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| Titre : | American journal of occupational therapy |
| Type de document : | Périodique |
| Editeur : | Etats-Unis : American Occupational Therapy Association |
| ISBN/ISSN/EAN : | 0272-9490 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Ergothérapie |
| Résumé : |
La mission première de l'AJOT est de publier des recherches évaluées par des pairs sur l'efficacité et l'efficience de la pratique de l'ergothérapie afin que les professionnels de l'ergothérapie puissent prendre des décisions éclairées et fondées sur des données probantes concernant les meilleures pratiques. De plus, la revue vise à publier:
- des recherches documentant la fiabilité et la validité des instruments d'ergothérapie ; - des études démontrant une relation entre l'engagement professionnel et la facilitation de la participation communautaire et la santé ; - des articles qui offrent aux chercheurs un forum pour débattre des questions professionnelles qui touchent l'éducation, la pratique, la recherche. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&jid=44I&site=ehost-live |
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Paru le : 01/03/2023
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Titre : "Feeling Unwanted, When Nobody Wants You Around": Perceptions of Social Pain Among People With Autism (2023) Auteurs : Merry Kalingel Levi ; Naomi Schreuer ; Yelena Granovsky ; Tami Bar-Shalita ; Irit Weissman Fogel ; Tseela Hoffman ; Eyant Gal Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-12 Note générale : 10.5014/ajot.2023.050061 Langues: Anglais Descripteurs : HE Vinci
Compétences sociales ; Ostracisme ; Personnes handicapées ; Psychologie ; Relations interpersonnelles ; Solitude ; Trouble du spectre autistique (TSA)Résumé : Importance: A paucity of studies have focused on pain experiences among people with autism spectrum disorder, particularly those addressing social pain in daily life contexts or learning from the perspective of autistic people. Objective: To explore the social pain experience of autistic people. Design: A descriptive qualitative design followed by deductive thematic analysis. Interviews were semistructured to capture the social pain experience, coping strategies, and implications for the participation of autistic people. Setting: Online interviews using Zoom videoconferencing software. Participants: Fifteen autistic people were recruited for the study using purposeful and criterion sampling. Results: Four primary themes emerged from the data analysis: (1) a definition of social pain and the distinction between social pain and other types of pain; (2) the sources—internal, external, and combined—of social pain; (3) the loneliness outcome, which echoes the gap between the desire for and lack of social contacts; and (4) coping strategies pertaining to the continuum between inward and outward coping strategies to deal with social pain. Conclusion and Relevance: The study indicates the existence of a discrepancy between autistic people's need for social interactions and the social pain they experience. It calls for intervention programs for autistic people to improve their coping strategies and promote their self-acceptance and better inclusion in the community. What This Article Adds: Promoting social functioning is a prime role of occupational therapists, and this article adds a novel theoretical model that contributes to that role. The model represents the social pain experiences of autistic people and their strategies to overcome this phenomenon. Firsthand accounts of autistic people regarding social pain enable a better understanding of their desire to be involved in the social context. This study suggests directions for further intervention programs to assist autistic people in fulfilling their wish for social relationships and enabling their enhanced integration into society. Positionality Statement: We recognize that use of person-first versus identity-first language is a source of debate and controversy. We have chosen to use identity-first language for two reasons. First, studies indicate person with autism is the term least preferred by autistic people (Botha et al., 2021). Second, autistic is the term used by the majority of our participants during interviews. This study highlights a discrepancy between autistic people's need for social interactions and the social pain they experience, and suggests directions for intervention programs to improve their coping strategies and promote their self-acceptance and better inclusion in the community. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313151&lang=fr&site=ehost-live
Titre : A Parent-Mediated Anxiety Intervention Specifically Tailored for Autistic Preschoolers: A Pilot Study (2023) Auteurs : Kate Simpson ; Dawn Adams ; Stephanie Malone ; Madonna Tucker ; Ronald M. Rapee ; Jacqui Rodgers Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2023.050031 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Enfant (6-12 ans) ; Prévention et contrôle ; Trouble du spectre autistique (TSA)Résumé : Importance: Autistic children experience reduced participation in life activities. One factor that may contribute to their reduced levels of participation is anxiety, which is identified at higher rates among young autistic children than among their neurotypical peers. Anxiety is also strongly associated with sensory overresponsivity and has a considerable impact on daily functioning. Objective: To determine the feasibility, acceptability, and usefulness of a small-group, parent-mediated intervention to prevent and reduce anxiety. Design: Pre–post. Setting: University research center. Participants: Three parents of autistic children (ages 4–7 yr). Outcomes and Measures: Parents completed a six-session group training program. Parents completed an anxiety scale for their child before and after parent training. At the end of training, parents participated in a focus group and were interviewed 4 mo after training. Results: Positively received aspects of the intervention were the benefits of a small group, composed of parents of autistic children, run by a facilitator with expertise in autism and anxiety. Parents gained knowledge, resulting in "taking a different approach" with their child and "seeing an interplay between anxiety and autism." After the intervention, parents reported a reduction in children's reported anxiety levels. Conclusions and Relevance: Knowledge of autism and anxiety acquired during a parent-mediated group increased parents' understanding of their child's behaviors and assisted them in supporting their child's participation. Further research, including larger studies, is required to determine the effectiveness of this intervention. What This Article Adds: The findings from this research provide preliminary support for the adaptation of an existing parent intervention (Cool Little Kids) to reduce anxiety among autistic children. Parents reported an increased awareness and understanding of anxiety and of the interplay between anxiety and autistic traits. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). The findings from this research provide preliminary support for the adaptation of an existing small-group, parent-mediated intervention (Cool Little Kids) to prevent and reduce anxiety among autistic children. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313156&lang=fr&site=ehost-live
Titre : A Preliminary Study on the Content Validity of the Family Assessment of Quality in Self-Care Engagement (2023) Auteurs : Valencia Steele ; Lenin Grajo Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050112 Langues: Anglais Descripteurs : HE Vinci
Autosoins ; Enfants handicapés ; Enquêtes et questionnaires ; Famille ; Psychologie ; Trouble du spectre autistique (TSA)Résumé : Importance: Families raising children on the autism spectrum experience a confluence of life factors that influence their adaptation to self-care. The Family Assessment of Quality in Self-Care Engagement (FAQ–Self-Care) focuses on unpacking the factors that influence such families' self-care participation. Objective: To contribute to the content validity of the FAQ–Self-Care, a tool that aims to measure the quality and extent to which families who are raising children on the autism spectrum are participating in self-care. Design: Mixed-methods research design. Qualitative data were drawn from experts' feedback, and the relevance of FAQ–Self-Care test items was quantitatively analyzed. Participants: Ten occupational therapists with expertise in the fields of pediatrics and family practice were invited to review the FAQ–Self-Care. Six occupational therapists agreed to participate. Outcomes and Measures: Occupational therapy experts reviewed the FAQ–Self-Care and rated how essential each test item is in measuring the construct of families' self-care participation using a 4-point Likert scale. An item-level content validity index (I-CVI) and a scale-level content validity index (S-CVI) were then calculated. Results: Twenty test items with an I-CVI score between 0.833 and 1.000 were accepted. Items 3 and 16 obtained an I-CVI score below the cutoff range (0.667) and, therefore, were revised. Additional amendments to test items were made according to the qualitative feedback provided by content experts. Conclusions and Relevance: Initial content validity of the FAQ–Self-Care assessment tool was established. Further rigorous evaluation of validity and reliability of the FAQ–Self-Care is necessary. What This Article Adds: The FAQ–Self-Care is a promising assessment tool that highlights the influential life factors that intersect with the self-care participation of families raising neurodiverse children on the autism spectrum. The Family Assessment of Quality in Self-Care Engagement (FAQ–Self-Care) is a promising tool that highlights the influential life factors that intersect with the self-care participation of families raising neurodiverse children on the autism spectrum. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313149&lang=fr&site=ehost-live
Titre : A Sensory Integration Intervention in the School Setting to Support Performance and Participation: A Multiple-Baseline Study (2023) Auteurs : Colleen Cameron Whiting ; Sarah A. Schoen ; Linda Niemeyer Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2023.050135 Langues: Anglais Descripteurs : HE Vinci
Enseignants ; État fonctionnel ; Orientation vers un spécialiste ; Performance psychomotrice ; Performance scolaire ; Résultat thérapeutique ; Services de santé scolaire ; Systèmes de soutien psychosocialRésumé : Importance: There is a paucity of research that explores the effectiveness of sensory integration interventions in the school setting. Objective: To test the effectiveness of a sensory integration intervention paired with teacher consultation, aligned with the principles of Ayres Sensory Integration® and the Sensory Therapies and Research Frame of Reference, to improve functional regulation and active participation in school for students with sensory integration and processing differences. Design: Concurrent, multiple-baseline, single-subject design. Setting: Public elementary school in the United States. Participants: Students (N = 3; ages 5–8 yr) whose sensory integration and processing differences were affecting their school occupational performance and were not remediated by integrated support. Intervention: For 15 wk, each student had one-to-one sensory integration intervention 2×/wk for 30 min and a consultation between the occupational therapist and teacher weekly for 10 min. Outcomes and Measures: The dependent variables, functional regulation and active participation, were measured weekly. The Short Child Occupational Profile and Behavior Assessment System for Children, Third Edition, were given before and after intervention. Goal Attainment Scaling and semistructured interviews with the teachers and participants were completed after intervention. Results: All 3 students showed meaningful improvement in functional regulation and active participation in the classroom during the intervention period as demonstrated by a 2-SD band method or celeration line analysis. All additional measures noted positive change. Conclusions and Relevance: Findings suggest that sensory integration intervention with consultation in the education setting can improve school performance and participation for children with sensory integration and processing challenges. What This Article Adds: This study offers an evidence-based model of service delivery for the school setting that is effective in improving the functional regulation and active participation of students whose sensory integration and processing challenges interfere with occupational engagement and are not mitigated by embedded supports. This study tests the effectiveness of a sensory integration intervention paired with teacher consultation, aligned with the principles of Ayres Sensory Integration® and the Sensory Therapies and Research Frame of Reference, to improve functional regulation and active participation in school for students with sensory integration and processing differences. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313162&lang=fr&site=ehost-live
Titre : Associations Among Clinical Factors and Occupational Therapy Service Utilization in Children With Autism Spectrum Disorder (2023) Auteurs : Emily Campi ; John Sideris ; Amanda Wiles ; Allison Phillips ; Valentina Vera Carrasquero ; Karla Ausderau ; Grace T. Baranek Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2023.050129 Langues: Anglais Descripteurs : HE Vinci
Adaptation psychologique ; Comportement de l'enfant ; Ergothérapie ; Réadaptation ; Trouble du spectre autistique (TSA) ; Troubles du comportement de l'enfantRésumé : Importance: Limited research has elucidated factors predicting occupational therapy–specific service utilization by children with autism. Such research is needed to inform reasons for receipt of services. Objective: To examine factors associated with occupational therapy service utilization by children with autism. We hypothesized that elevated sensory hyperresponsiveness; greater sensory interests, repetitions, and seeking; and lower adaptive behavior would predict more service utilization. Design: Analysis of extant data from a prospective, longitudinal survey study about autism symptom severity, adaptive behavior, sensory features, and demographic and service utilization information of children with autism ages 3 to 13 yr. Setting: Online parent survey regarding child behaviors during daily activities and contexts. Participants: 892 parents of children with autism from 50 U.S. states. Outcomes and Measures: We used scores on the Vineland Adaptive Behavior Scale–Second Edition, the Social Responsiveness Scale, and the Sensory Experiences Questionnaire Version 3.0 and responses to a demographic questionnaire. We formulated hypotheses after data collection but before analysis. Results: Predictors of higher occupational therapy service utilization were lower enhanced perception; lower adaptive behavior; elevated sensory interests, repetitions, and seeking behaviors; younger child age; and higher household income. Conclusion and Relevance: Results partially support our hypotheses. Sensory interests, repetitions, and seeking behavior predicted occupational therapy service utilization, whereas other sensory response patterns did not, suggesting a possible referral bias for certain sensory response patterns. Occupational therapy practitioners can educate parents and teachers about the scope of practice, which includes addressing sensory features beyond sensory interests, repetitions, and seeking behaviors. What This Article Adds: Children with autism who have impairments in adaptive functioning and high levels of sensory interests, repetitions, and seeking behaviors receive more occupational therapy services. Occupational therapy practitioners should be well trained to address such concerns and advocate for the profession's role in mitigating the impact of sensory features on daily life. This study found that sensory interests, repetitions, and seeking behavior predicted occupational therapy service utilization by children with autism, whereas other sensory response patterns did not, suggesting a possible referral bias for certain sensory response patterns and the opportunity for occupational therapy practitioners to educate parents and teachers about the scope of practice. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313163&lang=fr&site=ehost-live
Titre : Autism and Mental Health: The Role of Occupational Therapy (2023) Auteurs : Anne V. Kirby ; Lisa Morgan ; Claudia Hilton Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-4 Note générale : 10.5014/ajot.2023.050303 Langues: Anglais Descripteurs : HE Vinci
Ergothérapie ; Réadaptation ; Santé mentale ; Trouble du spectre autistique (TSA)Résumé : Research has indicated a high prevalence of mental health problems among autistic people, with elevated rates of depression, anxiety, and suicidality. The profession of occupational therapy has its roots in mental health and can offer a unique focus on occupation to support the mental health needs of autistic clients. In this Guest Editorial we introduce articles for this special issue of the American Journal of Occupational Therapy related to autism and mental health and use the Person–Environment–Occupation Model. The articles offer insights into how interactions among person, environment, and occupation factors affect the mental health of autistic populations and demonstrate ways that mental health can be supported through occupational engagement. Opportunities to support the mental health of autistic people include promoting engagement in meaningful activities, supporting individual strengths, and bolstering clients' sense of self and identification with their autistic identity. Future research is needed to uncover and test interventions to support autistic clients and should reflect cultural humility and participatory approaches. We chose to use identity-first language (rather than person-first language) to describe the autistic community in this Guest Editorial out of respect for common community member preferences and in accordance with recommendations for anti-ableist language use (Bottema-Beutel et al., 2021). Decisions about language for each article in this special issue were made by the respective authors. This special issue includes review articles, qualitative exploratory studies, assessment tool content validation, and novel interventions and reveals opportunities for growth in the field of occupational therapy, both for more research as well as for intervention development and clinical involvement to support clients with autism across the lifespan. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313146&lang=fr&site=ehost-live
Titre : Ayres Sensory Integration® for Addressing Play in Autistic Children: A Multiple-Baseline Examination (2023) Auteurs : Heather M. Kuhaneck ; Renee Watling ; Tara J. Glennon Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2023.050169 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Ergothérapie ; Evaluation ; Jeu et accessoires de jeu ; Performance psychomotrice ; Trouble du spectre autistique (TSA)Résumé : Importance: Play is an area of difficulty for autistic children, and occupational therapy practitioners need evidence to guide interventions to improve play for this population. Ayres Sensory Integration® (ASI) intervention has not yet been studied for its impact on play outcomes. Objective: To examine the impact of ASI intervention on play types in autistic children. Design: Nonconcurrent, multiple-baseline design across subjects. Setting: Outpatient occupational therapy clinic in New England. Participants: Three autistic children, ages 5, 6, and 6 yr. Intervention: Twenty-four ASI sessions. Outcomes and Measures: Frequency of play type was coded using partial interval coding. Progress monitoring used Goal Attainment Scaling. Results: All three participants demonstrated changes in the frequency of specific types of play, but changes varied among them. Conclusions and Relevance: Findings suggest that ASI intervention may alter a child's patterns of play. What This Article Adds: This study is the first to examine the impact of ASI on play and the third that documents the feasibility of single-subject research for studying ASI. If confirmed in future studies, ASI could become an evidence-based intervention for improving play, an important outcome for autistic children and the profession of occupational therapy. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). This study is the first to examine the impact of the Ayres Sensory Integration® (ASI) intervention on play outcomes for autistic children and the third study to document the feasibility of single-subject research for studying ASI. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313164&lang=fr&site=ehost-live
Titre : Father–Child Playfulness: A Secondary Analysis of a Multiple-Baseline Single-Subject Study of Three Children With Autism Spectrum Disorder (2023) Auteurs : Amiya Waldman-Levi ; Heather M. Kuhaneck Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2023.050081 Langues: Anglais Descripteurs : HE Vinci
Aidants ; Enfant (6-12 ans) ; Jeu et accessoires de jeu ; Performance psychomotrice ; Réadaptation ; Relations père-enfant ; Trouble du spectre autistique (TSA)Résumé : Importance: Ayres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI. Objective: To explore whether ASI, coupled with parent training, improves child playfulness and fathers' support of child playfulness. Design: Single-subject A–B–BC design secondary analysis of a nonconcurrent multiple-baseline study. Setting: Occupational therapy clinic. Participants: Three father–child dyads; children were ages 3 to 6 yr, with autism spectrum disorder (ASD) and documented sensory processing concerns. Intervention: After a baseline phase, each child received at least 24 sessions of ASI, and fathers received parent training focusing on sensory processing issues and play via an online presentation. Outcomes and Measures: The Parent/Caregiver's Support of Children's Playfulness and the Test of Playfulness. Results: Visual analysis of the baseline phase, ASI phase, and ASI with parent training phase shows that all 3 fathers demonstrated an increase in the way they supported their child's playfulness; however, this change was not maintained. Children's playfulness fluctuated, reaching a peak after fathers received training, but none of the children maintained that change. Conclusions and Relevance: Additional support by the therapist is required for fathers to learn and use new strategies to promote consistent change in child playfulness during play. Pilot data can be used to inform future studies. What This Article Adds: Occupation- and family-centered frameworks may be useful in guiding practice when working with families of children with ASD. This study explores whether Ayres Sensory Integration® (ASI), coupled with parent training, improves child playfulness and fathers' support of child playfulness. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313158&lang=fr&site=ehost-live
Titre : Health Promotion and Wellness for All Students: School-Based Occupational Therapy as a Preventive Approach (2023) Auteurs : Nicole Pfirman ; Chelsea Rivera ; Abe Saffer Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2023.050242 Langues: Anglais Descripteurs : HE Vinci
Centres de mise en forme ; Ergothérapie ; Promotion de la santé ; Services de santé scolaireRésumé : The coronavirus disease 2019 pandemic accelerated the impending youth mental health crisis in the United States, necessitating a comprehensive approach to providing mental health education and interventions. School-based occupational therapy practitioners' scope of practice includes wellness promotion, early detection, and evidence-based interventions for mental health challenges. Given the rise of school-based wellness programs, the growing legislation supporting the formation of such programs, and the burgeoning burden of pediatric mental health concerns, occupational therapy practitioners are uniquely positioned to create and implement interventions to support student access to the general education curriculum and can do so by using both prepandemic funding sources and pandemic response funds. This Health Policy Perspectives column is a call to action to refocus the occupational therapy practitioner's role in school settings to include providing high-quality, evidence-based preventive mental health education and interventions. In this column, we examine prevention-based occupational therapy services in Mason City Schools, Mason, Ohio, as a model of success in the execution of this vision for school-based practice. In addition, we outline the importance of expanding the role of occupational therapy practitioners in schools, which will in turn increase the visibility and relevancy of the profession and broaden its impact on mitigating the youth mental health crisis. This Health Policy Perspectives column is a call to action to refocus the occupational therapy practitioner's role in school settings to include providing high-quality, evidence-based preventive mental health education and interventions. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313145&lang=fr&site=ehost-live
Titre : Improving Executive Functions Using the Engineering Design Process: A Peer-Mediated Problem-Solving Approach for Autistic Adolescents. (2023) Auteurs : Kavitha Murthi ; Kristie Patten Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2023.050166 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Fonctions exécutives ; Groupe de pairs ; Résolution de problème ; Trouble du spectre autistique (TSA)Résumé : Executive functions—specifically, problem-solving skills—are crucial for school success. Challenges in these functions faced by autistic adolescents are often unrecognized or viewed through a behavioral lens that requires correction or normalization. A lack of development of higher order problem-solving skills leads to increased instances of secondary mental health issues, creating further behavioral and social challenges. We propose using the Engineering Design Process (EDP), a flexible, cyclical, top-down, self-sustaining approach that uses peer mediation to teach group problem-solving skills. We then position this cycle within existing occupational therapy models to demonstrate its adaptability and flexibility, describe the distinct features of this problem-solving strategy, and present a real-world case study in which the EDP is used as a problem-solving approach in an after-school program. The EDP develops crucial social and interpersonal skills using interest-driven occupations and can be organically used as a group strategy. This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021, Kenny et al., 2016). This article discusses using the Engineering Design Process (EDP) within existing occupational therapy models to demonstrate its adaptability and flexibility, describes the distinct features of this problem-solving strategy, and presents a real-world case study in which the EDP is used in an after-school program. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313166&lang=fr&site=ehost-live
Titre : Joint Attention–Based Occupational Therapy Intervention in Preschoolers With Autism Spectrum Disorder: A Randomized Controlled Trial (2023) Auteurs : Esma Özkan ; Sümeyye Belhan Çelik ; Mahmut Yaran ; Gonca Bumin Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-14 Note générale : 10.5014/ajot.2023.050177 Langues: Anglais Descripteurs : HE Vinci
Ecole maternelle ; Education ; Enfant (6-12 ans) ; Ergothérapie ; Trouble du spectre autistique (TSA)Résumé : Importance: A viable occupational therapy program based on joint attention is needed to ensure that children with autism spectrum disorder (ASD) lead lives in which they interact socially. Objective: To explore the benefit of a joint attention–based occupational therapy program offered simultaneously with the usual special education program (USEP) compared with USEP alone. Design: Randomized controlled study, including pre-, post-, and follow-up testing. Setting: Special education and rehabilitation center. Participants: Twenty children with ASD in the study group, M = 4.80 yr (SD = 0.78 yr), and the control group, M = 5.10 yr (SD = 0.73 yr), were included. Intervention: All children received USEP (2 sessions/wk for 12 wk). Joint attention–based occupational therapy was applied to the study group in addition to USEP (3 sessions/wk for 12 wk). Outcomes and Measures: The Social Communication Questionnaire (SCQ), Autism Behavior Checklist (ABC), and Motor-Free Visual Perception Test–4 (MVPT–4) were implemented. Results: The study group had a statistically and clinically significant improvement in SCQ, ABC, and MVPT–4 scores after the intervention (p <.001 the control group did not show statistically significant improvement in measurements>.05). The mean values of SCQ–Total, ABC–Total, and MVPT–4 variables measured at 3-mo follow-up were significantly different than preintervention (p <.05 conclusions and relevance: joint attention intervention including a child-centered approach can improve social communication reduce asd-related behaviors visual perception. what this article adds: study emphasizes the importance of occupational therapy with holistic perspective based on in terms increasing effectiveness special education programs attended by children asd reinforcing perception positive asd. enhance autism spectrum disorder improving behaviors.> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313165&lang=fr&site=ehost-live
Titre : Linking Sensory Integration and Processing With Mental Health in Autism: A Retrospective Review of Survey Data (2023) Auteurs : Virginia Spielmann ; Hannah K. Burke ; Sarah McCulloch ; Alex Mason ; Shelly J. Lane Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2023.050127 Langues: Anglais Descripteurs : HE Vinci
Performance psychomotrice ; Santé mentale ; Trouble du spectre autistique (TSA)Résumé : Importance: Although a central tenet of occupational therapy practice, evidence-based practice is at times overrepresented by research and can overlook the contributions of clinical expertise, the lived experience, and context. This survey affords the occupational therapy practitioner the opportunity to understand sensory integration and processing (SI/P) as experienced by autistic adults. Objective: To explore the following research question through a retrospective analysis of an internet-based survey: What is the relationship between the SI/P differences and mental health concerns reported by autistic adults? Design: Nonexperimental; retrospective analysis of data collected from September 2018 through June 2019. The analysis team joined the project after the survey had been launched. Setting: The Grand Sensory Survey (GSS) was available internationally through the websites and social media accounts of the Autistic Empire and STAR Institute for Sensory Processing. Participants: The sample included 440 total responses. Excluding responses from participants ages ≤18 yr (n = 24), 416 responses were included: n = 189 identified as autistic, n = 147 identified as nonautistic, and n = 80 did not provide a response to this query. Outcomes and Measures: The GSS included questions about demographics, mental health, and sensory experiences. Results: Both SI/P disruptions and sensory sensitivity predicted anxiety and depression (p <.001 conclusions and relevance: differences in si are significant factors mental health for autistic adults. what this article adds: we implicate multiple aspects of their influence on among the autistic-led design survey ensures representation issues that pivotal to community broadening template should be considered when looking at client autism function participation. positionality statement: authors deliberately use identity first language keeping with requests from https: is favored by communities self-advocates has been adopted care professionals researchers et al. kenny written perspective social model disability a neurodiversity affirming frame reference. three five autistic. internet-based broadens consideration dimensions mechanisms inherent sensory integration processing provides insight into intersection depression anxiety> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313154&lang=fr&site=ehost-live
