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How spirituality is understood in occupational therapy: A qualitative study 如何在职业治疗中理解精神:一项定性研究
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-03-13 DOI: 10.1111/1440-1630.70006
Heather So, Lynette Mackenzie, Chris Chapparo, Judy Ranka, Mary Ann McColl

Introduction

Since the inception of occupational therapy, spirituality has been a unique component of practice. However, much of the professional discourse on how to define spirituality has originated internationally. This study aimed to explore how Australian occupational therapists interpret and understand spirituality in their practice.

Methods

This study employed an interpretive phenomenological methodology and reflexive thematic analysis. Twenty-three individual interviews were conducted with Australian occupational therapists across various work and specialty contexts.

Consumer and community involvement

Because the participants in this study were occupational therapists, the research design did not include input from consumers or the community.

Findings

Three main themes emerged from this study: (i) definitions of spirituality were complex and often described a person's connection to meaning and purpose in life; (ii) human factors that supported addressing spirituality included therapist self-reflection and clinical experience, while therapist discomfort and specific client circumstances acted as barriers; and (iii) environmental factors that supported addressing spirituality included access to training and a supportive workplace, while barriers included cultural taboos, as well as time and funding limitations.

Conclusion

All occupational therapist participants acknowledged spirituality as the meaningful connection between one's inner self and the outer world, and for most participants, this included acknowledging the transcendent. Therapist skills that facilitated the integration of spirituality into practice included self-reflection and building rapport with clients, which therapists could control. However, factors like years of clinical experience were beyond their control. In terms of environmental factors, therapists could influence their access to spirituality training, but aspects like a supportive work environment were often outside their influence. Additionally, many therapists reported feeling uncomfortable discussing spirituality within what they considered to be a culturally closed local context. To help overcome these challenges, the occupational therapy profession could benefit from developing culturally sensitive spirituality resources, research, and

