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Mention de date : July 2016
Paru le : 01/07/2016
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[article]
| Titre : |
Occupational therapy roles and responsibilities: Evidence from a pilot study of time use in an integrated health and social care trust |
| Type de document : |
texte imprimé |
| Auteurs : |
Mark Wilberforce ; Jane Hughes ; Ian Bowns ; [et al...] |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 409-416 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
ergothérapie santé aide social soin |
| Résumé : |
Introduction Occupational therapists undertake a broad spectrum of activities, yet no mechanism exists to record how working time is distributed across them. This is a hindrance to research, evaluation and evidence-based practice.
Method A new diary schedule was piloted by 151 qualified and assistant-grade practitioners working in multiple adult health and social care settings in an integrated NHS and social care trust in England. Time use relating to 37 occupational therapy tasks was recorded in 30 minute intervals for one week.
Results Almost 5000 hours of activity were recorded. For the average working week, 39% of time was spent in direct care with clients, 31% involved undertaking indirect casework such as liaison and administration, whilst a further 22% was in team/service activity. Only modest differences were observed between qualified and assistant-grade respondents, whilst occupational therapists in traditional social care roles spent significantly longer in liaison and administrative duties. Individual tasks capturing ‘therapeutic activity’ accounted for just 10% of practitioner time.
Conclusion The new diary tool is a viable data collection instrument to evaluate practice and the impact of service redesign. However, further work is needed to evaluate its measurement properties in more detail. |
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in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 409-416
[article] Occupational therapy roles and responsibilities: Evidence from a pilot study of time use in an integrated health and social care trust [texte imprimé] / Mark Wilberforce ; Jane Hughes ; Ian Bowns ; [et al...] . - 2016 . - p. 409-416. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 409-416
| Mots-clés : |
ergothérapie santé aide social soin |
| Résumé : |
Introduction Occupational therapists undertake a broad spectrum of activities, yet no mechanism exists to record how working time is distributed across them. This is a hindrance to research, evaluation and evidence-based practice.
Method A new diary schedule was piloted by 151 qualified and assistant-grade practitioners working in multiple adult health and social care settings in an integrated NHS and social care trust in England. Time use relating to 37 occupational therapy tasks was recorded in 30 minute intervals for one week.
Results Almost 5000 hours of activity were recorded. For the average working week, 39% of time was spent in direct care with clients, 31% involved undertaking indirect casework such as liaison and administration, whilst a further 22% was in team/service activity. Only modest differences were observed between qualified and assistant-grade respondents, whilst occupational therapists in traditional social care roles spent significantly longer in liaison and administrative duties. Individual tasks capturing ‘therapeutic activity’ accounted for just 10% of practitioner time.
Conclusion The new diary tool is a viable data collection instrument to evaluate practice and the impact of service redesign. However, further work is needed to evaluate its measurement properties in more detail. |
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[article]
| Titre : |
Validity and reliability of the Japanese Interest Checklist for the Elderly |
| Type de document : |
texte imprimé |
| Auteurs : |
Hiromi Nakamura-Thomas ; Makoto Kyougoku ; Renee Taylor |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 417-426 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
personne âgée participation sociale japon |
| Résumé : |
Introduction The validity and reliability of the Japanese Interest Checklist for the Elderly were examined.
Method 687 participants responded, using the new scale system: ‘currently participate based on interest,’ ‘participate less because of health status’ or ‘no interest.’ The convergent and discriminant validity of the factorial structure were examined using two-stage Confirmatory Factor Analysis approaches. The discriminant validity and reliability of the scale system were examined using two-stage Item Response Theory approaches.
Results The first Confirmatory Factor Analysis stage indicated values representing good (factor loadings: 0.99–0.75; Comparative Fit Index: 0.99; Tucker-Lewis Index: 0.98) to adequate (Root Mean Square Error of Approximation: 0.054) fit levels. Both the discriminant validity and convergent validity were identified to be high. The second Confirmatory Factor Analysis stage with a Path analysis and consideration of age and gender indicated values representing a good fit (factor loadings: 0.99–0.78; Comparative Fit Index: 0.99; Tucker-Lewis Index: 0.98; Root Mean Square Error of Approximation: 0.048). The first Item Response Theory stage indicated the values for the discriminant validity in the expected ranges; however, it displayed lower reliability in some activities. The second Item Response Theory state with the latent-class model-based multi-group Item Response Theory confirmed the pattern of invariance.