Titre : Many Hands Working Together: Adapting Hospital Care to Support Autistic Children's Mental Health (2023) Auteurs : Wanda J. Mahoney ; Gifty Abraham ; Minerva Villacrusis Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2023.050032 Langues: Anglais Descripteurs : HE Vinci
Auto-efficacité ; Enfant (6-12 ans) ; Enfants handicapés ; Environnement d'établissement de santé ; Équipe soignante ; Ergothérapie ; Études interdisciplinaires ; Prestations des soins de santé ; Rôle de l'infirmier ; Santé mentale ; Systèmes de soutien psychosocial ; Trouble du spectre autistique (TSA)Résumé : Importance: Hospitals pose a threat to autistic children's mental health. Adapting hospitals to meet children's needs can address this issue. Objective: To determine the impact of an interprofessional program (Adaptive Care) to support autistic children's mental health on nursing staff's knowledge, efficacy, and confidence. Design: Pretest–posttest, quasi-experimental design. Setting: Large pediatric hospital. Participants: Nursing staff were the first participants in the program implementation. Approximately 300 nursing staff received training through the program, and 107 completed program evaluation surveys. Of these, 18 nursing staff completed both the pretest and posttest surveys approximately 1 yr apart. Intervention: Occupational therapy practitioners and other professionals developed and implemented the program, which consists of staff training and resources to adapt hospital physical and social environments and to ultimately improve patients' hospital experiences. Outcomes and Measures: Researcher-developed, pilot-tested, online survey to assess knowledge, perceived effectiveness, confidence, and strategies that staff used while caring for autistic children in the hospital. Results: Respondents had increased effectiveness and confidence working with autistic children in the hospital after program implementation. Respondents reported significantly more strategies to care for autistic children. Conclusions and Relevance: Interprofessional collaboration and programming can positively affect social environments in the hospital by enhancing nursing staff's self-efficacy, confidence, and strategies to support mental health and to enhance health care for autistic children. What This Article Adds: The Adaptive Care program is an example of occupational therapy practitioners and other interprofessional team members adapting physical and social health care environments to support autistic children's mental health. This program was effective at increasing nursing staff's self-efficacy, confidence, and strategies while caring for autistic children in the hospital. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). The Adaptive Care program is an example of occupational therapy practitioners and other interprofessional team members adapting physical and social health care environments to support the mental health needs of autistic children. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313150&lang=fr&site=ehost-live
Titre : Occupational Injustice and the Right to Play: A Systematic Review of Accessible Playgrounds for Children With Disabilities (2023) Auteurs : Kelsey A. Gately ; Anna H. Zawadzki ; Alyssia M. Mosley ; Alyssamarie K. Badua ; Jennifer E. Swanberg ; Samantha R. Rosenthal Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2023.050035 Langues: Anglais Descripteurs : HE Vinci
Accessibilité architecturale ; Enfants handicapés ; Jeu et accessoires de jeu ; Justice socialeRésumé : Importance: Playgrounds facilitate important opportunities for growth and development during childhood. Despite accessibility regulations, these experiences are not afforded to children with disabilities as a result of environmental and societal barriers. Objective: To identify and synthesize existing research on the relationship between key areas of development and accessible play settings for children with disabilities to inform evidence-based interventions and advocacy work. Data Sources: The following databases were searched on January 30, 2021: Academic Search Complete/EBSCO, CINAHL/EBSCO, Education Research Complete/EBSCO, ERIC, OTseeker, and PubMed. Study Selection and Data Collection: This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were peer-reviewed, included children with disabilities ages 3 to 12 in an accessible play setting, and had outcomes related to areas of childhood development. Validated tools were used to determine risk of bias and quality of evidence. Findings: Nine articles met inclusion criteria: 1 Level 3b matched case–control study, 4 Level 4 cross-sectional studies, 3 Level 5 qualitative studies, and 1 mixed-methods study with Levels 4 and 5 evidence. Eight of 9 studies reported that social participation, play participation, and motor skills development were negatively affected despite playgrounds being labeled accessible. Conclusions and Relevance: Children with disabilities have decreased engagement in activities that provide opportunities for play, social participation, and motor skills development. Practitioners should address occupational injustice in the playground setting by engaging in program development, policy, and playground design to reduce stigma and increase accessibility. What This Article Adds: By addressing play accessibility, occupational therapy practitioners could significantly reduce instances of play inequity. Creating interdisciplinary teams to address accessible playground design locally would allow occupational therapy practitioners the opportunity to make a lasting impact for the children in their community. This systematic review identifies and synthesizes existing research on the relationship between key areas of development and accessible play settings for children with disabilities to inform evidence-based interventions and advocacy work. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313160&lang=fr&site=ehost-live
Titre : Occupational Therapy Interventions After a Sports-Related Concussion (2023) Auteurs : Kitsum Li Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-4 Note générale : 10.5014/ajot.2023.050321 Langues: Anglais Descripteurs : HE Vinci
Commotion de l'encéphale ; Ergothérapie ; Evaluation ; Revue systématique ; SportsRésumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Project and illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making. Each article in this series summarizes the evidence from published reviews on a given topic and presents an application of the evidence to a related clinical case. This Evidence Connection article presents a case report of a college student receiving occupational therapy services after sustaining repeated sports-related concussions. The occupational therapy evaluation and intervention process is described. Systematic review briefs on interventions for people with traumatic brain injury were published in Vol. 76 (Suppl. 2) of the American Journal of Occupational Therapy. This Evidence Connection article describes the occupational therapy evaluation and intervention a college student received after sustaining repeated sports-related concussions. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313167&lang=fr&site=ehost-live
Titre : Pain Experiences of People Diagnosed With Autism Spectrum Disorder: A Systematic Review of Case–Control Studies (2023) Auteurs : Araceli Ortiz-Rubio ; Dulce Nombre de María Romero Ayuso ; Irene Torres Sánchez ; Irene Cabrera-Martos ; Janet Rodríguez Torres ; Laura López-López ; Marie Carmen Valenza Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050050 Langues: Anglais Descripteurs : HE Vinci
Douleur ; Evaluation ; Trouble du spectre autistique (TSA) ; Troubles sensitifsRésumé : Importance: Autism spectrum disorder (ASD) is one of the most prevalent neurodevelopmental disorders and is characterized by compromised social interactions, reduced verbal communication, stereotyped repetitive behaviors, restricted interests, and sensory abnormalities. Yet absent from the knowledge base is information about sensory abnormalities related to pain experiences. Exploring the pain experiences of people with ASD may provide occupational therapy practitioners with a baseline to determine areas of need and effective interventions. Objective: To conduct a systematic review of the literature to summarize current evidence from case–control studies comparing sensory abnormalities with regard to pain experiences of people diagnosed and not diagnosed with ASD. Data Sources: A systematic literature search of the CINAHL, Cochrane, MEDLINE (PubMed), OTseeker, and Web of Science databases, using MeSH terms and broad keywords. Study Selection and Data Collection: A search was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Newcastle–Ottawa Scale was used to evaluate the risk of bias of the included studies. Findings: A total of 27 case–control studies involving 865 people with ASD and 864 control participants were included. Several methods were used to explore pain experiences, such as threshold detection or pain threshold. Conclusion and Relevance: The results indicate that people with ASD may have an abnormal sensory experience with regard to pain sensitivity. Occupational therapy practitioners should develop an intervention to focus on pain. What This Article Adds: This study adds to the body of literature indicating that people with ASD have sensory abnormalities with regard to pain experiences. Results highlight the need for occupational therapy interventions to focus on pain experiences. This systematic review adds to the body of literature indicating that people diagnosed with Autism spectrum disorder (ASD) have sensory abnormalities with regard to pain experiences and highlights the need for occupational therapy interventions to focus on pain experiences. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313148&lang=fr&site=ehost-live
Titre : Predictors of Participation Difficulties in Autistic Children (2023) Auteurs : Claudia L. Hilton ; Karen Ratcliff ; Ickpyo Hong Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-13 Note générale : 10.5014/ajot.2023.050068 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Participation sociale ; Qualité de vie ; Trouble du spectre autistique (TSA)Résumé : Importance: Participation in meaningful occupations supports quality of life and health. Because quality of life is lower in autistic children than in children without this diagnosis, it is important to consider aspects contributing to the participation difficulties this population experiences. Objective: To identify predictors of participation difficulties in a large data set from autistic children to inform professionals about potential intervention targets. Design: Retrospective cross-sectional design using a large data set with multivariate regression models for home life, friendships, classroom learning, and leisure activities. Setting: 2011 Survey of Pathways to Diagnosis and Services data set. Participants: Parents or caregivers of 834 autistic children with co-occurring intellectual disability (ID) and 227 autistic children with no ID. Results: The strongest participation predictors within the scope of occupational therapy practice were sensory processing, emotional regulation, behavioral variables, and social variables. Our results are consistent with those of smaller previous studies and indicate the importance of addressing these areas in occupational therapy intervention in line with client priorities. Conclusion and Relevance: Focusing interventions with autistic children on sensory processing, emotional regulation, behavioral skills, and social skills to address their underlying neurological processing can support their increased participation in home life, friendships, classroom learning, and leisure activities. What This Article Adds: Our findings support a focus in occupational therapy interventions on sensory processing and social skills to increase activity participation in autistic children with and without ID. Emotional regulation and behavioral skills can be supported by interventions that target cognitive flexibility. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). This study supports a focus in occupational therapy interventions on sensory processing, emotional regulation, behavioral skills, and social skills in autistic children with and without intellectual disability (ID) to increase participation in home life, friendships, classroom learning, and leisure activities. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313157&lang=fr&site=ehost-live
Titre : Reductions in Depression and Anxiety Among Autistic Adults Participating in an Intervention to Promote Healthy Relationships (2023) Auteurs : Laura Graham Holmes ; Russell J. Goebel ; Calliope Hollingue ; Shuning Zhu ; Handing Zhang ; Wuji Shan ; Shicong Wang ; Reid Caplan ; Amelia Sanchez ; Peter Wharmby ; Melody Chiang ; Mariah Person ; Emily F. Rothman Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-12 Note générale : 10.5014/ajot.2023.050108 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Dépression ; Ergothérapie ; Promotion de la santé ; Relations interpersonnelles ; Trouble du spectre autistique (TSA)Résumé : Importance: Some autistic adults experience depression and anxiety related to their social relationships. There is a need for evidence-based occupational therapy interventions that decrease depression and anxiety and improve the health of social relationships for autistic adults. Objective: To determine the feasibility and preliminary effectiveness of the Healthy Relationships on the Autism Spectrum (HEARTS) intervention, a six-session, group-based psychoeducational intervention for the improvement of relationship health. Design: One-group pretest–posttest design with a 3-mo follow-up after baseline. Setting: United States; online intervention through community organization. Participants: Fifty-five adults, ages 20 to 43 yr, with a professional or self-diagnosis of autism and the capacity to independently participate in an online, group-based, participatory class. Intervention: Participants received 6 90-min weekly sessions that addressed healthy relationship topics, including recognizing abuse, meeting people, maintaining relationships, setting interpersonal boundaries, neurohealth for relationships, and ending relationships. A psychoeducational approach that provided education and involved guided discovery and strategy acquisition was used. Outcomes and Measures: All measures were self-administered through an online survey. Depression and anxiety were assessed using instruments from the Patient-Reported Outcomes Measurement Information System. Results: Fifty-five participants completed the intervention. Postintervention scores revealed statistically significant improvements in depression and anxiety. Conclusions and Relevance: HEARTS is a promising intervention for improving depression and anxiety among autistic adults and should be investigated further. What This Article Adds: HEARTS offers a potentially effective, nonpharmacological, psychoeducational group-based intervention option to promote healthy relationships for autistic adults. Positionality Statement: This article uses identity-first language (autistic person) in accordance with the preference of autistic self-advocates (Autistic Self Advocacy Network, 2020; Kenny et al., 2016; Lord et al., 2022). Healthy Relationships on the Autism Spectrum (HEARTS) offers a potentially effective, nonpharmacological, psychoeducational group-based intervention option to promote healthy relationships for autistic adults. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313153&lang=fr&site=ehost-live
Titre : Roles of Caregivers of Autistic Adults: A Qualitative Study (2023) Auteurs : Nancy Bagatell ; Elena Lamarche ; Laura Klinger Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2023.050117 Langues: Anglais Descripteurs : HE Vinci
Aidants ; Parents ; Recherche qualitative ; Rôle professionnel ; Trouble du spectre autistique (TSA)Résumé : Importance: Understanding the roles of caregivers of autistic adults is important given the increasing number of autistic adults and their ongoing need for various supports. Objective: To address the following question: What roles do caregivers enact to support autistic adults? Design: This study had a descriptive qualitative design. Caregivers completed a two-part interview. Data analyses included extracting narratives and a multiple-step coding process that resulted in the identification of three main caregiving themes. Participants: Thirty-one caregivers of autistic adults. Findings: Three main themes that reflected caregiving roles were identified: (1) managing daily living needs, (2) obtaining services and supports, and (3) providing invisible supports. Each theme comprised three subthemes. The roles were enacted regardless of the autistic adults' age, gender, adaptive behavior scores, employment status, or residential status. Conclusions and Relevance: Caregivers enacted many roles to support their autistic adult to participate in meaningful occupation. Occupational therapy practitioners can support autistic people across the lifespan in areas such as daily living, leisure, and executive function strategies to decrease the need for caregiving or services. They can also support caregivers as they manage the present and plan for the future. What This Article Adds: This study provides descriptions that illustrate the complexity of caregiving for autistic adults. With an understanding of the many roles that caregivers enact, occupational therapy practitioners can provide services that support both autistic people and their caregivers. Positionality Statement: We recognize that use of person-first versus identity-first language is a source of debate and controversy. We have chosen to use identity-first language, for two reasons. First, studies indicate that person with autism is the term least preferred by autistic people (e.g., Botha et al., 2021). Second, autistic is the term used by the majority of our participants during interviews. Occupational therapy practitioners can support autistic people across the lifespan in areas such as daily living, leisure, and executive function strategies, as well as support their caregivers as they manage the present and plan for the future. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313159&lang=fr&site=ehost-live
Titre : Scale of Parental Playfulness Attitude (PaPA): Psychometric Properties With Latino Caregivers in the United States (2023) Auteurs : Kayley Goertzen ; Shelly J. Lane ; Paula Yuma ; Jennifer Reinke ; Anita Bundy Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2023.050004 Langues: Anglais Descripteurs : HE Vinci
Aidants ; Autorapport ; Etats-Unis ; Evaluation ; Hispanique ou Latino ; Jeu et accessoires de jeu ; Psychologie ; Psychométrie ; Relations parent-enfantRésumé : Importance: Parent–child play is a beneficial and meaningful co-occupation. Therapists who want to optimize parent–child play for Latino- and Latina-American dyads need valid, reliable measures to assess caregiver playfulness in addition to preexisting measures of child playfulness. Objective: To evaluate data collected from Latino-American caregivers with the Scale of Parental Playfulness Attitude (PaPA), a 28-item parent self-report to determine its construct validity, internal reliability, and cross-cultural validity. Design: Quantitative exploratory design applying a latent-trait psychometric model. Setting: Online survey. Participants: Convenience sample of 50 Spanish-speaking parents from the mainland United States recruited via snowballing (88% mothers, ages 24–47 yr; M = 34.8 yr; 82% first-generation Americans). The inclusion criteria were age ≥18 yr; literate in Spanish; primary caregiver to a child age 2.5–7 yr. Data from an existing sample of 50 parents dwelling in Puerto Rico were used to examine cross-cultural validity. Outcomes and Measures: Rasch analysis demonstrated evidence for adequate construct validity: positive point-measure correlations, 93% fit of items, logical item hierarchy, and good progression of the rating scale. Range and mean for parent playfulness exceeded those of the items; principal-components analysis revealed one contrast of 4.46 eigenvalues, bringing unidimensionality into question. Evidence suggested excellent internal reliability (person-reliability index = 0.85, strata = 3.55) and good cross-cultural validity (25 of 28 items formed a similar hierarchy for parents dwelling in the mainland United States and Puerto Rico). Conclusions and Relevance: Although the PaPA can be used to assess caregiver playfulness with culturally diverse Latino-American dyads, further research is required. What This Article Adds: This study provides evidence for the construct validity and internal reliability of a tool that measures parent playfulness in the context of parent–child play. The PaPA is an important tool for occupational therapists working with Latino-American families. The evidence for this study suggests excellent internal reliability and good cross-cultural validity for the Scale for Parental Playfulness Attitude (PaPA), an important tool for occupational therapists working with Latino-American families to measure parent playfulness in the context of parent–child play. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313161&lang=fr&site=ehost-live
Titre : Social Agency and Neurodivergent Routines: Supports and Barriers to the Mental Health of Autistic Adults During the COVID-19 Pandemic (2023) Auteurs : Aaron R. Dallman ; Kaitlyn Wilson ; Emily Friesner Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050049 Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Ergothérapie ; Événements de vie ; Psychologie ; Relations entre professionnels de santé et patients ; Santé mentale ; Trouble du spectre autistique (TSA)Résumé : Importance: The coronavirus disease 2019 (COVID-19) pandemic highlighted unique neurodiversity-affirming practices that may support autistic people's mental health, many of which run contrary to typical notions of autism. These insights are critical for occupational therapists working with this population. Objective: To (1) understand the self-reported mental health experiences of autistic adults during the COVID-19 pandemic and (2) identify ways that occupational therapy practitioners and other clinicians can help autistic adults during unexpected and challenging times. Design: This qualitative interpretative phenomenological study used surveys and interviews to collect data between August 15, 2020, and May 1, 2021. Two researchers independently coded interview transcripts. Any disagreements were resolved through consensus. Setting: Qualtrics survey and Zoom interviews. Participants: Participants (N = 34) met the following inclusion criteria: self-reported diagnosis of autism spectrum disorder or Asperger's syndrome, ages 18 to 35 yr, residing in the Eastern United States, able to understand English, and able to participate in a one-on-one interview using verbal or written communication. Recruitment was conducted via snowball sampling through local agencies serving autistic people. Results: Two themes emerged from the data: (1) autistic adults' social experiences during the COVID-19 pandemic paradoxically supported and hindered their mental health and (2) during the COVID-19 pandemic, mental health was tied to daily activity among autistic adults. Conclusions and Relevance: Participants reported feelings of anxiety and depression, as well as a need for social interaction on their own terms. Clinical recommendations are provided. What This Article Adds: This article includes suggestions generated from autistic people's input on how clinicians can support this population. The suggested supports and alteration to occupations can be both applied in the case of another unexpected event (e.g., another pandemic) and incorporated to promote the participation and well-being of autistic adults. Positionality Statement: We use identity-first language (e.g., autistic person) throughout this article because disability advocates and scholars assert that person-first language (e.g., person with autism) contributes to disability stigma (Collier, 2012; Gernsbacher, 2017). This article includes suggestions generated from input from people with autism spectrum disorder or Asperger's syndrome for how to support the mental health needs and promote the participation and well-being of autistic adults in case of another pandemic or other unexpected event. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313147&lang=fr&site=ehost-live
Titre : Social Participation Experiences of Families Raising a Young Child With Autism Spectrum Disorder: Implications for Mental Health and Well-Being (2023) Auteurs : Julie Smith ; Nicole Halliwell ; Amy Laurent ; Jessica Tsotsoros ; Katelyn Harris ; Beth DeGrace Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-12 Note générale : 10.5014/ajot.2023.050156 Langues: Anglais Descripteurs : HE Vinci
Enfants handicapés ; Événements de vie ; Parents ; Participation sociale ; Santé de l'enfant ; Santé mentale ; Trouble du spectre autistique (TSA)Résumé :
Importance: Social participation (SP) is an important facilitator of positive mental health for children and families. Children are dependent on their families to mediate SP, yet families of children with autism spectrum disorder (C-ASD) seemingly limit SP because of behavioral and functional challenges in community environments. The resulting isolation can affect the child's and the family's mental health. Objective: To distill the essence of everyday SP experiences in the community of families raising C-ASD. Design: Data collected via in-depth, semistructured interviews with a purposive sample and analyzed in the phenomenological tradition. Setting: Community. Participants: We recruited seven families with English-speaking parents (ages 18–64 yr) raising one C-ASD (age 2–8 yr). Families with more than one C-ASD or those whose C-ASD was diagnosed with complex medical condition or a neurological or genetic disorder were excluded. Results: The essence of experiences of SP emerged in the form of three themes depicting the mismatch between societal expectations for SP and families' experience: (1) "the struggle," (2) "it's hard to feel like you belong," and (3) what we "have to do." Conclusions and Relevance: As a collective, families expressed desire for everyday community SP and could do so only in select environments with core groups. The findings, as interpreted through the lens of mental health promotion, reveal opportunities to reduce barriers and to promote meaningful family SP so as to facilitate positive mental health and well-being through the transactional intersecting characteristics of the child with ASD, the family, and the community. What This Article Adds: This study illuminates the experience of SP of families raising a young C-ASD, highlighting both supports and barriers. Practitioners can use this information to potentially prevent isolation and promote both child and family mental health and well-being. This study highlights the social participation (SP) experiences of families raising children with autism spectrum disorder (C-ASD), focusing on both supports and barriers. Occupational therapy practitioners can use the findings to potentially prevent isolation and promote both child and family mental health and well-being.Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313155&lang=fr&site=ehost-live
Titre : Strengths-Based Practice to Enhance Mental Health for Autistic People: A Scoping Review (2023) Auteurs : Kavitha Murthi ; Yu-Lun Chen ; Stephen Shore ; Kristie Patten Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 2, Mars 2023) Article en page(s) : p. 1-12 Note générale : 10.5014/ajot.2023.050074 Langues: Anglais Descripteurs : HE Vinci
Bien-être ; Ergothérapie ; Santé mentale ; Trouble du spectre autistique (TSA)Résumé : Importance: Existing autism assessments, interventions, and research focus primarily on deficits rather than strengths, which affects autistic people's well-being and their physical and mental health. Objective: To develop an operational definition for strengths-based practice, develop a taxonomy to classify studies that characterize and provide strengths-based assessments and interventions, and present the impact on the mental health and well-being of autistic people of using strengths and interests in practice. Data Sources: Literature was searched from 2000 to 2021 in the CINAHL, PsycINFO, EBSCOhost, MEDLINE, Web of Science, JSTOR, and ERIC databases. Study Selection and Data Collection: A five-stage scoping review framework was merged with Joanna Briggs Institute enhancements to scrutinize peer-reviewed studies written in English that characterized and provided strengths-based assessments and interventions. Findings: We sorted the 38 studies into four categories: strengths-based interventions, descriptive studies, exploratory studies, and commentaries. We found three fundamental themes: mental health outcomes, increased knowledge in interest areas, and supportive environments. Strengths-based interventions were related to positive social engagement, learning, self-advocacy, and anxiety reduction. Descriptive studies used strength assessments and examined stakeholder perceptions of strengths. Exploratory studies explored ways to incorporate strengths in practice. Finally, commentaries discussed the need to presume autistic competence and involve autistic people in research and practice. Conclusions and Relevance: Despite the small body of literature, these findings have implications for pushing the boundaries of support to center the needs of autistic people and form genuine client collaborations. What This Article Adds: This article adds to the understanding of using the strengths and interests of autistic people by incorporating their voices into occupational therapy research and practice in meaningful and purposeful ways. Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). This article adds to the understanding of using the strengths and interests of autistic people by incorporating their voices into occupational therapy research and practice in meaningful and purposeful ways. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=163313152&lang=fr&site=ehost-live
