: In Jordan, situated to the south of Syria, some 671,919 Syrians are registered as refugees with the UNHCR. Twenty-eight percent of the refugees have some kind of disorder. However, there are no studies regarding the Recognition and Intervention of Rehabilitation Professionals Handling the Health Conditions of Syrian Refugees with Disabilities (Person with Disabilities: PWDs) in Jordan. Therefore, the purpose of this study was to understand the challenges experienced by rehabilitation professionals who were providing rehabilitation services to Syrian refugee with disabili ties through semi-structured interviews. The subjects of the study were Fifteen participants. Constant comparative analyses method was performed to assess them. As a result, the recognition and intervention of rehabilitation professionals who work with PWDs in Jordan were categorized under four main themes: 【 Deterioration of PWDs’ health conditions 】 , 【 Lack of rehabilitation programs 】 , 【 Difficulties in continuously providing rehabilitation to PWDs in urban areas 】 , and 【 Forthcoming challenges facing rehabilitation programs by community-based organizations 】 . The study identified that rehabilitation professionals provided outpatient rehabilitation, home-visit rehabilitation and provision orthosis to PWDs. They also recognized the difficulties PWDs faced in accessing health care due to poverty, the spread of disuse syndrome, and the lack of caregivers in PWDs’ families. However, the prevention of disuse syndrome, the provision of nursing care methods, and the intervention of Activities of Daily Living (ADL) were not mentioned as future challenges. Therefore, it is essential that rehabilitation professionals conduct prevention of disuse syndrome, provide intervention for ADL.
{"title":"Recognition and Intervention of Rehabilitation Professionals Handling the Health Conditions of Syrian Refugees with Disabilities in Jordan","authors":"S. Yamamoto, Takuma Amari, H. Matsuo","doi":"10.11596/asiajot.16.11","DOIUrl":"https://doi.org/10.11596/asiajot.16.11","url":null,"abstract":": In Jordan, situated to the south of Syria, some 671,919 Syrians are registered as refugees with the UNHCR. Twenty-eight percent of the refugees have some kind of disorder. However, there are no studies regarding the Recognition and Intervention of Rehabilitation Professionals Handling the Health Conditions of Syrian Refugees with Disabilities (Person with Disabilities: PWDs) in Jordan. Therefore, the purpose of this study was to understand the challenges experienced by rehabilitation professionals who were providing rehabilitation services to Syrian refugee with disabili ties through semi-structured interviews. The subjects of the study were Fifteen participants. Constant comparative analyses method was performed to assess them. As a result, the recognition and intervention of rehabilitation professionals who work with PWDs in Jordan were categorized under four main themes: 【 Deterioration of PWDs’ health conditions 】 , 【 Lack of rehabilitation programs 】 , 【 Difficulties in continuously providing rehabilitation to PWDs in urban areas 】 , and 【 Forthcoming challenges facing rehabilitation programs by community-based organizations 】 . The study identified that rehabilitation professionals provided outpatient rehabilitation, home-visit rehabilitation and provision orthosis to PWDs. They also recognized the difficulties PWDs faced in accessing health care due to poverty, the spread of disuse syndrome, and the lack of caregivers in PWDs’ families. However, the prevention of disuse syndrome, the provision of nursing care methods, and the intervention of Activities of Daily Living (ADL) were not mentioned as future challenges. Therefore, it is essential that rehabilitation professionals conduct prevention of disuse syndrome, provide intervention for ADL.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/asiajot.16.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64521619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takeshi Shimada, Masayoshi Kobayashi, M. Ohori, Y. Inagaki, Yuko Shimooka, Ikuyo Ishihara
Objective: To evaluate the cost-effectiveness of adding individualized occupational therapy (IOT) to group occupational therapy (GOT) as standard care versus GOT alone for prevention of rehospitalization for patients with
{"title":"Cost-Effectiveness of Individualized Occupational Therapy for Schizophrenia: Results from a Two-Year Randomized Controlled Trial","authors":"Takeshi Shimada, Masayoshi Kobayashi, M. Ohori, Y. Inagaki, Yuko Shimooka, Ikuyo Ishihara","doi":"10.11596/asiajot.16.29","DOIUrl":"https://doi.org/10.11596/asiajot.16.29","url":null,"abstract":"Objective: To evaluate the cost-effectiveness of adding individualized occupational therapy (IOT) to group occupational therapy (GOT) as standard care versus GOT alone for prevention of rehospitalization for patients with","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64521728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takayuki Watabe, Hisayoshi Suzuki, Jun Nagashima, Shuichi Sasaki, N. Kawate
