Effectiveness of Occupational Performance Coaching in Improving Children’s and Mothers’ Performance and Mothers’ Self-Competence / Fiona P. Graham in American Journal of Occupational Therapy, Vol. 67/1 (janvier-février 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/1 (janvier-février 2013) . - p. 10-18 Titre : Effectiveness of Occupational Performance Coaching in Improving Children’s and Mothers’ Performance and Mothers’ Self-Competence Type de document : texte imprimé Auteurs : Fiona P. Graham ; Jenny M. ZIVIANI ; Sylvia Rodger Année de publication : 2013 Article en page(s) : p. 10-18 Langues : Anglais (eng) Mots-clés : Enfant  Handicap  Performance  Mère Résumé : OBJECTIVE. This study examined the effectiveness of occupational performance coaching in improving children’s and mothers’ occupational performance and mothers’ parenting self-competence. METHOD. A one-group time-series design was used to evaluate changes in children’s (n = 29) and mothers’ (n = 8) occupational performance at four time points: (1) pre–wait list, (2) preintervention, (3) postintervention, and (4) follow-up. RESULTS. Significant improvements in occupational performance occurred postintervention for children, F(1, 78) = 153.72, p < .001, η2 = .86, and mothers, F(1, 78) = 153.72, p < .001, η2 = .86, that were maintained 6 wk after intervention. Mothers’ self-competence in parenting also improved, F(1, 72) = 17.36, p < .001, η2 = .42. CONCLUSION. Findings provide preliminary evidence supporting the effectiveness of occupational performance coaching in improving children’s and mothers’ occupational performance and mothers’ parenting self-competence. Improvements were sustained and appeared to generalize to other areas of performance. Permalink : ./index.php?lvl=notice_display&id=14077 [article] Effectiveness of Occupational Performance Coaching in Improving Children’s and Mothers’ Performance and Mothers’ Self-Competence [texte imprimé] / Fiona P. Graham ; Jenny M. ZIVIANI ; Sylvia Rodger . - 2013 . - p. 10-18. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/1 (janvier-février 2013) . - p. 10-18 Mots-clés : Enfant  Handicap  Performance  Mère Résumé : OBJECTIVE. This study examined the effectiveness of occupational performance coaching in improving children’s and mothers’ occupational performance and mothers’ parenting self-competence. METHOD. A one-group time-series design was used to evaluate changes in children’s (n = 29) and mothers’ (n = 8) occupational performance at four time points: (1) pre–wait list, (2) preintervention, (3) postintervention, and (4) follow-up. RESULTS. Significant improvements in occupational performance occurred postintervention for children, F(1, 78) = 153.72, p < .001, η2 = .86, and mothers, F(1, 78) = 153.72, p < .001, η2 = .86, that were maintained 6 wk after intervention. Mothers’ self-competence in parenting also improved, F(1, 72) = 17.36, p < .001, η2 = .42. CONCLUSION. Findings provide preliminary evidence supporting the effectiveness of occupational performance coaching in improving children’s and mothers’ occupational performance and mothers’ parenting self-competence. Improvements were sustained and appeared to generalize to other areas of performance. Permalink : ./index.php?lvl=notice_display&id=14077

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Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation / Pauline Boland in The British Journal of Occupational Therapy, Vol.80 Issue 2 (Février 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 2 (Février 2017) . - p. 73-88 Titre : Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation Type de document : texte imprimé Auteurs : Pauline Boland ; William Levack ; Meredith Perry ; Fiona P. Graham Année de publication : 2017 Article en page(s) : p. 73-88 Langues : Anglais (eng) Mots-clés : dispositifs d'assistance au mouvement  accident vasculaire cérébral  handicap Résumé : Introduction The aim of this scoping review was to examine and synthesise literature on adaptive equipment use for personal care and mobility after stroke. Method We searched databases including Medline, EMBASE, AMED, CINAHL and Scopus to February 2016. Two authors independently screened 789 titles, identifying 28 studies for inclusion in the review. Results Findings were grouped into four themes: (1) stroke-specific impairments and consequences for equipment use and training; (2) meaning of equipment for people with stroke; (3) cost of equipment after stroke; and (4) conflicts between equipment provision and models of stroke rehabilitation. Conclusion The wide range of impairments after stroke increases complexity of how people use equipment. Nonetheless, training needs and the relationship between social context, identity and equipment use are increasingly better understood,. The findings highlight a tension between practice that seeks to re-train function by ‘normal’ movement without equipment and restoration of function by using compensation strategies involving use of equipment. However, there is no evidence that compensation strategies impede recovery of physical abilities. High-quality evidence about costs of equipment after stroke, which could inform policy decisions, is urgently needed. Permalink : ./index.php?lvl=notice_display&id=47789 [article] Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation [texte imprimé] / Pauline Boland ; William Levack ; Meredith Perry ; Fiona P. Graham . - 2017 . - p. 73-88. