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A systematic review of health economic evaluations in occupational therapy / Sally Green in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 5-19 Titre : A systematic review of health economic evaluations in occupational therapy Type de document : texte imprimé Auteurs : Sally Green ; Rod Lambert Année de publication : 2017 Article en page(s) : p. 5-19 Langues : Anglais (eng) Mots-clés : revue systématique  économie de santé Résumé : There is a growing need for health professions to demonstrate cost-effectiveness in an increasingly financially constrained climate. High quality health economic evaluations are recommended by the National Institute for Health and Care Excellence. This systematic review examines the quality of health economic evaluations of occupational therapy interventions. Method A systematic search was conducted, and 262 potential review papers were screened, with nine being selected for review. The consolidated health economic evaluation reporting standards statement alongside a devised scoring frame was used to appraise the quality of the review papers. Results The nine papers appraised varied considerably in quality. The main concerns were: quality of the original clinical study; statement of cost-perspective and time horizon, choice of outcome units; presentation of included costs; use and reporting of uncertainty analyses. Conclusion The current low number and variable quality of health economic evaluations are largely insufficient to inform resource allocation decisions. If occupational therapy as a profession is to flourish, as financial challenges continue to increase, it must engage more strongly with health economic evaluations and produce good quality research that incorporates health economic evaluations at a much higher quality and volume than currently. We are part of a fast evolving healthcare world, and we need to evolve with it. Permalink : ./index.php?lvl=notice_display&id=47783 [article] A systematic review of health economic evaluations in occupational therapy [texte imprimé] / Sally Green ; Rod Lambert . - 2017 . - p. 5-19. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 5-19 Mots-clés : revue systématique  économie de santé Résumé : There is a growing need for health professions to demonstrate cost-effectiveness in an increasingly financially constrained climate. High quality health economic evaluations are recommended by the National Institute for Health and Care Excellence. This systematic review examines the quality of health economic evaluations of occupational therapy interventions. Method A systematic search was conducted, and 262 potential review papers were screened, with nine being selected for review. The consolidated health economic evaluation reporting standards statement alongside a devised scoring frame was used to appraise the quality of the review papers. Results The nine papers appraised varied considerably in quality. The main concerns were: quality of the original clinical study; statement of cost-perspective and time horizon, choice of outcome units; presentation of included costs; use and reporting of uncertainty analyses. Conclusion The current low number and variable quality of health economic evaluations are largely insufficient to inform resource allocation decisions. If occupational therapy as a profession is to flourish, as financial challenges continue to increase, it must engage more strongly with health economic evaluations and produce good quality research that incorporates health economic evaluations at a much higher quality and volume than currently. We are part of a fast evolving healthcare world, and we need to evolve with it. Permalink : ./index.php?lvl=notice_display&id=47783

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Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme / Michele Abendstern in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 20-29 Titre : Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme Type de document : texte imprimé Auteurs : Michele Abendstern ; Sue Tucker ; Mark Wilberforce ; [et al...] Année de publication : 2017 Article en page(s) : p. 20-29 Langues : Anglais (eng) Mots-clés : santé mentale  psychiatrie  personne âgée  ergothérapie Résumé : This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people. Method A mixed methods study comprising: a national survey of community mental health team managers; caseload audit; qualitative interviews; and a practitioner survey provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics. Findings Occupational therapists worked mainly with people with dementia and were involved in both generic and specialist tasks, with the latter focusing largely on maintaining functionality. They had found ways to balance their roles for the benefit of the team without loss of professional identity. Some differences of opinion between clinical leads and occupational therapists were reported. Stress levels among occupational therapists were similar to those of professional colleagues. Conclusion Some findings contrast with earlier studies of community mental health teams for working-age adults, offering new insights into the nature of the occupational therapists’ experiences. To ensure that occupational therapists in these settings are able to contribute effectively, a shared understanding of their role is required between them and their clinical leads. Permalink : ./index.php?lvl=notice_display&id=47784 [article] Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme [texte imprimé] / Michele Abendstern ; Sue Tucker ; Mark Wilberforce ; [et al...] . - 2017 . - p. 20-29. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 20-29 Mots-clés : santé mentale  psychiatrie  personne âgée  ergothérapie Résumé : This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people. Method A mixed methods study comprising: a national survey of community mental health team managers; caseload audit; qualitative interviews; and a practitioner survey provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics. Findings Occupational therapists worked mainly with people with dementia and were involved in both generic and specialist tasks, with the latter focusing largely on maintaining functionality. They had found ways to balance their roles for the benefit of the team without loss of professional identity. Some differences of opinion between clinical leads and occupational therapists were reported. Stress levels among occupational therapists were similar to those of professional colleagues. Conclusion Some findings contrast with earlier studies of community mental health teams for working-age adults, offering new insights into the nature of the occupational therapists’ experiences. To ensure that occupational therapists in these settings are able to contribute effectively, a shared understanding of their role is required between them and their clinical leads. Permalink : ./index.php?lvl=notice_display&id=47784

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Occupational experience of caregiving during driving disruption following an acquired brain injury / Phyllis Liang in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 30-38 Titre : Occupational experience of caregiving during driving disruption following an acquired brain injury Type de document : texte imprimé Auteurs : Phyllis Liang ; Jennifer Fleming ; Louise Gustafsson ; Jacki Liddle Année de publication : 2017 Article en page(s) : p. 30-38 Langues : Anglais (eng) Mots-clés : conduite automobile  traumatisme cérébral Résumé : Abstract Introduction Caregiving associated with driving disruption following an acquired brain injury is challenging and impacts on family members’ daily lives. However, little is known about the activities and meaning behind the occupation of a family member providing care during driving disruption. Method A prospective longitudinal design with a phenomenological approach was used as part of a larger study exploring family members’ needs and experiences. Forty-two semi-structured interviews were conducted with 15 family members over a 6-month period. Interviews were analysed using inductive thematic analysis. Results The occupational experiences related to caregiving during driving disruption emerged as a key finding. The meaning and activities comprising the caregiving occupation during driving disruption are captured in three themes: (1) More than just driving; (2) The invisible and undervalued care and (3) Being a therapist at home. Family members highlighted the challenges of managing broader and multiple responsibilities. Conclusion The lived experiences, perceived meaning and activities involved in the caregiver occupation during driving disruption extend beyond just transport provision. Family members require support for occupational engagement and satisfaction at this key time. Rehabilitation and support for the person after an acquired brain injury may also improve the occupational experiences of family members. Permalink : ./index.php?lvl=notice_display&id=47785 [article] Occupational experience of caregiving during driving disruption following an acquired brain injury [texte imprimé] / Phyllis Liang ; Jennifer Fleming ; Louise Gustafsson ; Jacki Liddle . - 2017 . - p. 30-38. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 30-38 Mots-clés : conduite automobile  traumatisme cérébral Résumé : Abstract Introduction Caregiving associated with driving disruption following an acquired brain injury is challenging and impacts on family members’ daily lives. However, little is known about the activities and meaning behind the occupation of a family member providing care during driving disruption. Method A prospective longitudinal design with a phenomenological approach was used as part of a larger study exploring family members’ needs and experiences. Forty-two semi-structured interviews were conducted with 15 family members over a 6-month period. Interviews were analysed using inductive thematic analysis. Results The occupational experiences related to caregiving during driving disruption emerged as a key finding. The meaning and activities comprising the caregiving occupation during driving disruption are captured in three themes: (1) More than just driving; (2) The invisible and undervalued care and (3) Being a therapist at home. Family members highlighted the challenges of managing broader and multiple responsibilities. Conclusion The lived experiences, perceived meaning and activities involved in the caregiver occupation during driving disruption extend beyond just transport provision. Family members require support for occupational engagement and satisfaction at this key time. Rehabilitation and support for the person after an acquired brain injury may also improve the occupational experiences of family members. Permalink : ./index.php?lvl=notice_display&id=47785

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A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Patients’ views / Yeliz Prior in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 39-48 Titre : A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Patients’ views Type de document : texte imprimé Auteurs : Yeliz Prior ; Evangeline A. Amanna ; Sarah Jane Bodell ; Alison Hammond Année de publication : 2017 Article en page(s) : p. 39-48 Langues : Anglais (eng) Mots-clés : réhabilitation  travail  rhumatologie  arthrite Résumé : Introduction This qualitative study, nested in a pilot feasibility randomised controlled trial, explored the views of working people with inflammatory arthritis on the impact of a work rehabilitation programme received. Method Thirty-two participants, drawn from the 55 participants in the associated randomised controlled trial, were recruited from secondary care in the United Kingdom. Semi-structured telephone and face-to-face interviews were conducted at six (n = 32) and nine months follow-up (n = 31). Interviews were audio-recorded, transcribed, and analysed using a constant