Cognitive approach to improving participation after stroke / Erin HENSHAW in American Journal of Occupational Therapy, Vol. 65/1 (janvier-février 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/1 (janvier-février 2011) . - p. 55-63 Titre : Cognitive approach to improving participation after stroke : two case studies Type de document : texte imprimé Auteurs : Erin HENSHAW ; Sara McEwen ; et al. ; Helene J. Polatajko Année de publication : 2011 Article en page(s) : p. 55-63 Langues : Anglais (eng) Mots-clés : Activités vie quotidienne  Fonction cognitive  Accident cérébrovasculaire Résumé : Despite the need for occupational therapy to emphasize client-specific occupational performance, primary emphasis in stroke rehabilitation continues to be on the remediation of client factors and self-care. Such practice leaves many survivors of stroke with continuing performance deficits. Two case studies demonstrate a novel, alternative approach. The Cognitive Orientation to Daily Occupational Performance (CO–OP) treatment is a performance-based, problem-solving approach to developing functional skills that are client centered. CO–OP was used to guide treatment with 2 older women. The findings suggest that the approach has the potential to successfully help clients with stroke achieve their everyday occupational goals and support continued research in this area. This work will lead to a pilot randomized controlled trial. Permalink : ./index.php?lvl=notice_display&id=14014 [article] Cognitive approach to improving participation after stroke : two case studies [texte imprimé] / Erin HENSHAW ; Sara McEwen ; et al. ; Helene J. Polatajko . - 2011 . - p. 55-63. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/1 (janvier-février 2011) . - p. 55-63 Mots-clés : Activités vie quotidienne  Fonction cognitive  Accident cérébrovasculaire Résumé : Despite the need for occupational therapy to emphasize client-specific occupational performance, primary emphasis in stroke rehabilitation continues to be on the remediation of client factors and self-care. Such practice leaves many survivors of stroke with continuing performance deficits. Two case studies demonstrate a novel, alternative approach. The Cognitive Orientation to Daily Occupational Performance (CO–OP) treatment is a performance-based, problem-solving approach to developing functional skills that are client centered. CO–OP was used to guide treatment with 2 older women. The findings suggest that the approach has the potential to successfully help clients with stroke achieve their everyday occupational goals and support continued research in this area. This work will lead to a pilot randomized controlled trial. Permalink : ./index.php?lvl=notice_display&id=14014

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Does training in a top-down approach influence recorded goals and treatment plans? / Katelyn S.R. Jutzi in Canadian Journal of Occupational Therapy, 87(1) (Février 2020)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 87(1) (Février 2020) . - p. 42-51 Titre : Does training in a top-down approach influence recorded goals and treatment plans? Titre original : Dans quelle mesure une formation ciblée sur une approche d'intervention descendante influe-t-elle sur les objectifs et les plans d'interventions inscrits aux dossiers médicaux? Type de document : texte imprimé Auteurs : Katelyn S.R. Jutzi ; Elizabeth Linkewich ; Anne W. Hunt ; Sara McEwen Année de publication : 2020 Article en page(s) : p. 42-51 Note générale : doi.org/10.1177/0008417419848291 Langues : Français (fre) Mots-clés : Buts  Dossiers médicaux  Orientation cognitive à la performance occupationnelle quotidienne  Réadaptation des AVC  Recherche médicale translationnelle Résumé : Dans le cadre d’un projet d’application des connaissances (AC) intitulé CO-OP KT, cinq équipes de réadaptation des accidents vasculaires cérébraux (AVC) ont reçu du soutien à la mise en œuvre de l’approche Cognitive Orientation to daily Occupational Performance (CO-OP). Les évaluateurs des dossiers médicaux ont observé qu’il y avait occasionnellement un manque de concordance entre les objectifs du client et les plans d’intervention en ergothérapie, ce qui indique un besoin de mieux comprendre les relations entre les objectifs et les plans d’intervention, ainsi que leurs caractéristiques respectives. But. Examiner les caractéristiques des objectifs et des plans d’intervention en ergothérapie avant et après l’initiative CO-OP KT. Méthodologie. Analyse secondaire descriptive de données provenant des dossiers médicaux. Résultats. Après l’intervention, on a observé un changement dans la spécificité des objectifs (p=0,04) et dans la correspondance entre les objectifs de l’ergothérapeute et du client (p=0,05). Les objectifs liés aux occupations étaient souvent associés à une intervention ascendante axée sur la déficience. Les interventions descendantes, lorsqu’elles étaient présentes, n’étaient pas aussi détaillées que celles qui étaient décrites dans les plans d’interventions ascendants. Conséquences. L’approche CO-OP KT a semblé entraîner des objectifs plus spécifiques, toutefois, aucun plan d’intervention descendant