自从职业治疗开始以来,精神一直是实践的一个独特组成部分。然而,许多关于如何定义灵性的专业论述起源于国际。本研究旨在探讨澳大利亚职业治疗师如何在他们的实践中解释和理解灵性。方法采用解释性现象学方法和反身性主题分析。在不同的工作和专业背景下,对澳大利亚职业治疗师进行了23次个人访谈。由于本研究的参与者是职业治疗师,因此研究设计不包括消费者或社区的意见。本研究得出了三个主要主题:(1)灵性的定义很复杂,通常描述的是一个人与生活意义和目的的联系;(ii)支持解决灵性问题的人为因素包括治疗师的自我反思和临床经验,而治疗师的不适和特定的客户环境则是障碍;(三)支持解决精神问题的环境因素包括获得培训和支持性工作场所,而障碍包括文化禁忌以及时间和资金限制。所有的职业治疗师参与者都承认精神是一个人内在自我和外部世界之间有意义的联系,对大多数参与者来说,这包括承认超验。治疗师的技能促进了灵性融入实践,包括自我反思和与客户建立融洽的关系,治疗师可以控制。然而,多年的临床经验等因素超出了他们的控制范围。就环境因素而言,治疗师可以影响他们获得精神训练的机会,但支持性工作环境等方面通常不在他们的影响范围之内。此外,许多治疗师报告说,在他们认为文化封闭的当地环境中讨论灵性感到不舒服。为了帮助克服这些挑战,职业治疗专业可以从开发具有文化敏感性的灵性资源、研究和培训中受益。精神一直是职业治疗的一部分,但关于它的讨论大多来自其他国家。这项研究着眼于澳大利亚职业治疗师如何看待灵性。我们采访了23名从事不同职业的职业治疗师。他们都同意灵性是将一个人的内在自我与世界联系起来。虽然治疗师可以控制自我反思和与客户建立关系等事情,但他们多年的临床经验却不在他们的控制范围之内。同样地,他们也许能够寻求进一步的教育,但支持性的工作环境往往不在他们的掌握之中。许多治疗师在不被公开接受的工作场所讨论灵性也感到不舒服。为了面对这些挑战,这个行业可能需要更多的资源、研究和灵性实践方面的培训。
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引用次数: 0
Use of sensory processing information in the diagnosis of autism spectrum disorder and attention deficit hyperactivity disorder in children at an Australian community hospital 感觉加工信息在澳大利亚一家社区医院儿童自闭症谱系障碍和注意缺陷多动障碍诊断中的应用
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-03-13 DOI: 10.1111/1440-1630.70007
Annabelle Marozza, Karen Hay, Thuy Frakking
<div> <section> <h3> Introduction</h3> <p>The provision of sensory processing information is one aspect of occupational therapy involvement in diagnostic assessment for autism spectrum disorder and attention deficit hyperactivity disorder. The aim of this study was to retrospectively compare SHORT Sensory Profile 2 results of children with suspected diagnoses and assess the discriminatory ability of modified scales of SHORT Sensory Profile 2 to identify diagnostic criteria.</p> </section> <section> <h3> Method</h3> <p>This study involved a retrospective chart audit of SHORT Sensory Profile 2 results and paediatrician letter of diagnosis (<i>N</i> = 92) for children aged 6–13 years who had multidisciplinary diagnostic assessment through outpatient paediatric service.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumers participated in the study design or analysis. Study involved retrospective analysis of de-identified results from caregiver assessments.</p> </section> <section> <h3> Results</h3> <p>Forty nine per cent of children in study sample had confirmed diagnosis of attention deficit hyperactivity disorder, and 26% had diagnosis of autism spectrum disorder. Average percentage scores for both behavioural and sensory components of the SHORT Sensory Profile 2 were highest amongst children with a diagnosis of autism spectrum disorder, as well as higher classification for avoiding and seeking quadrants. In relation to modified scales, Cronbach's alpha indicated high internal consistency for inattention (0.84) and social communication and interaction (0.86). Based on the ROC analyses, the discriminatory ability when all the modified scales are used in combination ranged from poor (original four quadrants to distinguish ADHD vs no diagnosis: AUC = 0.59) to good (ASD vs ADHD; AUC = 0.82; ASD vs no diagnosis (AUC = 0.81).</p> </section> <section> <h3> Conclusion</h3> <p>Results of this study highlight the need for more rigorous investigation for validation of modified scales and consensus within occupational therapy and multidisciplinary team in relation to reporting of sensory processing information and contribution to diagnostic criteria.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>Many children with attentional difficulties or autism require information from occupational therapists about their sensor
提供感觉加工信息是职业治疗参与自闭症谱系障碍和注意缺陷多动障碍诊断评估的一个方面。本研究的目的是回顾性比较疑似诊断的儿童短感觉谱2的结果,并评估短感觉谱2修改量表的区分能力,以确定诊断标准。方法回顾性分析92例6 ~ 13岁儿童在门诊接受多学科诊断评估的SHORT Sensory Profile 2结果和儿科医生诊断信。消费者与社区参与没有消费者参与研究设计或分析。研究涉及对护理人员评估的去识别结果进行回顾性分析。结果49%的儿童确诊为注意缺陷多动障碍,26%的儿童确诊为自闭症谱系障碍。在被诊断为自闭症谱系障碍的儿童中,行为部分和感觉部分的平均百分比得分最高,在躲避和寻求象限方面的分类也较高。相对于修改后的量表,Cronbach’s alpha在注意力不集中(0.84)和社会沟通与互动(0.86)方面具有较高的内部一致性。根据ROC分析,当所有修改的量表组合使用时,区分能力从差(区分ADHD与未诊断的原始四个象限:AUC = 0.59)到好(ASD与ADHD;auc = 0.82;ASD vs无诊断(AUC = 0.81)。结论:本研究的结果强调需要更严格的调查来验证修改的量表,并在职业治疗和多学科团队中达成共识,以报告感觉加工信息和对诊断标准的贡献。许多有注意力困难或自闭症的儿童需要从职业治疗师那里获得关于他们的感官问题的信息,以帮助他们了解和识别他们关注的行为。这项研究着眼于感官处理筛选工具如何识别与儿童注意力困难和自闭症相关的特征。本文回顾了某社区医院78例儿童病历。本研究表明,来自感官加工筛选工具的信息与注意力和社会交往特征有关。临床医生可以考虑将来自感觉处理筛选工具的信息与其他评估相结合,以帮助识别儿童的注意力困难和自闭症。
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引用次数: 0
Advancing occupational therapy scoping reviews: Recommendations to enhance quality and methodological rigour 推进职业治疗范围审查:提高质量和方法严谨性的建议
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-20 DOI: 10.1111/1440-1630.70003
Ted Brown, Louise Gustafsson, Carol McKinstry, Luke Robinson

Introduction

Scoping reviews are an increasingly popular methodological approach to collate evidence and synthesise knowledge in many fields including occupational therapy. However, many are published with potential methodological weaknesses. To address this issue, nine methodological recommendations that authors could adopt to improve the quality and rigour of published scoping reviews are proposed based on the authors' opinions and the published evidence.