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Titre : A Magic Trick Training Program to Improve Social Skills and Self-Esteem in Adolescents With Autism Spectrum Disorder. (2023) Auteurs : Hon K. Yuen ; Kevin Spencer ; Lauren Edwards ; Kimberly Kirklin ; Gavin R. Jenkins Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2023.049492 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Compétences sociales ; Concept du soi ; Magie ; Trouble du spectre autistique (TSA)Résumé : Importance: Low social competence is one of the most complex and resistant challenges faced by adolescents with autism spectrum disorder (ASD). Occupational therapy practitioners have recognized the potential benefits of using the arts, including training in magic tricks, as a therapeutic medium to improve and enhance clients' psychosocial well-being. Objective: To describe the efficacy of a virtual magic trick training program (MTTP) to enhance social skills and self-esteem in adolescents with ASD. Design: Pragmatic, nonrandomized, wait-list controlled trial with 1-mo follow-up. Setting: Participants' homes. Participants: Seventeen adolescents (ages 9−15 yr) with ASD participated in the MTTP, 9 in the first cohort and 8 in the second (wait-list control) cohort. Intervention: Participants received magic trick training from occupational therapy students in pairs via videoconferencing in 45-min sessions, 3 days/wk, for 3 wk. Outcomes and Measures: Participants completed the Rosenberg Self-Esteem Scale and the Social Skills Improvement System before and after participating in the program. Results: Between-cohort effect sizes (Cohen's d) were 0.58 for social skills and 0.66 for self-esteem, considered moderate effects. Combining the two cohorts revealed significant improvements in social skills and self-esteem, with gains maintained at 1-mo follow-up. Conclusions and Relevance: The results of this study support our hypothesis that adolescents with ASD who participate in the 3-wk virtual MTTP can experience enhanced social skills and self-esteem. What This Article Adds: Learning magic tricks through individual coaching from occupational therapy students in a virtual environment can enhance the social skills and self-esteem of adolescents with ASD. Adolescents with autism spectrum disorder (ASD) who participate in a virtual magic trick training program (MTTP) through individual coaching from occupational therapy students or practitioners can experience enhanced social skills and self-esteem. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168900&lang=fr&site=ehost-live
Titre : A Pilot Study for Remote Evaluation of Upper Extremity Motor Function After Stroke: The Arm Capacity and Movement Test (ArmCAM). (2023) Auteurs : Chieh-ling Yang ; Lisa A. Simpson ; Janice J. Eng Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050020 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activité motrice ; Communication par vidéoconférence ; Evaluation ; Instrument de mesure ; Membre supérieur ; Méthode de la Validation ; Physiopathologie ; TéléréadaptationRésumé : Importance: A simple measure that can be administered remotely by means of videoconferencing is needed for telerehabilitation. Objective: To develop a valid and reliable measure, the Arm Capacity and Movement Test (ArmCAM), that can be administered remotely by means of videoconferencing to evaluate upper extremity motor function poststroke. Design: Cross-sectional. Setting: Participants' homes. Participants: A sample of people with stroke (N = 31). Outcomes and Measures: Test–retest and interrater reliabilities were assessed through intraclass correlation coefficients (ICCs), Cohen's κ, standard error of measurement (SEM), and minimal detectable change (MDC). Interrater reliability validity was examined with Pearson and Spearman rank correlation coefficients. Results: The ArmCAM (range = 0–30) consists of 10 items and takes 15 min to administer with no special equipment except for a computer and internet access. The ICCs for test–retest reliability and interrater reliability were.997 and.993, respectively. The SEM and MDC95 were 0.74 and 2.05 points, respectively. Individual items' test–retest reliability and interrater levels of agreement ranged from.811 to.957 and from.475 to.842, respectively, as measured with Cohen's κ. Correlations between the ArmCAM and the Rating of Everyday Arm-use in the Community and Home scale; the Stroke Impact Scale, hand function domain; the Fugl-Meyer Assessment for upper extremity; and the Action Research Arm Test were good to excellent. Conclusions and Relevance: The ArmCAM has good reliability and validity. It is an easy-to-use assessment designed to be administered remotely by means of videoconferencing. What This Article Adds: The ArmCAM is a psychometrically sound instrument that can be easily administered remotely by means of videoconferencing to evaluate upper extremity motor function after stroke. The Arm Capacity and Movement Test (ArmCAM) is a psychometrically sound instrument that has good reliability and validity and can be easily administered remotely by means of videoconferencing to evaluate upper extremity motor function after stroke. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168890&lang=fr&site=ehost-live
Titre : Attentional Engagement During Mobile Application Skill Learning Among Patients With Memory Impairment: A Case Series Exploration (2023) Auteurs : Brandon P. Vasquez ; Andrew Lloyd-Kuzik ; Anna Theresa Santiago ; Goded Shahaf ; Jordan W. Lass Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2023.050064 Langues: Anglais Descripteurs : HE Vinci
Applications mobiles ; Attention ; État fonctionnel ; Incapacités d'apprentissage ; Méthode d'apprentissage ; Troubles de la mémoireRésumé : Importance: Attentional engagement is essential for successful cognitive rehabilitation, but little is known about longitudinal interactions with skill learning. Objective: To examine how attentional engagement is associated with mobile application skill learning for memory compensation. We hypothesized that patients with greater functional capacity would demonstrate faster learning and attentional engagement drop with skill acquisition, whereas patients with lesser functional capacity would have to maintain attentional engagement to progress throughout training. Design: A case series approach was used with longitudinal skill learning and electroencephalographic (EEG) data recorded across multiple trials and sessions of mobile calendar application training. Setting: The study was run in a hospital-based neuropsychology clinic. Participants: Seven participants (5 with acquired brain injury, 1 with mild cognitive impairment, and 1 healthy older adult) were recruited. Intervention: Mobile application operation was trained for the purpose of memory compensation. Skill learning was facilitated through a structured rehabilitation protocol, including large amounts of guided practice with the integration of errorless learning. Outcomes and Measures: We quantified learning using the proportion of application steps completed independently at each session. We measured attentional engagement using an EEG marker: the Brain Engagement Index. Results: For fast learners, attentional engagement generally decreased as mobile application learning progressed. In contrast, slow learners exhibited stable engagement over time with consistent, yet much slower, progress in skill learning. Conclusions and Relevance: The present data indicate that when cognitive impairment is more substantial, skill learning may involve greater attentional engagement. What This Article Adds: Patients undergoing memory rehabilitation may benefit from methods to enhance attentional engagement during skill learning when executive dysfunction is a considerable element of their cognitive profile. Monitoring attentional engagement during cognitive rehabilitation may be useful in identifying and addressing barriers to learning in real time. The results of this study indicate that patients undergoing memory rehabilitation may benefit from methods to enhance attentional engagement during mobile application skill learning when executive dysfunction is a considerable element of their cognitive profile. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168898&lang=fr&site=ehost-live
Titre : Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study (2023) Auteurs : Esther Appleton ; Talia Maeir ; Yakir Kaufman ; Sharon Karni ; Yafit Gilboa Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2023.050073 Langues: Anglais Descripteurs : HE Vinci
Analyse et exécution des tâches ; Cognition ; Evaluation ; Fractures de la hanche ; Réadaptation ; Satisfaction des patients ; Services de soins à domicile ; Sujet âgéRésumé : Importance: In-home therapy provides the opportunity for rehabilitation intervention to be completed in the context of the patient's natural environment. However, most studies have focused on the effects of physical exercise, leaving a gap in understanding the effectiveness of a more task-oriented intervention that addresses individual preferences. Objective: To assess the feasibility and preliminary efficacy of the Cognitive Orientation to daily Occupational PerformanceTM (CO-OP) approach, delivered at home with older adults after a hip fracture to improve functional outcomes. Design: Single-arm quasi-experimental design. Setting: Patients' home. Participants: Nine participants (age ≥60 yr) being discharged home from an inpatient rehabilitation ward in a geriatric hospital in a central city in Israel. Intervention: Up to 10 1-hr weekly face-to-face sessions in using the CO-OP approach. Outcomes and Measures: The Canadian Occupational Performance Measure was used to measure performance and satisfaction with the patients' level of participation in daily functioning. Results: A 30% recruitment rate, an 81% retention rate, were observed, with 88% of the participants expressing high to very high overall satisfaction with the intervention. Friedman test results indicated statistically significant improvements in occupational performance and satisfaction on trained and untrained goals (p <.01 conclusions and relevance: the findings suggest that a home-based co-op intervention is feasible potentially beneficial for older adults who are returning home after hip fracture. what this article adds: study shows task-oriented can be effective in helping return successfully cognitive orientation to daily occupational performancetm> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168901&lang=fr&site=ehost-live
Titre : Development and Psychometric Evaluation of the Computer-Aided Measure of Chinese Handwriting Legibility (CAM-CHL) for School-Age Children (2023) Auteurs : Wen-Feng Huang ; Tien-Ni Wang ; Po-Ya Chuang ; Hao-Ling Chen Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050075 Langues: Anglais Descripteurs : HE Vinci
Chine ; Compréhension ; Ecriture manuscrite ; Enfant (6-12 ans) ; Enseignement assisté par ordinateur ; Instrument de mesure ; Méthode de la Validation ; Ordinateurs ; PsychométrieRésumé : Importance: Handwriting legibility is the main criterion for determining whether a child has handwriting difficulties. A comprehensive assessment of handwriting legibility with sound psychometrics is essential to timely identification of handwriting difficulties and outcome measurement after handwriting interventions. Objective: To evaluate the psychometrics of the Computer-Aided Measure of Chinese Handwriting Legibility (CAM-CHL) and to investigate Chinese handwriting legibility in school-age children using the CAM-CHL. Design: Cross-sectional, repeated observation, test–retest. Setting: Elementary schools in Taiwan. Participants: We recruited 25 lower-grade children for the examination of test–retest reliability, 75 children from all grade levels, and 10 senior schoolteachers for the examination of the CAM-CHL's convergent validity and the investigation of handwriting legibility. Outcomes and Measures: Children were asked to copy a set of Chinese characters as legibly as possible. We used the CAM-CHL to assess handwriting legibility in four domains: Size, Orientation, Position, and Deformation. The schoolteachers were asked to subjectively assess the handwriting legibility using a 3-point Likert-type scale. Results: The CAM-CHL demonstrated good to excellent test–retest reliability and acceptable random measurement error in all legibility domains. The CAM-CHL had fair to moderate convergent validity with schoolteachers' perceptions. Additionally, upper-grade children had better handwriting legibility in the Size and Position domains than lower-grade children. Conclusions and Relevance: The CAM-CHL, a comprehensive and objective method of assessing Chinese handwriting legibility, has sound reliability and acceptable validity, suggesting its potential as an outcome measure for school-age children. What This Article Adds: The CAM-CHL can be used in comprehensive evaluations of Chinese handwriting legibility in school-age children. The CAM-CHL has acceptable psychometrics for use as an outcome measure. This study supports the use of the Computer-Aided Measure of Chinese Handwriting Legibility (CAM-CHL) as an outcome measure with acceptable psychometrics for the comprehensive evaluation of the handwriting legibility of school-age children. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168905&lang=fr&site=ehost-live
Titre : Dual-Tasking in Daily Activities Among Adults With and Without Stroke (2023) Auteurs : Emily E. Fokas ; Avinash R. Parnandi ; Anita Venkatesan ; Natasha G. Pandit ; Audre A. Wirtanen ; Dawn M. Nilsen ; Heidi M Schambra Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050063 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Analyse et exécution des tâches ; Comportement multi-tâchesRésumé : Importance: In laboratory settings, dual-tasking is a performance strategy affected by dominance and stroke. However, the volitional use of dual-tasking has not been examined during naturalistic performance of activities of daily living (ADLs). Objective: To examine dual-tasking in the context of ADLs and identify whether dominance and stroke influence its use. Design: Cross-sectional, observational. Setting: Academic medical center. Participants: Forty-three participants with chronic stroke and upper extremity (UE) motor impairment and 19 control participants without stroke. Outcomes and Measures: We identified dual-tasking as the performance of dual-object primitives (DOPs), a functional strategy to manage two objects simultaneously. We videotaped participants performing feeding and toothbrushing tasks and identified the initiation and frequency of DOPs. We assessed whether these outcomes were influenced by UE dominance or paresis and whether among participants with stroke these outcomes were influenced by motor impairment (using the Fugl-Meyer Assessment) or cognitive impairment (using the Montreal Cognitive Assessment). Results: DOP initiation was reduced on the nondominant side of control UEs and in the paretic UE of participants with stroke. After DOPs were initiated, however, their frequency was not significantly related to dominance or paresis. Among participants with stroke, DOP initiation but not DOP frequency was influenced by motor impairment, and neither were influenced by cognitive impairment. Conclusions and Relevance: The initiation of dual-tasking is curtailed in the nondominant and paretic UEs, extending previous laboratory-based findings to a more naturalistic setting. These results may reflect a demand on neural resources that is exceeded when these limbs are used. What This Article Adds: DOPs, a functional strategy to simultaneously engage two objects during ADLs, could serve as a behavioral marker of dual-tasking in real-world activities, supporting their investigation more broadly. Practicing DOPs in rehabilitation could also train the integration of dual-tasking strategies in activity execution. The results of this study demonstrate that the initiation of dual-tasking is curtailed in the nondominant and paretic upper extremities in the context of the performance of activities of daily living (ADLs) among adults with and without stroke, which may reflect a demand on neural resources that is exceeded when these limbs are used. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168897&lang=fr&site=ehost-live
Titre : Evaluation in Ayres Sensory Integration® (EASI) Tactile Perception Tests: Construct Validity and Internal Reliability (2023) Auteurs : Roseann C. Schaaf ; Kelly Auld Wright ; Zoe Mailloux ; Patricia Grady ; Diane L. Parham ; Susanne Smith Roley ; Anita Bundy Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2023.050053 Langues: Anglais Descripteurs : HE Vinci
Evaluation ; Instrument de mesure ; Méthode d'évaluation ; Toucher (sens) ; Troubles généralisés du développement de l'enfant ; Troubles sensitifsRésumé : Importance: Assessment of tactile perception is foundational for addressing aspects of occupational performance. Objective: To evaluate the construct validity and internal reliability of four new tactile perception tests. Design: Causal comparative groups design. Settings: Homes, schools, and therapy practices across the United States. Participants: Children ages 3 to 12 yr: typically developing (n = 174) and those with sensory integration concerns (n = 153). Outcomes and Measures: Rasch analyses to evaluate construct validity; analysis of covariance to evaluate group differences. Results: The Rasch model confirmed evidence of construct validity for each of the four tests. The typically developing group scored significantly higher than the clinical group on all tests (η2p =.040–.105, p <.001 person reliability indices and strata indicated moderate to strong internal conclusions relevance: the evaluation in ayres sensory integration tactile perception tests are reliable valid measures for assessing children ages yr. findings suggest that these likely be clinically useful appropriate this age range may provide critical information regarding underlying functions necessary optimal occupational performance. what article adds: provides data supporting validity of easi a u.s. sample. assessments can used by therapists trained their administration assess affect participation activities tasks occupations.> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168893&lang=fr&site=ehost-live
Titre : Evidence for Implementing Tiered Approaches in School-Based Occupational Therapy in Elementary Schools: A Scoping Review (2023) Auteurs : Helen Lynch ; Alice Moore ; Deirdre O'Connor ; Bryan Boyle Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2023.050027 Langues: Anglais Descripteurs : HE Vinci
Appréciation des risques ; Ecole primaire ; Ergothérapie ; Pratique factuelle (EBP) ; Services de santé scolaireRésumé : Importance: Internationally, it is suggested that school-based occupational therapy (SBOT) has an important role in supporting inclusion in educational settings. In SBOT, multitiered service delivery models are identified as a way forward to maximize school inclusion. Therefore, identifying evidence for the implementation of tiered interventions in SBOT is vital. Objective: To identify and map evidence in the occupational therapy literature relating to SBOT interventions delivered in elementary schools for all children, for those at risk, and for those with identified diagnoses. Data Sources: Peer-reviewed literature published in 14 occupational therapy journals between 1990 and 2020, indexed in the EBSCOhost database. Study Selection and Data Collection: Included studies were those within the scope of SBOT that reported on school occupations and focused on elementary school–age children (excluding kindergarteners or preschoolers). Findings: Forty studies met the criteria. Individual-tier intervention studies (n = 22) primarily reported direct interventions with children at risk or with identified diagnoses (Tier 2 or Tier 3), focusing mostly on remedial approaches. None adopted a whole-school approach. Despite handwriting and self-regulation being dominant areas of concern, these studies were not explicitly related to inclusion outcomes. Evidence for implementing multitiered models primarily used indirect, collaborative consultation, embedded in the school context (n = 18). These studies identified positive school staff and child outcomes when collaboration was timely, consistent, and authentic. Conclusions and Relevance: More rigorous individual-tier intervention studies are required to inform the design and implementation of multitiered interventions in SBOT and to support participation and inclusion in schools. What This Article Adds: This scoping review provides evidence to support occupational therapists' professional reasoning in developing evidence-based, contextual, educationally relevant multitiered models of intervention in SBOT. This scoping review provides evidence to support occupational therapists' professional reasoning in developing evidence-based, contextual, and educationally relevant multitiered models of intervention in school-based occupational therapy (SBOT) in elementary schools. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168899&lang=fr&site=ehost-live
Titre : Feasibility of Problem-Solving Training During Inpatient Rehabilitation in Patients With Stroke (2023) Auteurs : Candice L. Osborne ; Courtney L. Pool ; Shannon B. Juengst Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2023.050083 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Hospitalisation ; Réadaptation ; Résolution de problèmeRésumé : Importance: Stroke survivors report feeling unprepared to manage challenges that arise during the transition from hospital to home. Cultivating problem-solving skills before discharge may better prepare patients for the transition home. Objective: To determine the feasibility of a protocol to deliver Problem-Solving Training (PST) to stroke survivors during inpatient rehabilitation to increase goal achievement. Design: Single-group feasibility study. Setting: Academic and county hospital inpatient rehabilitation units. Participants: Adult patients with stroke and planned discharge home. Intervention: Up to six PST sessions over 2 to 3 wk followed by 3 mo of mobile health boosters. Results: Of 17 eligible participants, 15 consented and 11 completed three or more PST sessions. Six participants used electronic boosters, achieving at least one goal postdischarge. Participants reported high satisfaction with PST (Client Satisfaction Questionnaire–8 M score = 29.3, SD = 4.4; range = 8–32), moderate depression at baseline (eight-item Patient Health Questionnaire [PHQ–8] score, M = 11.0, SD = 6.1; range = 0–27), mild depression at 3 mo postdischarge (PHQ–8 score, M = 8.3, SD = 5.5), moderately high self-efficacy at baseline (General Self-Efficacy Scale [GSE] score, M = 31.1, SD = 7.3; range = 10–40), and a self-efficacy increase at 3 mo postdischarge (GSE score, M = 34.1, SD = 4.2). Conclusions and Relevance: PST among patients with stroke during inpatient rehabilitation was feasible, and participants demonstrated improvements in clinical outcomes and goal attainment. Barriers to participation and adherence should be addressed in future studies. What This Article Adds: Teaching patients problem-solving skills early after a stroke using a metacognitive strategy is feasible and may decrease depression and increase self-efficacy while fostering independent goal setting and problem solving. Problem-Solving Training (PST) during inpatient rehabilitation is feasible and the results of this study suggest that patients with stroke may have the ability to identify problems, set goals, and develop plans to accomplish goals. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168902&lang=fr&site=ehost-live
Titre : Identifying Cognitive Impairment in the Acute Care Hospital Setting: Finding an Appropriate Screening Tool (2023) Auteurs : Kelly Casey ; Erin Sim ; Annette Lavezza ; Kristen Iannuzzi ; Lisa Aronson Friedman ; Erik H. Hoyer ; Daniel L. Young Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050028 Langues: Anglais Descripteurs : HE Vinci
Méthode de la Validation ; Psychométrie ; Soins de suite ; Sujet âgé ; Troubles de la cognitionRésumé : Importance: Identifying cognitive impairment in adults in acute care is essential so that providers can address functional deficits and plan for safe discharge. Occupational therapy practitioners play an essential role in screening for, evaluating, and treating cognitive impairment. Objective: To test and compare the psychometrics and feasibility of three cognitive screens and select the ideal screen for use in acute care. Design: Prospective mixed methods. Setting: Acute care hospital. Participants: Fifty adults. Outcomes and Measures: We examined the interrater reliability, administration time, and usability of the Brief Cognitive Assessment Tool Short Form (BCAT–SF), the Activity Measure for Post-Acute Care "6-Clicks" Applied Cognitive Inpatient Short Form (AM-PAC ACISF), and the Montreal Cognitive Assessment (MoCA). We compared the construct validity, sensitivity, and specificity of the BCAT–SF and AM-PAC ACISF with those of the MoCA. Results: Interrater reliability was good to excellent; ICCs were.98 for the MoCA,.97 for the BCAT–SF, and.86 for the AM-PAC ACISF. The BCAT–SF and the AM-PAC ACISF both had 100% sensitivity, and specificity was 74% for the BCAT–SF and 98% for the AM-PAC ACISF. The optimal cutoff score for cognitive impairment on the AM-PAC ACISF was Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168889&lang=fr&site=ehost-live
Titre : Interventions for Caregivers of People Who Have Had a Stroke: A Systematic Review (2023) Auteurs : Amanda Mack ; Mary Hildebrand Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2023.050012 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aidants ; Ergothérapie ; Pratique professionnelleRésumé : Importance: It is vital that occupational therapy practitioners address caregivers' needs to enable them to maintain participation in caregiving for people poststroke. Objective: To explore the evidence for the effectiveness of interventions within the scope of occupational therapy practice for caregivers of people poststroke that facilitate maintaining participation in the caregiver role. Data Sources: We conducted a narrative synthesis systematic review of the literature published in the MEDLINE, PsycINFO, CINAHL, OTseeker, and Cochrane databases between January 1, 1999, and December 31, 2019. Article reference lists were also hand searched. Study Selection and Data Collection: The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines were used, and articles were included if they were within the date range and scope of occupational therapy practice and included caregivers of someone poststroke. Two independent reviewers used Cochrane methodology to perform the systematic review. Findings: Twenty-nine studies met the inclusion criteria and were divided into five intervention themes: cognitive–behavioral therapy (CBT) techniques, caregiver education only, caregiver support only, caregiver education and support, and multimodal interventions. Both the CBT technique of problem-solving combined with stroke education and one-on-one caregiver education and support interventions had strong strength of evidence. Multimodal interventions had moderate strength of evidence, and caregiver education only and caregiver support only had low strength of evidence. Conclusions and Relevance: Addressing caregiver needs with problem-solving and caregiver support in addition to typical education and training is essential. More research is needed that uses consistent doses, interventions, treatment settings, and outcomes. What This Article Adds: Although more research is needed, occupational therapy practitioners should provide combinations of interventions such as problem-solving techniques, customized support for each caregiver, and individualized education in the care of the stroke survivor. This systematic review explores evidence for the effectiveness of interventions within the scope of occupational therapy practice for caregivers of people poststroke and concludes that addressing caregiver needs with problem-solving and support in addition to typical education and training is essential. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168906&lang=fr&site=ehost-live
Titre : Navigating Ethical Tensions When Working to Address Social Inequities (2023) Auteurs : Hannah McArdle ; Tim Barlott ; Cathy McBryde ; Lynda Shevellar ; Nataya Branjerdporn Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050071 Langues: Anglais Descripteurs : HE Vinci
Accessibilité des services de santé ; Ergothérapeutes ; Inégalités en matière de santé ; Psychologie ; StressRésumé :
Importance: When providing services, occupational therapists encounter social inequities that affect the health and well-being of their clients and create ethical tensions. Objective: To develop an understanding of the ethical tensions encountered by occupational therapists working with clients experiencing social inequity and how such tensions are navigated. Design: This qualitative study used an interpretive description methodology. Setting: Community and tertiary health settings. Participants: Fifteen occupational therapists who identified as working with clients experiencing social inequity. Outcomes and Measures: Semistructured interviews were used to explore participants' practice experiences. Data were analyzed using thematic analysis. Results: Two themes were identified in relation to participants' experiences of ethical tensions: (a) perpetuating inequities and (b) experiencing conflicting values. A further three themes were identified in relation to how participants identified and navigated these tensions: (a) taking action, (b) seeking support, and (c) ensuring integrity and accountability. Conclusions and Relevance: Ethical tensions frequently emerged when systemic health contexts were not responsive to social inequities or created barriers to health care access. Occupational therapists felt a sense of responsibility to take action to address inequity, which led them to stretch boundaries and roles. Having informal and formal supports, and confidence in the scope of their practice, helped the occupational therapists to navigate ethical tensions with integrity and accountability. Increased avenues for support that incorporate reflexivity offer an opportunity for occupational therapists to engage in dialogue about social inequities and ethical practice. What This Article Adds: This article explores the types of ethical tensions occupational therapists experience when addressing social inequities and provides insights into how such tensions are managed. This study explores the types of ethical tensions occupational therapists experience when addressing social inequities and provides insights into how such tensions are managed.Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168904&lang=fr&site=ehost-live
Titre : Occupational Balance Among Parents of Typically Developing Children and Parents of Children With Disabilities (2023) Auteurs : Brightlin Nithis Dhas ; Ricardo Carrasco ; Gustavo A. Reinoso ; Catherine Backman Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050076 Langues: Anglais Descripteurs : HE Vinci
