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Auteur Elizabeth Pyatak |
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trié(s) par (Pertinence décroissant(e), Titre croissant(e)) Faire une suggestion Affiner la rechercheAddressing Diabetes in Primary Care: Hybrid Effectiveness--Implementation Study of Lifestyle Redesign® Occupational Therapy. / Elizabeth Pyatak in American journal of occupational therapy, Vol. 73, n° 5 (September/October 2019)
Titre : Addressing Diabetes in Primary Care: Hybrid Effectiveness--Implementation Study of Lifestyle Redesign® Occupational Therapy. Type de document : Article Auteurs : Elizabeth Pyatak ; Maggie King ; Cheryl L. P. Vigen ; Elia Salazar ; Jesus Diaz ; Stacey Schepens Niemiec ; Jeanine Blanchard ; Katie Jordan ; Josh Banerjee ; Jagruti Shukla Année de publication : 2019 Article en page(s) : p. 1-12 Note générale : doi:10.5014/ajot.2019.037317 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement en matière de santé ; Diabète ; Ergothérapie ; Évaluation de résultat (soins) ; Gestion de soi ; Soins de santé primaires ; ThérapeutiqueRésumé : Importance:Primary health care is rapidly developing as an occupational therapy practice area. Yet, to date, little evidencesupports occupational therapy’s feasibility and efficacy in primary care settings.
Objective:To report on the implementation and preliminary clinical outcomes of a Lifestyle Redesign®(LR)–occupational therapy(LR–OT) diabetes management intervention in a primary care clinic.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=240495
in American journal of occupational therapy > Vol. 73, n° 5 (September/October 2019) . - p. 1-12[article] Addressing Diabetes in Primary Care: Hybrid Effectiveness--Implementation Study of Lifestyle Redesign® Occupational Therapy. [Article] / Elizabeth Pyatak ; Maggie King ; Cheryl L. P. Vigen ; Elia Salazar ; Jesus Diaz ; Stacey Schepens Niemiec ; Jeanine Blanchard ; Katie Jordan ; Josh Banerjee ; Jagruti Shukla . - 2019 . - p. 1-12.
doi:10.5014/ajot.2019.037317
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 73, n° 5 (September/October 2019) . - p. 1-12
Descripteurs : HE Vinci
Comportement en matière de santé ; Diabète ; Ergothérapie ; Évaluation de résultat (soins) ; Gestion de soi ; Soins de santé primaires ; ThérapeutiqueRésumé : Importance:Primary health care is rapidly developing as an occupational therapy practice area. Yet, to date, little evidencesupports occupational therapy’s feasibility and efficacy in primary care settings.
Objective:To report on the implementation and preliminary clinical outcomes of a Lifestyle Redesign®(LR)–occupational therapy(LR–OT) diabetes management intervention in a primary care clinic.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=240495
Titre : Conducting Intervention Research Among Underserved Populations: Lessons Learned and Recommendations for Researchers Type de document : Article Auteurs : Elizabeth Pyatak ; Erna Blanche ; Susan Garber ; [et al.] Article en page(s) : pp. 1190-1198 Langues : Anglais (eng) Descripteurs : HE Vinci
Escarre ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Life style Style de vie Pressure ulcer Spinal cord injuries Vulnerable populations Populations vulnérables Résumé : Randomized controlled trials (RCTs) are considered the criterion standard in research design for establishing treatment efficacy. However, the rigorous and highly controlled conditions of RCTs can be difficult to attain when conducting research among individuals living with a confluence of disability, low socioeconomic status, and being a member of a racial/ethnic minority group, who may be more likely to have unstable life circumstances. Research on effective interventions for these groups is urgently needed, because evidence regarding approaches to reduce health disparities and improve health outcomes is lacking. In this methodologic article, we discuss the challenges and lessons learned in implementing the Lifestyle Redesign for Pressure Ulcer Prevention in Spinal Cord Injury study among a highly disadvantaged population. These issues are discussed in terms of strategies to enhance recruitment, retention, and intervention relevance to the target population. Recommendations for researchers seeking to conduct RCTs among socioeconomically disadvantaged, ethnically diverse populations are provided. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117520
in Archives of Physical Medicine and Rehabilitation > 2013/6 (2013) . - pp. 1190-1198[article] Conducting Intervention Research Among Underserved Populations: Lessons Learned and Recommendations for Researchers [Article] / Elizabeth Pyatak ; Erna Blanche ; Susan Garber ; [et al.] . - pp. 1190-1198.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2013/6 (2013) . - pp. 1190-1198
