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Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years / Eileen McCourt in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 584-590 Titre : Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years Type de document : texte imprimé Auteurs : Eileen McCourt ; Jackie Casey Année de publication : 2016 Article en page(s) : p. 584-590 Langues : Anglais (eng) Mots-clés : pédiatrie  enfant  chaise roulante  évaluation Résumé : Introduction Northern Ireland wheelchair guidelines state that wheelchair users who wish to drive their National Health Service provided powered wheelchairs outdoors must complete an electrically powered indoor/outdoor chair test. Within the same guidelines, children in Northern Ireland under the age of 10 years are not permitted to complete this assessment. Research was completed to evaluate how children under 10 years would perform in electrically powered indoor/outdoor chair training and testing under adult supervision. Method A case-study design was utilised with three children aged 7–9 years to evaluate if: (a) these children can complete electrically powered indoor/outdoor chair training/testing safely with adult supervision; (b) the length of time using an electric powered indoor chair correlates with performance on electrically powered indoor chair training/testing; (c) the current Northern Ireland guidelines on age restriction should be re-evaluated so that each child is assessed on an individual basis rather than age. Findings Paediatric powered wheelchair users aged seven to nine years can become competent electrically powered indoor/outdoor chair users with adequate training and adult supervision. Length of time (years) driving an electrically powered indoor chair may not correlate with improved electrically powered indoor/outdoor chair performance. Conclusion Regional Northern Ireland criteria relating to electrically powered indoor/outdoor chair provision for children should be revised in order to consider an individual needs assessment, rather than imposing an age restriction. Permalink : ./index.php?lvl=notice_display&id=46020 [article] Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years [texte imprimé] / Eileen McCourt ; Jackie Casey . - 2016 . - p. 584-590. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 584-590 Mots-clés : pédiatrie  enfant  chaise roulante  évaluation Résumé : Introduction Northern Ireland wheelchair guidelines state that wheelchair users who wish to drive their National Health Service provided powered wheelchairs outdoors must complete an electrically powered indoor/outdoor chair test. Within the same guidelines, children in Northern Ireland under the age of 10 years are not permitted to complete this assessment. Research was completed to evaluate how children under 10 years would perform in electrically powered indoor/outdoor chair training and testing under adult supervision. Method A case-study design was utilised with three children aged 7–9 years to evaluate if: (a) these children can complete electrically powered indoor/outdoor chair training/testing safely with adult supervision; (b) the length of time using an electric powered indoor chair correlates with performance on electrically powered indoor chair training/testing; (c) the current Northern Ireland guidelines on age restriction should be re-evaluated so that each child is assessed on an individual basis rather than age. Findings Paediatric powered wheelchair users aged seven to nine years can become competent electrically powered indoor/outdoor chair users with adequate training and adult supervision. Length of time (years) driving an electrically powered indoor chair may not correlate with improved electrically powered indoor/outdoor chair performance. Conclusion Regional Northern Ireland criteria relating to electrically powered indoor/outdoor chair provision for children should be revised in order to consider an individual needs assessment, rather than imposing an age restriction. Permalink : ./index.php?lvl=notice_display&id=46020

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The impact of handwriting difficulties on compositional quality in children with developmental coordination disorder / Melissa M. Prunty in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 591-597 Titre : The impact of handwriting difficulties on compositional quality in children with developmental coordination disorder Type de document : texte imprimé Auteurs : Melissa M. Prunty ; Anna L. Barnett ; Kate Wilmut ; [et al...] Année de publication : 2016 Article en page(s) : p. 591-597 Langues : Anglais (eng) Mots-clés : trouble du développement de la coordination  écriture  enfant Résumé : Introduction There is substantial evidence to support the relationship between transcription skills (handwriting and spelling) and compositional quality. For children with developmental coordination disorder, handwriting can be particularly challenging. While recent research has aimed to investigate their handwriting difficulties in more detail, the impact of transcription on their compositional quality has not previously been examined. The aim of this exploratory study was to examine compositional quality in children with developmental coordination disorder and to ascertain whether their transcription skills influence writing quality. Method Twenty-eight children with developmental coordination disorder participated in the study, with 28 typically developing age and gender matched controls. The children completed the ‘free-writing’ task from the detailed assessment of speed of handwriting tool, which was evaluated for compositional quality using the Wechsler objective language dimensions. Results The children with developmental coordination disorder performed significantly below their typically developing peers on five of the six Wechsler objective language dimensions items. They also had a higher percentage of misspelled words. Regression analyses indicated that the number of words produced per minute and the percentage of misspelled words explained 55% of the variance for compositional quality. Conclusion The handwriting difficulties so commonly reported in children with developmental coordination disorder have wider repercussions for the quality of written composition. Permalink : ./index.php?lvl=notice_display&id=46021 [article] The impact of handwriting difficulties on compositional quality in children with developmental coordination disorder [texte imprimé] / Melissa M. Prunty ; Anna L. Barnett ; Kate Wilmut ; [et al...] . - 2016 . - p. 591-597. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 591-597 Mots-clés : trouble du développement de la coordination  écriture  enfant Résumé : Introduction There is substantial evidence to support the relationship between transcription skills (handwriting and spelling) and compositional quality. For children with developmental coordination disorder, handwriting can be particularly challenging. While recent research has aimed to investigate their handwriting difficulties in more detail, the impact of transcription on their compositional quality has not previously been examined. The aim of this exploratory study was to examine compositional quality in children with developmental coordination disorder and to ascertain whether their transcription skills influence writing quality. Method Twenty-eight children with developmental coordination disorder participated in the study, with 28 typically developing age and gender matched controls. The children completed the ‘free-writing’ task from the detailed assessment of speed of handwriting tool, which was evaluated for compositional quality using the Wechsler objective language dimensions. Results The children with developmental coordination disorder performed significantly below their typically developing peers on five of the six Wechsler objective language dimensions items. They also had a higher percentage of misspelled words. Regression analyses indicated that the number of words produced per minute and the percentage of misspelled words explained 55% of the variance for compositional quality. Conclusion The handwriting difficulties so commonly reported in children with developmental coordination disorder have wider repercussions for the quality of written composition. Permalink : ./index.php?lvl=notice_display&id=46021

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Text messages reduce memory failures in adults with brain injury: A single-case experimental design / Gabriella Cruz in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 598-606 Titre : Text messages reduce memory failures in adults with brain injury: A single-case experimental design Type de document : texte imprimé Auteurs : Gabriella Cruz ; Susan Petrie ; Nicola Goudie ; [et al...] Année de publication : 2016 Article en page(s) : p. 598-606 Langues : Anglais (eng) Mots-clés : mémoire  traumatisme crânien Résumé : Introduction This study evaluated the efficacy of a low-cost reminder system to support prospective memory after traumatic brain injury and identified factors that contributed to the outcome. Method Two single-case experimental designs with multiple baselines across activities are described. Participants presented moderate-to-severe cognitive impairments in one case and post-concussion syndrome in the other. Both reported memory problems in everyday activities. Target activities were selected using the Canadian Occupational Performance Measure. Participants were taught how to send reminders through Google Calendar to their mobile phones. Results The Canadian Occupational Performance Measure showed improved self-perception of performance and satisfaction levels. Using non-overlap of all pairs statistical analysis, most, but not all, target activities showed statistically significant improvement, with non-overlap ranging from 47% to 98%. Adjustments in the use of the reminders based on each participant’s activities and cognitive abilities were required in order to maximise the benefits. Conclusion The reminder system was effective in increasing the frequency of completion of routine activities of daily living. To increase the effectiveness of ubiquitous technology in supporting cognition after brain injury, several factors co-existing with cognitive problems should be taken into account. Permalink : ./index.php?lvl=notice_display&id=46022 [article] Text messages reduce memory failures in adults with brain injury: A single-case experimental design [texte imprimé] / Gabriella Cruz ; Susan Petrie ; Nicola Goudie ; [et al...] . - 2016 . - p. 598-606. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 598-606 Mots-clés : mémoire  traumatisme crânien Résumé : Introduction This study evaluated the efficacy of a low-cost reminder system to support prospective memory after traumatic brain injury and identified factors that contributed to the outcome. Method Two single-case experimental designs with multiple baselines across activities are described. Participants presented moderate-to-severe cognitive impairments in one case and post-concussion syndrome in the other. Both reported memory problems in everyday activities. Target activities were selected using the Canadian Occupational Performance Measure. Participants were taught how to send reminders through Google Calendar to their mobile phones. Results The Canadian Occupational Performance Measure showed improved self-perception of performance and satisfaction levels. Using non-overlap of all pairs statistical analysis, most, but not all, target activities showed statistically significant improvement, with non-overlap ranging from 47% to 98%. Adjustments in the use of the reminders based on each participant’s activities and cognitive abilities were required in order to maximise the benefits. Conclusion The reminder system was effective in increasing the frequency of completion of routine activities of daily living. To increase the effectiveness of ubiquitous technology in supporting cognition after brain injury, several factors co-existing with cognitive problems should be taken into account. Permalink : ./index.php?lvl=notice_display&id=46022

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Collaborative research exploring mental health service user perspectives on acute inpatient occupational therapy / Wendy Bryant in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 607-613 Titre : Collaborative research exploring mental health service user perspectives on acute inpatient occupational therapy Type de document : texte imprimé Auteurs : Wendy Bryant ; Kevin Cordingley ; Katherine Sims ; [et al...] Année de publication : 2016 Article en page(s) : p. 607-613 Langues : Anglais (eng) Mots-clés : santé mentale  ergothérapie Résumé : Introduction User perspectives are important for understanding why people engage with occupational therapy during an admission for acute mental health issues, and can be used to inform service provision and development. Method Twenty-two recent and current inpatients participated in six semi-structured individual interviews and three focus groups. Data from the two methods were initially subject to separate thematic analysis. Then a further stage of constant comparative analysis, of both data sets, generated the findings presented here. Findings Three themes were identified: (1) ‘A tiny sort of world’ expressed experiences of being restricted; (2) ‘Relief’ indicated how occupational therapy offered relief from the ward and experiences of mental ill-health; and (3) ‘Something to do’ suggested specific purposes for engaging in occupation. These themes indicate how service users experience and value occupational therapy for different reasons at different times. The approach of occupational therapists to service users, valuing them as occupational beings, is a key aspect of their experience. Conclusion The profession is challenged to design flexible opportunities for occupational engagement which simultaneously provide relief and distraction, address diverse occupational needs, and are feasible within the resource restrictions of acute mental health services. Permalink : ./index.php?lvl=notice_display&id=46023 [article] Collaborative research exploring mental health service user perspectives on acute inpatient occupational therapy [texte imprimé] / Wendy Bryant ; Kevin Cordingley ; Katherine Sims ; [et al...] . - 2016 . - p. 607-613. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 607-613 Mots-clés : santé mentale  ergothérapie Résumé : Introduction User perspectives are important for understanding why people engage with occupational therapy during an admission for acute mental health issues, and can be used to inform service provision and development. Method Twenty-two recent and current inpatients participated in six semi-structured individual interviews and three focus groups. Data from the two methods were initially subject to separate thematic analysis. Then a further stage of constant comparative analysis, of both data sets, generated the findings presented here. Findings Three themes were identified: (1) ‘A tiny sort of world’ expressed experiences of being restricted; (2) ‘Relief’ indicated how occupational therapy offered relief from the ward and experiences of mental ill-health; and (3) ‘Something to do’ suggested specific purposes for engaging in occupation. These themes indicate how service users experience and value occupational therapy for different reasons at different times. The approach of occupational therapists to service users, valuing them as occupational beings, is a key aspect of their experience. Conclusion The profession is challenged to design flexible opportunities for occupational engagement which simultaneously provide relief and distraction, address diverse occupational needs, and are feasible within the resource restrictions of acute mental health services. Permalink : ./index.php?lvl=notice_display&id=46023