Développement de l'enfant ; Équilibre entre travail et vie personnelle ; Ergothérapie ; Pratiques éducatives parentales ; Qatar ; Qualité de vie ; Relations parent-enfantRésumé : Importance: Parenting may influence perceptions of occupational balance (OB), particularly among parents of children with disabilities (PCWD). Objective: To compare OB among PCWD and parents of typically developing children (PTDC), identify potential predictors of OB, and examine the association between OB and family quality of life (FQOL). Design: Cross-sectional group-comparison design. Setting: Two hospitals under the Hamad Medical Corporation, Doha, Qatar. Data were collected between November 2020 and February 2021. Participants: PCWD attending occupational therapy clinics and PTDC from the hospital staff and their relatives were recruited through convenience sampling. Participants were 89 PCWD and 89 PTDC, of whom 38% spoke Arabic, and 62% spoke English. Outcomes and Measures: The revised 11-item Occupational Balance Questionnaire and the short version of the Family Quality of Life Survey–2006 were used to measure outcome variables. An investigator-developed demographic survey was used to collect information on independent variables. All data collection forms were available in English and Arabic. The hypothesis was generated before data were collected. Results: Statistically significant but marginal differences were found in OB between PTDC and PCWD (M difference = 1.87, p =.02; 95% confidence interval [0.331, 3.339]). A moderate association existed between OB and FQOL among PCWD (r =.57, p =.001) and PTDC (r =.31, p =.003). Conclusions and Relevance: Occupational therapists working with families of young children may find it helpful to assess OB and address OB-related issues to facilitate better FQOL. What This Article Adds: Parenting young children affects OB regardless of the disability status of the child. Role satisfaction and spousal support are possible intervention targets to improve OB and thereby improve FQOL. Occupational therapists working with families of young children may find it helpful to assess occupational balance (OB) and address OB-related issues to facilitate better family quality of life (FQOL). Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168903&lang=fr&site=ehost-live
Titre : Occupational Therapy to Improve Activities of Daily Living of People With Parkinson's Disease (2023) Auteurs : Barbara M. Doucet ; Ingrid Franc Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2023.050233 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Comorbidité ; Complications ; Ergothérapie ; Maladie de Parkinson ; Réadaptation ; Sujet âgéRésumé : Evidence Connection articles are offered by the American Occupational Therapy Association's Evidence-Based Practice Program to inform and assist occupational therapy practitioners in methods that translate findings from the literature into usable knowledge for daily practice. These articles can guide professional reasoning and help practitioners operationalize findings from systematic reviews into practical strategies that can improve patient outcomes and support evidence-based practice. This Evidence Connection article is based on findings from a systematic review of interventions within the scope of occupational therapy practice to improve performance with activities of daily living (ADLs) for adults with Parkinson's disease (Doucet et al., 2021). In this article, we present a case study of an older adult with Parkinson's disease. We discuss suggested evaluation tools and intervention strategies that might be used as part of occupational therapy to address limitations and meet his desired needs for improved participation in ADLs. A client-centered, evidence-based plan was constructed for this case. This Evidence Connection article presents a case study of an older adult with Parkinson's disease and discusses suggested evaluation tools and intervention strategies that might be used as part of a client-centered, evidence-based occupational therapy plan to address limitations and meet the desired needs for improved participation in activities of daily living (ADLs). Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168908&lang=fr&site=ehost-live
Titre : Older Adults Receiving Rehabilitation Services Are More Likely to Get Bathing and Toileting Equipment Installed (2023) Auteurs : Adam Simning ; Thomas V. Caprio ; Kenneth Lam Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2023.050084 Langues: Anglais Descripteurs : HE Vinci
Accessibilité des services de santé ; Aide technique ; Bain ; Equipement ; Gériatrie ; Outil de rééducation ; Réadaptation ; Sujet âgéRésumé : Importance: Adaptive equipment, such as shower grab bars and modified toilet seating, is effective but underused in the United States. To change this, a better understanding of how equipment ends up being installed is needed. We hypothesized that rehabilitation services were a major mechanism. Objective: To examine the association between receipt of rehabilitation services and installation of adaptive equipment. Design: Observational cohort of the National Health and Aging Trends Study in 2015 and 2016. Setting: Community. Participants: A total of 416 community-dwelling adults age 65 yr or older who needed bathing equipment and 454 who needed toileting equipment. Outcomes and Measures: Study outcomes were the installation of bathing or toileting equipment. The primary independent variable was the receipt of rehabilitation services between 2015 and 2016. Results: Among older adults who needed equipment in 2015, 34.3% had bathing equipment and 19.2% had toileting equipment installed by 2016. In multivariate logistic regression analyses, rehabilitation services were associated with installation of bathing (odds ratio [OR] = 5.07, 95% confidence interval [CI] [2.60, 9.89]) and toileting equipment (OR = 2.67, 95% CI [1.48, 4.84]). Conclusions and Relevance: A minority of those in need have adaptive equipment installed within a year. In the current health care system, rehabilitation providers play a major role in equipment installation. What This Article Adds: Rehabilitation providers are involved in the installation of adaptive bathroom equipment among older persons who need it. Still, most in need of equipment do not have it after a year, suggesting that further work is needed to increase access to rehabilitation providers and develop other avenues for obtaining equipment. In the current health care system, a minority of older adults in need have adaptive equipment installed within a year. Rehabilitation providers play a major role in helping older adults modify their home environment to maximize function and reduce disability. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168907&lang=fr&site=ehost-live
Titre : Parents as Adult Learners in Occupational Therapy for Children With Sensory Challenges: A Scoping Review (2023) Auteurs : Lisa M. Porter ; Shelly J. Lane ; Barbara B. Demchick ; Jane K. Sweeney ; Pamela A. Mullens ; Breanne E. Kearney Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2023.050078 Langues: Anglais Descripteurs : HE Vinci
Enfants handicapés ; Ergothérapie ; Évaluation des besoins ; Réadaptation ; Troubles sensitifsRésumé : Importance: Parent training is an essential part of occupational therapy intervention for children with sensory processing and sensory integration (SP–SI) challenges, and parents' learning needs should be considered. Objective: To identify the extent to which adult learning needs are considered in occupational therapy literature addressing parent training as a part of intervention for children with SP–SI challenges. Data Sources: Searches were performed of the following databases: MEDLINE, PsycINFO, CINAHL, Web of Science, EMBASE, and ERIC. The date range was limited to 1990 to 2019 to capture literature focused on family-centered care. Study Selection and Data Collection: Using Arksey and O'Malley's framework for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews Checklist, the following criteria were used to guide the literature searches: population (parents and families of children with SP–SI challenges), intervention (parent training), outcomes (parent learning needs), and concept (parents as adult learners). Findings: Searches produced 133 peer-reviewed articles, and 5 met the criteria for inclusion. Qualitative thematic analysis, including stakeholder interviews, revealed two themes: (1) Parents focus on children's needs, not their own, and (2) parents benefit from connection with peers and learn through shared experiences. Conclusions and Relevance: Parent training is an essential component of occupational therapy; however, there is limited occupational therapy evidence examining parents' learning needs, specifically parents of children with SP–SI challenges. Future studies should investigate parents' learning needs in relation to occupational therapy intervention for families of children with SP–SI challenges. What This Article Adds: Parents' learning needs are both rarely considered in the occupational therapy literature and important for best practice in pediatric therapy for children with SP–SI challenges. The results of this scoping review point to the need for further investigation of parent training programs specifically examining parents as adult learners. The results of this scoping review identify the limited extent to which adult learning needs are considered in occupational therapy literature, specifically for parents of children with sensory processing and sensory integration (SP–SI) challenges, and point to the need for further investigation of parents' learning needs in relation to occupational therapy intervention. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168896&lang=fr&site=ehost-live
Titre : Predicting Fitness to Drive for Medically At-Risk Drivers Using Touchscreen DriveSafe DriveAware (2023) Auteurs : Beth Cheal ; Anita Bundy ; Ann-Helen Patomella ; Haijiang Kuang ; Justin Newton Scanlan Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2023.050048 Langues: Anglais Descripteurs : HE Vinci
Conduite automobile ; Ergothérapie ; Méthode de la Validation ; PsychométrieRésumé : Importance: Occupational therapists require valid cognitive fitness-to-drive tools to advise drivers in this high-stakes area. Objective: To examine the psychometric properties and predictive validity of data gathered with the touchscreen DriveSafe DriveAware (DSDA). Design: Prospective study that compared a screening tool with a criterion standard. Setting: Ten community- and hospital-based driver assessment clinics in Australia and New Zealand. Participants: Older and cognitively impaired drivers (N = 134) ages 18 to 91 years (Mage= 68) who were referred for an assessment to determine the impact of a medical condition on driving. The inclusion criteria were a valid driver's license, vision within license authority guidelines, completion of at least 1 year of high school, and English as a first language. Outcomes and Measures: The results of the touchscreen DSDA, a standardized assessment of awareness of the driving environment and one's own driving abilities, were compared with those of a standardized occupational therapist–administered on-road assessment. Results: Rasch analysis provided evidence for the construct validity and internal reliability of data gathered with the touchscreen DSDA. Optimal upper and lower cutoff scores were set to trichotomize drivers into three categories: likely to pass an on-road assessment, likely to fail an on-road assessment, and further testing required. Specificity of the touchscreen DSDA was 86%, and sensitivity was 91%; positive predictive value was 83%, negative predictive value was 92%, and overall accuracy of classification was 88%. Conclusions and Relevance: Evidence supports the utility of the touchscreen DSDA for accurately predicting which participants require on-road assessment. What This Article Adds: The touchscreen DSDA is a promising screen for occupational therapists and other health professionals to use in conjunction with other clinical indicators to determine whether drivers require further assessment. Evidence supports the utility of the touchscreen DriveSafe DriveAware (DSDA) for occupational therapists to use in conjunction with other clinical indicators to determine accurately whether drivers require further assessment. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168891&lang=fr&site=ehost-live
Titre : Uncovering the Obstacles—A Typology of Environmental and Contextual Factors Affecting Occupational Participation: A Scoping Review (2023) Auteurs : Leon Kirschner ; Nancy W. Doyle ; Brigitte C. Desport Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050043 Langues: Anglais Descripteurs : HE Vinci
Engagement dans le travail ; Ergothérapeutes ; ErgothérapieRésumé : Importance: Environmental and contextual factors may facilitate or limit participation in daily activities. A detailed, systematic categorization of such factors enhances evaluation and intervention and promotes occupational engagement. Objective: To develop an inclusive, detailed, and comprehensive typology of terms for environmental and contextual factors that affect occupational engagement and participation. Data Sources: We searched the Avery Index of Architectural Periodicals, ERIC, EMBASE, CINAHL, MEDLINE, Google Scholar, and Engineering Village databases, using the keywords environment, factors, context, participation, people, disability, disabilities, aspects, barriers, assessment, and evaluation. Study Selection and Data Collection: Using Arksey and O'Malley's scoping review methodology, two reviewers screened and selected publications describing specific aspects of environmental and contextual factors that facilitate or diminish human occupational engagement or participation. Findings: Forty-three articles and two book chapters published in English between 1997 and 2020 met the inclusion criteria. Terms extracted from this literature were iteratively screened and categorized. The resulting typology is organized into four areas with 12 categories and 53 specific terms. The typology's terms allow more fine-grained analysis of environmental factors described in the Occupational Therapy Practice Framework: Domain and Process (4th ed.) and the International Classification of Functioning, Disability and Health. Conclusions and Relevance: This typology provides occupational therapy practitioners with detailed language to identify, assess, intervene with, and research environmental and contextual factors that affect participation and participation choices of individuals, groups, and populations. What This Article Adds: The typology provides a comprehensive terminology for occupational therapy professionals and students to use, assess, and intervene at the environmental and contextual levels, thereby facilitating participation for more people. This scoping review provides occupational therapy practitioners with comprehensive terminology to identify, assess, intervene with, and research environmental and contextual factors that affect participation and participation choices of individuals, groups, and populations. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168892&lang=fr&site=ehost-live
Titre : Using Practice-Based Inquiry to Enact Occupation-Centered, Justice-Oriented Practice in an Acute Mental Health Setting (2023) Auteurs : MaryBeth Gallagher ; Nancy Bagatell ; Kimberly Godwin ; Darren Peters Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2023.050046 Langues: Anglais Descripteurs : HE Vinci
Attitude du personnel soignant ; Ergothérapie ; Etats-Unis ; Justice sociale ; Pratique professionnelle ; Services de santé mentale ; Soins de suiteRésumé : Importance: Occupational therapy practitioners working in mental health settings in the United States are faced with challenges and barriers to implementing justice-oriented, occupation-centered practice. Research situated in the practice context with practitioners as coresearchers may provide an avenue for changing practice. Objective: To describe the reconceptualization and redesign of occupational therapy services by a community of occupational therapy practitioners in an acute mental health setting in the United States. Design: Practice-based inquiry, a form of practitioner-generated action research with a community of practice scholars (CoPS), guided the redesign of practice. Setting: Acute mental health service in a large teaching hospital system. Participants: Nine occupational therapists comprised a CoPS and served as coresearchers and participants in the study. Data Collection and Analysis: Practitioner scholars' experiences of daily practice captured in individual reflections and collective research discussions were the source of data. Data collection, analysis, and action was an iterative process. Coresearchers coded and categorized findings and then developed themes reflecting changes enacted in practice. Findings: The data analysis resulted in two themes characterizing how the CoPS reconceptualized and redesigned practice to reflect their commitment to occupation-centered and justice-focused occupational therapy: (1) occupational opportunities through direct services and (2) occupational opportunities through system-level change. Conclusions and Relevance: For this CoPS, engaging in a practice-based inquiry facilitated a reconceptualization of their practice and widened their occupational lens, thus strengthening their identity as occupational therapists. Given the barriers to demonstrating occupational therapy's unique contribution to mental health practice, this research provides a valuable tool for practitioners. What This Article Adds: Occupational therapy practitioners who engage in context-specific, action-oriented research experience a transformative process that empowers them to address barriers often encountered in mental health practice and enact occupation-centered and justice-focused practice. This research describes the use of practice-based inquiry by occupational therapy practitioners to facilitate the reconceptualization and redesign of occupational therapy services to address barriers often encountered in acute mental health practice and to enact occupation-centered and justice-focused practice. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168894&lang=fr&site=ehost-live
Titre : Validity and Reliability of the Turkish Version of the Revised Low Vision Independence Measure (LVIM–R) (2023) Auteurs : Esma Özkan ; Bayazit Ilhan ; Theresa M. Smith Type de document : Article Dans : American journal of occupational therapy (Vol. 77, n° 1, janvier 2023) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2023.050055 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Reproductibilité des résultats ; Troubles de la visionRésumé : Importance: Few tools are available for assessing the activity performance of people with low vision. Additional practical instruments are required for occupational therapy evaluation. Objective: To evaluate the validity and reliability of the Turkish version of the Revised Low Vision Independence Measure (LVIM–R). Design: We analyzed Turkish LVIM–R items using confirmatory factor analysis with parceling. Test–retest reliability was measured using the intraclass correlation coefficient (ICC). The study was conducted between April 2020 and July 2021. Setting: Ophthalmology clinic. Participants: The study included 89 people with low vision who applied to an ophthalmology training and research clinic. Participants were age ≥18 yr, had visual acuity of 0.5 to 1.3 logarithms of the minimum angle of resolution, and consented to participate. Intervention: Not applicable. Outcomes and Measures: Turkish version of the LVIM–R, a self-report measure of activity performance for people with low vision. Results: In the principal-components analysis, the highest eigenvalue was Armor's θ =.966. ICCs were.995 for Visual Field or Scotoma,.997 for Visual Acuity, and.997 for Total score. Other results included χ2 = 9.566 (p =.297), comparative fit index =.998, Tucker–Lewis Index =.996, and root mean square error of approximation =.047. Goodness-of-fit indices support the structural validity of the two-factor model. Conclusion: The Turkish version of the LVIM–R is a valid and reliable assessment tool for occupational therapy practice in low vision rehabilitation. What This Article Adds: The Turkish LVIM–R is a valid and reliable assessment for use in low vision rehabilitation. The Turkish version of the Revised Low Vision Independence Measure (LVIM–R) is a valid and reliable assessment tool for occupational therapy practice in low vision rehabilitation. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=162168895&lang=fr&site=ehost-live
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Titre : Assessing the Impact of Weighted Blankets on Anxiety Among Patients With Anorexia Nervosa and Avoidant– Restrictive Food Intake Disorder: A Randomized Controlled Trial (2022) Auteurs : Rachel Ohene ; Christina Logan ; Figaro Loresto ; Ashlie Watters ; Kathryn Eron ; Tasha Markovchick ; Philip S. Mehler Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049295 Langues: Anglais Descripteurs : HE Vinci
Alimentation et nutrition ; Anorexie mentale ; Anxiété ; Literie et linges ; Résultat thérapeutique ; Troubles de l'alimentationRésumé : Importance: Interventions to reduce anxiety are needed for patients with anorexia nervosa (AN) and avoidant– restrictive food intake disorder (ARFID). Weighted blankets are one such intervention. Objective: To evaluate the impact of weighted blankets on anxiety for patients with AN and ARFID. Design: Randomized controlled trial conducted between November 2018 and March 2019. Patients were randomized into the control group or the intervention group. Setting: Inpatient setting; medical stabilization unit. Participants: Patients (N = 23) diagnosed with AN or ARFID and experiencing moderate anxiety. The majority were female (91%), with a mean age of 26 yr (SD = 9.3), and the mean length of hospitalization was 22 days (SD = 17.3). Interventions: Control group participants received usual care, which included occupational therapy services. Intervention group participants received a weighted blanket along with usual care. Outcomes and Measures: Mixed-effects regression models were conducted. Primary outcomes included improvement in Beck Anxiety Inventory (BAI) scores by discharge. Results: Intervention group patients had a greater, non–statistically significant decrease in BAI score over time (B = 1.16, p =.83) than control group patients. Conclusions and Relevance: Weighted blankets may be an effective tool for reducing anxiety among patients with AN or ARFID. What This Article Adds: The use of a weighted blanket, in conjunction with occupational therapy interventions, is potentially a beneficial non-pharmacological option for patients with anorexia nervosa (AN) and avoidant–restrictive food intake disorder (ARFID). The current study adds an additional modality to the multidisciplinary treatment approach for eating disorders. The findings of this study support the use of weighted blankets, in conjunction with occupational therapy interventions, as potentially a beneficial non-pharmacological option for patients with anorexia nervosa (AN) and avoidant–restrictive food intake disorder (ARFID). Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715145&lang=fr&site=ehost-live
Titre : Canine-Assisted Intervention Effects on the Well-Being of Health Science Graduate Students: A Randomized Controlled Trial (2022) Auteurs : Christine Kivlen ; Kristin Winston ; Dana Mills ; Rosanne DiZazzo-Miller ; Rick Davenport ; John-Tyler Binfet Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.049508 Langues: Anglais Descripteurs : HE Vinci
Accompagnement psychosocial ; Chien ; Chien d'assistance ; Étudiants ; Psychologie ; Qualité de vie ; Réadaptation psychiatrique ; Santé mentale ; Stress ; Thérapie assistée par l'animalRésumé : Importance: The mental health crisis among college graduate students requires cost-effective interventions to support the increasing number of students experiencing negative mental health symptoms. Objective: To assess the effects of a canine-assisted intervention (CAI) on student well-being, including quality of life (QOL), stress, anxiety, occupational performance, and adjustment to the graduate college student role. Design: Random assignment to a treatment or control group. Setting: College campus. Participants: A total of 104 college student participants were randomly assigned to either the treatment (n = 53) or control (n = 51) condition. Intervention: Treatment consisted of 35-min weekly sessions over 6 wk. Outcomes and Measures: QOL, stress, anxiety, and occupational role. Results: An analysis of covariance revealed that, compared with participants in the control condition, participants who interacted with therapy dogs had significantly higher self-reports of QOL (p <.001 and decreased anxiety scores within-subject paired t tests confirmed significant stress reductions for participants in the treatment condition no differences self-reports of occupational performance or adjustment to graduate college student role were found. conclusions relevance: these findings add body literature attesting efficacy cais supporting well-being optimizing learning conditions. moreover this study demonstrated that students a professional program responded favorably spending time with therapy dogs. implications university mental health programming are discussed. what article adds: cai may be valuable tool young adults experiencing challenges such as qol. show canine-assisted intervention is including quality life anxiety.> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715147&lang=fr&site=ehost-live
Titre : Cross-Cultural Validation of the Chinese Version of the Health Promoting Activities Scale (2022) Auteurs : So Sin Sim ; Helen M. Bourke-Taylor ; Mong-lin Yu ; Ellie Fossey ; Loredana Tirlea Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049434 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Chine ; Enfants handicapés ; Enquête de satisfaction ; Etudes de validation ; Instrument de mesure ; Outil d'évaluation ; Promotion de la santé ; PsychométrieRésumé : Importance: The Health Promoting Activities Scale (HPAS) measures the frequency of participation in health-promoting activities of mothers of children with disabilities. Translation of the HPAS into Chinese and validation of the Chinese version will enable its use with Chinese-speaking mothers of children with disabilities. Objective: To translate the HPAS into Chinese and assess its construct validity in relation to measures of well-being, mental health, and activity satisfaction. Design: Cross-cultural validation. Setting: Community. Participants: Eight bilingual Chinese speakers were involved in the translation. Ethnic Chinese mothers of children with disabilities living in Australia, Singapore, or Taiwan (N = 89) were recruited via purposive snowball sampling. Participants self-selected to complete the Chinese e-survey. Outcomes and Measures: Translation was guided by recommended frameworks. The Chinese versions of the Warwick–Edinburgh Mental Well-being Scale (WEMWS), Personal Well-being Index (PWI), and Kessler Psychological Distress Scale–10 (K10) were used to determine construct validity. Internal reliability was investigated. Results: The Chinese version of the HPAS correlated significantly with satisfaction ratings (r =.45, p <.001 n="87)," wemws total score p pwi mean and k10 internal reliability was moderate conclusions relevance: the chinese version of hpas found to be cross-culturally equivalent original psychometrically sound for use with chinese-speaking mothers children disabilities. what this article adds: study provides an example cross-cultural validation process. is could used as outcome measure participation in health-promoting activities. findings confirm that health promoting activities scale> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715143&lang=fr&site=ehost-live
Titre : Customized Three-Dimensional Printed Splints for Neonates in the Neonatal Intensive Care Unit: Three Case Reports (2022) Auteurs : Bridget M. Schutz ; Dallin Sudbury ; Neil Scott ; Baylee Mayoh ; Belinda Chan Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2022.049161 Langues: Anglais Descripteurs : HE Vinci
Attelles ; Impression tridimensionnelle ; Main ; Nourrisson ; Nouveau-né ; Orthèses ; Unités de soins intensifs néonatalsRésumé : Importance: Critically ill neonates can be vulnerable to positional deformities and joint contractures. Early splints, along with dynamic exercise, may lead to long-term functional improvement. Making splints to perfectly contour neonates' small joints and bodies is challenging. An ill-fitted splint can lead to skin ulcers, nerve damage, poor compliance, and discomfort. Three-dimensional (3D) printing has been applied to create customized, cost-effective, and lightweight orthoses that may be promising for neonates. Objective: To explore the feasibility of scanning, designing, and printing 3D splints for neonates. Setting: A large neonatal intensive care unit (NICU) in a university teaching hospital. Method: Case series of three neonates in a NICU who had deformities or joint contractures that would benefit from early static splints. We created customized splints for neonates using 3D scanning, digital design software, and 3D printing technology. We monitored the neonates' comfort and clinical improvement. Results: One neonate with a congenital neck deformity had a neck splint created from 3D body-scanned images. Another neonate with a hand deformity was measured and had 3D digitally designed hand splints made. The same hand splint design was modified to fit a third neonate's hand with new measurements. All splints were 3D printed using specialized lightweight materials. The neonates tolerated the splints well. Conclusions and Relevance: 3D printing technology is feasible for and applicable to NICU neonates. Advancing 3D technology should focus on upgrading scanning quality, improving splint design, and speeding up printing. Further research to evaluate the long-term benefits of early splinting is needed. What This Article Adds: This is the first published article to discuss the feasibility of using 3D printing technology to create customized splints for fragile neonates. Neonates, especially critically ill ones with congenital defects, may benefit from early splinting to preserve function and development. Neonates are the most challenging patients to make a perfect-fit splint for, and 3D printing may offer a potential solution. This is the first published study to highlight the feasibility of creating customized splints using 3D print technology for fragile neonates. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715137&lang=fr&site=ehost-live
Titre : Deliberately Dying Is an Appropriate Example to Challenge Current Definitions of the Concept of Occupation (2022) Auteurs : Manon Guay ; Marie-Josée Drolet ; Nicolas Kuhne ; Claudia Talbot-Coulombe ; Ben W. Mortenson Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-2 Note générale : 10.5014/ajot.2022.050244 Langues: Anglais Descripteurs : HE Vinci
Bioéthique ; Ergothérapie ; Ethique ; Euthanasie ; Personnes handicapéesDisponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715132&lang=fr&site=ehost-live