Overview

It is suggested that when authors are completing a scoping review, they can consider completing one or more of the following methodological guidelines: (1) refer to the Levac et al.'s (2010) scoping review recommendations, the JBI Scoping Review Protocol, and the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist as methodological guides; (2) include grey literature as a standard component search strategy approach; (3) include thesis and dissertations as recognised sources of evidence; (4) apply a recognised research methodology critical appraisal/quality assessment tools and scales to evidence selected for inclusion in scoping reviews; (5) assign a level of evidence (LoE) framework to the selected evidence; (6) apply a recognised qualitative knowledge syntheses approach to the data extracted; (7) report the steps taken to ensure the trustworthiness of the qualitative knowledge synthesis approach used; (8) include consumer, stakeholder and community consultation; and (9) apply a scoping review-specific critical appraisal/quality assessment tool as a quality assurance activity. The authors are not proposing that the nine recommendations are mandatory, but instead they are methodological guidelines that scoping review authors can incorporate if they choose.

Consumer and Community Involvement

Consumers and community members were not involved in the writing of the manuscript.

Conclusion

Adopting the suggested methodological recommendations as a regular part of completing occupational therapy-related scoping reviews will increase their quality, precision, and rigour.

在包括职业治疗在内的许多领域,范围评估是一种越来越流行的方法方法,用于整理证据和综合知识。然而,许多发表的论文在方法上存在潜在的弱点。为了解决这一问题,本文根据作者的观点和已发表的证据,提出了作者可以采用的九种方法建议,以提高已发表的范围评价的质量和严谨性。建议作者在完成范围审查时,可以考虑完成以下一项或多项方法指南:(1)参考Levac等人(2010)的范围审查建议、JBI范围审查方案和PRISMA范围审查扩展(PRISMA- scr)清单作为方法指南;(2)将灰色文献作为标准成分搜索策略方法;(3)将论文和学位论文作为公认的证据来源;(4)采用公认的研究方法,关键的评估/质量评估工具和尺度,选择证据纳入范围审查;(5)为选定的证据指定证据级别(LoE)框架;(6)对提取的数据应用公认的定性知识综合方法;(7)报告为确保所使用的定性知识综合方法的可信度而采取的步骤;(8)包括消费者、利益相关者和社区咨询;(9)应用范围审查特定的关键评估/质量评估工具作为质量保证活动。作者并没有提出这9条建议是强制性的,相反,它们是方法学上的指导方针,如果范围评估作者选择的话,可以纳入其中。消费者和社区的参与消费者和社区成员没有参与手稿的撰写。结论:将建议的方法学建议作为完成职业治疗相关范围评估的常规部分,将提高其质量、准确性和严谨性。
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引用次数: 0
Correction to ‘A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders’ 对“神经认知障碍老年人日常生活活动评估问卷心理测量特性的系统回顾”的修正
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-17 DOI: 10.1111/1440-1630.70004

Osman, A., Radman, D., Belchior, P., & Gélinas, I. (2025). A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders. Australian Occupational Therapy Journal, 72(1), e13013. https://doi.org/10.1111/1440-1630.13013

There is an error in the author order ‘Alia Osman, Dennis Radman, Patricia Belchior, Isabelle Gélinas’. It should be ‘Alia Osman, Patricia Belchior, Dennis Radman, Isabelle Gélinas’.

We apologise for this error.

