolahi, E. (2024). Mothering occupations: A review identifying mothering occupations, Australian Occupational Therapy Journal. 71(2), 352363. https://doi.org/10.1111/1440-1630.12921

In Section 1.3, the author had cited ‘Le Slootjes, 2021’, which is incorrect. The correct citation is ‘Slootjes, 2022’.

The following reference in the reference list is also in error:

Le Slootjes, H. (2021). The role of occupational therapists in perinatal health [Doctoral dissertation]. https://opal.latrobe.edu.au/articles/thesis/The_Role_of_Occupational_Therapists_in_Perinatal_Health/19836172

The correct reference is as follows:

Slootjes, H. (2022). The Role of Occupational Therapists in Perinatal Health [Doctoral thesis, La Trobe University]. Open Access at La Trobe (OPAL). https://doi.org/10.26181/19836172.v1.

We apologise for this error.

Odgers, S., Thomas, Y., and Tokolahi, E. (2024)。 母亲职业:A review identifying mothering occupations, Australian Occupational Therapy Journal. 71(2), 352-363。https://doi.org/10.1111/1440-1630.12921In 第 1.3 节,作者引用了 "Le Slootjes, 2021",这是不正确的。参考文献列表中的以下参考文献也有误:Le Slootjes, H. (2021).The role of occupational therapists in perinatal health [Doctoral dissertation]. https://opal.latrobe.edu.au/articles/thesis/The_Role_of_Occupational_Therapists_in_Perinatal_Health/19836172The 正确的参考文献如下:Slootjes, H. (2022).The Role of Occupational Therapists in Perinatal Health [Doctoral thesis, La Trobe University].https://doi.org/10.26181/19836172.v1.We 对此错误深表歉意。
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引用次数: 0
Young Adults' Daily Participation Scale: A measure of objective and subjective participation 年轻人日常参与量表:衡量客观和主观参与程度的量表
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-08-05 DOI: 10.1111/1440-1630.12987
Shahar Zaguri-Vittenberg, Naomi Weintraub, Miri Tal-Saban
<div> <section> <h3> Introduction</h3> <p>Participation in occupations is considered essential for individuals' health and wellbeing. Participation is a multidimensional construct that encompasses objective and subjective dimensions that transform over the course of life. Nonetheless, there is a lack of comprehensive measures that examine young adults' participation in age-appropriate activities. Therefore, we developed the Young Adults' Daily Participation Scale (YADAPS) and aimed to explore its psychometric properties.</p> </section> <section> <h3> Methods</h3> <p>In Study 1, the content validity of the YADAPS was established based on nine experts. Its internal consistency, criterion, convergent, and construct validity were explored among 115 typical young adults (21–35 years). Using a different sample, Study 2 examined YADAPS discriminant validity among 33 young adults with developmental coordination disorder (DCD) and 52 typical peers.</p> </section> <section> <h3> Consumer and community involvement</h3> <p>No consumer and community involvement was included in these studies.</p> </section> <section> <h3> Results</h3> <p>The relevance of YADAPS items was sufficient. Internal consistency was acceptable to excellent in most scales (.74 ≤ <i>α</i> ≤ .89). Criterion validity was supported by correlations between the subjective participation scales and a wellbeing measure. Convergent validity was found for all scales. No gender effect was observed (<i>p</i> ≥ .05). However, significant differences (<i>p</i> ≤ .05) were found between individuals with and without DCD.