Titre : Development of a Short-Form Stroke Impact Scale Using a Machine Learning Algorithm for Patients at the Subacute Stage (2022) Auteurs : Shih-Chieh Lee ; Inga Wang ; Gong-Hong Lin ; Pei-Chi Li ; Ya-Chen Lee ; Chia-Yeh Chou ; Chien-Yu Huang ; Ching-Lin Hsieh Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.049136 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Algorithmes ; Apprentissage machine ; Complications ; Echelle d'évaluationRésumé : Importance: Several short forms of the Stroke Impact Scale Version 3.0 (SIS 3.0) have been proposed in order to decrease its administration time of about 20 min. However, none of the short-form scores are comparable to those of the original measure. Objective: To develop a short-form SIS 3.0 using a machine learning algorithm (ML–SIS). Design: We developed the ML–SIS in three stages. First, we calculated the frequencies of items having the highest contribution to predicting the original domain scores across 50 deep neural networks. Second, we iteratively selected the items showing the highest frequency until the coefficient of determination (R2) of each domain was ≥.90. Third, we examined the comparability and concurrent and convergent validity of the ML–SIS. Setting: Hospitals. Participants: We extracted complete data for 1,010 patients from an existing data set. Results: Twenty-eight items were selected for the ML–SIS. High average R2s (.90–.96) and small average residuals (mean absolute errors and root-mean-square errors = 0.49–2.84) indicate good comparability. High correlations (rs =.95–.98) between the eight domain scores of the ML–SIS and the SIS 3.0 indicate sufficient concurrent validity. Similar interdomain correlations between the two measures indicate satisfactory convergent validity. Conclusions and Relevance: The ML–SIS uses about half of the items in the SIS 3.0, has an estimated administration time of 10 min, and provides valid scores comparable to those of the original measure. Thus, the ML–SIS may be an efficient alternative to the SIS 3.0. What This Article Adds: The ML–SIS, a short form of the SIS 3.0 developed using a machine learning algorithm, shows good potential to be an efficient and informative measure for clinical settings, providing scores that are valid and comparable to those of the original measure. This article details the development of a short-form Stroke Impact Scale Version 3.0 (SIS 3.0) using a machine learning algorithm (ML–SIS) and concludes that the measure has good potential to be efficient and informative for clinical settings and provides scores that are valid and comparable to those of the original measure. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715142&lang=fr&site=ehost-live
Titre : Finding Our Strengths: Recognizing Professional Bias and Interrogating Systems (2022) Auteurs : Kristie K. Patten Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-16 Note générale : 10.5014/ajot.2022.076603 Langues: Anglais Descripteurs : HE Vinci
Bien-être psychologique ; Défense du patient ; Ergothérapie ; Justice sociale ; Lecture ; Personnes handicapées ; Psychologie positiveRésumé : No one builds their lives on remediated weaknesses. No one. Who does a deficits-based approach benefit? Those we serve, or the professional community? Do our current models of practice support flourishing? Our professional biases make it hard for us to see not only how our practice may be getting it wrong today but is also perpetuating systems that prevent us from getting it right tomorrow. A paradigm shift to a strengths-based model that interrogates the educational, research, and practice systems we work in is proposed. It is a shift that we must see, speak, and act on. Our vulnerability and willingness to rethink is our strength, which will meet the changing needs of society. This lecture will draw on literature from positive psychology, disability justice, well-being, and research that centers the voice of self-advocates. In this Eleanor Clarke Slagle Lecture, Dr. Kristie Patten discusses the process of preparing for the Slagle, which focuses on using a strengths-based approach in occupational therapy practice. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715135&lang=fr&site=ehost-live
Titre : Go Big on Your Way Home!...Alyson Stover (2022) Auteurs : Alyson Stover Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.076602 Langues: Anglais Descripteurs : HE Vinci
Administration ; Association professionnelle ; Collaboration ; ErgothérapieRésumé : We are entering an environment in which health care and public health are integrating more than ever, and discipline-specific lines are transforming into large encroaching waves of gray. We must take charge of our own story so that we do not become obsolete, so that our distinct value remains the distinct value of occupational therapy. Occupational therapy is narrative. Our own narrative grows as we experience others' narratives. To future-proof occupational therapy and continue our momentum forward, we must be intentional about intraprofessional collaboration. The American Occupational Therapy Association (AOTA) has also committed not only to discussing JEDI (justice, equity, diversity, inclusion) in principle, but to taking actions to realize it, placing the Allied Health Workforce Diversity Act as a high priority and advocating for its passage with Congress. From guiding academic programs toward more diverse and inclusive missions, to addressing the burnout and current mass exodus of occupational therapy practitioners, to engaging more with both AOTA members and nonmembers in open conversation within their practice settings, this Inaugural Presidential Address offers a message of the need to honor our past so that we can embrace our present to empower our future. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715134&lang=fr&site=ehost-live
Titre : Goal-Directed Personalized Upper Limb Intensive Therapy (PULIT) for Children With Hemiparesis: A Retrospective Analysis (2022) Auteurs : Géraldine L. P. Bono ; Prisca Achermann ; Bärbel Rückriem ; Jan Lieber ; Hubertus J. A. van Hedel Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049008 Langues: Anglais Descripteurs : HE Vinci
Activité motrice ; Activités de la vie quotidienne ; Enfant (6-12 ans) ; Hémiplégie ; Médecine physique et de réadaptation ; Membre supérieur ; Nourrisson ; Processus de groupeDisponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715140&lang=fr&site=ehost-live
Titre : Hand Impairment and Function in Children and Adolescents With Heritable Disorders of Connective Tissue (2022) Auteurs : Alison Wesley ; Paula Bray ; Verity Pacey ; Cliffton Chan ; Leslie L. Nicholson Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049282 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Adolescent ; Autorapport ; Enfant (6-12 ans) ; Main ; Maladies du tissu conjonctif ; PhysiopathologieRésumé : Importance: Heritable disorders of connective tissue (HDCTs) affect hand function and participation in daily activities for children and adolescents. Objective: To describe hand impairment and function and determine the extent to which hand impairment and function explain the variation in self-reported functional performance. Design: Cross-sectional observational study. Setting: Specialist tertiary hospital. Participants: Children and adolescents ages 8–18 yr with HDCTs (N = 73). Intervention: None. Outcomes and Measures: Hand function outcomes included grip strength (digital dynamometer), manipulation and dexterity (Functional Dexterity Test, Nine-Hole Peg Test), and fine motor skills (Bruininks–Oseretsky Test of Motor Proficiency). Upper limb hypermobility was assessed using the Upper Limb Hypermobility Assessment Tool. Hand pain and fatigue were recorded for a timed button test and 3- and 9-min handwriting tasks. Functional performance was measured using the Childhood Health Assessment Questionnaire. Results: Scores on all hand function measures were below expected norms. Pain and fatigue were significantly worse after the writing tasks (p <.001 but not the button test>.40). Secondary students had significantly lower handwriting scores than primary students (p =.03) but similar grip strength z scores (p =.95). Variation in self-reported functional performance was explained by grip strength (6%) and upper limb hypermobility and dexterity (16%). Conclusions and Relevance: Young people with HDCTs have poor hand function attributable to poor grip strength and hand pain and fatigue. Comprehensive upper limb evaluation and ongoing monitoring throughout the school years are warranted to inform timely intervention. What This Article Adds: Children and adolescents with heritable disorders of connective tissue have difficulty with hand function that affect their participation in daily activities. The results of this study can help clinicians identify, assess, and monitor daily activities, performance skills, and symptoms of children and adolescents with HDCTs to promote their participation in all aspects of daily life. The results of this study can help clinicians identify, assess, and monitor daily activities, performance skills, and symptoms of children and adolescents with heritable disorders of connective tissue (HDCTs) to promote their participation in all aspects of daily life. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715138&lang=fr&site=ehost-live
Titre : How Occupational Therapists Assess and Address the Occupational Domain of Sleep: A Survey Study (2022) Auteurs : Rebecca Ludwig ; Aaron Eakman ; Carrie Bath-Scheel ; Catherine Siengsukon Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.049379 Langues: Anglais Descripteurs : HE Vinci
Enseignement ; Ergothérapeutes ; Ergothérapie ; Evaluation ; Méthode et pratique ; Méthodologie ; SommeilRésumé : Importance: Sleep is a foundational occupation in the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), yet little is known about how occupational therapists assess and address sleep in practice. Objective: To survey practicing occupational therapists' comfort with their level of knowledge about sleep, how they are assessing and addressing sleep in clinical practice, and the amount of sleep-related education they have received. Design: Cross-sectional survey study. Setting: Electronic survey. Participants: Practicing occupational therapists were invited to participate in November 2020. Survey invitations were sent via email targeting occupational therapists serving as clinical instructors. Outcomes and Measures: The survey consisted of 41 items assessing comfort with sleep knowledge, occupation of sleep, and sleep education received. This survey was modified from a previous survey and tailored to the occupational therapy profession. Results: A total of 169 occupational therapists completed the survey. Most (87%) agreed that sleep was an occupation, but only 44% evaluated their clients' sleep, and 30% established treatment goals pertaining to sleep. In addition, 66% reported not receiving education about sleep in their entry-level occupational therapy program, and 78% reported receiving no continuing education about sleep in the past 2 yr. Most (92%) reported that occupational therapists should be better prepared to evaluate and treat sleep after graduation. Conclusions and Relevance: Most occupational therapists identified sleep as an area of occupation but had limited knowledge of how to assess and address sleep in practice. Entry-level occupational therapy education programs must enhance sleep-related curricula, and continuing education programs tailored to sleep issues within occupational therapists' practice are needed. What This Article Adds: The results of this study indicate gaps in occupational therapists' knowledge regarding how best to assess and treat sleep problems. We offer next steps to improve the profession's capacity to address the occupation of sleep. This study highlights gaps in occupational therapists' knowledge regarding how best to assess and treat sleep problems and offers next steps to improve the profession's capacity to address the occupation of sleep. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715149&lang=fr&site=ehost-live
Titre : Impact of Occupational Therapy on Self-Care After Selective Dorsal Rhizotomy Among Children With Cerebral Palsy (2022) Auteurs : Heather Forst ; Tonye Sylvanus Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.049267 Langues: Anglais Descripteurs : HE Vinci
Autosoins ; Enfant (6-12 ans) ; Ergothérapie ; Paralysie cérébrale ; Pédiatrie ; Rhizotomie ; ThérapeutiqueRésumé : Importance: Selective dorsal rhizotomy (SDR) is an established treatment for spastic cerebral palsy (CP). The effects and predictors of occupational therapy's benefit for self-care after SDR in children with CP have not been thoroughly investigated. Objective: To identify changes in self-care after occupational therapy post-SDR and determine whether changes were affected by age, Gross Motor Function Classification System (GMFCS) level, and number of occupational therapy dressing sessions. Design: In this retrospective cohort study, we collected outcomes pre-SDR, at discharge, and at 1-yr follow-up. Paired t tests and regression analysis were performed. Setting: Commission on Accreditation of Rehabilitation Facilities–accredited pediatric inpatient rehabilitation facility. Participants: Seventy-three children (GMFCS Levels I–III, ages 4–17 yr) diagnosed with spastic CP who underwent SDR from 2014 to 2018. Intervention: After having SDR, each child received an average of twice daily occupational therapy for an average of 37.3 days. Outcomes and Measures: The Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI–CAT) and Functional Independence Measure for Children® (WeeFIM) were used to assess self-care performance. Results: The mean WeeFIM dressing (upper and lower body) and mean PEDI–CAT daily activities scores from baseline to discharge and mean WeeFIM lower body dressing at 1-yr follow-up improved significantly. The improvement in lower body dressing correlated with GMFCS level and the number of occupational therapy dressing sessions. Conclusions and Relevance: The improvement in upper and lower extremity dressing and PEDI–CAT daily activities scores suggests that inpatient occupational therapy post-SDR may provide benefits. What This Article Adds: Children diagnosed with CP may undergo surgical interventions to improve their ability to walk. This article demonstrates the benefit of occupational therapy services after SDR to improve upper and lower body dressing skills. This study shows improvement in upper and lower extremity dressing and PEDI-CAT daily activities score among children with cerebral palsy, which suggests that inpatient occupational therapy post-SDR may provide benefits. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715139&lang=fr&site=ehost-live
Titre : Lifestyle Redesign® Intervention for Psychological Well-Being and Function in People With Fibromyalgia: A Retrospective Cohort Study (2022) Auteurs : Lindsey Shomer ; Shawn C. Roll Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2022.049243 Langues: Anglais Descripteurs : HE Vinci
Bien-être psychologique ; Ergothérapie ; Fibromyalgie ; Mode de vie ; Performance fonctionnelle physiqueRésumé : Importance: Fibromyalgia is a complex chronic pain condition for which effective nonpharmacological treatment interventions are lacking. Objective: To explore the effects of an occupational therapy intervention for fibromyalgia on client-reported outcomes of pain interference, self-efficacy, mood, and function. Design: Retrospective cohort study using a chart review method. Setting: Outpatient clinic. Participants: Twenty-one adults with fibromyalgia (M age = 54 yr). Intervention: A 10-wk occupational therapy group intervention using a Lifestyle Redesign® (LRD) approach. Outcomes and Measures: The Brief Pain Inventory, Pain Self-Efficacy Scale, Beck Depression Inventory (BDI), and the Fibromyalgia Impact Questionnaire (FIQ) or the Revised Fibromyalgia Impact Questionnaire were administered at the first and last sessions of the program. Results: Between 2015 and 2018, 37 clients entered the program, and 21 completed it. Changes in group averages exceeded the minimal clinically important difference for the BDI and the FIQ. Eighty-one percent of clients who completed the program had a clinically significant improvement on one or more of the outcome measures. Conclusions and Relevance: The findings demonstrate the potential benefit of occupational therapy as a complementary approach to pharmacological treatment for people with fibromyalgia. Preliminary evidence suggests that a 10-wk occupational therapy group intervention using an LRD approach may reduce symptoms of depression and decrease the impact on daily function for people with fibromyalgia. What This Article Adds: Occupational therapy should be considered as a nonpharmacological intervention for adults with fibromyalgia to improve psychological well-being and function. The findings of this study demonstrate the potential benefit of a Lifestyle Redesign® occupational therapy intervention as a complementary approach to the pharmacological treatment of adults with fibromyalgia to improve psychological well-being and function. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715141&lang=fr&site=ehost-live
Titre : Occupational Therapy Interventions for College Students With Learning Differences (2022) Auteurs : Rashelle Nagata ; Savanna Forry ; Elizabeth Griffin Lannigan Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.050057 Langues: Anglais Descripteurs : HE Vinci
Accompagnement ; Ecole secondaire ; Ergothérapeutes ; Ergothérapie ; Étudiants ; Méthode d'apprentissage ; Motivation scolaire ; Pratique factuelle (EBP) ; Trouble déficitaire de l'attention avec ou sans hyperactivité ; Troubles mentauxRésumé :
Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Program and illustrate how the research evidence from the reviews can be used to inform and guide clinical decision-making. Each article in this series summarizes evidence from published reviews on a given topic and presents the application of evidence to a related clinical case. In this Evidence Connection article, we describe a case report of a college-age student receiving supported education services and outline the occupational therapy evaluation and intervention that enhanced her academic engagement as well as her health and wellness. The findings from the systematic reviews on this topic were published in the September/October 2018 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Adults Living With Serious Mental Illness. In this Evidence Connection article, the authors describe a case report of a college-age student receiving supported education services and outline the occupational therapy evaluation and intervention that enhanced her academic engagement as well as her health and wellness.Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715150&lang=fr&site=ehost-live
Titre : Rasch Analysis of the Stroke Impact Scale–16 (2022) Auteurs : Inga Wang ; Yi-Ching Wang ; Tzu-Yi Wu ; Chia-Yeh Chou ; Ching-Lin Hsieh Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049335 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Outil d'évaluation ; PsychométrieMots-clés: Analyse de Rasch Résumé : Importance: Because the psychometric evidence supporting the use of the Stroke Impact Scale–16 (SIS–16) is limited, an examination of its psychometric properties is warranted. Objective: To evaluate the psychometric properties of the SIS–16 using Rasch analysis. Design: Secondary data analysis of responses to the SIS–16 from the published Field Administration of Stroke Therapy–Magnesium Trial database. Setting: Emergency medical system agencies and acute care receiving hospitals. Participants: A total of 1,010 people with stroke. Outcomes and Measures: We examined the item difficulty hierarchy, item fit, person–item match, separation index, person reliability coefficient, and ceiling and floor effect of the SIS–16. Results: The item "climb a flight of stairs" was the most difficult, and "sit without losing balance" was the easiest. Four items misfit the Rasch partial-credit measurement model. Overall, the average patient ability estimate of 2.1 logits (SD = 2.0) was higher than the average item difficulty estimate of 0.0 logits (SD = 1.1). With a separation index of 2.85, the SIS–16 can differentiate people into 4.1 statistically distinct strata. The person reliability coefficient was.89. Given that 24.2% (n = 244) obtained the maximum score and 0.2% (n = 2) obtained the minimum score, the SIS–16 had a ceiling effect in this patient sample. Conclusions and Relevance: Results partially support the validity and clinical use of the SIS–16 in subacute stroke clinical settings. Further research is warranted to examine the psychometric properties of the SIS–16 in patients with chronic stroke. What This Article Adds: Our results partially support the use of the SIS–16 in clinical and research settings. Study results partially support the use of the Stroke Impact Scale–16 (SIS–16) in clinical and research settings for patients with chronic stroke Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715148&lang=fr&site=ehost-live
Titre : Telehealth Interventions Within the Scope of Occupational Therapy Practice: A Systematic Review (2022) Auteurs : Diana R. Feldhacker ; Vanessa D. Jewell ; Sadie Jung LeSage ; Haley Collins ; Helene Lohman ; Marion Russell Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.049417 Langues: Anglais Descripteurs : HE Vinci
Ergothérapie ; Interdisciplinarité ; Pratique professionnelle ; Prestations des soins de santé ; TélémédecineRésumé : Importance: With the increasing use of telehealth, it is imperative to synthesize the existing evidence to examine the effectiveness of telehealth interventions and inform practitioners and reimbursement entities. Objective: To examine the effectiveness of telehealth occupational therapy interventions across the lifespan, delivered either independently or as part of an interdisciplinary team. Data Sources: MEDLINE, CINAHL, SAGE, PsycInfo, Cochrane Database of Systematic Reviews, OTseeker, and OT Search and hand searches of systematic reviews, relevant journals, and known occupational therapy telehealth research. Study Selection and Data Collection: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we screened and appraised articles that included an occupational therapy intervention delivered via telehealth and that were peer reviewed, written in English, published between 2009 and 2019, and Levels 1b to 3b evidence. Findings: Twenty full-text articles (8 Level 1b, 9 Level 2b, and 3 Level 3b) met the inclusion criteria. Strong strength of evidence supports the use of telehealth approaches for occupational therapy interventions for people with neurological and pain conditions. Moderate strength of evidence supports the use of telehealth interventions to support education outcomes. Low strength of evidence was found for other outcomes for children with developmental disorders and additional conditions. Conclusions and Relevance: There is evidence to support that occupational therapy interventions delivered via telehealth are similarly effective as those delivered face-to-face, especially for neurological and pain conditions. What This Article Adds: The findings include an updated synthesis of telehealth occupational therapy interventions provided separately and with interdisciplinary health care teams. They expand occupational therapy's scope of practice to include interventions provided across the lifespan for rehabilitation and habilitation needs and include effectiveness by conditions. This systematic review highlights evidence to support that occupational therapy interventions delivered via telehealth are similarly effective as those delivered face-to-face, especially for neurological and pain conditions. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715144&lang=fr&site=ehost-live
Titre : Understanding and Enhancing Occupational Therapists' Use of Standard Family-Centered Measures (2022) Auteurs : Liat Gafni-Lachter ; Ayelet Ben Sasson Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2022.049527 Langues: Anglais Descripteurs : HE Vinci
Apprentissage par problèmes ; Education ; Ergothérapie ; Évaluation de résultat (soins) ; Santé de la familleRésumé : Importance: The use of standard family-centered measures (FCMs) is imperative to guide family-centered care (FCC) interventions and monitor their outcomes. Objective: To measure the frequency of FCM use and evaluate the effectiveness of experiential learning and reflection to increase their use. Design: Descriptive and two-group pre–post comparative training study. Setting: Continuing education center. Participants: Phase 1 included 145 health care providers. Phase 2 included 44 school-based occupational therapists who participated in Phase 1. Intervention: Phase 2 participants enrolled in 30-hr FCC training that included a 2-hr workshop on FCM. One group (n = 22) conducted an FCM with a family and wrote a reflective report. Outcomes and Measures: All participants completed the Measure of Processes of Care–Service Provider (MPOC–SP) questionnaire and reported how frequently they used FCMs. Results: FCM use rates were low (50%, not at all; 26%, to a very small extent). The extent of FCC was correlated with FCM use (r =.24–.30, p <.01 a wilcoxon signed-rank test demonstrated that participants who administered an fcm with family and reflected on this experience showed significant increases p=".001)" in use compared were only instructed about available fcm. mann u confirmed the difference conclusions relevance: is sparse but experiential reflective activities are simple keys to promoting fcc integrating into practice. what article adds: training designers educators managers should consider learning enhance providers expertise quality of care. study supports promotion integration standard family-centered measures practice care guide interventions monitor their outcomes.> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715146&lang=fr&site=ehost-live
Titre : Weekly Calendar Planning Activity (WCPA): Validating a Measure of Functional Cognition for Adolescents With Attention Deficit Hyperactivity Disorder (2022) Auteurs : Orit Fisher ; Itai Berger ; Ephraim S. Grossman ; Miri Tal-Saban ; Adina Maeir Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 6, Novembre-Décembre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049028 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Cognition ; Fonctions exécutives ; Outil d'évaluation ; Tests neuropsychologiques ; Trouble déficitaire de l'attention avec ou sans hyperactivitéRésumé : Importance: Adolescents with attention deficit hyperactivity disorder (ADHD) often experience difficulties with executive function and participation in life roles. Ecologically valid performance-based tests (PBTs) are needed to assess functional cognition in this population. Objective: To examine the known-groups, concurrent, and ecological validity of a functional cognition PBT, the Hebrew version of the Weekly Calendar Planning Activity (WCPA) Middle/High School Version, among adolescents with and without ADHD. Design: Cross-sectional between-groups design. Setting: Community. Participants: One hundred two adolescents (ages 12–18 yr), with (n = 52) and without (n = 50) ADHD. Outcomes and Measures: The Hebrew version of the WCPA Middle/High School Version, MOXO™–Continuous Performance Test (MOXO–CPT), Behavior Rating Inventory of Executive Function (BRIEF) parent form, and Child and Adolescent Scale of Participation (CASP). Results: The results showed significant between-groups differences with medium to large effect sizes for scores on most WCPA measures, with the ADHD group receiving significantly lower scores. Significant correlations in the expected direction were found between scores on the MOXO–CPT Attention and Hyperactivity indices and WCPA measures. Significant correlations were also found between most WCPA measures and the BRIEF Global Executive Composite (GEC) and the CASP. Multiple linear regression on the CASP indicated that the WCPA strategy score and the BRIEF GEC were significant predictors in the model. Conclusions and Relevance: Results support the known-groups validity of the WCPA Middle/High School Version between adolescents with and without ADHD. Concurrent and ecological validity were supported by significant associations with measures of cognition and participation. What This Article Adds: These results reinforce the premise that the WCPA Middle/High School Version can be implemented as a valid measure of functional cognition among adolescents with ADHD. The results of this study reinforce the premise that the Weekly Calendar Planning Activity (WCPA) Middle/High School Version can be implemented as a valid measure of functional cognition among adolescents with attention deficit hyperactivity disorder (ADHD). Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=161715136&lang=fr&site=ehost-live
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Titre : A Parent Guidebook for Occupational Therapy Using Ayres Sensory Integration® (2022) Auteurs : Cecilia Roan ; Zoe Mailloux ; Amy Carroll ; Roseann C. Schaaf Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 10.5014/ajot.2022.049419 Langues: Anglais Descripteurs : HE Vinci
Ergothérapie ; Guide de bonnes pratiques ; Outil d'évaluation ; Parents ; Sensorialité ; Trouble du spectre autistique (TSA)Résumé : Importance: Occupational therapy using Ayres Sensory Integration® (ASI) is an evidence-based intervention that includes parent education and participation to support outcomes. However, guidelines for this parent component have not been published. Objective: To obtain input from stakeholders on a revised guidebook for parent education during ASI intervention. Design: Cross-sectional survey design. Setting: Online surveys. Participants: Experts in ASI, occupational therapy practitioners who use this approach, and parents of children with autism who received occupational therapy using this intervention. Outcomes and Measures: Surveys designed and vetted to obtain input on content and usability. Results: Experts rated the guidebook as consistent with ASI principles, practitioners rated it as clinically useful, and parents rated it as useful and clear. Conclusions and Relevance: The parent guidebook for ASI is ready for further testing and use. What This Article Adds: This report adds knowledge translation and best practice strategies in parent education to the parent guidebook for ASI and provides evidence that it is acceptable by experts, parents, and clinicians. This report adds knowledge translation and best practice strategies in parent education to the parent guidebook for using Ayres Sensory Integration® (ASI) and provides evidence that the guidebook is acceptable by experts, parents, and clinicians. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469858&lang=fr&site=ehost-live
Titre : Advocating for Change to Meet the Developmental Needs of Young Children Experiencing Homelessness (2022) Auteurs : Mary O'Donnell ; Sarah McKinnon Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.050114 Langues: Anglais Descripteurs : HE Vinci