Osman, A., Radman, D., Belchior, P., &;(2025)。对老年神经认知障碍患者日常生活活动评估问卷心理测量特性的系统回顾。中国心理医学杂志,2014(1),344 - 344。https://doi.org/10.1111/1440-1630.13013作者的顺序“Alia Osman, Dennis Radman, Patricia Belchior, Isabelle g linas”中有一个错误。应该是“Alia Osman, Patricia Belchior, Dennis Radman, Isabelle g linas”。我们为这个错误道歉。
{"title":"Correction to ‘A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders’","authors":"","doi":"10.1111/1440-1630.70004","DOIUrl":"https://doi.org/10.1111/1440-1630.70004","url":null,"abstract":"<p>\u0000 <span>Osman, A.</span>, <span>Radman, D.</span>, <span>Belchior, P.</span>, &amp; <span>Gélinas, I.</span> (<span>2025</span>). <span>A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders</span>. <i>Australian Occupational Therapy Journal</i>, <span>72</span>(<span>1</span>), e13013. https://doi.org/10.1111/1440-1630.13013\u0000 </p><p>There is an error in the author order ‘Alia Osman, Dennis Radman, Patricia Belchior, Isabelle Gélinas’. It should be ‘Alia Osman, Patricia Belchior, Dennis Radman, Isabelle Gélinas’.</p><p>We apologise for this error.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424282","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}
引用次数: 0
Assessment of older adults' decision-making capacity for independent living: Findings from a nominal group technique meeting in Ireland 评估老年人独立生活的决策能力:来自爱尔兰名义小组技术会议的结果
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-16 DOI: 10.1111/1440-1630.70005
Ruth Usher, Tadhg Stapleton
<div> <section> <h3> Introduction</h3> <p>Occupational therapists are one of the nominated professions who can assess decision- making capacity in according to recent Irish legislation. However, the process of implementing this legislation into practice remains unclear for therapists. The aim of this study was to form a consensus on recommended procedures for occupational therapists when assessing older adults' decision-making capacity for independent living.</p> </section> <section> <h3> Methods</h3> <p>A nominal group technique was employed to identify and rank critical dimensions of capacity assessment. Twenty occupational therapists from a range of Irish practice settings participated in a 1-day consensus meeting.</p> </section> <section> <h3> Results</h3> <p>Key triggers indicating the need for capacity assessment related to independent living were risk, reduced insight and conflicting stakeholder perspectives on older person's needs (strong consensus). Capacity assessment should consider observations of function, cognitive assessment, and home-based assessment (strong consensus). Strategies to maximise the older person's participation in the capacity assessment and enable occupational therapists to embed will and preference within the capacity assessment process were identified.</p> </section> <section> <h3> Conclusion</h3> <p>Findings represent a hierarchical organisation of key components to be considered in capacity assessment of independent living and highlight the role of occupational therapy in assessing and enhancing older adults' decision-making capacity.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumers/patients of occupational therapists were involved in the study.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>Many older people want to stay in their own homes for as long as they can. Occupational therapists assist the person to make this decision.</p> <p>This study looked at how occupational therapists in Ireland help older people make this decision. Twenty therapists agreed on the best way to check if someone can decide to live independently.</p> <p>Sometimes, tests are needed because of safety risks, confusion, or family disagreements. Therapists watch how people do daily tasks, test their thinking, and check their home
职业治疗师是一个提名的职业谁可以评估决策能力,根据最近的爱尔兰立法。然而,对治疗师来说,将这项立法付诸实践的过程仍不清楚。本研究的目的是就职业治疗师评估老年人独立生活决策能力的推荐程序达成共识。方法采用名义群法对能力评估的关键维度进行识别和排序。二十名职业治疗师从一系列的爱尔兰实践设置参加了为期一天的共识会议。结果表明需要进行独立生活能力评估的关键触发因素是风险、洞察力下降和利益相关者对老年人需求的冲突观点(强共识)。能力评估应考虑功能观察、认知评估和家庭评估(强烈共识)。确定了使老年人最大限度地参与能力评估并使职业治疗师能够将意愿和偏好嵌入能力评估过程的策略。结论研究结果反映了独立生活能力评估中需要考虑的关键组成部分的分层组织,并强调了职业治疗在评估和提高老年人决策能力方面的作用。消费者和社区参与没有职业治疗师的消费者/病人参与本研究。许多老年人希望尽可能长时间地呆在自己家里。职业治疗师帮助患者做出这个决定。这项研究观察了爱尔兰的职业治疗师如何帮助老年人做出这个决定。20位治疗师就检查某人是否能决定独立生活的最佳方法达成了一致。有时,由于安全风险、混乱或家庭分歧,测试是必要的。治疗师观察人们如何完成日常任务,测试他们的思维,并检查他们的家以帮助他们做出决定。该研究还提出了确保老年人参与这些决策的方法。
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引用次数: 0
The effects of crafts-based interventions on mental health and well-being: A systematic review 手工艺干预对心理健康和福祉的影响:一项系统综述
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-16 DOI: 10.1111/1440-1630.70001
Elise Bromann Bukhave, Jennifer Creek, Anne Kirketerp Linstad, Tove Faber Frandsen

Introduction

A recent upsurge of interest in the health benefits of crafts for mental health and well-being has not been supported by systematic reviews of the effectiveness of crafts-based interventions, prior to this review.

Methods

Five databases were searched: Scopus, CINAHL (EBSCO), APA PsycInfo (EBSCO), Eric (EBSCO), and ProQuest Dissertations and Theses. No date limitations were applied. The search was carried out in January 2024 and supplemented by citation searches in June 2024.

Results

The initial search yielded 14,115 papers; the citation search produced 226 additional references. Nineteen studies in total met the inclusion criteria.

Across the 19 studies, there is a wide variety of research designs and a range of crafts used as media for therapy. Interventions were delivered or supervised by either art therapists, nurses, or occupational therapists. Only nine studies report the theoretical basis for the intervention. Treatment duration varies from 10 min to 16 weeks.