Descripteurs : HE Vinci
Escarre ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Life style Style de vie Pressure ulcer Spinal cord injuries Vulnerable populations Populations vulnérables Résumé : Randomized controlled trials (RCTs) are considered the criterion standard in research design for establishing treatment efficacy. However, the rigorous and highly controlled conditions of RCTs can be difficult to attain when conducting research among individuals living with a confluence of disability, low socioeconomic status, and being a member of a racial/ethnic minority group, who may be more likely to have unstable life circumstances. Research on effective interventions for these groups is urgently needed, because evidence regarding approaches to reduce health disparities and improve health outcomes is lacking. In this methodologic article, we discuss the challenges and lessons learned in implementing the Lifestyle Redesign for Pressure Ulcer Prevention in Spinal Cord Injury study among a highly disadvantaged population. These issues are discussed in terms of strategies to enhance recruitment, retention, and intervention relevance to the target population. Recommendations for researchers seeking to conduct RCTs among socioeconomically disadvantaged, ethnically diverse populations are provided. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117520
Titre : Contextualizing the Positive Effects of the Well Elderly 2 Trial: A Response to Schelly and Ohl (2019). Type de document : Article Auteurs : Elizabeth Pyatak ; Mike Carlson ; Cheryl L. P. Vigen ; Jeanine Blanchard ; Stacey Schepens Niemiec ; John Sideris ; Grace T. Baranek Année de publication : 2019 Article en page(s) : p. 1-11 Note générale : doi:10.5014/ajot.2019.038752 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Ergothérapie ; Qualité de vie ; Satisfaction ; Sujet âgéRésumé : Importance: A recent reanalysis of data from the Well Elderly (WE) 2 study purportedly indicated that the intervention did not achieve clinically meaningful or statistically significant effects; this article addresses these criticisms. Objective: To contextualize the WE 2 study as targeting a nonclinical population and demonstrate that the intervention produced substantively important, statistically significant effects. Design: Secondary analysis of WE 2 intervention-based pre--post change scores. Setting: The original trial occurred primarily in senior centers and senior housing facilities in greater Los Angeles. Participants: Independent-living older adults (N = 324) who were assessed before and after intervention. Intervention: The WE intervention, a version of the Lifestyle Redesign® (LR) approach, was administered by occupational therapists over 6 mo by means of group and individual sessions. Outcomes and Measures: The 36-item Short Form Health Survey, the Life Satisfaction Index--Z, and the Center for Epidemiologic Studies Depression Scale. Results: The WE intervention was associated with statistically significant improvement on 10 of 12 outcome variables that were examined. Conclusions and Relevance: Because the WE intervention was hypothesized to reduce age-related decline and followed a population-oriented approach, the expectation that average results would be clinically meaningful was inappropriate. The intervention produced positive effects across a wide array of outcome domains. In settings in which clinical meaningfulness is an appropriate index of intervention outcomes, evidence suggests that LR produces effects that are clinically meaningful. As an evidence-based intervention, LR should be considered useful both in population-oriented contexts and in addressing discrete health conditions. What This Article Adds: Valid analyses demonstrate that the positive experimental effects of the WE 2 study are, in fact, genuine and cost-effective, and LR in clinically oriented contexts has produced statistically significant, clinically meaningful results. Clearly and accurately representing the evidence base of occupational therapy in prevention and chronic care is of critical importance to advance the field as a whole. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=249100
in American journal of occupational therapy > Vol. 73, n° 6 (November/December 2019) . - p. 1-11[article] Contextualizing the Positive Effects of the Well Elderly 2 Trial: A Response to Schelly and Ohl (2019). [Article] / Elizabeth Pyatak ; Mike Carlson ; Cheryl L. P. Vigen ; Jeanine Blanchard ; Stacey Schepens Niemiec ; John Sideris ; Grace T. Baranek . - 2019 . - p. 1-11.