: Introduction: This study aimed to identify the usefulness of the dual-task stepping test to determine the independent toileting ability of patients with stroke. Method: Sixty-seven stroke in-patients who were able to perform stepping in a seated position were enrolled in the study and underwent the dual-task stepping test. The relationships of the test results with other assessments (Berg Balance Scale, Mini-Mental State Examination, and the Attentional Rating Scale) with toileting ability, and with factors affecting toileting ability were investigated by regression analysis. Results: Patients with low dual-task performance tended to have poorer balance, attentional, and cognitive abilities. The results of the dual-task stepping test and rates of independent toileting were distributed as follows: severe dual-task disability, 15.6% (5/32), mild dual-task disability, 64.7% (11/17); and normal dual-task ability, 94.4% (17/18). The dual-task stepping test results revealed a significant relationship between dual-task disability and toileting ability ( p < 0.01). Logistic regression analysis showed that the dual-task stepping test had the highest odds ratio for toileting ability ( p = 0.00; odds ratio, 14.50). Conclusion: The dual-task stepping test was useful for determining independent toileting ability. This assessment is rapid and does not require special equipment or infrastructure, and has the potential for wide application in clinical practice.
{"title":"Usefulness of the Dual-Task Stepping Test to Determine the Independent Toileting Ability of Patients with Stroke Who Could Perform Stepping in a Seated Position","authors":"Takayuki Watabe, Hisayoshi Suzuki, Jun Nagashima, Shuichi Sasaki, N. Kawate","doi":"10.11596/asiajot.16.55","DOIUrl":"https://doi.org/10.11596/asiajot.16.55","url":null,"abstract":": Introduction: This study aimed to identify the usefulness of the dual-task stepping test to determine the independent toileting ability of patients with stroke. Method: Sixty-seven stroke in-patients who were able to perform stepping in a seated position were enrolled in the study and underwent the dual-task stepping test. The relationships of the test results with other assessments (Berg Balance Scale, Mini-Mental State Examination, and the Attentional Rating Scale) with toileting ability, and with factors affecting toileting ability were investigated by regression analysis. Results: Patients with low dual-task performance tended to have poorer balance, attentional, and cognitive abilities. The results of the dual-task stepping test and rates of independent toileting were distributed as follows: severe dual-task disability, 15.6% (5/32), mild dual-task disability, 64.7% (11/17); and normal dual-task ability, 94.4% (17/18). The dual-task stepping test results revealed a significant relationship between dual-task disability and toileting ability ( p < 0.01). Logistic regression analysis showed that the dual-task stepping test had the highest odds ratio for toileting ability ( p = 0.00; odds ratio, 14.50). Conclusion: The dual-task stepping test was useful for determining independent toileting ability. This assessment is rapid and does not require special equipment or infrastructure, and has the potential for wide application in clinical practice.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64522155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is well known that children with autism spectrum disorder show handwriting difficulty. Although it is considered that not only cognitive but also motor impairments affect the difficulty, remarkably little is known about the motor characteristics of handwriting in autistic children. Therefore, the purpose of this study is to investigate: 1) peculiarities of hand and finger functions; and 2) characteristics of handwriting movement in preschool children with ASD during the chrysalis stage of handwriting. Participants were children with ASD and ageand partially IQ-matched controls. We conducted assessment of muscle strength, motor coordination, separate finger movement, dexterity, grasp posture and line drawing movement. We compared data between ASD and control groups. Significant differences were observed in repetitive hand tapping, pronation and supination, sequential finger tapping, finger lifting and pegboard. Considering components of handwriting, there seems to be no prominent difference between the two groups in grasp posture, although ASD showed poorer motor coordination on the drawing line task compared to that of controls. The present results also showed atypical characteristics of hand and finger motor functions and line drawing movement in ASD. These findings provide further insight into the motor aspects of handwriting and suggest investigating correlation between hand and finger functions, especially separate finger movement and manual dexterity and motor aspect of handwriting may be important to clarify effective bottom up training for acquisition of handwriting skills.