Quality assessment revealed the quality of the studies varies considerably, with some studies of high-quality and many suffering from methodological weaknesses. Common issues relating to risk of bias include failure to blind assessors; incomplete data and lack of clarity about how the intervention was administered.

All the studies report short-term improvements in the outcomes measured, which include anxiety, stress, depression, interest in life, self-efficacy, social skills, sociability, mood, well-being, self-esteem, life satisfaction, health-related quality of life, and hopelessness.

Due to the wide variation in interventions, research designs, outcomes, outcome measures, and research quality, it is difficult to draw firm conclusions about the effectiveness of crafts-based interventions.

Conclusion

There is some evidence that crafts-based interventions may benefit mental health and well-being, but more high-quality research is needed, including on the mechanisms through which crafts-based interventions operate.

Consumer and community involvement

No consumer or community involvement.

最近对手工艺对心理健康和福祉的健康益处的兴趣高涨,但在本综述之前,对基于手工艺的干预措施有效性的系统综述并未支持这一观点。方法检索Scopus、CINAHL (EBSCO)、APA PsycInfo (EBSCO)、Eric (EBSCO)和ProQuest disserds and Theses 5个数据库。没有日期限制。检索于2024年1月进行,并于2024年6月补充了引文检索。结果初步检索到14115篇论文;引文搜索产生了226个额外的参考文献。总共有19项研究符合纳入标准。在这19项研究中,有各种各样的研究设计和一系列的工艺被用作治疗的媒介。干预措施由艺术治疗师、护士或职业治疗师提供或监督。只有9项研究报告了干预的理论基础。治疗时间从10分钟到16周不等。质量评估显示,研究的质量参差不齐,有些研究质量高,而许多研究在方法上存在缺陷。与偏倚风险相关的常见问题包括没有盲评者;关于如何实施干预的数据不完整和缺乏明确性。所有的研究都报告了测量结果的短期改善,包括焦虑、压力、抑郁、对生活的兴趣、自我效能、社交技能、社交能力、情绪、幸福感、自尊、生活满意度、与健康相关的生活质量和绝望。由于干预措施、研究设计、结果、结果测量和研究质量的差异很大,很难对基于工艺的干预措施的有效性得出明确的结论。有一些证据表明,基于手工艺的干预措施可能有益于心理健康和福祉,但需要更多高质量的研究,包括基于手工艺的干预措施的运作机制。消费者和社区参与没有消费者或社区参与。媒体报道称,做手工可以改善心理健康。手工艺品,例如,编织,缝纫和陶器。治疗师多年来一直使用工艺品来治疗精神疾病。然而,没有强有力的证据表明这些治疗方法对客户有效或物有所值。本文综述了工艺处理的效果。该综述发现了19项研究,这些研究着眼于人们在做手工后是否感觉更好。参与者包括有各种身体、精神和社会问题的男性和女性。这些问题包括精神障碍、骨关节炎、癫痫和痴呆。陶器、刺绣、编织、纸工艺和木制品都被使用。有些人只做10分钟的手工,而另一些人则在几周内做了几次。所有19项研究都表明,治疗后情绪和生活满意度有所改善。但是,只有一项研究检查了这些改善是否在几周后持续。看到人们在做手工后感觉好多了,真是令人鼓舞。但是,这19项研究加在一起并不能证明这些好处能长期持续。需要更多的研究来得到更清晰的答案。
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引用次数: 0
Influence of personalised citizen assistance for social participation (APIC) on health, social participation, and life satisfaction: Perspectives from older adults and attendants 个性化公民社会参与援助(APIC)对健康、社会参与和生活满意度的影响:来自老年人和服务员的视角
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-13 DOI: 10.1111/1440-1630.70000
Janie Gobeil, Marie-France Dubois, Mélanie Levasseur

Introduction

The personalised citizen assistance for social participation (APIC) is promising to foster health and social participation of older adults with disabilities, especially when working in collaboration with occupational therapists. When implemented by community organisations, little is known about the influence of APIC on older adults, including perspectives of older adults and attendants. This study aimed to explore the short-term influence of APIC on physical and mental health, social participation, and life satisfaction of older adults with disabilities by considering the perspectives of older adults and their attendant.

Methods

A mixed methods study was carried out by a team, including two occupational therapists. Twelve attendants were interviewed, and 12 older adults completed questionnaires about their health, social participation, and life satisfaction before and after the APIC.

Results

Improvements in mental health, social participation, and life satisfaction were found. The influence of APIC was generally more subtle than expected and greatly affected by older adults' personal and environmental factors.