correspondant n’a été repéré. Permalink : ./index.php?lvl=notice_display&id=84293 [article] Does training in a top-down approach influence recorded goals and treatment plans? = Dans quelle mesure une formation ciblée sur une approche d'intervention descendante influe-t-elle sur les objectifs et les plans d'interventions inscrits aux dossiers médicaux? [texte imprimé] / Katelyn S.R. Jutzi ; Elizabeth Linkewich ; Anne W. Hunt ; Sara McEwen . - 2020 . - p. 42-51. doi.org/10.1177/0008417419848291 Langues : Français (fre) in Canadian Journal of Occupational Therapy > 87(1) (Février 2020) . - p. 42-51 Mots-clés : Buts  Dossiers médicaux  Orientation cognitive à la performance occupationnelle quotidienne  Réadaptation des AVC  Recherche médicale translationnelle Résumé : Dans le cadre d’un projet d’application des connaissances (AC) intitulé CO-OP KT, cinq équipes de réadaptation des accidents vasculaires cérébraux (AVC) ont reçu du soutien à la mise en œuvre de l’approche Cognitive Orientation to daily Occupational Performance (CO-OP). Les évaluateurs des dossiers médicaux ont observé qu’il y avait occasionnellement un manque de concordance entre les objectifs du client et les plans d’intervention en ergothérapie, ce qui indique un besoin de mieux comprendre les relations entre les objectifs et les plans d’intervention, ainsi que leurs caractéristiques respectives. But. Examiner les caractéristiques des objectifs et des plans d’intervention en ergothérapie avant et après l’initiative CO-OP KT. Méthodologie. Analyse secondaire descriptive de données provenant des dossiers médicaux. Résultats. Après l’intervention, on a observé un changement dans la spécificité des objectifs (p=0,04) et dans la correspondance entre les objectifs de l’ergothérapeute et du client (p=0,05). Les objectifs liés aux occupations étaient souvent associés à une intervention ascendante axée sur la déficience. Les interventions descendantes, lorsqu’elles étaient présentes, n’étaient pas aussi détaillées que celles qui étaient décrites dans les plans d’interventions ascendants. Conséquences. L’approche CO-OP KT a semblé entraîner des objectifs plus spécifiques, toutefois, aucun plan d’intervention descendant correspondant n’a été repéré. Permalink : ./index.php?lvl=notice_display&id=84293

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Modified constraint-induced movement therapy for elderly clients with subacute stroke / Martha MCCALL in American Journal of Occupational Therapy, Vol. 65/4 (juillet-août 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/4 (juillet-août 2011) . - p. 409-418 Titre : Modified constraint-induced movement therapy for elderly clients with subacute stroke Type de document : texte imprimé Auteurs : Martha MCCALL ; et al. ; Angela Colantonio ; Sara McEwen Année de publication : 2011 Article en page(s) : p. 409-418 Langues : Anglais (eng) Mots-clés : Activités vie quotidienne  Personne âgée  Evaluation  Accident cérébrovasculaire  Handicap  Récupération  Thérapie par contrainte induite Résumé : A growing body of research, including evidence from numerous randomized controlled trials, suggests that constraint-induced movement therapy (CIMT) reduces impairment. The mean age of participants in most studies has been <65 yr, even though most stroke survivors are older than that. We investigated the efficacy of a modified CIMT protocol on participation, activity, and impairment in a population of older adults experiencing subacute stroke. Using an interrupted time series design, 4 older adults (mean age = 82) were assessed before and after intervention. Although none of the participants adhered to the 6-hr per day self-practice aspect of the CIMT protocol, considerable improvements were noted in participation, as measured using the Canadian Occupational Performance Measure. Some improvements were also noted at the level of impairment and activity. This work accords with previous literature on CIMT and has important implications for the evolution of stroke rehabilitation in elderly people. Permalink : ./index.php?lvl=notice_display&id=14148 [article] Modified constraint-induced movement therapy for elderly clients with subacute stroke [texte imprimé] / Martha MCCALL ; et al. ; Angela Colantonio ; Sara McEwen . - 2011 . - p. 409-418. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/4 (juillet-août 2011) . - p. 409-418 Mots-clés : Activités vie quotidienne  Personne âgée  Evaluation  Accident cérébrovasculaire  Handicap  Récupération  Thérapie par contrainte induite Résumé : A growing body of research, including evidence from numerous randomized controlled trials, suggests that constraint-induced movement therapy (CIMT) reduces impairment. The mean age of participants in most studies has been <65 yr, even though most stroke survivors are older than that. We investigated the efficacy of a modified CIMT protocol on participation, activity, and impairment in a population of older adults experiencing subacute stroke. Using an interrupted time series design, 4 older adults (mean age = 82) were assessed before and after intervention. Although none of the participants adhered to the 6-hr per day self-practice aspect of the CIMT protocol, considerable improvements were noted in participation, as measured using the Canadian Occupational Performance Measure. Some improvements were also noted at the level of impairment and activity. This work accords with previous literature on CIMT and has important implications for the evolution of stroke rehabilitation in elderly people. Permalink : ./index.php?lvl=notice_display&id=14148