{"title":"Hand and Finger Functions and Characteristics of Line Drawing Movement in Preschool Children with Autism Spectrum Disorder: Preliminary Study","authors":"Kaori Yamaguchi, Misako Sano, R. Fukatsu","doi":"10.11596/asiajot.15.77","DOIUrl":"https://doi.org/10.11596/asiajot.15.77","url":null,"abstract":"It is well known that children with autism spectrum disorder show handwriting difficulty. Although it is considered that not only cognitive but also motor impairments affect the difficulty, remarkably little is known about the motor characteristics of handwriting in autistic children. Therefore, the purpose of this study is to investigate: 1) peculiarities of hand and finger functions; and 2) characteristics of handwriting movement in preschool children with ASD during the chrysalis stage of handwriting. Participants were children with ASD and ageand partially IQ-matched controls. We conducted assessment of muscle strength, motor coordination, separate finger movement, dexterity, grasp posture and line drawing movement. We compared data between ASD and control groups. Significant differences were observed in repetitive hand tapping, pronation and supination, sequential finger tapping, finger lifting and pegboard. Considering components of handwriting, there seems to be no prominent difference between the two groups in grasp posture, although ASD showed poorer motor coordination on the drawing line task compared to that of controls. The present results also showed atypical characteristics of hand and finger motor functions and line drawing movement in ASD. These findings provide further insight into the motor aspects of handwriting and suggest investigating correlation between hand and finger functions, especially separate finger movement and manual dexterity and motor aspect of handwriting may be important to clarify effective bottom up training for acquisition of handwriting skills.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64521111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takeshi Kodama, Yuji Nakamura, Sonomi Nakajima, Kamoshita Kenichi, Y. Sengoku
This study investigated the effects of seat cushion material during a reaching task. Ten healthy adults and three individuals with cerebral palsy participated. All subjects performed the reaching task on two urethane cushions and one silicone cushion. Anterior/posterior and medial/lateral displacement of the center of pressure and straight rate were assessed. In addition, the movement trajectory of the hand was recorded. No differences among seat cushions were observed in healthy adults. However, all of individuals with cerebral palsy were able to perform the task more efficiency while seated on the silicone cushion than the others. These findings suggest that seat cushion design may improve movement in individuals with cerebral palsy who have postural control disabilities.
{"title":"Effects of Seat Cushion Material on Center of Pressure and Movement Trajectory during a Reaching Task","authors":"Takeshi Kodama, Yuji Nakamura, Sonomi Nakajima, Kamoshita Kenichi, Y. Sengoku","doi":"10.11596/asiajot.15.85","DOIUrl":"https://doi.org/10.11596/asiajot.15.85","url":null,"abstract":"This study investigated the effects of seat cushion material during a reaching task. Ten healthy adults and three individuals with cerebral palsy participated. All subjects performed the reaching task on two urethane cushions and one silicone cushion. Anterior/posterior and medial/lateral displacement of the center of pressure and straight rate were assessed. In addition, the movement trajectory of the hand was recorded. No differences among seat cushions were observed in healthy adults. However, all of individuals with cerebral palsy were able to perform the task more efficiency while seated on the silicone cushion than the others. These findings suggest that seat cushion design may improve movement in individuals with cerebral palsy who have postural control disabilities.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64521325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Depression causes mothers to experience difficulties in child care and increases stress, which can influence the development of the child. Japan currently has insufficient support for mothers with depression. Objectives: We aimed to reveal the difficulties in child care and related factors of three Japanese mothers with depression by examining their narratives. Methods: A mixed method design was applied. We conducted in-depth, semi-structured interviews with mothers with depression and analyzed the data using both the grounded theory approach and text mining software (KH Coder). Results: As a result of focus coding, 11 focus codes were extracted. In addition, as a result of multi-dimensional scaling, two codes (“Physical burden caused by family and child care” and “The mother coping with difficulties by herself”) were in close proximity and formed a unit. Another two codes (“Anxiety over not having complete control over child care” and “One-sided coping methods”) were in close proximity, creating a second unit. Conclusion: This study suggested the following: 1) in spite of being aware of their excessive burden, mothers with depression believed that they should take care of their children by themselves; 2) because of the desire to be a perfect mother, mothers with depression tended to have extremes in their child care. We need further research based this result for the developing support systems.