Conclusion The factorial structure was valid across different groups of people. The scale system has to be improved. |
| Permalink : |
./index.php?lvl=notice_display&id=45780 |
in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 417-426
[article] Validity and reliability of the Japanese Interest Checklist for the Elderly [texte imprimé] / Hiromi Nakamura-Thomas ; Makoto Kyougoku ; Renee Taylor . - 2016 . - p. 417-426. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 417-426
| Mots-clés : |
personne âgée participation sociale japon |
| Résumé : |
Introduction The validity and reliability of the Japanese Interest Checklist for the Elderly were examined.
Method 687 participants responded, using the new scale system: ‘currently participate based on interest,’ ‘participate less because of health status’ or ‘no interest.’ The convergent and discriminant validity of the factorial structure were examined using two-stage Confirmatory Factor Analysis approaches. The discriminant validity and reliability of the scale system were examined using two-stage Item Response Theory approaches.
Results The first Confirmatory Factor Analysis stage indicated values representing good (factor loadings: 0.99–0.75; Comparative Fit Index: 0.99; Tucker-Lewis Index: 0.98) to adequate (Root Mean Square Error of Approximation: 0.054) fit levels. Both the discriminant validity and convergent validity were identified to be high. The second Confirmatory Factor Analysis stage with a Path analysis and consideration of age and gender indicated values representing a good fit (factor loadings: 0.99–0.78; Comparative Fit Index: 0.99; Tucker-Lewis Index: 0.98; Root Mean Square Error of Approximation: 0.048). The first Item Response Theory stage indicated the values for the discriminant validity in the expected ranges; however, it displayed lower reliability in some activities. The second Item Response Theory state with the latent-class model-based multi-group Item Response Theory confirmed the pattern of invariance.
Conclusion The factorial structure was valid across different groups of people. The scale system has to be improved. |
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[article]
| Titre : |
Understanding the dimensions of home for people returning home post stroke rehabilitation |
| Type de document : |
texte imprimé |
| Auteurs : |
Tenelle Hodson ; Tammy Aplin ; Louise Gustafsson |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 427-433 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
accident vasculaire cérébral revalidation habitation |
| Résumé : |
Introduction Home is a meaningful and important place and the transition to home from hospital is considered a significant point in recovery for people after stroke. Six dimensions of the home environment have previously been described as important for well-being and contributing to one's experience of home: the physical, social, personal, temporal, occupational and societal dimensions. The aim of this study was to understand the experience of home for people with stroke after discharge to home from hospital rehabilitation.
Method A secondary template analysis applied the dimensions of home to semi-structured interviews that explored the transition to home experience for seven participants with stroke at 4–6 weeks post discharge.
Results All six dimensions were present in the descriptions of returning to home from stroke rehabilitation. The social, personal and occupational dimensions appeared to be the most prominent and often centred on loss or change.
Conclusion People returning home after a stroke enter a different home environment than the one they experienced prior to stroke, with changes experienced in all dimensions of home. Closer attention to the dimensions during discharge preparation may enhance the transition experience. |
| Permalink : |
./index.php?lvl=notice_display&id=45781 |
in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 427-433
[article] Understanding the dimensions of home for people returning home post stroke rehabilitation [texte imprimé] / Tenelle Hodson ; Tammy Aplin ; Louise Gustafsson . - 2016 . - p. 427-433. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 427-433
| Mots-clés : |
accident vasculaire cérébral revalidation habitation |
| Résumé : |
Introduction Home is a meaningful and important place and the transition to home from hospital is considered a significant point in recovery for people after stroke. Six dimensions of the home environment have previously been described as important for well-being and contributing to one's experience of home: the physical, social, personal, temporal, occupational and societal dimensions. The aim of this study was to understand the experience of home for people with stroke after discharge to home from hospital rehabilitation.