</p> </section> <section> <h3> Conclusions</h3> <p>The YADAPS appears to be a promising measure of objective and subjective dimensions of participation in young adults. The results support the importance of examining various participation dimensions, including occupational experience. Thus, it may be used for clinical purposes among young adults as well as for occupational science research, to broaden our understanding on the interplay between participation dimensions in various life situations in young adulthood. However, further research is needed on psychometric properties, the most suited scoring method, and to consolidate their robustness among diverse populations of young adults.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>Participation, or how one engages in daily l
引言参与职业被认为对个人的健康和福祉至关重要。参与是一个多维度的概念,包括客观和主观两个方面,会随着人的一生而发生变化。然而,目前还缺乏对青少年参与适龄活动情况的全面测量。因此,我们编制了 "青少年日常参与量表"(YADAPS),旨在探索其心理测量特性:在研究 1 中,我们根据 9 位专家的意见确定了 YADAPS 的内容效度。在 115 名典型的年轻成年人(21-35 岁)中探讨了其内部一致性、标准效度、聚合效度和建构效度。研究 2 采用了不同的样本,在 33 名患有发育协调障碍(DCD)的年轻人和 52 名典型的同龄人中检验了 YADAPS 的判别有效性:消费者和社区参与:这些研究未包括消费者和社区参与:结果:YADAPS 项目的相关性是充分的。大多数量表的内部一致性(.74 ≤ α ≤ .89)为可接受到优秀。主观参与量表与幸福感测量之间的相关性支持了标准效度。所有量表都具有收敛效度。没有观察到性别效应(p ≥ .05)。然而,在患有和未患有 DCD 的个体之间发现了明显的差异(p ≤ .05):YADAPS似乎是一种很有前途的衡量青少年参与的客观和主观方面的方法。研究结果支持了对包括职业体验在内的各种参与维度进行研究的重要性。因此,它既可用于青壮年的临床治疗,也可用于职业科学研究,以拓宽我们对青壮年时期各种生活情境中参与维度之间相互作用的理解。然而,我们还需要进一步研究其心理计量特性、最合适的评分方法,并在不同的青壮年群体中巩固其稳健性。在人的一生中,日常活动会随着人的发展阶段而发生变化。现有的参与评估存在局限性,比如没有考虑到年轻人的关注点,或者只关注参与的某些方面。青年日常参与量表(YADAPS)同时关注参与的客观-可观察方面和主观-体验方面,力求成为一个专门反映青年期相关活动的综合评估工具。本手稿提供了 YADAPS 的初步有效性和可靠性,这是一份新的调查问卷,用于评估青少年参与相关活动的客观和主观方面。此外,该问卷能够区分有参与困难和没有参与困难的青壮年,因此适合研究和临床使用。
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引用次数: 0
The experiences of occupational therapists supporting children with self-regulation needs: A qualitative descriptive study 职业治疗师为有自我调节需求的儿童提供支持的经验:定性描述研究。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-07-29 DOI: 10.1111/1440-1630.12985
Kelsey Philpott-Robinson, Kirsti Haracz, Dianne Blackwell, Carly Mallise, Carl Leonard, Alison Lane, Kylie Wales
<div> <section> <h3> Introduction</h3> <p>Occupational therapists support children with self-regulation needs to engage in meaningful occupations at home, school, and in the community. However, little is known about how Australian practitioners perceive their role working with children with self-regulation needs in the Australian healthcare context. Therefore, we explored the contemporary practice experiences of Australian occupational therapists working with children 4–12 years referred for self-regulation support, to better understand elements constituting efficacious service delivery to enhance occupational engagement.</p> </section> <section> <h3> Methods</h3> <p>A qualitative descriptive design, underpinned by constructivism and relativism, was implemented to address the research aim. Occupational therapists were recruited online to participate in audio-recorded focus groups and interviews. The audio recordings were anonymised, transcribed verbatim, and analysed through reflexive thematic analysis.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumers were involved in the study design or analysis.</p> </section> <section> <h3> Findings</h3> <p>Four themes were generated, encapsulating the experience of 13 occupational therapists working with children with self-regulation needs: (1) navigating the complexities of self-regulation, (2) intervening to support the child and surrounding systems, (3) bringing the occupational therapy perspective to the self-regulation puzzle, and (4) working within an evolving practice context. Themes 1–3 describe specific processes that all occurred within the context of Theme 4. Overall, participants detailed successful practice to support children with self-regulation needs to participate in meaningful occupations that required person-centredness, collaboration, coaching, and adaptability of therapists responding to different stakeholder demands.