{"title":"A Mixed Methods Study Exploring Difficulties in Child Care Among Japanese Mothers with Depression","authors":"Aiko Hoshino, M. Suwa","doi":"10.11596/ASIAJOT.15.45","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.45","url":null,"abstract":"Background: Depression causes mothers to experience difficulties in child care and increases stress, which can influence the development of the child. Japan currently has insufficient support for mothers with depression. Objectives: We aimed to reveal the difficulties in child care and related factors of three Japanese mothers with depression by examining their narratives. Methods: A mixed method design was applied. We conducted in-depth, semi-structured interviews with mothers with depression and analyzed the data using both the grounded theory approach and text mining software (KH Coder). Results: As a result of focus coding, 11 focus codes were extracted. In addition, as a result of multi-dimensional scaling, two codes (“Physical burden caused by family and child care” and “The mother coping with difficulties by herself”) were in close proximity and formed a unit. Another two codes (“Anxiety over not having complete control over child care” and “One-sided coping methods”) were in close proximity, creating a second unit. Conclusion: This study suggested the following: 1) in spite of being aware of their excessive burden, mothers with depression believed that they should take care of their children by themselves; 2) because of the desire to be a perfect mother, mothers with depression tended to have extremes in their child care. We need further research based this result for the developing support systems.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: The purpose of this study was to investigate the psychological effects on health-related quality of life (HRQOL) of postoperative range of motion of the shoulder joint and subjective symptoms in patients with breast cancer who underwent rehabilitation. Methods: In 79 patients with breast cancer surgery who underwent rehabilitation during hospitalization, we investigated temporal changes in the range of shoulder joint function (flexion of shoulder joint/abduction angle), postoperative subjective symptoms (surgical site pain, tightness, and anxiety regarding the disorder), and HRQOL scales (FACT-B and EQ-5D-5L) from before to 6 months after surgery and examined the factors relating to HRQOL. Results: The range of shoulder joint movement was significantly decreased even from pre-operation to 1 month after surgery, but subjective symptoms had significantly improved at 6 months after surgery. Multivariable regression analysis showed that postoperative feelings of anxiety felt at 1, 3, and 6 months after surgery were a significant variable influencing the FACT-B and EQ-5D-5L scales. The path coefficients of the standard partial regression coefficients of breast cancer patients at 6 months postoperatively by covariance structure analysis were 0.66 for the EQ-5D-5L effective value, 0.94 for FACT-B, 0.47 for shoulder joint function, and −0.64 for postoperative subjective symptoms as the latent variables of HRQOL. Conclusion: The results suggested the importance of interventions that focus on postoperative subjective symptoms to possibly improve not only patient function but also postoperative HRQOL.
{"title":"Influence of Shoulder Joint Function and Postoperative Subjective Symptoms on Health Related QOL of Breast Cancer Patients","authors":"T. Sano, R. Izumi, M. Ogawa, S. Noto","doi":"10.11596/ASIAJOT.15.1","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.1","url":null,"abstract":"Purpose: The purpose of this study was to investigate the psychological effects on health-related quality of life (HRQOL) of postoperative range of motion of the shoulder joint and subjective symptoms in patients with breast cancer who underwent rehabilitation. Methods: In 79 patients with breast cancer surgery who underwent rehabilitation during hospitalization, we investigated temporal changes in the range of shoulder joint function (flexion of shoulder joint/abduction angle), postoperative subjective symptoms (surgical site pain, tightness, and anxiety regarding the disorder), and HRQOL scales (FACT-B and EQ-5D-5L) from before to 6 months after surgery and examined the factors relating to HRQOL. Results: The range of shoulder joint movement was significantly decreased even from pre-operation to 1 month after surgery, but subjective symptoms had significantly improved at 6 months after surgery. Multivariable regression analysis showed that postoperative feelings of anxiety felt at 1, 3, and 6 months after surgery were a significant variable influencing the FACT-B and EQ-5D-5L scales. The path coefficients of the standard partial regression coefficients of breast cancer patients at 6 months postoperatively by covariance structure analysis were 0.66 for the EQ-5D-5L effective value, 0.94 for FACT-B, 0.47 for shoulder joint function, and −0.64 for postoperative subjective symptoms as the latent variables of HRQOL. Conclusion: The results suggested the importance of interventions that focus on postoperative subjective symptoms to possibly improve not only patient function but also postoperative HRQOL.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/ASIAJOT.15.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Kaneno, M. Ito, Naoto Kiguchi, A. Sato, Kazunori Akizuki, J. Yabuki, Y. Echizenya, S. Shibata