Développement de l'enfant ; Droits de l'enfant ; Ergothérapeutes ; Évaluation des besoins ; Psychologie ; Rôle professionnel ; Sans-abriRésumé : Young children experiencing homelessness are at considerable risk for developing physical and cognitive impairments, yet federal and state programs often overlook their needs. Although early intervention programs should serve as family-centered, health-promoting resources for families experiencing homelessness, many do not locate and comprehensively screen eligible children ages ≤3 yr in their communities. Occupational therapy practitioners have a role in advocating for improved access to high-quality, federally mandated programming for this population. They should be aware of the barriers faced by homeless families in accessing equitable early developmental services and of strategies to support individual families and communities experiencing homelessness. This article highlights the unique developmental needs of young children experiencing homelessness and the challenges faced by this population in accessing equitable early developmental services. The authors outline suggestions for occupational therapy practitioners to advocate for this population at the individual, community, and population levels. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469841&lang=fr&site=ehost-live
Titre : Advocating for Change to Meet the Developmental Needs of Young Children Experiencing Homelessness (2022) Auteurs : Mary O'Donnell ; Sarah McKinnon Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.050114 Langues: Anglais Descripteurs : HE Vinci
Enfance ; Évaluation des besoins ; Sans-abriRésumé : This article highlights the unique developmental needs of young children experiencing homelessness and the challenges faced by this population in accessing equitable early developmental services. The authors outline suggestions for occupational therapy practitioners to advocate for this population at the individual, community, and population levels. Young children experiencing homelessness are at considerable risk for developing physical and cognitive impairments, yet federal and state programs often overlook their needs. Although early intervention programs should serve as family-centered, health-promoting resources for families experiencing homelessness, many do not locate and comprehensively screen eligible children ages 3 yr in their communities. Occupational therapy practitioners have a role in advocating for improved access to high-quality, federally mandated programming for this population. They should be aware of the barriers faced by homeless families in accessing equitable early developmental services and of strategies to support individual families and communities experiencing homelessness. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469853&lang=fr&site=ehost-live
Titre : Art Interventions for Children With Autism Spectrum Disorder: A Scoping Review (2022) Auteurs : Allison Bernier ; Karen Ratcliff ; Claudia Hilton ; Patricia Fingerhut ; Chi-Ying Li Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049320 Langues: Anglais Résumé : Importance: Autism spectrum disorder (ASD) is a neurological condition characterized by impairments in social interaction, communication, and behavior. Occupational therapy practitioners use creative arts interventions for children with ASD, but relevant evidence for these interventions is lacking. Objective: To provide occupational therapists evidence of the benefit of creative arts interventions for children with ASD by evaluating treatment efficacy and connecting the evidence with the Occupational Therapy Practice Framework: Domain and Process (4th ed.; OTPF–4). Data Sources: We searched peer-reviewed articles in six databases: CINAHL, Cochrane, PubMed, Ovid, PsycInfo, and Scopus. Eighteen articles published between 2000 and 2020 met Level 1b or 2b evidence criteria and were retrieved for full review; 15 were included in this scoping review. Study Selection and Data Collection: We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to extract data. Inclusion criteria were as follows: (1) Level 1b or 2b study; (2) quantitative data; (3) published in English; (4) population of children (ages Disponible en ligne : Non
Titre : Benefits of Daily Occupational Diary Use 3 Months After a Health Promotion Program for Community-Dwelling Older Adults (2022) Auteurs : Masayuki Takagi ; Naruko Goami ; Peter Bontje Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.049153 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Communauté ; Ergothérapie ; Journal (presse) ; Participation communautaire ; Promotion de la santé ; Qualité de vie ; Sujet âgéRésumé : Importance: To enable community-dwelling older adults to continue to live satisfying lives, a feasible health promotion program is needed that consists of relatively few sessions and can be implemented over a brief period. Objective: To verify the relationship between a short-duration group program using an occupational diary and changes in satisfaction with occupation, a sense that life is worth living, and life satisfaction among community-dwelling older adults 3 mo after program cessation and to identify factors associated with changes in satisfaction with occupation after the program. Design: Before-and-after comparison study and case-control study. Setting: Public university in Japan. Participants: Community-dwelling older adults (N = 144). Intervention: Four weekly group sessions and daily occupational diary keeping. Outcomes and Measures: Activity and Daily Life Satisfaction Scale for the Elderly, K–I Scale for the Feeling that Life is Worth Living among the Aged, and Life Satisfaction Index–Z. Results: Scores 3 mo postprogram were significantly higher than the pretest scores. Continued use of the diary was selected as a factor associated with changes in participants' satisfaction with occupation after the program. Conclusions and Relevance: The program may improve satisfaction with occupation, a sense that life is worth living, and life satisfaction among community-dwelling older adults 3 mo after conclusion. Continued use of the diary may increase the possibility of maintaining or improving older adults' satisfaction with occupation beyond the duration of the program. What This Article Adds: The program consists of a small number of sessions and can be implemented in a short period. Occupational therapists can include it as an option for promoting the health of community-dwelling older adults. This study verifies the relationship between a short-duration group program using an occupational diary and maintaining or improving satisfaction with occupation among community-dwelling older adults after program cessation. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469845&lang=fr&site=ehost-live
Titre : Cognition Mediates Playfulness Development in Early Childhood: A Longitudinal Study of Typically Developing Children (2022) Auteurs : Amiya Waldman-Levi ; Anita Bundy ; Dana Shai Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.049120 Langues: Anglais Descripteurs : HE Vinci
Activité ludique ; Cognition ; Développement de l'enfant ; Enfant (6-12 ans) ; Ergothérapie ; JeuRésumé : Importance: Play, children's central occupation, and playfulness, its behavioral manifestation, are the foci of occupational therapy intervention. However, information about the development of playfulness behavior and the role of cognitive function is limited. Objective: To explore the development of playfulness and its relation to cognitive functioning from infancy to toddlerhood. Design: Longitudinal study with data collected at ages 6 mo, 18 mo, and 24 mo. Setting: Laboratory (age 6 mo) and home (ages 12 and 18 mo). Participants: Eighty-six typically developing children drawn from a convenience sample of 109 low-risk families of middle to upper socioeconomic status. Measures: The Mullen Scales of Early Learning (MSEL) to assess cognitive functioning and the Test of Playfulness (ToP) to assess children's playfulness. Results: ToP scores were significantly higher at age 24 mo than at age 6 mo, t(88) = −60.30, p <.001 confidence interval correlation analysis revealed that the more playful infant was at age mo higher their cognitive functioning and they were mo. toddlers with performance demonstrated behavior se="0.05," ci conclusions relevance: children playfulness is evident as early continues to develop through toddlerhood depending on growth. occupational therapists play a key role in working families young promoting development further of behaviors. what this article adds: understanding exploring its relationship typically developing fills important gaps therapy knowledge contributes delivery intervention especially when cognition or are risk. our findings confirmed playfulness. study confirm> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469843&lang=fr&site=ehost-live
Titre : Developing the Occupational Therapy–Specific Mini-Clinical Evaluation Exercise (Mini-CEX) for Evaluating Interns' Clinical Skills and Attitudes in Pediatric Occupational Therapy (2022) Auteurs : Chung-Pei Fu ; Yu-Lan Chen ; Nung-Chen Kuo ; Chia-Ting Su ; Ching-Kai Huang ; Ming-Wei Li ; Hsin-Yu Chi ; Chien-Lun Yang ; Wan-ying Chang Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2022.049319 Langues: Anglais Descripteurs : HE Vinci
Attitude du personnel soignant ; Compétence clinique ; Ergothérapie ; Évaluation des acquis ; Évaluation des acquis scolaires ; Evaluation des apprentissages ; Évaluation des symptômes ; Pédiatrie ; PsychométrieRésumé :
Importance: The Mini-Clinical Evaluation Exercise (Mini-CEX) is highly recommended for assessing interns' performance. Objective: To develop a pediatric occupational therapy–specific Mini-CEX and examine its psychometrics. Design: Stage 1 had a retrospective design; Stage 2 had a prospective design. Setting: Pediatric occupational therapy unit in a hospital in Taiwan. Participants: Thirty-four occupational therapy interns were evaluated with the Mini-CEX (physician version), and 57 were evaluated with the occupational therapy–specific Mini-CEX. Outcomes and Measures: The occupational therapy–specific Mini-CEX was developed with seven items on a 9-point scale categorized into three levels (unsatisfactory, satisfactory, highly satisfactory). Results: In Stage 1, the frequency of Mini-CEX (physician version) items receiving a rating of not applicable ranged from 1.9% to 88.1%. In Stage 2, the frequency of occupational therapy–specific Mini-CEX items receiving a rating of not applicable ranged from 3.5% to 31.6%. With the theme of evaluation taken into consideration, the frequency of not-applicable ratings was 0% to 8.8%. For the occupational therapy–specific Mini-CEX, content validity (item-level content validity index = 1, scale-level content validity index = 1) and internal consistency (Cronbach's α =.93) were excellent. The interns' scores on the second evaluation were significantly higher than those on their first evaluation, indicating good discriminant validity. Conclusions and Relevance: The occupational therapy–specific Mini-CEX appears to be reliable and valid, and it is appropriate for evaluating interns' skills and attitudes in pediatric occupational therapy practice. What This Article Adds: The results support the development of the occupational therapy–specific Mini-CEX and its application in pediatric internship training. The results of this study support the development of the occupational therapy–specific Mini-CEX and its application in evaluating interns' skills and attitudes in pediatric occupational therapy practice.Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469849&lang=fr&site=ehost-live
Titre : Dissident Genders and Sexualities in the Occupational Therapy Peer-Reviewed Literature: A Scoping Review (2022) Auteurs : Jaime Daniel Leite ; Roseli Esquerdo lopes Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2022.049322 Langues: Anglais Descripteurs : HE Vinci
Ergothérapie ; Evaluation par les pairs ; Littérature ; Minorités sexuellesRésumé : Importance: The lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other dissident gender and sexuality (LGBTQIA+) population is prone to experiencing violence and social deprivation. Although occupational therapy research and practice has addressed populations experiencing various forms of discrimination, few studies have focused on the LGBTQIA+ population as an area of concern. Objective: To map, characterize, and analyze peer-reviewed journal articles related to the LGBTQIA+ population in the occupational therapy literature. Data Sources: We searched for journal articles published up to December 2021 indexed in the Virtual Health Library, CINAHL, SciELO Citation Index, SCOPUS, and Web of Science. Study Selection and Data Collection: We used Arksey and O'Malley's methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) extension for scoping reviews. Included articles articulated occupational therapy practice, education, research, and theoretical analysis in relation to LGBTQIA+. Findings: Forty-three articles published from 1987 to 2021 met the inclusion criteria. They included 28 research articles, 9 reflection articles, 3 experience reports, and 3 literature reviews. Conclusions and Relevance: Articles primarily offered general recommendations and possible professional contributions. More studies that seek to ascertain the effectiveness and limitations of occupational therapy practice with the LGBTQIA+ population are needed. With its diverse theoretical and methodological assumptions, occupational therapy can offer support so that professionals can alleviate these people's suffering in oppressive conditions and contribute to a more just society. What This Article Adds: This scoping review provides an overview of academic publications in occupational therapy on the LGBTQIA+ population, identifies dominant topics and gaps in this context, and points to ways to advance occupational therapy's contributions and actions that consider the needs and demands of people of dissident genders and sexualities. This scoping review provides an overview of academic publications in occupational therapy on the LGBTQIA+ population, identifying dominant topics and gaps and pointing to ways to advance occupational therapy's contributions and actions that consider the needs and demands of people of dissident genders and sexualities. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469856&lang=fr&site=ehost-live
Titre : Exploring Knowledge Translation Concepts in U.S. Occupational Therapy Research: A Content Analysis (2022) Auteurs : Jennifer A. Weaver ; Halley Read ; M. Nicole Martino ; Emily J. Balog ; Monika Sinha-Bhamra ; Mary Corcoran Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049127 Langues: Anglais Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Ergothérapie ; Recherche médicale translationnelleRésumé : Importance: As a new Accreditation Council for Occupational Therapy Education® standard, knowledge translation (KT) is an important concept to occupational therapy. A better understanding of KT in occupational therapy research could inform its relevance to occupational therapy education, research, and practice. Objective: To answer the question "To what extent does published U.S.-based occupational therapy research that is explicitly underpinned by a KT theory, model, or framework reflect processes and concepts outlined in the knowledge-to-action (KTA) framework?" Design: A systematic search was conducted to purposively sample U.S.-based occupational therapy research. A content analysis of 11 articles explored concepts of the KTA framework. Outcomes and Measures: KTA was used as a conceptual foundation. Results: Multiple sources of data mapped onto concepts in the knowledge creation cycle and each of the first five concepts of the knowledge action cycle. We found that three concepts from the knowledge action cycle—monitor knowledge use, evaluate outcomes, and sustain knowledge use—were not well represented in the sample. Conclusions and Relevance: Future research on the monitoring, evaluation, and sustained use of occupational therapy interventions is needed. The adoption of new interventions is important, and the knowledge of how they are sustained in practice will facilitate the clinical integration of future interventions. What This Article Adds: Occupational therapy research that uses KT lacks an emphasis on monitoring and sustaining evidence-informed interventions. Future research on the integration of such interventions into clinical practice is needed so that best practices in occupational therapy can be promoted. This study highlights the need for future research that emphasizes the monitoring, evaluation, and sustained use of occupational therapy interventions that are underpinned by a knowledge translation theory, model, or framework. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469855&lang=fr&site=ehost-live
Titre : Exploring Patient Outcomes After Participation in an Inpatient Occupation-Based Group: A Longitudinal Observational Cohort Study (2022) Auteurs : Kaitlyn Spalding ; Louise Gustafsson ; Amelia Di Tommaso Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.049241 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Auto-efficacité ; Diagnostic ; Ergothérapie ; Facteurs âges ; Processus de groupe ; Résultat thérapeutique ; Satisfaction des patientsRésumé :
Importance: Occupation-based interventions are used during inpatient rehabilitation, and group models may enhance intervention delivery. However, little is known about the impact of occupation-based groups on patient outcomes. Objective: To examine the effect of an occupation-based group on patient outcome measures of instrumental activities of daily living (IADL) skills over time and explore demographic differences among patients. Design: Longitudinal observational cohort study with four time points: preintervention, postintervention, 30-day follow-up, and 90-day follow-up. Setting: Tertiary hospital general rehabilitation ward. Participants: Inpatient adults age 18 or older recruited using consecutive sampling from those referred to the group. Intervention: The LifeSkills group, which focused on repetitive practice of meaningful occupation-based activities. Outcomes and Measures: Demographic data were obtained, and the Canadian Occupational Performance Measure (COPM), Goal Attainment Scaling, Lawton IADL scale, and a self-efficacy scale were administered at each data point. Results: Thirty people (21 women, 9 men; ages 35–91 yr) participated, with 5 lost to follow-up. A statistically significant increase in scores postintervention occurred on all measures and was also seen at 90-day follow-up for COPM occupational performance, satisfaction, and self-efficacy scores. Lawton IADL scale scores at follow-up were lower than those at preintervention and statistically significant. No significant differences were found for age and diagnosis. Conclusions and Relevance: Positive patient outcomes of goal achievement, occupational performance, satisfaction, and self-efficacy were seen at discharge, with evidence of sustainability over time. This could be a resource alternative for addressing skill retraining because people with different diagnoses and in different age groups benefited equally. What This Article Adds: Occupation-based group programs have encouraging application in general inpatient rehabilitation for addressing patient outcomes. This study highlights positive patient outcomes in measuring instrumental activities of daily living (IADL) skills over time after participation in occupation-based group programs.Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469854&lang=fr&site=ehost-live
Titre : Integration of Speed and Quality in Measuring Graphomotor Skills: The Zurich Graphomotor Test (2022) Auteurs : Elisa Knaier ; Aziz Chaouch ; Jon A. Caflisch ; Valentin Rousson ; Tanja H. Kakebeeke ; Oskar G. Jenni Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049242 Langues: Anglais Descripteurs : HE Vinci
Ecriture manuscrite ; Ergothérapie ; Etudes de validation ; Habileté graphomotrice ; Performance psychomotrice ; VitesseRésumé : Importance: In educational settings, children are under pressure to finish their work successfully within required time frames. Existing tools for assessing graphomotor skills measure either quality or speed of performance, and the speed–accuracy trade-off (SAT) in such tools has never been investigated. Objective: We aimed to evaluate a newly developed tool for measuring graphomotor skills, the Zurich Graphomotor Test (ZGT), that assesses both speed and quality of performance. We also explored whether graphomotor tests are affected by the SAT and, if so, the effects it has on graphomotor test results. Design: Cross-sectional study. Setting: Educational institutions in Switzerland. Participants: Children, adolescents, and young adults (N = 547) ages 4–22 yr (50.3% female). Outcomes and Measures: Graphomotor performance was measured with the ZGT and the Developmental Test of Visual Perception, Second Edition (DVTP–2). Standard deviation scores were used to quantify performance. We combined ZGT speed and quality measurements into a performance score adjusted for age and sex. Results: ZGT results indicated a marked developmental trend in graphomotor performance; older children were faster than younger children. Girls showed higher overall performance than boys. The pattern of making more mistakes when being faster and making fewer mistakes when being slower was observed for both graphomotor tests, regardless of time pressure, indicating that the SAT affected the children's scores on both tests. Conclusions and Relevance: SAT is influential in graphomotor assessment. The ZGT captures this trade-off by combining accuracy and speed measurements into one score that provides a realistic assessment of graphomotor skills. What This Article Adds: The newly developed ZGT provides occupational therapy practitioners with more precise information on graphomotor skills in children, adolescents, and young adults than currently available tools. The authors evaluate the newly developed Zurich Graphomotor Test (ZGT) and conclude that the tool provides occupational therapy practitioners with more precise information than currently available tools by combining accuracy and speed measurements into one score. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469851&lang=fr&site=ehost-live
Titre : Interventions to Improve Social Participation, Work, and Leisure Among Adults Poststroke: A Systematic Review (2022) Auteurs : Rachel Proffitt ; Anna Boone ; Elizabeth G. Hunter ; Olivia Schaffer ; Madison Strickland ; Lea Wood ; Timothy J. Wolf Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2022.049305 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activité de loisirs ; Emploi ; Participation sociale ; Période postopératoire ; Travail (emploi)Résumé : Importance: Sustaining a stroke frequently leads to difficulties in returning to work, leisure, and social participation. These outcomes are important for occupational therapy practitioners to address. Objective: To determine the current evidence for the effectiveness of interventions within the scope of occupational therapy practice to improve social participation, work, and leisure among adults poststroke. Data Sources: MEDLINE, PsycINFO, CINAHL, OTseeker, and Cochrane databases. Study Selection and Data Collection: Primary inclusion criteria were peer-reviewed journal articles published between January 1, 2009, and December 31, 2019, within the scope of occupational therapy that evaluated an intervention to address work, leisure, or social participation poststroke (levels of evidence ranged from Level 1b to Level 2b). Reviewers assessed records for inclusion, quality, and validity following Cochrane Collaboration and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Findings: Forty-seven articles met the inclusion criteria. Forty-four articles related to social participation were categorized as follows: occupation-based approaches, metacognitive strategy training, education and training approaches, impairment-based approaches, and enriched environment approaches. Three articles related to work and 3 articles related to leisure were not further categorized (2 articles were each included in two categories). Seventeen Level 1b and 30 Level 2b articles were included. The strength of evidence to support occupational therapy interventions for social participation, work, and leisure outcomes is predominantly low. Conclusions and Relevance: Occupational therapy interventions may improve work, leisure, and social participation outcomes poststroke, with the strongest evidence existing for client education, upper extremity training, and cognitive training for improving social participation. What This Article Adds: Occupational therapy practitioners may use the available literature along with clinical reasoning to improve work, leisure, and social participation outcomes among clients poststroke. Additional research is required to build stronger evidence to support clinical decision making in stroke rehabilitation in these areas. This review supports the use of the available literature for client education, upper extremity training, and cognitive training alongside clinical reasoning to improve work, leisure, and social participation outcomes among clients poststroke. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469852&lang=fr&site=ehost-live
Titre : Linking Antiracist Action From the Classroom to Practice (2022) Auteurs : Khalilah R. Johnson ; Anne Kirby ; Selena Washington ; Ryan Lavalley ; Tomeico Faison Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.050054 Langues: Anglais Descripteurs : HE Vinci
Education ; Ergothérapie ; Étudiants ; RacismeRésumé : In the wake of sociopolitical movements to address health inequities and race-based violence in the United States, there have been calls to take up antiracist practices in the occupational therapy profession. This call aligns with Vision 2025 and requires intentional dialogue and instruction on racism and antiracism, beginning in occupational therapy academic programs. Although it is important to engage in discussions on racism and antiracism, it is equally imperative that members of the profession take action to ameliorate the consequences of racism. In this column, we argue for the need for occupational therapy educators to take immediate action. We provide specific recommendations and strategies to broach these topics, examples of classroom activities, and practical approaches for translating these skills to fieldwork settings. Continued work is needed to establish robust policies and practices to ensure that all occupational therapy program graduates enter the workforce prepared to promote health equity through antiracism. This column offers specific recommendations and strategies for occupational therapy educators and academic programs to establish robust policies and practices to ensure all occupational therapy graduates enter the workforce prepared to promote health equity through antiracism. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469860&lang=fr&site=ehost-live
Titre : Occupational and Physical Therapists' Use of Intrapersonal and Interpersonal Emotion Regulation Strategies During Patient Interactions: A Qualitative Study (2022) Auteurs : Ayana Horton ; David Holman ; Gail Hebson Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.048199 Langues: Anglais Descripteurs : HE Vinci
Attitude du personnel soignant ; Émotions ; Ergothérapeutes ; Ergothérapie ; Relations interpersonnelles ; Relations médecin-patientRésumé : Importance: Occupational and physical therapists' use of intrapersonal and interpersonal emotion regulation strategies may play an important role in building therapeutic relationships, but little is known about how they use these strategies during patient interactions. Objective: To understand how therapists use intrapersonal and interpersonal emotion regulation strategies during their patient interactions. Design: This qualitative study consisted of two stages of data collection. In Stage 1, therapists were interviewed regarding how they use emotion regulation strategies in their therapeutic relationships. In Stage 2, patient–therapist dyads were observed during treatment sessions and then interviewed at the end of the therapeutic relationship. Setting: Inpatient and outpatient rehabilitation hospitals and clinics in the United Kingdom. Participants: In Stage 1, 13 occupational therapists and 9 physical therapists participated; in Stage 2, 14 patient–therapist dyads participated. Outcome and Measures: A semistructured interview guide was used to ask therapists how they use emotion regulation strategies during patient interactions. Results: Therapists used a wide range of interpersonal and intrapersonal emotion regulation strategies that can be categorized in prominent emotion regulation strategy taxonomies. They used these strategies both proactively, in anticipation of emotional events, and reactively, in response to emotional events. Their use helped them to build and maintain the therapeutic relationship and to protect themselves, feel better, and get their jobs done. Conclusions and Relevance: The ability to regulate one's own and others' emotions is an essential part of therapists' work. In this study, therapists used a wide range of emotion regulation strategies to benefit themselves and their patients. What This Article Adds: This is the first study to identify the specific intrapersonal and interpersonal emotion regulation strategies used by occupational and physical therapists during patient–therapist interactions. This study makes an important contribution to understanding therapists' use of proactive and reactive emotion regulation strategies to build and maintain therapeutic relationships. This is the first study to identify specific intrapersonal and interpersonal emotion regulation strategies used by occupational and physical therapists to build and maintain therapeutic relationships. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469842&lang=fr&site=ehost-live
Titre : Occupational Therapy Interventions to Support Sleep in Children From Birth to Age 5 Years (2022) Auteurs : Meredith Gronski Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.049552 Langues: Anglais Descripteurs : HE Vinci
Conception d'installations fondée sur des données probantes ; Ergothérapie ; Intervention médicale précoce ; Pédiatrie ; Pratique factuelle (EBP) ; SommeilRésumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. This Evidence Connection article provides a case report of a young child receiving early intervention services. I describe the occupational therapy evaluation and intervention processes for supporting this child's sleep routines in the home and early childhood education settings. A systematic review on this topic was published in the March/April 2020 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Early Childhood: Birth–Age 5 Years. Each article in this series summarizes the evidence from published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making. In this Evidence Connection article, the author provides a case report of a young child receiving early intervention services and describes the evaluation and intervention processes for supporting this child's sleep routines in the home and early childhood education settings. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469861&lang=fr&site=ehost-live