doi:10.5014/ajot.2019.038752
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 73, n° 6 (November/December 2019) . - p. 1-11
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Ergothérapie ; Qualité de vie ; Satisfaction ; Sujet âgéRésumé : Importance: A recent reanalysis of data from the Well Elderly (WE) 2 study purportedly indicated that the intervention did not achieve clinically meaningful or statistically significant effects; this article addresses these criticisms. Objective: To contextualize the WE 2 study as targeting a nonclinical population and demonstrate that the intervention produced substantively important, statistically significant effects. Design: Secondary analysis of WE 2 intervention-based pre--post change scores. Setting: The original trial occurred primarily in senior centers and senior housing facilities in greater Los Angeles. Participants: Independent-living older adults (N = 324) who were assessed before and after intervention. Intervention: The WE intervention, a version of the Lifestyle Redesign® (LR) approach, was administered by occupational therapists over 6 mo by means of group and individual sessions. Outcomes and Measures: The 36-item Short Form Health Survey, the Life Satisfaction Index--Z, and the Center for Epidemiologic Studies Depression Scale. Results: The WE intervention was associated with statistically significant improvement on 10 of 12 outcome variables that were examined. Conclusions and Relevance: Because the WE intervention was hypothesized to reduce age-related decline and followed a population-oriented approach, the expectation that average results would be clinically meaningful was inappropriate. The intervention produced positive effects across a wide array of outcome domains. In settings in which clinical meaningfulness is an appropriate index of intervention outcomes, evidence suggests that LR produces effects that are clinically meaningful. As an evidence-based intervention, LR should be considered useful both in population-oriented contexts and in addressing discrete health conditions. What This Article Adds: Valid analyses demonstrate that the positive experimental effects of the WE 2 study are, in fact, genuine and cost-effective, and LR in clinically oriented contexts has produced statistically significant, clinically meaningful results. Clearly and accurately representing the evidence base of occupational therapy in prevention and chronic care is of critical importance to advance the field as a whole. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=249100
Titre : Feasibility of a Manualized Occupation-Based Diabetes Management Intervention. Type de document : Article Auteurs : Kristine M. Carandang, Auteur ; Elizabeth Pyatak, Auteur Année de publication : 2018 Article en page(s) : pp.1-6 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 1 ; Diabète de type 2 ; Ergothérapie ; Prise en charge de la maladieRésumé :
OBJECTIVE. We investigated the feasibility and acceptability of an occupational therapy intervention targeting diabetes management for underserved young adults. METHOD. Eight participants completed the intervention and a battery of assessments at baseline and after the intervention. At completion, the participants and occupational therapist were interviewed about their experiences with the study. Four categories of assessment questions were used to guide the study: process, resource, management, and scientific. RESULTS. Successes included recruitment; fulfillment of tasks by staff and partnering clinics; adequate space, financial support, and equipment; and meaningfulness of the intervention for participants. Challenges included scheduling participants for the intervention and follow-up focus groups and providing client centeredness and flexibility while reducing burden on the intervener. CONCLUSION. This feasibility study allowed us to make necessary revisions to our study protocol before implementing a larger pilot study.Accès : Article disponible sur CINAHL via le proxy de la HE Vinci Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147615
in American journal of occupational therapy > Vol. 72, n° 2 (March/April 2018) . - pp.1-6[article] Feasibility of a Manualized Occupation-Based Diabetes Management Intervention. [Article] / Kristine M. Carandang, Auteur ; Elizabeth Pyatak, Auteur . - 2018 . - pp.1-6.