: Purpose: This study aimed to compare adjustability of grasping force (AGF) between people belonging to young and elderly age-groups. Methods: Twenty young people and 20 elderly people, with no previous pathology involving the hands and fingers, were included in the study, and an AGF assessment was performed for all the subjects using an iWakka. Subjects adjusted the grasping force according to the target value displayed on the monitor by opening or closing the iWakka. Results: The assessment of AGF was performed separately from that of the gripping force, and the latter was found to be comparable between the two groups. The mean AGF was found to be 8.9 ± 4.0 g and 7.6 ± 2.8 g for the dominant and the non-dominant hand, respectively, in the elderly group, as compared to the mean AGF for the dominant and the non-dominant hand of 4.4 ± 1.2 g and 4.4 ± 0.6 g, respectively estimated in the young age-group. A t-test conducted after controlling the disparate factors (sex, handedness, gripping force) between the subjects of the two groups, showed that there was a significant difference in AGF between the young and the elderly groups for both the dominant ( p = 0.03) and the non-dominant hand ( p = 0.02), indicating that the AGF of the elderly people was significantly lower than that of the young study-subjects. Conclusions: Our findings suggest that AGF decreases with aging and that it is necessary to assess AGF separately from the gripping force, to make a precise comparison.
{"title":"A Comparative Study of Adjustability of Grasping Force between Young People and Elderly Individuals","authors":"T. Kaneno, M. Ito, Naoto Kiguchi, A. Sato, Kazunori Akizuki, J. Yabuki, Y. Echizenya, S. Shibata","doi":"10.11596/asiajot.15.69","DOIUrl":"https://doi.org/10.11596/asiajot.15.69","url":null,"abstract":": Purpose: This study aimed to compare adjustability of grasping force (AGF) between people belonging to young and elderly age-groups. Methods: Twenty young people and 20 elderly people, with no previous pathology involving the hands and fingers, were included in the study, and an AGF assessment was performed for all the subjects using an iWakka. Subjects adjusted the grasping force according to the target value displayed on the monitor by opening or closing the iWakka. Results: The assessment of AGF was performed separately from that of the gripping force, and the latter was found to be comparable between the two groups. The mean AGF was found to be 8.9 ± 4.0 g and 7.6 ± 2.8 g for the dominant and the non-dominant hand, respectively, in the elderly group, as compared to the mean AGF for the dominant and the non-dominant hand of 4.4 ± 1.2 g and 4.4 ± 0.6 g, respectively estimated in the young age-group. A t-test conducted after controlling the disparate factors (sex, handedness, gripping force) between the subjects of the two groups, showed that there was a significant difference in AGF between the young and the elderly groups for both the dominant ( p = 0.03) and the non-dominant hand ( p = 0.02), indicating that the AGF of the elderly people was significantly lower than that of the young study-subjects. Conclusions: Our findings suggest that AGF decreases with aging and that it is necessary to assess AGF separately from the gripping force, to make a precise comparison.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Few reports describe interventions combining the Canadian Occupational Performance Measure (COPM) with cognitive behavioral therapy (CBT) although both are important in enabling occupation for a client with depression. We outline the therapy process conducted by an occupational therapist combining the COPM with CBT to enable occupation for a client with depression. Methods: A single-system research design was implemented. The intervention was based on behavioral activation, and the cognitive restructuring was divided into three phases: baseline (Phase I), intervention 1 (Phase II), and intervention 2 (Phase III). Baseline consisted of behavioral activation only. In intervention 1, the COPM was used in addition to the baseline action. In intervention 2, cognitive restructuring was conducted in addition to intervention 1. Results: There was no significant difference in the client’s frequency per week of going out in Phase II compared with Phase I ( p = 0.062), but the rate increased significantly in Phase III compared with Phase II by binomial test ( p = 0.002). As assessed by the COPM, the performance and satisfaction scores for going out were 4 and 3 at the 5th week, but they improved to 7 and 6 at the 17th week. Conclusion: Combining the COPM with CBT significantly increased the frequency of going out that a client with depression hoped to attain. The present intervention might facilitate enabling occupation for clients with depression. Our findings suggested that in clients with depressive symptoms, enabling occupation is possible by combining the COPM with CBT.