</p> </section> <section> <h3> Conclusion</h3> <p>Self-regulation is a complex area of practice, and occupational therapists have a key role in supporting occupational engagement by balancing the child's needs with those of family, other stakeholders, and funding bodies. Findings support occupational therapists and decision-makers advocating for the unique role of occupational therapy in supporting self-regulation in childhood as part of a collaborative, multi-disciplinary approach. Specific consideration must also be given to ways that current funding schemes in Australia enable occupational therapy services for children with self-regulation n
简介:职业治疗师帮助有自我调节需求的儿童在家中、学校和社区从事有意义的职业。然而,人们对澳大利亚从业人员如何看待他们在澳大利亚医疗保健环境中为有自我调节需求的儿童所做的工作知之甚少。因此,我们探讨了澳大利亚职业治疗师在为 4-12 岁儿童提供自我调节支持时的当代实践经验,以更好地了解构成有效服务的要素,从而提高职业参与度:为实现研究目标,我们采用了以建构主义和相对主义为基础的定性描述设计。研究人员通过网络招募职业治疗师,让他们参与录制音频的焦点小组和访谈。录音经过匿名处理、逐字转录,并通过反思性专题分析进行分析:消费者和社区参与:没有消费者参与研究设计或分析:研究产生了四个主题,概括了 13 名职业治疗师与有自我调节需求的儿童合作的经验:(1)驾驭自我调节的复杂性,(2)干预以支持儿童和周围系统,(3)将职业治疗的视角引入自我调节难题,以及(4)在不断变化的实践环境中工作。主题 1-3 描述了都发生在主题 4 背景下的具体过程。总之,参与者详细介绍了支持有自我调节需求的儿童参与有意义职业的成功实践,这需要治疗师以人为本、合作、指导和适应能力,以应对不同利益相关者的需求:自我调节是一个复杂的实践领域,职业治疗师在通过平衡儿童需求与家庭、其他利益相关者和资助机构的需求来支持职业参与方面发挥着关键作用。研究结果支持职业治疗师和决策者倡导职业治疗在支持儿童自我调节方面发挥独特作用,将其作为多学科协作方法的一部分。此外,还必须具体考虑澳大利亚目前的资助计划如何为有自我调节需求的儿童提供职业治疗服务。有些儿童发现这很难做到,需要职业治疗师的帮助,因为职业治疗师对身体及其内部系统非常了解。澳大利亚有很多职业治疗师帮助儿童进行自我调节。关于这些治疗师如何看待他们在帮助这些儿童时所扮演的角色,我们了解得并不多。我们希望了解帮助 4 到 12 岁儿童进行自我调节的职业治疗师是怎样工作的。我们采访了来自澳大利亚各地的 13 名职业治疗师,并对他们的发言进行了分析。数据显示了四个要点:(1)了解自我调节所面临的挑战;(2)帮助儿童和他们所处的环境;(3)使用职业治疗方法解决自我调节问题;(4)在不断变化的实践环境中工作。治疗师们介绍了以儿童为中心、与照顾者和教师等多方合作以及灵活应变的重要性。他们谈到了如何平衡儿童、家庭和资助机构的需求,这有时会很棘手。这项研究显示了治疗师在与需要自我调节帮助的儿童合作时正在做的事情,以及治疗师在这一领域工作时感到困难的事情。这项研究的结果可用于倡导为儿童提供帮助的服务,也可用于为澳大利亚医疗保健做出决策的人员。利用研究结果的一种方式是思考当前的资助计划如何允许或不允许不同的人和不同的专业共同支持儿童的自我调节。尽管存在一些局限性,例如由于 COVID-19 大流行造成的压力而导致回复率较低,但我们确实采访了来自澳大利亚不同地区的治疗师,他们在彼此不同的环境中工作。
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引用次数: 0
‘We are all bringing, like a unique sort of perspective’: The core elements of a strengths-based digital arts mentoring program for autistic adolescents from the perspective of their mentors 我们都带来了独特的视角":从指导者的角度看自闭症青少年基于优势的数字艺术指导计划的核心要素。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-07-25 DOI: 10.1111/1440-1630.12980
Elinda Ai Lim Lee, Benjamin Milbourn, Bahareh Afsharnejad, Ellena Chitty, Annie-May Jannings, Roisin Kealy, Tamara McWhirter, Sonya Girdler
<div> <section> <h3> Introduction</h3> <p>While the adoption of strengths-based approaches to supporting autistic adolescents is growing in popularity, the application of this approach to a digital arts mentoring program has yet to be explored. This study reports on the core elements contributing to the success of a community digital arts mentoring program for autistic adolescents from the mentors' perspective. This paper presents an in-depth exploration of mentors' experiences, comprising a component of a broader line of research investigating a digital arts mentoring program for autistic adolescents emphasising positive youth development.</p> </section> <section> <h3> Methods</h3> <p>The digital arts mentoring program spanned 20 weeks across two Australian school terms and was attended by two groups of autistic adolescents (<i>N</i> = 18) aged between 11 and 17 years. A qualitative approach was utilised in exploring the perspective of their mentors (<i>N</i> = 6). Qualitative data were collected at the end of each school term for each group with the mentors using an interpretive phenomenological approach and Colaizzi's seven-step analysis method. Thirteen individual interviews were conducted with six mentors.