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 72, n° 2 (March/April 2018) . - pp.1-6
Descripteurs : HE Vinci
Diabète de type 1 ; Diabète de type 2 ; Ergothérapie ; Prise en charge de la maladieRésumé :
OBJECTIVE. We investigated the feasibility and acceptability of an occupational therapy intervention targeting diabetes management for underserved young adults. METHOD. Eight participants completed the intervention and a battery of assessments at baseline and after the intervention. At completion, the participants and occupational therapist were interviewed about their experiences with the study. Four categories of assessment questions were used to guide the study: process, resource, management, and scientific. RESULTS. Successes included recruitment; fulfillment of tasks by staff and partnering clinics; adequate space, financial support, and equipment; and meaningfulness of the intervention for participants. Challenges included scheduling participants for the intervention and follow-up focus groups and providing client centeredness and flexibility while reducing burden on the intervener. CONCLUSION. This feasibility study allowed us to make necessary revisions to our study protocol before implementing a larger pilot study.Accès : Article disponible sur CINAHL via le proxy de la HE Vinci Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147615
Titre : Lifestyle Changes and Pressure Ulcer Prevention in Adults With Spinal Cord Injury in the Pressure Ulcer Prevention Study Lifestyle Intervention Type de document : Article Auteurs : Samruddhi GHAISAS ; Elizabeth Pyatak ; Janine Blanchard ; [et al.] Année de publication : 2015 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte (19-44 ans) ; Moelle spinale ; Prévention ; UlcereMots-clés : Activités vie quotidienne Etude cas Résumé : Pressure ulcers (PrUs) are a major burden to patients with spinal cord injury (SCI), affecting their psychological, physical, and social well-being. Lifestyle choices are thought to contribute to the risk of developing PrUs. This article focuses on the interaction between lifestyle choices and the development of PrUs in community settings among participants in the University of Southern California–Rancho Los Amigos National Rehabilitation Center Pressure Ulcer Prevention Study (PUPS II), a randomized controlled trial of a lifestyle intervention for adults with SCI. We conducted a secondary cross-case analysis of treatment notes of 47 PUPS II participants and identified four patterns relating PrU development to lifestyle changes: positive PrU changes (e.g., healing PrUs) with positive lifestyle changes, negative or no PrU changes with positive lifestyle changes, positive PrU changes with minor lifestyle changes, and negative or no PrU changes with no lifestyle changes. We present case studies exemplifying each pattern. Accès : Article disponible sur CINAHL via le proxy de la HE Vinci Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147426
in American journal of occupational therapy > Vol. 69, n° 1 (January/February 2015)[article] Lifestyle Changes and Pressure Ulcer Prevention in Adults With Spinal Cord Injury in the Pressure Ulcer Prevention Study Lifestyle Intervention [Article] / Samruddhi GHAISAS ; Elizabeth Pyatak ; Janine Blanchard ; [et al.] . - 2015.
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 69, n° 1 (January/February 2015)
Descripteurs : HE Vinci
Adulte (19-44 ans) ; Moelle spinale ; Prévention ; UlcereMots-clés : Activités vie quotidienne Etude cas Résumé : Pressure ulcers (PrUs) are a major burden to patients with spinal cord injury (SCI), affecting their psychological, physical, and social well-being. Lifestyle choices are thought to contribute to the risk of developing PrUs. This article focuses on the interaction between lifestyle choices and the development of PrUs in community settings among participants in the University of Southern California–Rancho Los Amigos National Rehabilitation Center Pressure Ulcer Prevention Study (PUPS II), a randomized controlled trial of a lifestyle intervention for adults with SCI. We conducted a secondary cross-case analysis of treatment notes of 47 PUPS II participants and identified four patterns relating PrU development to lifestyle changes: positive PrU changes (e.g., healing PrUs) with positive lifestyle changes, negative or no PrU changes with positive lifestyle changes, positive PrU changes with minor lifestyle changes, and negative or no PrU changes with no lifestyle changes. We present case studies exemplifying each pattern. Accès : Article disponible sur CINAHL via le proxy de la HE Vinci Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147426