Titre : Occupational Therapy Practice Guidelines for Adults With Multiple Sclerosis (2022) Auteurs : Rebecca Cunningham ; Ashley Uyeshiro Simon ; Katharine Preissner Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-27 Note générale : 10.5014/ajot.2022.050088 Langues: Anglais Descripteurs : HE Vinci
Diagnostic ; Ergothérapie ; Guides de bonnes pratiques cliniques comme sujet ; Sclérose en plaquesRésumé : Importance: Occupational therapy practitioners play an important role in addressing the occupational performance and participation needs of adults with multiple sclerosis (MS) and their caregivers. Objective: This Practice Guideline aims to help occupational therapy practitioners, as well as the people who manage, reimburse, or set policy regarding occupational therapy services, understand occupational therapy's role in providing services to adults with MS and their caregivers. This guideline can also serve as a reference for health care professionals, health care managers, educators, regulators, third-party payers, managed care organizations, and researchers. Method: We examined, synthesized, and integrated the results of four systematic reviews into clinical recommendations. Three systematic reviews specified occupational domains as outcomes of interest, and one focused on interventions for caregivers of people with MS. Results: Twenty-one articles from the systematic reviews with strong or moderate strength of evidence served as the basis for the clinical recommendations. Conclusions and Recommendations: Four interventions benefited participation in the domains of activities of daily living or sleep. Two interventions improved participation in the domain of instrumental activities of daily living. One intervention improved work participation. Two interventions benefited caregivers and the quality of the relationship between the caregiver and person with MS. Other potentially appropriate interventions or areas to address on the basis of existing or emerging evidence are discussed in the Limitations: Gaps in the Evidence and Conclusions sections. What This Article Adds: This Practice Guideline provides a summary and application of the current evidence supporting occupational therapy intervention for adults with MS. It includes case examples and decision-making algorithms to support occupational therapy practitioners in addressing client goals. This Practice Guideline summarizes the current evidence supporting occupational therapy intervention for adults with multiple sclerosis (MS) and includes case examples and decision-making algorithms to support practitioners in addressing client goals. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469862&lang=fr&site=ehost-live
Titre : Optimizing Occupations, Habits, and Routines for Health and Well-Being With Lifestyle Redesign®: A Synthesis and Scoping Review (2022) Auteurs : Elizabeth Pyatak ; Kristine Carandang ; Chantelle Rice Collins ; Mike Carlson Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-14 Note générale : 10.5014/ajot.2022.049269 Langues: Anglais Descripteurs : HE Vinci
Activité de loisirs ; Bien-être ; Emploi ; Ergothérapie ; Habitudes ; Mode de vieRésumé : Importance: Lifestyle Redesign® originated as a preventive occupational therapy intervention for healthy older adults, and it was found to be both effective and cost effective in the Well Elderly Studies initiated in the 1990s. Building on that empirical foundation, the scope of Lifestyle Redesign has been greatly expanded as a general intervention framework addressing prevention and chronic condition management in a wide range of populations, settings, and conditions. Yet until now, its full scope, defining characteristics, and supporting evidence have not been clearly and succinctly described, limiting its potential reach and impact. Objective: To outline the definition and key characteristics of Lifestyle Redesign, provide a scoping review of its evidence base and future directions for research, describe its current applications, and make recommendations for its use in clinical practice. Evidence Review: We searched PubMed and CINAHL, tables of contents of 10 occupational therapy journals, and citations in two seminal Lifestyle Redesign publications to identify articles published in 1997–2020 that described quantitative outcomes (for n ≥ 20) of interventions meeting the defining characteristics of Lifestyle Redesign. Findings: Our scoping review yielded 12 publications providing supportive evidence for Lifestyle Redesign's positive impact on a range of health and well-being outcomes among both well populations and those with chronic conditions. Conclusions and Relevance: Lifestyle Redesign has the potential to meet a growing need in clinical and community settings for health care services that address prevention, health promotion, and chronic disease management. What This Article Adds: Current evidence supports the use of Lifestyle Redesign to improve health and well-being for a range of client populations. This review outlines its defining characteristics and current applications to improve its implementation in clinical practice and expand related research efforts. This synthesis and scoping review outlines the defining characteristics and applications of Lifestyle Redesign® and highlights current evidence that supports the use of the occupational therapy intervention to improve health and well-being for a range of client populations. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469846&lang=fr&site=ehost-live
Titre : Psychometric Properties of Two Tasks in the Allen Cognitive Level Screen–Sixth Edition for Community-Dwelling People Living With Schizophrenia (2022) Auteurs : Li-Yu Chiu ; Shu-Chun Lee ; En-Chi Chiu Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-7 Note générale : 10.5014/ajot.2022.049133 Langues: Anglais Descripteurs : HE Vinci
Centres de santé communautaires ; Cognition ; Participation communautaire ; Psychométrie ; Reproductibilité des résultats ; SchizophrénieRésumé : Importance: Empirical evidence is needed on the psychometric properties of the Allen Cognitive Level Screen–Sixth Edition (ACLS–6), an instrument that assesses cognitive functions and is commonly used for people living with schizophrenia. Objective: To examine the convergent validity, discriminative validity, and test–retest reliability of two tasks, stitching and copying, in the ACLS–6 for community-dwelling people living with schizophrenia. Design: Prospective observational study. Setting: Psychiatric center. Participants: 110 people living with schizophrenia. Outcomes and Measures: To examine convergent validity, we calculated correlations (Pearson's r) between the two tasks and between these two tasks and three cognitive measures. We checked for floor and ceiling effects and conducted independent t tests to evaluate discriminative validity. We calculated intraclass correlation coefficients (ICCs) to investigate test–retest reliability. Results: We found a strong correlation (r =.88) between the two tasks and moderate correlations (rs =.32–.52) between the two tasks and the three cognitive measures. No floor or ceiling effects were observed for the two tasks, and t tests showed significant differences between two participant groups with marginal and mild clinical symptoms (p <.001 the icc values for two tasks were.71 conclusion and relevance: stitching copying of acls have good convergent validity discriminative test reliability community-dwelling people living with schizophrenia. task showed a strong correlation similar score range so practitioners can consider using as substitute task. what this article adds: sound psychometric properties measuring cognitive functions in study highlights> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469850&lang=fr&site=ehost-live
Titre : Reliability and Validity of the Korean Child Sensory Profile–2 (2022) Auteurs : Seulkee Kim ; Yunwha Jeong ; Misun Kim ; Seokyeon Ji Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.049337 Langues: Anglais Descripteurs : HE Vinci
Corée du Sud ; Evaluation ; Instrument de mesure ; Mesure ; Outils ; Reproductibilité des résultats ; SensorialitéRésumé : Importance: The Korean Child Sensory Profile–2 (K-CSP–2) is a tool for assessing sensory processing that was recently culturally adapted for use with Korean children. Objective: To investigate the test–retest and interrater reliability and the convergent and discriminant validity of the K-CSP–2. Design: Cross-sectional study. Setting: Community settings in South Korea. Participants: Caregivers of 102 children with autism spectrum disorder (ASD) and 156 typically developing (TD) children ages 3–14 yr. Outcomes and Measures: The K-CSP–2 was tested for reliability and validity using the Korean version of the Sensory Profile (K-SP) and the Korean Behavior Assessment System for Children–2 (K-BASC–2). Results: The K-CSP–2 demonstrated good test–retest and interrater reliability. The K-CSP–2 was correlated with the K-SP and the K-BASC–2. Children with ASD had higher K-CSP–2 scores than TD children. The discriminant analysis classified children with ASD and TD children with an overall accuracy of 89%. Conclusions and Relevance: The K-CSP–2 can be used to assess the sensory processing of Korean children consistently across time and raters. The instrument maintains the quadrant factors of the K-SP and relates to adaptive and maladaptive behaviors. The K-CSP–2 can distinguish children with ASD from TD children. What This Article Adds: Korean occupational therapy practitioners can use the K-CSP–2 to identify sensory processing patterns and to support the evaluation of children with ASD. This study highlights the reliability and validity of the Korean Child Sensory Profile–2 (K-CSP–2) to identify sensory processing patterns among children with autism spectrum disorder (ASD) and to distinguish children with ASD from typically developing children. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469859&lang=fr&site=ehost-live
Titre : The Effects of Zentangle® on Affective Well-Being Among Adults: A Pilot Randomized Controlled Trial (2022) Auteurs : Siu-Ki Chung ; Fiona Yan-Yee ; Henri Chun-Yiu Chan Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-11 Note générale : 10.5014/ajot.2022.049113 Langues: Anglais Descripteurs : HE Vinci
Bien-être ; Enseignants ; Évaluation de résultat (soins) ; Thérapie par l'artRésumé : Importance: Zentangle® is a self-help art modality purported to have repetitive, mindful, and meditative qualities. It can be a cost-effective intervention, but its effect on affective well-being has been underresearched. Objective: To evaluate the immediate and 2-wk postintervention effects of Zentangle delivered by a certified Zentangle teacher on affective well-being in the general population. Design: Two-armed parallel-groups pilot randomized controlled trial. Participants: Thirty-eight participants from a nonclinical population. Intervention: Participants were randomized into the Zentangle group, which participated in a 2-hr Zentangle class and were encouraged to practice for 2 wk, or the waitlist control group. Participants learned basic Zentangle principles and drew two Zentangles under the teacher's instructions. Outcomes and Measures: The Positive and Negative Affect Schedule, 21-item Depression Anxiety Stress Scale, and Self-Compassion Scale–Short Form were used to assess positive and negative affect; depression, anxiety, and stress symptoms; and self-compassion. Results: Significant reductions in negative affect were found in the Zentangle group compared with the waitlist control group at both immediate and 2-wk postintervention assessments (ds = 1.04 and 0.79, respectively, p <.001 participants who practiced zentangle for>80 min per week had a significant reduction in anxiety symptoms and an improvement in self-compassion (ds = 0.84 and 0.24, ps <.05 and.005 respectively no significant between-groups difference was found for other measures. conclusions and relevance: our results shed light on the effects of zentangle improving affective well-being in general population. with sufficient practice can also help improve self-compassion reduce anxiety. what this article adds: study could provide information to determine whether be used as a tool occupational therapy intervention well-being.> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469847&lang=fr&site=ehost-live
Titre : The Modified Interest Checklist: Translation and Cultural Adaptation Among an Arabic-Speaking Inpatient Psychiatric Sample (2022) Auteurs : Hassan Izzeddin Sarsak Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2022.049262 Langues: Anglais Descripteurs : HE Vinci
Instrument de mesure ; Patients hospitalisés ; Psychiatrie ; Traduction ; Troubles mentauxRésumé : Importance: People with mental disorders usually have emotional, behavioral, and physical health problems, such as decreased enjoyment of life and lack of interest. It is important to have an assessment to measure these problems because interest is a powerful psychological state that makes people fully engaged and focused. Measuring people's level of interest provides an understanding of their needs, behaviors, thoughts, and personalities. Objective: To develop and culturally adapt the Arabic translation of the Modified Interest Checklist for Arabic-speaking clients with psychiatric disorders. Design: A multistage process involving cognitive debriefing and back translation. Setting: Two inpatient mental health hospitals in Saudi Arabia. Participants: Eighty-eight English- and Arabic-speaking adult clients with psychiatric disorders. Results: Significant moderate agreement was found between the scores obtained from the two versions (p <.000 the measurement of agreement was confidence interval conclusions and relevance: arabic translation modified interest checklist generated for potential use in research clinical practice with arabic-speaking clients psychiatric disorders mental health conditions. further validation developed version is imperative. what this article adds: brief report provides a culturally adapted that could be useful to rehabilitation professionals who would like which working concludes> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469857&lang=fr&site=ehost-live
Titre : Understanding Father–Child Joint Play Experience Using a Convergent Mixed-Methods Design (2022) Auteurs : Amiya Waldman-Levi ; Amber Cope ; Laurette Olson Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 5, Septembre-Octobre 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.046573 Langues: Anglais Descripteurs : HE Vinci
Accompagnement psychosocial ; Jeu ; Relations père-enfant ; Soins de l'enfantRésumé : Importance: Research on the characteristics of father–child play is limited, and how fathers perceive this experience and its contribution to children's development and the parent–child relationship is insufficiently described. Objective: To explore associations between fathers' own playfulness, their supportiveness of child playfulness, and child playfulness and fathers' perceptions of their joint play experiences. Design: Convergent mixed-methods design. Setting: Family homes. Participants: The participants were 57 father–child dyads who resided in a metropolitan area. Children were ages 2 to 5 yr. Interviews with 11 fathers (ages 25–56 yr) were included in the qualitative analysis. Outcomes and Measures: Fathers completed a background questionnaire and the Short Measure of Adult Playfulness (SMAP) and participated in a semistructured interview. Fifteen minutes of video-recorded joint play were scored using the Parent/Caregiver Support of Children's Playfulness (PCSCP) and the Test of Playfulness (ToP). Results: Fathers' own playfulness as measured with the SMAP was not related to their child's playfulness as measured with the ToP; however, their supportive behavior as measured with the PCSCP was associated with their child's playfulness. Fathers recognized the benefits of joint play for their child's development. Conclusions and Relevance: The current findings help fill the gap in research linking fathers' own playfulness and supportiveness during joint play and their child's playfulness with fathers' perceptions of this experience. What This Article Adds: Understanding fathers' perceptions and behaviors can further enhance service delivery to children and families through interprofessional work to benefit parent–child relationships as well as child development. Understanding associations between fathers' own playfulness and supportiveness during joint play and their child's playfulness with fathers' perceptions of this experience can further enhance service delivery to children and families through interprofessional work to benefit parent–child relationships as well as child development. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=159469848&lang=fr&site=ehost-live
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Titre : An Internet-Based Self-Management Intervention to Reduce Fatigue Among People With Traumatic Brain Injury: A Pilot Randomized Controlled Trial (2022) Auteurs : Ketki D. Raina ; Jennifer Q. Morse ; Denise Chisholm ; Ellen M. Whyte ; Lauren Terhorst Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.048587 Langues: Anglais Descripteurs : HE Vinci
Essai contrôlé randomisé ; Fatigue ; Gestion de soi ; Lésions traumatiques de l'encéphaleRésumé : Importance: Fatigue is a chronic and distressing sequela of traumatic brain injury (TBI). Little evidence exists for the efficacy of interventions that address post-TBI fatigue. Objective: To evaluate the preliminary efficacy of a self-management intervention (Maximizing Energy; MAX) for reducing the impact (primary outcome) and severity of fatigue on daily life, improving fatigue experience, and increasing participation compared with a health education (HE) intervention. Design: Pilot randomized controlled trial (RCT). Setting: Community. Participants: Forty-one participants randomly assigned to the MAX (n = 20) or HE (n = 21) intervention. Interventions: The MAX intervention included problem-solving therapy with energy conservation education to teach participants fatigue management. The HE intervention included diet, exercise, and energy conservation education. Both interventions (30 min/day, 2 days/wk for 8 wk) were delivered online by occupational therapists. Outcome and Measures: The primary outcome was the modified Fatigue Impact Scale (mFIS). Outcome measures were collected at baseline, postintervention, and 4- and 8-wk postintervention. Results: At 8 wk postintervention, participants in the MAX group reported significantly lower levels of fatigue impact (mFIS) than those in the HE group, F(1, 107) = 29.54, p =.01; Cohen's d = 0.87; 95% confidence interval [0.18, 1.55]. Conclusions and Relevance: These findings provide preliminary evidence that the MAX intervention may decrease the impact of fatigue on daily life among people with post-TBI fatigue. What This Article Adds: An internet-based, self-management intervention combining occupational therapy– delivered energy conservation education with cognitive–behavioral therapy seems to reduce fatigue impact and severity among people with post-TBI fatigue. Future appropriately powered RCTs could positively contribute to the evidence available to occupational therapy practitioners for this chronic, debilitating, and often overlooked symptom. This study provides preliminary evidence that Maximizing Energy, an internet-based, self-management intervention, may reduce fatigue impact and severity in people with post–traumatic brain injury fatigue. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412653&lang=fr&site=ehost-live
Titre : Appraising Psychiatric Care From a Different Angle: Occupational Therapy Activities and Cardiorespiratory Fitness for Inpatients With Chronic Mental Illness (2022) Auteurs : Hui-Ling Lee ; Eric J. Hwang ; Shang-Liang Wu ; Wan-Chi Hsu Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.049126 Langues: Anglais Descripteurs : HE Vinci
Capacité cardiorespiratoire ; Ergothérapie ; Santé mentaleRésumé : Importance: People with chronic mental illness (CMI) are at high risk of poor cardiorespiratory fitness as a result of sedentary behavior and physical inactivity. Occupational therapy practitioners play a key role as advocates for positive lifestyle change for people with CMI. Objective: To determine the relationships between occupational therapy activities and cardiorespiratory fitness among inpatients with CMI. Design: This retrospective research included three phases: descriptive cohort, case–control, and cross-sectional studies. Setting: Psychiatric inpatient facility. Participants: Inpatients with CMI, ages 18 to 65 yr (N = 325). Outcomes and Measures: Data were collected over a 12-mo period. Each daily occupational therapy activity performed by participants was converted to energy expenditure (in kcal). Cardiorespiratory fitness was measured by means of the 3-Minute Step Test. Results: After daily occupational therapy activities, significantly more participants increased cardiorespiratory fitness than declined (McNemar χ2 [1] = 29.18, p <.05 prevocational activities and moderate- to high-intensity exercises met the optimal energy expenditure level>352 kcal) necessary to achieve an increase in cardiorespiratory fitness. Conclusions and Relevance: Occupational therapists in psychiatric inpatient settings should prescribe individualized occupation-based or physical activities that meet the optimal daily energy expenditure for each client to improve their cardiorespiratory function. What This Article Adds: This study is one of the first attempts to explore cardiorespiratory fitness outcomes after daily occupational therapy activities for people with CMI. Physical benefits unfolded throughout psychiatric care, echoing the profession's stance on holistic practice. This study affirms the need for occupational therapists in psychiatric inpatient settings to prescribe individualized occupation-based or physical activities for people with chronic mental illness to improve their cardiorespiratory function. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412652&lang=fr&site=ehost-live
Titre : Caregiver Coaching in Early Intervention: A Scoping Review. (2022) Auteurs : Francine M. Seruya ; Emily Feit ; Alexys Tirado ; Diana Ottomanelli ; Melissa Celio Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.049143 Langues: Anglais Descripteurs : HE Vinci
Accompagnement des aidants ; Aidants ; ErgothérapieRésumé : Importance: Best practice guidelines and legal mandates have deemed parent engagement an essential component of early intervention (EI). Parent coaching is an intervention and a model of service delivery used in occupational therapy practice that is designed to integrate parents into the therapy session. Objective: To examine the current definitions of coaching and the ways in which U.S. occupational therapy practitioners are using coaching models in EI. Study Selection and Data Collection: We systematically searched 11 databases—CINAHL Complete, CINAHL with full text, Education Research Complete, ERIC, PsycARTICLES, PsycINFO, Teacher Reference Center, Academic Search Premier, Academic Search Complete, Socindex with full text, and Social Work Abstracts—for articles published from 2000 through 2020. A total of 178 articles were retrieved, and 60 underwent full-text review. The final review included 16 studies of varying designs in which occupational therapy was one of the interventions and in which various definitions of coaching and models were used. Findings: The concepts inherent in coaching models were consistent across studies. There was little emphasis on the efficacy of coaching models as related to goal attainment. Conclusions and Relevance: Coaching is a viable intervention in EI. Studies are needed to assess the efficacy of the parent coaching model in achieving child and family outcomes and the training needed to provide the intervention appropriately. What This Article Adds: This scoping review explores existing research on coaching interventions and models used by occupational therapists in EI. Findings indicate that this is an area of opportunity because the model of parent coaching strongly aligns with the professional scope of occupational therapy practice. This article reviews existing research on coaching models used by occupational therapists in early intervention and concludes that they are a viable intervention. Future research should seek to demonstrate the efficacy of caregiver coaching in achieving child and family outcomes and the training needed to implement coaching practices. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412650&lang=fr&site=ehost-live
Titre : Development and Psychometric Testing of the Bimanual Assessment Measure for People With Chronic Stroke (2022) Auteurs : Brian P. Johnson ; Jill Whitall ; Sandy McCombe Waller ; Kelly P Westlake Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.048995 Langues: Anglais Résumé : Importance: Few tools are available to assess bimanual deficits after stroke. Objective: To develop the Bimanual Assessment Measure (BAM), which assesses a person's hand coordination in both preferred and prestroke roles (i.e., stabilizer or manipulator). Design: Development and psychometric testing of the BAM. Setting: Research laboratory. Participants: People with chronic stroke (n = 24), age-matched controls (n = 23), and occupational therapists (n = 40). Outcomes and Measures: We assessed the BAM's internal consistency, reliability, and face and known-groups validity. Results: Items were selected as meaningful tasks that represented a range of bimanual coordination requirements (e.g., symmetrical forces and timing, asymmetrical forces and timing, time-limited reactive movement). Focus groups of people with stroke and occupational therapists provided input into BAM development. The BAM was found to have excellent reliability and internal consistency and face and known-groups validity. Conclusions and Relevance: The BAM is a valid, reliable measure for people with chronic stroke that identifies bimanual coordination deficits beyond unimanual impairments and the potential capacity for people to return to prestroke hand roles (i.e., as a manipulator). What This Article Adds: This article introduces the BAM as a new assessment measure of bimanual functioning with the potential capacity to restore prestroke hand roles as either a manipulator or a stabilizer among people with chronic stroke. The BAM was shown to be a valid, reliable measure for people with chronic stroke. It can be used to measure bimanual functioning, which may help people return to prestroke hand roles. Disponible en ligne : Non En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412646&lang=fr&site=ehost-live
Titre : Development of a Rasch-Calibrated Test for Assessing Implied Meaning in Patients With Schizophrenia (2022) Auteurs : Shih-Chieh Lee ; Kuan-Wei Chen ; Chien-Yu Huang ; Pei-Chi Li ; Ton-Lin Hsieh ; Ya-Chen Lee ; I-Ping Hsueh Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-12 Note générale : 10.5014/ajot.2022.047316 Langues: Anglais Descripteurs : HE Vinci
Compréhension de l'implicite ; Evaluation ; Mesure ; Participation sociale ; SchizophrénieRésumé : Importance: Patients with schizophrenia tend to have severe deficits in theory of mind, which may limit their interpretation of others' behaviors and thereby hamper social participation. Commonly used measures of theory of mind assess the ability to understand various social situations (e.g., implied meaning or hinting, faux pas), but these measures do not yield valid, reliable, and gender unbiased results to inform interventions for managing theory-of-mind deficits. We used understanding of implied meaning, which appears to be a unidimensional construct highly correlated with social competence, as a promising starting point to develop a theory-of-mind assessment. Objective: To develop a Rasch-calibrated computerized test of implied meaning. Design: Cross-sectional design. Setting: Psychiatric hospitals and community. Participants: 344 participants (240 patients with schizophrenia and 104 healthy adults). Results: We initially developed 27 items for the Computerized Implied Meaning Test. After inappropriate items (12 misfit items and 1 gender-biased item) were removed, the remaining 14 items showed acceptable model fit to the Rasch model (infit = 0.84–1.16; outfit = 0.65–1.34) and the one-factor model (comparative fit index =.91, standardized root mean square residual =.05, root-mean-square error of approximation =.08). Most patients (81.7%) achieved individual Rasch reliability of ≥.90. Healthy participants performed significantly better on the test than patients with schizophrenia (Cohen's d = 2.5, p <.001 conclusions and relevance: our preliminary findings suggest that the computerized implied meaning test may provide reliable valid gender-unbiased results for patients with schizophrenia. what this article adds: we developed a new measure assessing theory-of-mind ability in schizophrenia consists of items targeting understanding meaning. is gender unbiased be used evaluating deficits relevant factors. study to inform interventions manage> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412645&lang=fr&site=ehost-live
Titre : Establishing the Validity of the Internet-Based Bill-Paying Task to Assess Executive Function Deficits Among Adults With Traumatic Brain Injury (2022) Auteurs : Yael Nadler Tzadok ; Rotem Eliav ; Sigal Portnoy ; Debbie Rand Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.047266 Langues: Anglais Descripteurs : HE Vinci
Administration ; Facture instrumentale ; Fonctions exécutives ; Lésions traumatiques de l'encéphaleAutres descripteurs
Document administratifRésumé : Importance: Executive function (EF) deficits are common after traumatic brain injury (TBI). During rehabilitation, it is important to identify EF deficits and understand their impact on daily function. The internet-based Bill-Paying Task, modified from the Executive Function Performance Test, has not yet been validated for use with people with TBI. Objective: To examine the known-groups, convergent, and ecological validity of the internet-based Bill-Paying Task for assessing EF deficits after TBI. Design: Cross-sectional study with two consecutive parts based on the study's objectives. Setting: Inpatient rehabilitation and community. Participants: Part 1 included 42 adults with TBI and 47 healthy adults; Part 2 included 28 of the 42 adults with TBI. Measures: Assessments included the Internet-based Bill-Paying Task, WebNeuro neurocognitive computerized battery, Semantic Verbal Fluency test, Behavioural Assessment of the Dysexecutive Syndrome (BADS), Dysexecutive Questionnaire (DEX), and cognitive items of the FIM® and the Functional Assessment Measure (cognitive FIM+FAM). Results: For Part 1, participants with TBI required significantly more cues and longer completion time to perform the internet-based Bill-Paying Task. For Part 2, moderate significant correlations were found between the internet-based Bill-Paying Task total score and the WebNeuro, Semantic Verbal Fluency test, BADS, DEX, and cognitive FIM+FAM. Conclusions and Relevance: This study supports the known-groups, convergent, and ecological validity of the internet-based Bill-Paying Task for assessing EF deficits among adults with preserved basic cognitive abilities after TBI. Therefore, it can be used to assist with rehabilitation treatment planning after TBI. What This Article Adds: The internet-based Bill-Paying Task, an online payment task relevant to today's technological world, is valid to assess higher cognitive abilities of people after a traumatic brain injury. This assessment may contribute to a better understanding of patients' cognitive profiles and their potential impact on daily performance. This study supports the validity and use of the internet-based Bill-Paying Task to identify executive function (EF) deficits and understand the impact on daily function for people with traumatic brain injury (TBI). The Bill-Paying Task can be used to assist with rehabilitation treatment planning for people with TBI. Disponible en ligne : Non En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412654&lang=fr&site=ehost-live