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>This research was conducted with a disability arts provider to provide a digital arts mentoring program to autistic adolescents. The mentors employed have lived experience with disorders such as attention deficit hyperactivity disorder (ADHD) and anxiety.</p> </section> <section> <h3> Results</h3> <p>Five primary themes emerged from the data: positive connections, mentor knowledge and experience, mentoring approaches, autism education, program organisation, resources and environment. Subthemes underpinned the primary themes related to positive connections (three subthemes), mentoring approaches (four subthemes) and program organisation, resources and environment (three subthemes).</p> </section> <section> <h3> Conclusion</h3> <p>The findings suggest that prior experience, sufficient training, a supportive environment and a flexible and adaptable approach were essential for success. Understanding the core elements of a strengths-based digital arts program in occupational therapy provides a comprehensive framework for utilising clients' inherent strengths and creativity as therapeutic tool, creating an empowering environment, fostering meaningful outcomes for clients.</p>
导言:虽然采用基于优势的方法来支持自闭症青少年的做法越来越受欢迎,但将这种方法应用于数字艺术指导计划的情况尚待探索。本研究从指导者的角度出发,报告了促使自闭症青少年社区数字艺术指导计划取得成功的核心要素。本文对指导者的经验进行了深入探讨,这也是针对自闭症青少年的数字艺术指导项目研究的一个组成部分,该项目强调青少年的积极发展:数字艺术指导计划跨越澳大利亚两个学期,为期 20 周,由两组年龄在 11 至 17 岁之间的自闭症青少年(18 人)参加。该项目采用定性方法来探索指导者(6 人)的观点。采用解释现象学方法和 Colaizzi 的七步分析法,在每个学期结束时为每个小组的导师收集定性数据。对六位导师进行了 13 次个别访谈:这项研究是与一家残疾艺术机构合作开展的,旨在为患有自闭症的青少年提供数字艺术指导计划。受聘的指导者都曾患有注意力缺陷多动障碍(ADHD)和焦虑症等疾病:从数据中发现了五个主要主题:积极联系、指导者的知识和经验、指导方法、自闭症教育、项目组织、资源和环境。主主题下的次主题涉及积极联系(三个次主题)、指导方法(四个次主题)以及项目组织、资源和环境(三个次主题):研究结果表明,先前的经验、充分的培训、有利的环境以及灵活多变的方法是成功的关键。了解职业疗法中以优势为基础的数字艺术项目的核心要素,可为利用客户的固有优势和创造力作为治疗工具提供一个全面的框架,创造一个赋权环境,为客户取得有意义的成果。
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引用次数: 0
Exploring the concepts of consumer feedback systems for occupational therapy student learning during practice placements: A scoping review 探索消费者反馈系统的概念,促进职业治疗学生在实习期间的学习:范围综述。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-07-23 DOI: 10.1111/1440-1630.12984
Thomas Bevitt, Robert B. Pereira, Rachel Bacon, Stephen Isbel
<div> <section> <h3> Introduction</h3> <p>Consumer contribution to occupational therapy student learning is mandated for Australian educational programs. However, there is limited research about how consumers contribute to student learning during practice placements. A scoping review was completed to explore the concepts of existing feedback systems for consumers to authentically contribute to student learning during practice placements.</p> </section> <section> <h3> Methods</h3> <p>Five databases were searched for all articles up to and including July 2023. All publications were included if they described and investigated authentic contribution to student learning during a practice placement experience. Data from the results and discussion sections of the papers were transformed into qualitative data and thematically analysed to develop a conceptual understanding of consumer feedback systems.