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Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions / Dorothy E. Kessler in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 326-337 Titre : Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions Type de document : texte imprimé Auteurs : Dorothy E. Kessler ; Mary Y. Egan ; Claire-Jehanne Dubouloz ; Sara McEwen ; Fiona P. Graham Année de publication : 2018 Article en page(s) : p. 326-337 Langues : Anglais (eng) Mots-clés : Client-centred therapy  coaching  occupational therapy  psychological theory  social participation  stroke rehabilitation Résumé : Introduction Occupational performance coaching modified for stroke survivors is a promising new intervention to improve occupational performance post stroke. In the intervention, following client-centred occupational goal-setting, clients are led through strengths-based problem-solving and experimentation. Emotional support, individualized education and goal-focused problem-solving are hypothesized as key elements. Examination of clients’ experiences is necessary to better understand how occupational performance coaching modified for stroke survivors works, and improve its potential effectiveness. Method A descriptive qualitative study was embedded in a pilot randomized controlled trial. Semi-structured interviews were completed with seven participants in the treatment arm who received occupational performance coaching modified for stroke survivors. Qualitative content analysis was used for analysis. Findings Three categories were identified related to participants’ experiences of occupational performance coaching modified for stroke survivors: (a) the coaching was helpful; (b) the coaching provided opportunity for insightful reflection and (c) a different approach was preferred. Findings also lend support to the critical role of hypothesized key components and theorized mechanisms of action, and demonstrate the overarching role of the therapeutic relationship and the contribution of personal characteristics. Conclusion The revised theoretical understanding of occupational performance coaching modified for stroke survivors provides a valuable framework for communicating the actions that occupational therapists take in enabling occupation and emphasizes the role of the therapeutic relationship in client-centred approaches to improving occupational performance post stroke. Permalink : ./index.php?lvl=notice_display&id=80152 [article] Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions [texte imprimé] / Dorothy E. Kessler ; Mary Y. Egan ; Claire-Jehanne Dubouloz ; Sara McEwen ; Fiona P. Graham . - 2018 . - p. 326-337. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 326-337 Mots-clés : Client-centred therapy  coaching  occupational therapy  psychological theory  social participation  stroke rehabilitation Résumé : Introduction Occupational performance coaching modified for stroke survivors is a promising new intervention to improve occupational performance post stroke. In the intervention, following client-centred occupational goal-setting, clients are led through strengths-based problem-solving and experimentation. Emotional support, individualized education and goal-focused problem-solving are hypothesized as key elements. Examination of clients’ experiences is necessary to better understand how occupational performance coaching modified for stroke survivors works, and improve its potential effectiveness. Method A descriptive qualitative study was embedded in a pilot randomized controlled trial. Semi-structured interviews were completed with seven participants in the treatment arm who received occupational performance coaching modified for stroke survivors. Qualitative content analysis was used for analysis. Findings Three categories were identified related to participants’ experiences of occupational performance coaching modified for stroke survivors: (a) the coaching was helpful; (b) the coaching provided opportunity for insightful reflection and (c) a different approach was preferred. Findings also lend support to the critical role of hypothesized key components and theorized mechanisms of action, and demonstrate the overarching role of the therapeutic relationship and the contribution of personal characteristics. Conclusion The revised theoretical understanding of occupational performance coaching modified for stroke survivors provides a valuable framework for communicating the actions that occupational therapists take in enabling occupation and emphasizes the role of the therapeutic relationship in client-centred approaches to improving occupational performance post stroke. Permalink : ./index.php?lvl=notice_display&id=80152

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