Consumer and community involvement

This study was possible because of the collaboration between researchers, health-care professionals, community organisations, volunteers, and older adults.

Conclusion

The APIC might have a limited influence on the physical health of older adults with disabilities. Future studies examining the effects of this intervention on different levels of disabilities are recommended to target the best suited population.

PLAIN LANGUAGE SUMMARY

The personalised citizen assistance for social participation (APIC) is a 12-month intervention in which an older adult with disabilities (i.e., having difficulty to perform daily activities) meets weekly with a volunteer to experiment social activities. Although promising, little is known about the influence of APIC on older adults. This study explores the influence of APIC on the health, social participation (i.e., involvement in activities that provide interactions with others), and life satisfaction of older adults with disabilities. The perspective

个性化公民社会参与援助(APIC)有望促进残疾老年人的健康和社会参与,特别是在与职业治疗师合作时。当由社区组织实施时,APIC对老年人的影响知之甚少,包括老年人和服务员的观点。本研究旨在探讨APIC对残疾老年人身心健康、社会参与和生活满意度的短期影响。方法由两名职业治疗师组成的研究小组采用混合方法进行研究。对12名参与者进行了访谈,并对12名老年人在APIC前后的健康、社会参与和生活满意度进行了问卷调查。结果心理健康、社会参与和生活满意度均有改善。APIC的影响通常比预期的更为微妙,受老年人个人因素和环境因素的影响较大。由于研究人员、卫生保健专业人员、社区组织、志愿者和老年人之间的合作,这项研究成为可能。结论APIC对老年残疾患者的身体健康影响有限。未来的研究将检查这种干预对不同程度残疾的影响,建议以最适合的人群为目标。社会参与的个性化公民援助(APIC)是一项为期12个月的干预措施,其中一名有残疾的老年人(即难以进行日常活动)每周与一名志愿者会面,进行社会活动实验。虽然很有希望,但对于APIC对老年人的影响知之甚少。本研究探讨APIC对残疾老年人健康、社会参与(即参与与他人互动的活动)和生活满意度的影响。考虑了12名老年人和12名志愿者的观点。观察到老年人的心理健康、社会参与和生活满意度的改善,但APIC的影响很大程度上受到其他因素的影响,如他们的身体能力和居住地。APIC似乎对残疾老年人的身体健康影响有限。
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引用次数: 0
Content validity of the Handwriting Assessment Battery (HAB-v6) for use with adults with acquired brain injury (ABI): An international Delphi study 用于成人获得性脑损伤(ABI)的书写评估手册(HAB-v6)的内容效度:一项国际德尔菲研究
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-03 DOI: 10.1111/1440-1630.13012
Christiana D'Cunha, Lauren J. Christie, Annie McCluskey, Liana S. Cahill

Introduction

Occupational therapists are responsible for assessing adult handwriting following stroke and other acquired brain injuries. The Handwriting Assessment Battery (HAB) was developed for use as a diagnostic assessment tool and outcome measure. The current study aimed to investigate the content validity of version six of the Handwriting Assessment Battery (HAB-v6).

Methods

A three round, online-Delphi study was conducted with an international group of expert clinicians and academics experienced in adult handwriting assessment and/or retraining. In round one, participants rated the importance of HAB-v6 domains and the six subtests and recommended modifications to administration and/or scoring procedures. In rounds two and three, participants were re-presented with several HAB-v6 domains where consensus was not reached and rated the importance of suggested modifications from round one. Quantitative data were analysed using descriptive statistics. Qualitative data were analysed using content analysis.

Consumer and Community Involvement

Consumers and community members were not involved in this study.

Results

Fifteen participants from the United States of America, the United Kingdom, Canada, Israel, and Australia completed round one of the Delphi, 11 participants completed round two, and 15 participants completed round three. In round one, high consensus (>70% participant agreement) was achieved regarding the importance of 5/6 subtests of the HAB-v6; suggestions were made to modify three subtests and add new subtests. In round two, high consensus (>70% agreement) was achieved on three proposed revisions: adding two subtests and modifying instructions for the copying subtest. In round three, low consensus regarding inclusion of the dots drawing subtest remained.

Conclusion

Based on the Delphi process, the content of five of six subtests of the HAB-v6 are valid for use by occupational therapists and others to measure adult handwriting performance, with the exception of the dots subtest, where consensus was not reached.