{"title":"Effect of Combining the Canadian Occupational Performance Measure with Cognitive Behavioral Therapy to Enable Occupation in a Client with Depression: A Case Study in Home-Visiting Support","authors":"Mai Sakimoto, Takayuki Kawaguchi, Aki Watanabe","doi":"10.11596/asiajot.15.93","DOIUrl":"https://doi.org/10.11596/asiajot.15.93","url":null,"abstract":"Introduction: Few reports describe interventions combining the Canadian Occupational Performance Measure (COPM) with cognitive behavioral therapy (CBT) although both are important in enabling occupation for a client with depression. We outline the therapy process conducted by an occupational therapist combining the COPM with CBT to enable occupation for a client with depression. Methods: A single-system research design was implemented. The intervention was based on behavioral activation, and the cognitive restructuring was divided into three phases: baseline (Phase I), intervention 1 (Phase II), and intervention 2 (Phase III). Baseline consisted of behavioral activation only. In intervention 1, the COPM was used in addition to the baseline action. In intervention 2, cognitive restructuring was conducted in addition to intervention 1. Results: There was no significant difference in the client’s frequency per week of going out in Phase II compared with Phase I ( p = 0.062), but the rate increased significantly in Phase III compared with Phase II by binomial test ( p = 0.002). As assessed by the COPM, the performance and satisfaction scores for going out were 4 and 3 at the 5th week, but they improved to 7 and 6 at the 17th week. Conclusion: Combining the COPM with CBT significantly increased the frequency of going out that a client with depression hoped to attain. The present intervention might facilitate enabling occupation for clients with depression. Our findings suggested that in clients with depressive symptoms, enabling occupation is possible by combining the COPM with CBT.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/asiajot.15.93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64521454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We aimed to clarify intervention processes for facilitating patients’ living activities by understanding the practical structure of homebased occupational therapy (OT). Study participants were occupational therapists with at least three years of homebased OT experience. Data analysis was based on the grounded theory. For categorisation, MAXQDA 10 was used to conduct continuous comparative analysis. Analysis resulted in the following categories: 1,572 text segments, 195 labels, 40 small categories, 15 medium categories and 6 large categories. The large categories were (a) identifying unique living activities, (b) analysing and predicting living activities, (c) employing practices to confront living activities, (d) creating an environment that fosters living activities, (e) implementing independent living activities and (f) cooperating to realise living activities. Occupational therapists used patients’ living spaces to support them in terms of independently performing living activities, accumulating living activity experience in familiar homes and com
{"title":"A Qualitative Study on the Practice Structure of Home-Based Occupational Therapy for the Realisation of Daily Living Activities in the Elderly: Promoting Co-Operative Construction of the Life Performance","authors":"S. Minami, R. Kobayashi","doi":"10.11596/ASIAJOT.15.19","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.19","url":null,"abstract":"We aimed to clarify intervention processes for facilitating patients’ living activities by understanding the practical structure of homebased occupational therapy (OT). Study participants were occupational therapists with at least three years of homebased OT experience. Data analysis was based on the grounded theory. For categorisation, MAXQDA 10 was used to conduct continuous comparative analysis. Analysis resulted in the following categories: 1,572 text segments, 195 labels, 40 small categories, 15 medium categories and 6 large categories. The large categories were (a) identifying unique living activities, (b) analysing and predicting living activities, (c) employing practices to confront living activities, (d) creating an environment that fosters living activities, (e) implementing independent living activities and (f) cooperating to realise living activities. Occupational therapists used patients’ living spaces to support them in terms of independently performing living activities, accumulating living activity experience in familiar homes and com","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/ASIAJOT.15.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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