Titre : Experiences of Children and Youth With Concussion: A Qualitative Study (2022) Auteurs : Emily Moen ; Alison McLean ; Lara A. Boyd ; Julia Schmidt ; Jill G. Zwicker Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.047597 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Commotion de l'encéphale ; Enfant (6-12 ans) ; Recherche qualitativeRésumé : Importance: Concussions are common among children and youth. To date, the pediatric concussion literature has focused on quantitative reports of the effects of concussion and return-to-activity guidelines. However, the subjective experiences of children and youth returning to occupations postconcussion have largely been ignored. An understanding of these experiences is critical to inform effective concussion management. Objective: To investigate the experiences of children and youth returning to occupations after sustaining a concussion and the impacts on their future engagement in occupation. Design: Qualitative interpretive description was used for data analysis and interpretation. Setting: Community. Participants: Children and youth ages 11 to 18 yr from a cohort study were recruited to be interviewed about their experiences of engaging in occupations postconcussion. Outcomes and Measures: Interviews were conducted 3 to 24 mo postconcussion, transcribed verbatim, and analyzed using interpretive description to identify themes. Results: Eight children and youth (5 male, 3 female) were included. Analyses revealed three themes of the experiences of children and youth returning to occupations after concussion: diverse experiences of concussion, knowledge is key to concussion management, and concussions affect occupational engagement. Conclusions and Relevance: This study highlights the importance of considering a person's needs to enable effective concussion treatment plans. The results suggest the need for an occupation-based framework to guide interventions in pediatric concussion management. What This Article Adds: Our findings indicate that children and youth report variable recovery patterns, a lack of knowledge about concussion recovery, and a negative effect of concussion on occupational engagement. The findings of this study highlight the importance of considering the subjective experiences of children and youth returning to occupations postconcussion and the need for an occupation-based framework to guide interventions in effective pediatric concussion management. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412647&lang=fr&site=ehost-live
Titre : Feeding Therapy Treatments for Infants With Unilateral Vocal Cord Paresis (2022) Auteurs : Leah Hunt ; Adrienne Olney Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.049292 Langues: Anglais Descripteurs : HE Vinci
Nourrisson ; Paralysie des cordes vocalesRésumé : Importance: No evidence-based treatment protocol currently exists for infants with vocal cord paresis (VCP). Objective: To assess the impact of feeding position on feeding success among infants with unilateral VCP and examine other variables that may be associated with feeding success. Design: Retrospective descriptive study. Setting: Midwestern pediatric hospital serving rural and urban populations. Participants: Sixty-seven infants age Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412662&lang=fr&site=ehost-live
Titre : Impairment-Based Interventions to Improve Social Participation Outcomes for Adults Poststroke (January 1, 2009–December 31, 2019) (2022) Auteurs : Rachel Proffitt ; Anna Boone ; Olivia Schaffer ; Madison Strickland ; Lea Wood ; Timothy J. Wolf Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.050090 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Ergothérapie ; Participation sociale ; Résultat thérapeutique ; Revue systématiqueRésumé : Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on stroke and impairment-based interventions to improve social participation for adults poststroke. This brief presents findings from the systematic review on stroke and impairment-based interventions within the scope of occupational therapy practice to improve social participation for adults poststroke. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412665&lang=fr&site=ehost-live
Titre : Initial Development and Evaluation of the My Family's Accessibility and Community Engagement (MyFACE) Tool for Families of Children With Disabilities (2022) Auteurs : Helen M. Bourke-Taylor ; Kahli S. Joyce ; Loredana Tirlea Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.048009 Langues: Anglais Descripteurs : HE Vinci
Enfants handicapés ; Engagement occupationnel ; Famille ; Inclusion sociale ; Outil d'évaluation ; Participation communautaire ; Participation sociale ; PsychométrieRésumé : Importance: Parental perceptions and experiences of community inclusion influence the community participation of families and children with a disability, although no measurement tools exist. Objective: To describe the initial development of the My Family's Accessibility and Community Engagement (MyFACE) tool. Design: MyFACE measures parental perceptions of community accessibility and engagement of families raising a child with a disability. Items represent common community activities rated on a 5-point Likert scale. COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guided content validity, construct validity, and internal reliability testing. Setting: Australia. Participants: Seventy-seven mothers of children with a disability provided data, with 69 complete data sets. Results: The nine-item MyFACE had excellent content and construct validity and good internal reliability (Cronbach's α =.85). Hypothesis testing correlated MyFACE with maternal factors (mental health and healthy behavior) and child factors (psychosocial issues). Three predictors together explained 27% of the variance in a significant model, F(3, 61) = 7.09, p <.001. the most important predictor was maternal depressive symptoms. conclusions and relevance: initial evaluation of myface tool suggests sound psychometric properties warranting further development. what this article adds: provides clinicians researchers with a way to measure parental perceptions community inclusion. symptoms were predictive scores indicating that be effective family participation may require address mental health children restrictions. my accessibility engagement highlights can use families disabilities development is warranted.> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412658&lang=fr&site=ehost-live
Titre : Interventions to Improve Work and Leisure for Adults Poststroke (January 1, 2009–December 31, 2019) (2022) Auteurs : Rachel Proffitt ; Anna Boone ; Olivia Schaffer ; Madison Strickland ; Lea Wood ; Timothy J. Wolf Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-4 Note générale : 10.5014/ajot.2022.050090 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Ergothérapie ; Travail (emploi)Résumé : Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on interventions to improve work and leisure for adults poststroke. This brief presents findings from the systematic review on interventions to improve participation in work and leisure for adults poststroke. Although future research is needed to evaluate the effectiveness of occupational therapy intervention, occupational therapy practitioners have the knowledge and skills to collaborate with clients to target leisure participation outcomes poststroke Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412666&lang=fr&site=ehost-live
Titre : Near-Peer Facilitation of a Soft Skills Program for Young Adults With Autism (2022) Auteurs : Annemarie Connor ; Sarah E. Fabrizi ; Amy Nasamran ; Connie Sung Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2022.048207 Langues: Anglais Descripteurs : HE Vinci
Compétence ; Emploi ; Ergothérapeutes ; Ergothérapie ; Étudiants ; Travail (emploi) ; Trouble du spectre autistique (TSA)Résumé : Importance: Young adults with autism spectrum disorder (ASD) experience poor employment outcomes. Teaching soft skills and using peer-based interventions improve outcomes for people with ASD. Objective: To evaluate the preliminary efficacy of a soft skills intervention and the feasibility of delivery to a group of young adults with ASD by near-peer occupational therapy master's-level students. Design: Pretest–posttest single-group design. Setting: College campus. Participants: Convenience sample of 14 young adults (M age = 21.57 yr) with ASD. Intervention: The Assistive Soft Skills and Employment Training (ASSET) program is a 12-session, manualized, soft skills group intervention previously validated with the ASD population. Topics include communication, attitude and enthusiasm, teamwork, networking, professionalism, and stress management. Outcomes and Measures: Social functioning, self-efficacy, and adaptive behavior were measured preintervention and immediately postintervention using standardized self-report rating scales. Participant satisfaction and experience were assessed using program-specific measures. Results: Participants made statistically significant improvements, with medium to large effect sizes in social functioning, self-efficacy, and adaptive behavior. They reported high levels of satisfaction and a positive experience with the program content and delivery. Conclusions and Relevance: This study provides evidence of participant satisfaction and perceived soft skills improvement and confidence, in addition to the preliminary efficacy of master's-level students as near-peer facilitators of the ASSET program with an ASD population. What This Article Adds: The results suggest that trained and supervised master's-level students can effectively deliver a manualized intervention as near-peer facilitators, elicit positive feedback and high levels of participant satisfaction, and replicate and extend previously reported participant gains. This study provides evidence of soft skills improvement and confidence in delivering a manualized intervention by occupational therapy master's-level students (OTS) as near-peer facilitators of the Assistive Soft Skills & Employment Training (ASSET) program with an autism spectrum disorder (ASD) population. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412661&lang=fr&site=ehost-live
Titre : Occupational Therapy Using Ayres Sensory Integration®: A Randomized Controlled Trial in Brazil (2022) Auteurs : Claudia Omairi ; Zoe Mailloux ; Sérgio Antonio Antoniuk ; Roseann Schaaf Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-10 Note générale : 10.5014/ajot.2022.048249 Langues: Anglais Descripteurs : HE Vinci
Brésil ; Enfant (6-12 ans) ; Ergothérapie ; Etats-Unis ; Outil d'évaluation ; Sensorialité ; Trouble du spectre autistique (TSA)Résumé : Importance: Research conducted in the United States has found that occupational therapy using Ayres Sensory Integration® is an effective evidence-based intervention for children with autism spectrum disorder (ASD). Replication of this research in other cultures is needed. Objective: To evaluate the outcomes of occupational therapy using Ayres Sensory Integration in a sample of Brazilian children with ASD. Design: Prospective randomized controlled trial. Setting: Occupational therapy clinic. Participants: Seventeen children with ASD ages 5–8 yr (n = 9 in the intervention group, n = 8 in the usual-care control group) recruited from a local hospital via flyers and word-of-mouth. Completed pretreatment characterization and baseline measurement. Interventions: The intervention group received occupational therapy using Ayres Sensory Integration, and the control group received usual therapeutic and educational services only. Outcomes and Measures: We conducted a pre–post assessment of self-care and socialization using the Pediatric Evaluation of Disability Inventory and individualized goal ratings. Results: Participants in the intervention group scored significantly higher on outcome measures of self-care (p =.046, rb =.57), social function (p =.036, rb =.61), and parent-identified goal attainment (p <.001 rb=".94)" compared with the control group. conclusions and relevance: occupational therapy using ayres sensory integration was effective in enhancing self-care socialization goal attainment for children asd a brazilian cohort. what this article adds: study contributes further support from outside united states that is an evidence-based intervention to improve parent-identified asd. supports use of as autism spectrum disorder> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412659&lang=fr&site=ehost-live
Titre : Participation in Daily Activities Among Women 5 Years After Breast Cancer (2022) Auteurs : Khawla Loubani ; Naomi Schreuer ; Rachel Kizony Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.048736 Langues: Anglais Descripteurs : HE Vinci
Adaptation ; Ergothérapie ; Participation sociale ; Tumeurs du seinRésumé : Importance: Understanding the long-term participation restrictions after breast cancer (BC) is crucial for developing occupation-based interventions. Objective: To (1) compare women's participation during the BC subacute phase (2 yr postdiagnosis) with the chronic (5 yr postdiagnosis) phase, (2) explore factors associated with participation in the chronic phase, and (3) describe strategies women use to overcome participation restrictions. Design: Descriptive longitudinal study. Setting: A community health service in Israel. Participants: A convenience sample of 30 women (M age = 53.9 yr, SD = 8.3) diagnosed with BC (Stages 1–3). Outcomes and Measures: Demographic and BC–related symptom questionnaires; an adapted version of the Activity Card Sort, used to assess retained activity levels (RALs) compared with prediagnosis activity levels in sociocultural, physical, and instrumental domains; the Canadian Occupational Performance Measure; and one open-ended qualitative question, "How were you able to retain your participation in daily activities despite the long-term effects of BC?" Results: Significantly higher total RALs were found in most domains for women in the chronic (M = 0.93 RAL, SD = 0.27) compared with the subacute (M = 0.71, SD = 0.22) phase, t(29) = 4.72, p <.001. almost half the women achieved clinically significant change in their meaningful activities. lower levels of participation were significantly correlated with higher symptom severity. qualitative findings indicated that coping strategies such as positive thinking and changing priorities helped managing participation. conclusions relevance: restrictions residual bc-related symptoms yr postdiagnosis demonstrated need for a comprehensive evaluation early occupational therapy intervention to prevent long-term restrictions. what this article adds: study highlights value assessment daily various activity domains specific individual activities bc. combination quantitative analysis provided subjective perspective deeper understanding associations among strategies. breast cancer years after diagnosis provide> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412648&lang=fr&site=ehost-live
Titre : Persistence on Task, Executive Functions, and the Perceived Meaning of Occupations Among Children (2022) Auteurs : Limor Rosenberg Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.049022 Langues: Anglais Descripteurs : HE Vinci
Activités de la vie quotidienne ; Autonomie ; Enfant (6-12 ans) ; Ergothérapie ; Fonctions exécutivesRésumé : Importance: Persistence on task—the voluntary continuation of a goal-directed action despite difficulties—is described as a behavioral component of involvement in an occupation; however, it has not yet been extensively studied in the context of pediatric occupational therapy. Objective: To describe persistent children, compared with their less persistent peers, in terms of age, sex, executive functions (EF), and perceived meaning of occupations and to assess whether intrapersonal factors, EF, and the perceived meaning of occupations can predict persistence. Design: Cross-sectional. Setting: A community in Israel. Participants: Typically developing healthy children (N = 180) ages 6.0 to 12.5 yr and their parents. Outcomes and Measures: The Tower of Hanoi task (TOH; seven discs) was used to assess persistence on task. EF were assessed with the TOH (three discs) and the Verbal Working Memory test. Occupational meaning—challenge, value, sense of time, and autonomy—was assessed with the Perceived Meaning of Occupation Questionnaire. Results: Twenty-six children (14%) completed the task. They were older than their peers, performed better on most of the EF tests, and perceived more autonomy in their everyday activities (Mann–Whitney U = 1,185.0, p <.001 however only the perceived autonomy of occupations was found to be a statistically significant factor that predicted persistence on task se="0.05," wald="7.60," p=".01)." conclusions and relevance: in everyday activities is crucial for task. occupational therapy practitioners can promote children involvement cognitive tasks by supporting sense although further study needed. what this article adds: highlights contribution providing empirical data with regard their ef meaning occupations. who persisted longer completed differed from less persistent peers terms age ef. predictor completion. regarding executive functions therapists needed> Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412660&lang=fr&site=ehost-live
Titre : Prevalence and Predictors of Burnout Among Occupational Therapy Practitioners in the United States (2022) Auteurs : Julia Shin ; Molly McCarthy ; Caroline Schmidt ; Jenna Zellner ; Kaitlyn Ellerman ; Morgan Britton Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-8 Note générale : 10.5014/ajot.2022.048108 Langues: Anglais Descripteurs : HE Vinci
Enquêtes et questionnaires ; Epuisement professionnel ; Ergothérapeutes ; Etats-Unis ; Promotion de la santé ; Sécurité du travailRésumé :
Importance: Identifying the extent and predictors of burnout among occupational therapy practitioners is important so strategies can be developed to reduce burnout and mitigate associated consequences within the profession. Objective: To investigate the prevalence and determinants of burnout reported by U.S. occupational therapy practitioners. Design: Cross-sectional survey. Participants: Occupational therapy practitioners working in a wide range of clinical settings who spent at least 50% of their time in direct patient care and who had been employed continuously for more than 6 mo. Outcomes and Measures: The outcome of interest was burnout, which was measured using the Emotional Exhaustion, Depersonalization, and Personal Accomplishment subscales of the Maslach Burnout Inventory–Human Services Survey (MBI–HSS). Predictor variables included sociodemographic and workplace characteristics. The relationship between MBI–HSS subscale scores and predictor variables was jointly estimated using a multivariate multivariable linear regression analysis. Results: One hundred seventy-eight occupational therapy practitioners completed the survey. Higher perceived level of supervisor support, satisfaction with income, and educational attainment were associated with lower MBI–HSS subscale scores (ps =.001,.002, and.005, respectively). Conclusions and Relevance: Burnout among occupational therapy practitioners can be conceptualized as an issue of workplace health and safety. Various stakeholder groups can consider potential systematic interventions involving measures to promote positive supervisor support in the workplace and salary negotiation skills for early-stage clinicians. Future research should explore broad interventions to reduce burnout among clinicians. What This Article Adds: We estimated the extent and predictors of burnout among U.S. occupational therapy practitioners. Future research, advocacy, and policy should address structural-level interventions to promote workplace cultures and conditions that can protect the occupational therapy workforce from burnout. This study estimates the extent and predictors of burnout among U.S. occupational therapy practitioners and recommends future research, advocacy, and policy to explore structural-level interventions to reduce burnout and to promote workplace health and safety.Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412651&lang=fr&site=ehost-live
Titre : Psychometric Comparisons of Three Depression Measures for Patients With Stroke (2022) Auteurs : En-Chi Chiu ; Yi-Ju Chen ; Wen-Chi Wu ; Chiung-Xia Chou ; Min-Yuan Yu Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-6 Note générale : 10.5014/ajot.2022.049347 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Dépression ; PsychométrieRésumé : Importance: Psychometric examinations for patients with stroke remain insufficient. The Center for Epidemiologic Studies Depression Scale (CES–D), Beck Depression Inventory–II (BDI–II), and Geriatric Depression Scale (GDS) are promising outcome measures. Objective: To examine and compare the reliability and validity of three depression measures in a sample of patients with stroke. Design: Repeated-measures design. Setting: A hospital in southern Taiwan. Participants: Fifty-nine outpatients, who completed three depression measures. Outcomes and Measures: Cronbach's α and intraclass correlation coefficients (ICCs) were used to examine the internal consistency and test–retest reliability, respectively, of the three measures. An independent-samples t test was conducted to compare two groups of patients with different levels of disability to investigate discriminative validity. Pearson's rs were calculated among the three measures to examine concurrent validity. Results: The three measures had good internal consistency (α =.85–.92) and sufficient test–retest reliability (ICC =.84–.91). The minimal detectable change (percentage of minimal detectable change) was 10.6 (63.3%), 13.5 (98.3%), and 5.8 (49.9%) for the CES–D, BDI–II, and GDS, respectively. There was a statistically significant difference between the two groups in CES–D score (p =.032) and no significant differences on the other two measures (p =.095–.187). The correlations among the three measures ranged from.79 to.89. Conclusion and Relevance: All three depression measures had sound internal consistency, test–retest reliability, and concurrent validity in patients with stroke. What This Article Adds: Of the three measures, the CES–D had better discriminative validity, and the GDS demonstrated greater reliability and smaller random measurement error in patients with stroke. This psychometric comparison demonstrates the reliability and validity of three measures of depression—Center for Epidemiologic Studies Depression Scale, Beck Depression Inventory–II, and Geriatric Depression Scale—for patients with stroke. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412657&lang=fr&site=ehost-live
Titre : Reporting Quality in Abstracts of Randomized Controlled Trials Published in High-Impact Occupational Therapy Journals (2022) Auteurs : Paula Fernández-Pires ; Daniel Prieto-Botella ; Désirée Valera-Gran ; Miriam Hurtado-Pomares ; Cristina Espinosa-Sempere ; Alicia Sánchez-Pérez ; Iris Juárez-Leal ; Paula Peral-Gómez ; Leticia Moreno-Campos ; Eva-María Navarrete-Muñoz Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-9 Note générale : 10.5014/ajot.2022.042333 Langues: Anglais Descripteurs : HE Vinci
Analyse ; Ergothérapie ; Essais contrôlés randomisés comme sujet ; Résumé ; RevueRésumé : Importance: Adequate reporting in the abstracts of randomized controlled trials (RCTs) is essential to enable occupational therapy practitioners to critically appraise the validity of findings. Objective: To evaluate the reporting quality and characteristics of RCT abstracts published between 2008 and 2018 in the occupational therapy journals with the five highest impact factors in 2018. Design: A descriptive cross-sectional study. Data Sources: The American Journal of Occupational Therapy (AJOT), Australian Occupational Therapy Journal (AOTJ), Canadian Journal of Occupational Therapy (CJOT), Scandinavian Journal of Occupational Therapy (SJOT), and Physical and Occupational Therapy in Pediatrics (POTP) were identified using a Web of Science search. Study Selection and Data Collection: We searched Scopus for abstracts in the five included journals. We used a 17-point scale based on the CONSORT for Abstracts (CONSORT-A) checklist to assess reporting quality. We also identified characteristics of the abstracts. Findings: Seventy-eight RCT abstracts were assessed and showed moderate to low adherence to the CONSORT-A checklist (Mdn = 8, interquartile range = 7–9). Abstracts of articles with authors from a higher number of institutions, European first authors, and >200 words had higher CONSORT-A scores. The most underreported CONSORT-A items were trial design, blinding, numbers analyzed, outcome (results), harms, trial registration, and funding. Conclusions and Relevance: Between 2008 and 2018, the reporting quality in RCT abstracts from the five highest impact occupational therapy journals was moderate to low. Inadequate reporting in RCT abstracts raises the risk that occupational therapy practitioners will make ineffective clinical decisions based on misinterpretation of findings. What This Article Adds: Reporting quality in RCT abstracts in occupational therapy journals is moderate to low. Journal editors should require authors of RCTs to use the CONSORT-A checklist to promote optimal reporting and transparency in abstracts. This study found that the reporting quality in abstracts of randomized controlled trials published in the five highest impact occupational therapy journals was moderate to low and recommends that journal editors require authors of RCTs to use the CONSORT-A checklist to promote optimal reporting and to enable occupational therapy practitioners to critically appraise the validity of findings. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412655&lang=fr&site=ehost-live
Titre : The Opportunity for Occupational Therapy in Pediatric Disaster Recovery (2022) Auteurs : Diamond E. Rashad ; Susan A. Zapf ; Sandra E. Groger Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-5 Note générale : 10.5014/ajot.2022.48454 Langues: Anglais Descripteurs : HE Vinci
Accompagnement psychosocial ; Catastrophes naturelles ; Enfant (6-12 ans) ; Ergothérapie ; Prévention médico psychosociale ; Troubles de stress post-traumatiqueRésumé : As natural disasters increase in frequency throughout the world, more children and families are exposed to disaster-related stress and trauma. Many children with disaster exposure face occupational disruption, in which common activities, roles, and relationships are damaged or destroyed. In this descriptive column, we explore the impact that natural disasters have on children, the contribution of pediatric occupational therapy to disaster management, and the opportunity for occupational therapy practitioners to engage in collaborative psychosocial and activity interventions during disaster recovery. Through trauma-informed occupational therapy, children in traditional and community-based services will benefit from assistance in restoring normalcy. With this column, we aim to contribute to the continued exploration of roles in pediatric disaster prevention and recovery and a call for qualitative and quantitative scholarship in this setting. Pediatric occupational therapy practitioners can engage in collaborative psychosocial and activity interventions as part of disaster management and recovery in restoring normalcy for children. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412664&lang=fr&site=ehost-live
Titre : Theory-Based Self-Management Interventions for Community-Dwelling Stroke Survivors: A Systematic Review and Meta-Analysis (2022) Auteurs : Stephen C.L. Lau ; Stéphanie Judycki ; Mikayla Mix ; Olivia DePaul ; Rachel Tomazin ; Angela Hardi ; Alex W.K. Wong ; Carolyn Baum Type de document : Article Dans : American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) Article en page(s) : p. 1-12 Note générale : 10.5014/ajot.2022.049117 Langues: Anglais Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Centres de santé communautaires ; Gestion de soi ; Revue systématique ; Vie autonomeRésumé : Importance: Self-management is a critical component of stroke rehabilitation. A better understanding of the use of theory and behavior change techniques (BCTs) informs the development of more effective stroke self-management interventions. Objective: To examine what theories and BCTs have been applied in stroke self-management interventions; investigate the extent to which these interventions encourage implementation of behavior changes; and appraise their effectiveness to enhance self-efficacy, quality of life, and functional independence. Data Sources: Ovid MEDLINE, Embase, Scopus, CINAHL, Cochrane Library, and ClinicalTrials.gov were searched from inception to May 26, 2020. Study Selection and Data Collection: Randomized controlled trials (RCTs) in six databases were reviewed for inclusion and analysis. We included trials that involved community-dwelling adult stroke survivors, assessed the effectiveness of self-management interventions, and explicitly mentioned the use of theory in the development of the intervention. We assessed use of theory and BCTs using the Theory Coding Scheme and BCT taxonomy v1, respectively. Findings: A total of 3,049 studies were screened, and 13 RCTs were included. The predominant theory and BCT categories were Social Cognitive Theory (7 studies) and goals and planning (12 studies), respectively. Significant and small effect sizes were found for self-efficacy (0.27) and functional independence (0.19). Conclusions and Relevance: Theory-based self-management interventions have the potential to enhance stroke outcomes. Systematic reporting on the use of theory and BCTs is recommended to enhance clarity and facilitate evaluations of future interventions. What This Article Adds: This review supports and guides occupational therapy practitioners to use theory-based self-management intervention as a routine part of stroke rehabilitation to improve stroke survivors' experience in the community. This review supports and guides occupational therapy practitioners in the use of theory-based self-management interventions in stroke rehabilitation to enhance outcomes. Disponible en ligne : Oui En ligne : https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412644&lang=fr&site=ehost-live