</p> </section> <section> <h3> Results</h3> <p>Forty-six papers met the eligibility criteria. Most articles originated from Medicine (30%) and Nursing (45%) education. Feedback systems were primarily designed to critique student communication and professional behaviours using a variety of standardised and non-standardised methods. Five interconnected themes were created that addressed the concepts of consumer feedback systems. The themes were (1) creating value specific for each stakeholder is essential, (2) preparation is required and nuanced; (3) consumers do engage and provide critical feedback when the system is supportive of all stakeholders; (4) gathering approaches need to be responsive to the diversity of practice and learning; (5) processing feedback with a trusted mentor is critical for learning.</p> </section> <section> <h3> Conclusions</h3> <p>Consumers, academics, practice educators, and students recognised that consumers have an important role in contributing to student learning during practice placements. Future consumer feedback systems need to be co-produced to create an optimal mode for consumers to authentically contribute to student learning constructively and safely.</p> </section> <section> <h3> Consumer and community involvement</h3> <p>A consumer consultant was a member of the advisory panel for the larger research project that this review is part of and provided advice to the research team at all stages of the project.</p> </section> <section> <h3> PLAIN LANGUAGE SU
导言:澳大利亚教育计划规定,消费者必须为职业治疗学生的学习做出贡献。然而,有关消费者如何在实习期间促进学生学习的研究却十分有限。我们完成了一项范围审查,以探索现有反馈系统的概念,让消费者在实习期间为学生的学习做出真实的贡献:方法:在五个数据库中搜索了截至 2023 年 7 月(含 2023 年 7 月)的所有文章。所有对学生在实习期间的学习做出真实贡献进行描述和调查的出版物均被收录。将论文结果和讨论部分的数据转化为定性数据,并进行主题分析,以形成对消费者反馈系统的概念性理解:46篇论文符合资格标准。大多数文章来自医学(30%)和护理学(45%)教育领域。反馈系统的主要设计目的是利用各种标准化和非标准化方法对学生的交流和专业行为进行批评。针对消费者反馈系统的概念,提出了五个相互关联的主题。这些主题是:(1) 为每个利益相关者创造特定价值至关重要;(2) 需要做好细致入微的准备;(3) 当系统支持所有利益相关者时,消费者会参与并提供关键反馈;(4) 收集方法需要适应实践和学习的多样性;(5) 与值得信赖的导师一起处理反馈对学习至关重要:消费者、学者、实践教育者和学生都认识到,消费者在促进学生实践学习方面发挥着重要作用。未来的消费者反馈系统需要共同建立,以创建一个最佳模式,让消费者真实地、建设性地、安全地为学生的学习做出贡献:消费者和社区参与:一名消费者顾问是本评论所涉及的大型研究项目顾问小组的成员,并在项目的各个阶段为研究团队提供建议。语言简洁:在澳大利亚,职业治疗培训项目需要消费者的投入来帮助学生学习。然而,关于消费者如何帮助职业治疗专业学生进行实践培训的研究并不多。我们对现有的反馈系统进行了审查,以了解消费者如何在培训期间真正帮助学生。我们在五个数据库中搜索了截至 2023 年 7 月的研究。我们收录了有关消费者如何帮助所有健康专业学生在实训期间学习的研究。我们找到了 46 篇文章,大部分来自医学和护理教育领域。我们对这些文章进行了分析,以了解消费者反馈系统是如何工作的,并发现了五大主题:(1)确保每个参与其中的人都能从中获得价值;(2)做好准备很重要;(3)当系统支持每个参与其中的人时,消费者就会给出有用的反馈;(4)需要采用不同的方法,因为实践和学习各不相同;(5)与其他人讨论反馈有助于学生学习。目前的反馈系统主要关注学生如何进行专业交流和行为。消费者、教育者和学生都认为,消费者在帮助学生在实训中学习方面起着至关重要的作用。今后,我们需要共同努力,使反馈系统能够让消费者以最佳方式帮助学生,确保对每个人都具有建设性和安全性。
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引用次数: 0
Correction to “Enhancing occupational therapy service provision with military veterans through policy reform: Findings from a national survey” 更正 "通过政策改革加强为退伍军人提供职业治疗服务:全国调查的结果"。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2024-07-20 DOI: 10.1111/1440-1630.12983

McIntyre, K., McKinstry, C., Bailie, L., Daniell, R. & Clews, A. (2024). Enhancing occupational therapy service provision with military veterans through policy reform: Findings from a national survey. Australian Occupational Therapy Journal, 71(3), 369378. https://doi.org/10.1111/1440-1630.12929

The name of author ‘Laura Baillie’ has been misspelt. This should be corrected to ‘Laura Bailie’.

The online article has been corrected.

We apologise for this error.

McIntyre, K., McKinstry, C., Bailie, L., Daniell, R. & Clews, A. (2024)。 通过政策改革加强退伍军人职业治疗服务:一项全国性调查的结果。澳大利亚职业治疗期刊》,71(3),369-378。https://doi.org/10.1111/1440-1630.12929The 作者姓名 "Laura Baillie "拼写错误。在线文章已更正,我们对此错误深表歉意。
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引用次数: 0
期刊
Australian Occupational Therapy Journal
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