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 2 (Février 2017) . - p. 73-88 Mots-clés : dispositifs d'assistance au mouvement  accident vasculaire cérébral  handicap Résumé : Introduction The aim of this scoping review was to examine and synthesise literature on adaptive equipment use for personal care and mobility after stroke. Method We searched databases including Medline, EMBASE, AMED, CINAHL and Scopus to February 2016. Two authors independently screened 789 titles, identifying 28 studies for inclusion in the review. Results Findings were grouped into four themes: (1) stroke-specific impairments and consequences for equipment use and training; (2) meaning of equipment for people with stroke; (3) cost of equipment after stroke; and (4) conflicts between equipment provision and models of stroke rehabilitation. Conclusion The wide range of impairments after stroke increases complexity of how people use equipment. Nonetheless, training needs and the relationship between social context, identity and equipment use are increasingly better understood,. The findings highlight a tension between practice that seeks to re-train function by ‘normal’ movement without equipment and restoration of function by using compensation strategies involving use of equipment. However, there is no evidence that compensation strategies impede recovery of physical abilities. High-quality evidence about costs of equipment after stroke, which could inform policy decisions, is urgently needed. Permalink : ./index.php?lvl=notice_display&id=47789

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Mothers' experiences of engaging in Occupational Performance Coaching / Fiona P. Graham in The British Journal of Occupational Therapy, Volume 77 numéro 4 (Avril 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 4 (Avril 2014) . - p.189 - p.197 Titre : Mothers' experiences of engaging in Occupational Performance Coaching Type de document : texte imprimé Auteurs : Fiona P. Graham, Auteur Année de publication : 2014 Article en page(s) : p.189 - p.197 Langues : Anglais (eng) Mots-clés : Professional-patient relations  motor skills  disorders  child behaviour disorders  child  parenting  patient satisfaction Résumé : Introduction Occupational Performance Coaching is an intervention provided to parents, which targets their goals in occupational performance for themselves and thei children. Preliminary evidence points to its effectiveness; however, little is known about parents' experiences of engaging in Occupational Performance Coaching. Method Within a larger mixed methods study, a purpose-designed survey comprising open and closed questions was used to explore parents' (N=29) experiences of engaging in Occupational Performance Coaching. The survey targeted their impressions, learning experiences, and perceptions of the impact of Occupational Performace Coaching. Numerical data were analysed descriptively; written comments were analysed using content analysis. In this case all participants were mothers. Finding Mothers' descriptions of Occupational Performance Coaching were largely positive. Learning experiences included gaining insights about themselves and their children alongside learning specific strategies to support their children's occupational performance. They reported greater understanding of their children and a perception that Occupational Performance Coaching had engendered a calmer, happier emotional tone within the family. Conclusion Mothers perceived Occupational Performance Coaching as a valuable means to support their children and themselves to attain occupational performance goals. Findings prompt greater attention to coaching approaches and, more widely, the use of transformative learning as a means to enabling occupation. Permalink : ./index.php?lvl=notice_display&id=33882 [article] Mothers' experiences of engaging in Occupational Performance Coaching [texte imprimé] / Fiona P. Graham, Auteur . - 2014 . - p.189 - p.197. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 4 (Avril 2014) . - p.189 - p.197 Mots-clés : Professional-patient relations  motor skills  disorders  child behaviour disorders  child  parenting  patient satisfaction Résumé : Introduction Occupational Performance Coaching is an intervention provided to parents, which targets their goals in occupational performance for themselves and thei children. Preliminary evidence points to its effectiveness; however, little is known about parents' experiences of engaging in Occupational Performance Coaching. Method Within a larger mixed methods study, a purpose-designed survey comprising open and closed questions was used to explore parents' (N=29) experiences of engaging in Occupational Performance Coaching. The survey targeted their impressions, learning experiences, and perceptions of the impact of Occupational Performace Coaching. Numerical data were analysed descriptively; written comments were analysed using content analysis. In this case all participants were mothers. Finding Mothers' descriptions of Occupational Performance Coaching were largely positive. Learning experiences included gaining insights about themselves and their children alongside learning specific strategies to support their children's occupational performance. They reported greater understanding of their children and a perception that Occupational Performance Coaching had engendered a calmer, happier emotional tone within the family. Conclusion Mothers perceived Occupational Performance Coaching as a valuable means to support their children and themselves to attain occupational performance goals. Findings prompt greater attention to coaching approaches and, more widely, the use of transformative learning as a means to enabling occupation. Permalink : ./index.php?lvl=notice_display&id=33882