Method A secondary template analysis applied the dimensions of home to semi-structured interviews that explored the transition to home experience for seven participants with stroke at 4–6 weeks post discharge.
Results All six dimensions were present in the descriptions of returning to home from stroke rehabilitation. The social, personal and occupational dimensions appeared to be the most prominent and often centred on loss or change.
Conclusion People returning home after a stroke enter a different home environment than the one they experienced prior to stroke, with changes experienced in all dimensions of home. Closer attention to the dimensions during discharge preparation may enhance the transition experience. |
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[article]
| Titre : |
The lived experience of people with mental health and substance misuse problems: Dimensions of belonging |
| Type de document : |
texte imprimé |
| Auteurs : |
Alison Blank ; Linda Finlay ; Sarah Prior |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 434-441 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
santé mentale appartenance addiction |
| Résumé : |
Introduction People with co-occurring mental health and substance misuse problems are among the most excluded in society. A need to feel connected to others has been articulated in the occupational science literature although the concept of belonging itself has not been extensively explored within this paradigm. This paper reports findings from research that explored the meaning and experience of belonging for four people living with dual diagnosis in the United Kingdom.
Method Researchers employed an interpretative phenomenological approach to the study. Four semistructured interviews were carried out. The interviews were guided by questions around the meaning of belonging, barriers to belonging and how belonging and not belonging impacted on participants’ lives. Data analysis facilitated the identification of themes across individual accounts and enabled comparisons.
Findings Data analysis identified four themes – belonging in family, belonging in place, embodied understandings of belonging and barriers to belonging.
Conclusion The findings add further insights into the mutable nature of belonging. A link between sense of belonging and attachment theory has been proposed, along with a way to understand the changeable and dependent nature of belonging through ‘dimensions of belonging’. |
| Permalink : |
./index.php?lvl=notice_display&id=45782 |
in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 434-441
[article] The lived experience of people with mental health and substance misuse problems: Dimensions of belonging [texte imprimé] / Alison Blank ; Linda Finlay ; Sarah Prior . - 2016 . - p. 434-441. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 434-441
| Mots-clés : |
santé mentale appartenance addiction |
| Résumé : |
Introduction People with co-occurring mental health and substance misuse problems are among the most excluded in society. A need to feel connected to others has been articulated in the occupational science literature although the concept of belonging itself has not been extensively explored within this paradigm. This paper reports findings from research that explored the meaning and experience of belonging for four people living with dual diagnosis in the United Kingdom.
Method Researchers employed an interpretative phenomenological approach to the study. Four semistructured interviews were carried out. The interviews were guided by questions around the meaning of belonging, barriers to belonging and how belonging and not belonging impacted on participants’ lives. Data analysis facilitated the identification of themes across individual accounts and enabled comparisons.
Findings Data analysis identified four themes – belonging in family, belonging in place, embodied understandings of belonging and barriers to belonging.
Conclusion The findings add further insights into the mutable nature of belonging. A link between sense of belonging and attachment theory has been proposed, along with a way to understand the changeable and dependent nature of belonging through ‘dimensions of belonging’. |
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[article]
| Titre : |
The role of occupational therapists in the provision of dietary interventions for people with severe mental illness: Results from a national survey |
| Type de document : |
texte imprimé |
| Auteurs : |
Lauren Williams ; Prudence Magin ; Joshua Sultana ; Kirsti Haracz |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 442-449 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
ergothérapie santé mentale diététique changement de style de vie obésité |
| Résumé : |
Introduction People living with severe mental illness are at least twice as likely to be obese as the general population, partly due to lifestyle risk factors including poor diet quality. This study aims to quantify how Australian mental health occupational therapists address the dietary issues of people with severe mental illness.
Method A 23-item cross-sectional online survey was distributed via email to all members of Occupational Therapy Australia, with those working in mental health (an estimated 305 members) invited to participate. Response frequencies were analysed in SPSS. Open-ended comments were subjected to thematic analysis.