职业治疗师负责评估中风和其他获得性脑损伤后的成人笔迹。笔迹评估组(HAB)被开发用作诊断评估工具和结果测量。本研究旨在探讨笔迹评估手册(HAB-v6)第六版的内容效度。方法采用三轮在线德尔菲研究,由一组在成人笔迹评估和/或再培训方面经验丰富的国际临床专家和学者组成。在第一轮中,参与者评估了HAB-v6域和六个子测试的重要性,并建议修改管理和/或评分程序。在第二轮和第三轮中,参与者被重新呈现了几个没有达成共识的HAB-v6领域,并对第一轮建议修改的重要性进行了评级。定量资料采用描述性统计进行分析。定性资料采用内容分析法进行分析。消费者与社区参与消费者与社区成员未参与本研究。结果来自美国、英国、加拿大、以色列和澳大利亚的15名参与者完成了第一轮德尔菲,11名参与者完成了第二轮,15名参与者完成了第三轮。在第一轮中,对于HAB-v6的5/6个子测试的重要性达成了高度共识(70%的参与者同意);建议修改三个子测试并增加新的子测试。在第二轮中,在三个提议的修订上达成了高度一致(70%的同意):添加两个子测试和修改复制子测试的指令。在第三轮中,关于包含点绘制子测试的低共识仍然存在。结论基于德尔菲过程,HAB-v6的六个子测试中的五个子测试的内容可用于职业治疗师和其他人测量成人书写表现,除了点子测试,在这方面尚未达成共识。
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引用次数: 0
A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders 对老年神经认知障碍患者日常生活活动评估问卷心理测量特性的系统回顾。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-23 DOI: 10.1111/1440-1630.13013
Alia Osman, Dennis Radman, Patricia Belchior, Isabelle Gélinas
<div> <section> <h3> Introduction</h3> <p>Mild cognitive impairment (MCI) and Alzheimer's disease (AD) lead to decline in performance in activities of daily living (ADLs). Multiple questionnaires assess this construct among older adults. The objective of this study was to review existing literature studying psychometric properties of questionnaires assessing performance in ADLs of older adults living with MCI and AD specifically.</p> </section> <section> <h3> Methods</h3> <p>A systematic review was conducted across Medline, CINAHL and PsychINFO using a combination of keywords related to ADLs, psychometrics, MCI and AD. Studies were included if they met the following criteria: assessments of performance of ADLs for older adults living with AD or MCI, reporting a minimum of one measurement property (e.g. internal consistency), primary research articles, published before June 2023 in English or French. Data extraction and analysis were conducted by two researchers. The methodological quality of psychometric properties was assessed using the COSMIN checklist.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumer or community involvement occurred.</p> </section> <section> <h3> Results</h3> <p>A total of 2539 articles were screened and filtered down to 50 articles including 24 questionnaires respecting inclusion criteria. Of these questionnaires, the three most validated were the Amsterdam Instrumental activities of daily living, the disability assessment for dementia (DAD), and the Bayer ADL scale. Overall, for these three questionnaires, internal consistency, reliability and structural validity were the most studied psychometric properties while criterion validity and hypothesis testing were the least.</p> </section> <section> <h3> Conclusion</h3> <p>This study reveals the Amsterdam IADLs as the most validated questionnaire across psychometric properties and the DAD as the most validated across languages. Considering the increasing prevalence of older adults with MCI or AD, questionnaires established on strong measurement properties are valuable tools to evaluate decline in ADL performance and plan suitable interventions. This review provides evidence for clinicians and researchers for the selection of questionnaires to evaluate this population.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>Cognitive impair
轻度认知障碍(MCI)和阿尔茨海默病(AD)导致日常生活活动(adl)表现下降。多份调查问卷评估了老年人的这种结构。本研究的目的是回顾现有文献对MCI和AD老年人adl表现评估问卷的心理测量特性的研究。方法:结合ADLs、心理测量学、MCI和AD相关的关键词,对Medline、CINAHL和PsychINFO进行系统综述。符合以下标准的研究被纳入:对患有AD或MCI的老年人的adl表现进行评估,报告至少一项测量属性(例如内部一致性),主要研究文章,在2023年6月之前以英语或法语发表。数据的提取和分析由两位研究者进行。使用COSMIN检查表评估心理测量属性的方法学质量。消费者和社区参与:没有发生消费者或社区参与。结果:共筛选2539篇文献,筛选到50篇,包括24份符合纳入标准的问卷。在这些问卷中,三个最有效的是阿姆斯特丹日常生活工具活动,痴呆的残疾评估(DAD)和拜耳ADL量表。总体而言,这三份问卷的心理测量特征中,内部一致性、信度和结构效度研究最多,而标准效度和假设检验研究最少。结论:本研究揭示了阿姆斯特丹IADLs是最有效的心理测量性质问卷,而DAD是最有效的跨语言问卷。考虑到老年人MCI或AD患病率的增加,基于强大测量特性的问卷是评估ADL表现下降和计划适当干预的有价值的工具。本综述为临床医生和研究人员选择问卷来评估这一人群提供了证据。简单的语言总结:认知障碍影响记忆和思维。它使穿衣、洗澡和吃饭等任务变得更加困难。卫生保健工作者使用调查问卷来找出人们在哪里挣扎。这有助于他们计划更好的护理。我们回顾了有记忆和思维问题的老年人的调查问卷。我们找到了能提供重要信息的好网站。使用这些问卷有助于保健工作者在日常工作中为人们提供支持。这项研究建议对问卷进行更多的测试以改进它们。