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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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User perspective on receiving adaptive equipment after stroke: A mixed-methods study / Pauline Boland in Canadian Journal of Occupational Therapy, 85(4) (Octobre 2018)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 85(4) (Octobre 2018) . - p. 297-306 Titre : User perspective on receiving adaptive equipment after stroke: A mixed-methods study Type de document : texte imprimé Auteurs : Pauline Boland ; William Levack ; Fiona P. Graham ; Meredith Perry Année de publication : 2018 Article en page(s) : p. 297-306 Note générale : doi.org/10.1177/0008417418800834 Langues : Français (fre) Mots-clés : Activités de la vie quotidienne  Ergothérapie  Prise de décision  Relation client–professionnel  Services de santé communautaires Résumé : Les ergothérapeutes attribuent fréquemment de l’équipement adapté (ÉA) pendant la période de réadaptation des personnes ayant subi un accident vasculaire cérébral (AVC). But. Cette étude visait à identifier l’ÉA que les personnes utilisent généralement après leur AVC et les résultats en découlant, tout en explorant les expériences vécues par ces personnes face à l’attribution et à l’utilisation de l’ÉA, en vue d’éclairer la pratique et la politique dans ce domaine. Méthodologie. Les auteurs ont eu recours à une étude basée sur des méthodes mixtes combinant un questionnaire par la poste et des entretiens, puis ils ont utilisé des statistiques descriptives et la théorie ancrée dans la pratique pour analyser respectivement les données quantitatives et qualitatives. Résultats. Les données du questionnaire (n = 258) indiquent que les aides à la mobilité représentaient l’ÉA attribué le plus fréquemment, et que le principal résultat déclaré était l’amélioration de la sécurité. Les données des entretiens (n = 15) révèlent que les relations avec les professionnels de la santé et le milieu hospitalier orientaient la sélection et l’utilisation initiales de l’ÉA. Une fois que les personnes étaient de retour à domicile, la compréhension de l’importance de l’ÉA et la participation communautaire étaient les facteurs qui exerçaient une plus grande influence sur l’utilisation d’ÉA. Conséquences. Les relations thérapeutiques et le temps de réflexion sont primordiaux pour maximiser l’utilisation d’ÉA à la suite d’un AVC. Lors de la détermination de la politique et du financement relatifs à l’ÉA, il est essentiel d’accorder la priorité à la participation communautaire. Permalink : ./index.php?lvl=notice_display&id=84222 [article] User perspective on receiving adaptive equipment after stroke: A mixed-methods study [texte imprimé] / Pauline Boland ; William Levack ; Fiona P. Graham ; Meredith Perry . - 2018 . - p. 297-306. doi.org/10.1177/0008417418800834 Langues : Français (fre) in Canadian Journal of Occupational Therapy > 85(4) (Octobre 2018) . - p. 297-306 Mots-clés : Activités de la vie quotidienne  Ergothérapie  Prise de décision  Relation client–professionnel  Services de santé communautaires Résumé : Les ergothérapeutes attribuent fréquemment de l’équipement adapté (ÉA) pendant la période de réadaptation des personnes ayant subi un accident vasculaire cérébral (AVC). But. Cette étude visait à identifier l’ÉA que les personnes utilisent généralement après leur AVC et les résultats en découlant, tout en explorant les expériences vécues par ces personnes face à l’attribution et à l’utilisation de l’ÉA, en vue d’éclairer la pratique et la politique dans ce domaine. Méthodologie. Les auteurs ont eu recours à une étude basée sur des méthodes mixtes combinant un questionnaire par la poste et des entretiens, puis ils ont utilisé des statistiques descriptives et la théorie ancrée dans la pratique pour analyser respectivement les données quantitatives et qualitatives. Résultats. Les données du questionnaire (n = 258) indiquent que les aides à la mobilité représentaient l’ÉA attribué le plus fréquemment, et que le principal résultat déclaré était l’amélioration de la sécurité. Les données des entretiens (n = 15) révèlent que les relations avec les professionnels de la santé et le milieu hospitalier orientaient la sélection et l’utilisation initiales de l’ÉA. Une fois que les personnes étaient de retour à domicile, la compréhension de l’importance de l’ÉA et la participation communautaire étaient les facteurs qui exerçaient une plus grande influence sur l’utilisation d’ÉA. Conséquences. Les relations thérapeutiques et le temps de réflexion sont primordiaux pour maximiser l’utilisation d’ÉA à la suite d’un AVC. Lors de la détermination de la politique et du financement relatifs à l’ÉA, il est essentiel d’accorder la priorité à la participation communautaire. Permalink : ./index.php?lvl=notice_display&id=84222

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