Results Eight-six eligible participants (28.2% of the target population) completed the full survey. Most (81%) felt confident in providing healthy eating advice, with 76% reporting being self-educated about nutrition. Dietitian support for complex advice was seen as beneficial by 88%, but only 30% reported reasonable access to dietitians. Qualitative themes included: accessing dietitians, information and education, and putting advice into practice.
Conclusion There is potential to enhance the credentialling and continuing education of occupational therapists and improve inter-professional collaboration with dietitians to assist the occupational therapist in achieving better health and reducing the burden of chronic disease for people experiencing severe mental illness. |
| Permalink : |
./index.php?lvl=notice_display&id=45783 |
in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 442-449
[article] The role of occupational therapists in the provision of dietary interventions for people with severe mental illness: Results from a national survey [texte imprimé] / Lauren Williams ; Prudence Magin ; Joshua Sultana ; Kirsti Haracz . - 2016 . - p. 442-449. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 442-449
| Mots-clés : |
ergothérapie santé mentale diététique changement de style de vie obésité |
| Résumé : |
Introduction People living with severe mental illness are at least twice as likely to be obese as the general population, partly due to lifestyle risk factors including poor diet quality. This study aims to quantify how Australian mental health occupational therapists address the dietary issues of people with severe mental illness.
Method A 23-item cross-sectional online survey was distributed via email to all members of Occupational Therapy Australia, with those working in mental health (an estimated 305 members) invited to participate. Response frequencies were analysed in SPSS. Open-ended comments were subjected to thematic analysis.
Results Eight-six eligible participants (28.2% of the target population) completed the full survey. Most (81%) felt confident in providing healthy eating advice, with 76% reporting being self-educated about nutrition. Dietitian support for complex advice was seen as beneficial by 88%, but only 30% reported reasonable access to dietitians. Qualitative themes included: accessing dietitians, information and education, and putting advice into practice.
Conclusion There is potential to enhance the credentialling and continuing education of occupational therapists and improve inter-professional collaboration with dietitians to assist the occupational therapist in achieving better health and reducing the burden of chronic disease for people experiencing severe mental illness. |
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[article]
| Titre : |
Making a case for universal and targeted children’s occupational therapy in the United Kingdom |
| Type de document : |
texte imprimé |
| Auteurs : |
Eve Hutton ; Sharon Tuppeny ; Andrea Hasselbusch |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 450-453 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
ergothérapie pédiatrie enfant Royaume Uni |
| Résumé : |
This article makes the case for increasing the reach and the impact of children's occupational therapy in the United Kingdom, through inclusion of universal and targeted services alongside specialist provision. It is proposed that achieving a greater balance between these different levels or tiers of provision can promote the health, well-being and participation of all children, including those with additional needs. During a time of austerity, we argue that a broader offer also distributes finite public resources more effectively – potentially reducing pressure on scarce specialist resources. Sustainable options for meeting greater population need are proposed and occupational therapists are encouraged to evaluate the effect of changing the balance of provision to inform future commissioning. |
| Permalink : |
./index.php?lvl=notice_display&id=45784 |
in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 450-453
[article] Making a case for universal and targeted children’s occupational therapy in the United Kingdom [texte imprimé] / Eve Hutton ; Sharon Tuppeny ; Andrea Hasselbusch . - 2016 . - p. 450-453. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 450-453
| Mots-clés : |
ergothérapie pédiatrie enfant Royaume Uni |
| Résumé : |
This article makes the case for increasing the reach and the impact of children's occupational therapy in the United Kingdom, through inclusion of universal and targeted services alongside specialist provision. It is proposed that achieving a greater balance between these different levels or tiers of provision can promote the health, well-being and participation of all children, including those with additional needs. During a time of austerity, we argue that a broader offer also distributes finite public resources more effectively – potentially reducing pressure on scarce specialist resources. Sustainable options for meeting greater population need are proposed and occupational therapists are encouraged to evaluate the effect of changing the balance of provision to inform future commissioning. |
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./index.php?lvl=notice_display&id=45784 |
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