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Patient-reported importance of assistive devices in hip and knee replacement Enhanced Recovery after Surgery (ERAS) pathways / Heather McNaught in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 614-619 Titre : Patient-reported importance of assistive devices in hip and knee replacement Enhanced Recovery after Surgery (ERAS) pathways Type de document : texte imprimé Auteurs : Heather McNaught ; Tessa Jones ; Tikki Immins ; [et al...] Année de publication : 2016 Article en page(s) : p. 614-619 Langues : Anglais (eng) Mots-clés : ergothérapie  prothèse de genou  prothèse de hanche  éducation thérapeutique Résumé : Introduction This study examines patients’ perceptions of the usefulness of occupational therapy and assistive devices provided, in achieving discharge criteria and assisting with activities of daily living once home, following an Enhanced Recovery After Surgery protocol for total hip and total knee replacement patients. Methods Two weeks following discharge, 197 patients who had undergone total hip replacement or total knee replacement were telephoned to ask how useful they found occupational therapy education and advice and the assistive devices provided. Results 114 patients (58%) answered the call. Over 96% of patients found occupational therapy education and advice useful. Ninety-seven percent of posterior total hip replacement patients were still using the assistive devices 2 weeks following discharge, compared to 90% of anterior total hip replacement patients and 87% of total knee replacement patients. Over 95% of all patients found that assistive devices enhanced their ability to undertake activities of daily living, and were extremely or partly useful in achieving early discharge. Conclusion Over 85% of patients who responded perceived the occupational therapist’s advice and education, and assistive devices provided, to be useful in achieving discharge criteria, and in enhancing their ability to undertake activities of daily living once back in a home environment. Permalink : ./index.php?lvl=notice_display&id=46024 [article] Patient-reported importance of assistive devices in hip and knee replacement Enhanced Recovery after Surgery (ERAS) pathways [texte imprimé] / Heather McNaught ; Tessa Jones ; Tikki Immins ; [et al...] . - 2016 . - p. 614-619. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 614-619 Mots-clés : ergothérapie  prothèse de genou  prothèse de hanche  éducation thérapeutique Résumé : Introduction This study examines patients’ perceptions of the usefulness of occupational therapy and assistive devices provided, in achieving discharge criteria and assisting with activities of daily living once home, following an Enhanced Recovery After Surgery protocol for total hip and total knee replacement patients. Methods Two weeks following discharge, 197 patients who had undergone total hip replacement or total knee replacement were telephoned to ask how useful they found occupational therapy education and advice and the assistive devices provided. Results 114 patients (58%) answered the call. Over 96% of patients found occupational therapy education and advice useful. Ninety-seven percent of posterior total hip replacement patients were still using the assistive devices 2 weeks following discharge, compared to 90% of anterior total hip replacement patients and 87% of total knee replacement patients. Over 95% of all patients found that assistive devices enhanced their ability to undertake activities of daily living, and were extremely or partly useful in achieving early discharge. Conclusion Over 85% of patients who responded perceived the occupational therapist’s advice and education, and assistive devices provided, to be useful in achieving discharge criteria, and in enhancing their ability to undertake activities of daily living once back in a home environment. Permalink : ./index.php?lvl=notice_display&id=46024

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Promoting participation and engagement for people with dementia through a cognitive stimulation therapy programme delivered by students: A descriptive qualitative study / Carolyn Murray in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 620-628 Titre : Promoting participation and engagement for people with dementia through a cognitive stimulation therapy programme delivered by students: A descriptive qualitative study Type de document : texte imprimé Auteurs : Carolyn Murray ; Susan Gilbert-Hunt ; Angela H. Berndt ; Lenore de la Perrelle Année de publication : 2016 Article en page(s) : p. 620-628 Langues : Anglais (eng) Mots-clés : participation  ergothérapie  démence Résumé : Introduction Dementia can affect participation and engagement due to deprivation of cognitive, social and sensory stimulation. To meet this need, educators and a service provider collaborated for occupational therapy students to provide cognitive stimulation therapy for people with dementia. Method We used a published, evidence-based cognitive stimulation therapy programme called ‘Making a Difference’. However, due to student availability, we adapted the programme to be conducted once weekly for 12 weeks by students in pairs. These services occurred in both community and residential settings. Following completion of the programme in 2012, perspectives of staff (n = 8), family carers (n = 5) and three people with dementia were sought about their involvement. Semi-structured interviews were recorded, transcribed and analysed using thematic analysis. Findings We found three themes of ‘something to talk about’, ‘it was a new relationship’ and ‘wanting to have a go’. Despite some initial concerns about people with dementia becoming stressed, the programme promoted social interactions, participation and engagement. The students adopted a relationship-centred approach with empathy and deliberate planning of sessions being important. Conclusion Through provision of the adapted Making a Difference programme, occupational therapy students were able to fulfil an unmet need while learning from their experience. Permalink : ./index.php?lvl=notice_display&id=46025 [article] Promoting participation and engagement for people with dementia through a cognitive stimulation therapy programme delivered by students: A descriptive qualitative study [texte imprimé] / Carolyn Murray ; Susan Gilbert-Hunt ; Angela H. Berndt ; Lenore de la Perrelle . - 2016 . - p. 620-628. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 620-628 Mots-clés : participation  ergothérapie  démence Résumé : Introduction Dementia can affect participation and engagement due to deprivation of cognitive, social and sensory stimulation. To meet this need, educators and a service provider collaborated for occupational therapy students to provide cognitive stimulation therapy for people with dementia. Method We used a published, evidence-based cognitive stimulation therapy programme called ‘Making a Difference’. However, due to student availability, we adapted the programme to be conducted once weekly for 12 weeks by students in pairs. These services occurred in both community and residential settings. Following completion of the programme in 2012, perspectives of staff (n = 8), family carers (n = 5) and three people with dementia were sought about their involvement. Semi-structured interviews were recorded, transcribed and analysed using thematic analysis. Findings We found three themes of ‘something to talk about’, ‘it was a new relationship’ and ‘wanting to have a go’. Despite some initial concerns about people with dementia becoming stressed, the programme promoted social interactions, participation and engagement. The students adopted a relationship-centred approach with empathy and deliberate planning of sessions being important. Conclusion Through provision of the adapted Making a Difference programme, occupational therapy students were able to fulfil an unmet need while learning from their experience. Permalink : ./index.php?lvl=notice_display&id=46025

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Effects of a social internet-based intervention programme for older adults: An explorative randomised crossover study / Ellinor Larsson in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 629-636 Titre : Effects of a social internet-based intervention programme for older adults: An explorative randomised crossover study Type de document : texte imprimé Auteurs : Ellinor Larsson ; Mojgan Padyab ; Maria Larsson-Lund ; Ingeborg Nilsson Année de publication : 2016 Article en page(s) : p. 629-636 Langues : Anglais (eng) Mots-clés : personne âgée  solitude  activité sociale Résumé : Introduction Restraints and changes in social activities might contribute to loneliness and health decline for older adults. To reduce loneliness and support activities, social internet-based interventions are indicated to be effective. The aim of this study was to evaluate the effects of a social internet-based intervention for older adults who are vulnerable to loneliness. Method An explorative, randomised, crossover study with an AB/BA sequence was completed. The intervention was conducted over a period of three months. Thirty participants were included (24 women and six men, 61–89 years old) and allocated to two groups. Data were collected at three time points. The primary outcome was the UCLA loneliness scale, and the secondary outcomes were satisfaction with social contacts and social interaction skills. Statistical analyses were conducted with the paired t-test, Wilcoxon's signed-rank test and repeated-measures analysis of variance. Results Loneliness was significantly decreased in both groups post intervention, and satisfaction with social contacts online significantly increased in one group. Significant treatment effects were detected for all outcomes. Conclusion The results of the social internet-based intervention programme are promising, but further evaluations are needed. Permalink : ./index.php?lvl=notice_display&id=46026 [article] Effects of a social internet-based intervention programme for older adults: An explorative randomised crossover study [texte imprimé] / Ellinor Larsson ; Mojgan Padyab ; Maria Larsson-Lund ; Ingeborg Nilsson . - 2016 . - p. 629-636. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°10 (Octobre 2016) . - p. 629-636 Mots-clés : personne âgée  solitude  activité sociale Résumé : Introduction Restraints and changes in social activities might contribute to loneliness and health decline for older adults. To reduce loneliness and support activities, social internet-based interventions are indicated to be effective. The aim of this study was to evaluate the effects of a social internet-based intervention for older adults who are vulnerable to loneliness. Method An explorative, randomised, crossover study with an AB/BA sequence was completed. The intervention was conducted over a period of three months. Thirty participants were included (24 women and six men, 61–89 years old) and allocated to two groups. Data were collected at three time points. The primary outcome was the UCLA loneliness scale, and the secondary outcomes were satisfaction with social contacts and social interaction skills. Statistical analyses were conducted with the paired t-test, Wilcoxon's signed-rank test and repeated-measures analysis of variance. Results Loneliness was significantly decreased in both groups post intervention, and satisfaction with social contacts online significantly increased in one group. Significant treatment effects were detected for all outcomes. Conclusion The results of the social internet-based intervention programme are promising, but further evaluations are needed. Permalink : ./index.php?lvl=notice_display&id=46026

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