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引用次数: 0
‘Occupational experience’ in occupational therapy and occupational science literature: A scoping review 职业治疗和职业科学文献中的“职业经验”:范围综述。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-22 DOI: 10.1111/1440-1630.13011
Jennifer Budman, Shahar Zaguri-Vittenberg
<div> <section> <h3> Introduction</h3> <p>‘Occupational experience’ (OE) is widely used within the occupational therapy profession. However, it lacks a clear and unified definition in the profession's consensus practice frameworks and seminal models. Therefore, this study aimed to examine how OE has been defined and described in both occupational therapy and occupational science literature.</p> </section> <section> <h3> Methods</h3> <p>A scoping review was performed, with a search conducted in ProQuest, PsycINFO, EMBASE, PubMed, Academic Research Premier, Scopus and Web of Science. The search strategy included a combination of the terms ‘occupational experience’ and either ‘occupational therapy’ or ‘occupational science’. Inclusion criteria consisted of research articles in English that included OE as one of the central foci. Articles were chosen by the research team in collaboration with a medical librarian.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumer and community involvement was included in this study.</p> </section> <section> <h3> Results</h3> <p>Seventy-three articles were included, mostly investigating OE in a targeted group or a specific aspect of experience, primarily among Western high-income-countries. Only 14 articles provided definitions of OE, with the most frequent being ‘subjective dimension of occupation/participation’. Six themes emerged: (1) OE as a subjective component of occupation, (2) OE consisting of interrelated experiential facets, (3) OE in relation to meaning, (4) OE in relation to self-identity, (5) OE in relation to context and environment and (6) OE in relation to health outcomes.</p> </section> <section> <h3> Conclusions</h3> <p>The results point to largely incongruous definitions and descriptions of OE in the literature.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>This study looked at how “occupational experience” (OE) is described in occupational therapy and occupational science. We reviewed 73 research articles. Most of these articles focused on OE in specific groups, like asylum seekers, or on types of experiences, like the feeling of “flow.” Most of the research was done in Western countries. The most common definition of OE was “a person's experience of doing an activity.” We also found six main ideas about OE. These show that OE is personal, can include
引言:“职业经验”(OE)在职业治疗专业中被广泛使用。然而,在行业的共识实践框架和开创性模型中,它缺乏明确和统一的定义。因此,本研究旨在探讨在职业治疗和职业科学文献中如何定义和描述OE。方法:在ProQuest, PsycINFO, EMBASE, PubMed, Academic Research Premier, Scopus和Web of Science中进行检索,进行范围综述。搜索策略包括术语“职业经验”和“职业治疗”或“职业科学”的组合。纳入标准包括以OE为中心焦点的英文研究文章。文章是由研究小组与医学图书管理员合作选择的。消费者和社区参与:本研究不包括消费者和社区参与。结果:纳入了73篇文章,主要调查了目标群体的OE或经验的特定方面,主要是西方高收入国家。只有14篇文章提供了OE的定义,其中最常见的是“职业/参与的主观维度”。出现了六个主题:(1)作为职业主观组成部分的OE,(2)由相互关联的经验方面组成的OE,(3)与意义有关的OE,(4)与自我认同有关的OE,(5)与背景和环境有关的OE,以及(6)与健康结果有关的OE。结论:研究结果指出,文献中OE的定义和描述在很大程度上是不一致的。简明扼要:本研究着眼于职业治疗和职业科学中如何描述“职业经验”(OE)。我们回顾了73篇研究论文。这些文章大多关注特定群体的OE,如寻求庇护者,或体验类型,如“心流”的感觉。大多数研究都是在西方国家进行的。OE最常见的定义是“一个人从事某项活动的经历”。我们还发现了关于OE的六个主要观点。这些研究表明,OE是个人化的,可以同时包含多种体验,与个人身份和环境有关,并影响健康。
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Australian Occupational Therapy Journal
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