comparative approach, under the theoretical framework of critical realism. Findings Three overarching themes emerged: (1) intervention group participants valued the work rehabilitation programme received, and highlighted the benefits of occupational therapy; (2) control group participants reported no benefits in relation to the written work advice pack, and lacked future aspirations to stay employed; (3) the majority of participants reported not reading the written work advice pack provided, which was the only work advice received by the control group. Conclusion Working people with inflammatory arthritis highly valued the practical support received from the therapists, and emphasised the value of the therapeutic relationship in the rehabilitation process. A tailor-made work rehabilitation programme, which incorporates cognitive-behavioural strategies into patient education, may help to reduce work instability in people with inflammatory arthritis, and increase their perceived self-efficacy. Permalink : ./index.php?lvl=notice_display&id=47786 [article] A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Patients’ views [texte imprimé] / Yeliz Prior ; Evangeline A. Amanna ; Sarah Jane Bodell ; Alison Hammond . - 2017 . - p. 39-48. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 39-48 Mots-clés : réhabilitation  travail  rhumatologie  arthrite Résumé : Introduction This qualitative study, nested in a pilot feasibility randomised controlled trial, explored the views of working people with inflammatory arthritis on the impact of a work rehabilitation programme received. Method Thirty-two participants, drawn from the 55 participants in the associated randomised controlled trial, were recruited from secondary care in the United Kingdom. Semi-structured telephone and face-to-face interviews were conducted at six (n = 32) and nine months follow-up (n = 31). Interviews were audio-recorded, transcribed, and analysed using a constant comparative approach, under the theoretical framework of critical realism. Findings Three overarching themes emerged: (1) intervention group participants valued the work rehabilitation programme received, and highlighted the benefits of occupational therapy; (2) control group participants reported no benefits in relation to the written work advice pack, and lacked future aspirations to stay employed; (3) the majority of participants reported not reading the written work advice pack provided, which was the only work advice received by the control group. Conclusion Working people with inflammatory arthritis highly valued the practical support received from the therapists, and emphasised the value of the therapeutic relationship in the rehabilitation process. A tailor-made work rehabilitation programme, which incorporates cognitive-behavioural strategies into patient education, may help to reduce work instability in people with inflammatory arthritis, and increase their perceived self-efficacy. Permalink : ./index.php?lvl=notice_display&id=47786

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The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions / Solrun Oladottir in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 49-57 Titre : The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions Type de document : texte imprimé Auteurs : Solrun Oladottir ; Gudrun Palmadottir Année de publication : 2017 Article en page(s) : p. 49-57 Langues : Anglais (eng) Mots-clés : santé mentale  pratique centrée sur le patient  psychiatrie Résumé : Abstract Introduction The increase of mental health problems calls attention to the need for a quality health care provision that meets the complex needs of this group. The purpose of this study was to examine mental health clients’ perceptions of the care they received in a hospital environment, focusing on how it was reflecting the main principles of client-centred practice. Method A mixed explanatory sequential design was used and data gathered with a self-report instrument and in-depth interviews. Thirty participants, discharging from a hospital ward, responded to the instrument and six others were interviewed after being discharged. Results In general, participants evaluated the care they received as being rather client centred. Staff attitudes and support and clients’ participation in decision-making and goal-setting were the two aspects that were most congruent with client-centred practice, while staff interactions with significant others and the process and outcome of service were least congruent. Exploration by interviewing revealed the complexity of client-centred practice and the influence of contextual factors. Conclusion Some aspects of client-centred mental health practice seem to be more easily achieved than others. At the contextual level, professional culture, work habits and power structure may be some of the limiting factors. Permalink : ./index.php?lvl=notice_display&id=47787 [article] The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions [texte imprimé] / Solrun Oladottir ; Gudrun Palmadottir . - 2017 . - p. 49-57. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 49-57 Mots-clés : santé mentale  pratique centrée sur le patient  psychiatrie Résumé : Abstract Introduction The increase of mental health problems calls attention to the need for a quality health care provision that meets the complex needs of this group. The purpose of this study was to examine mental health clients’ perceptions of the care they received in a hospital environment, focusing on how it was reflecting the main principles of client-centred practice. Method A mixed explanatory sequential design was used and data gathered with a self-report instrument and in-depth interviews. Thirty participants, discharging from a hospital ward, responded to the instrument and six others were interviewed after being discharged. Results In general, participants evaluated the care they received as being rather client centred. Staff attitudes and support and clients’ participation in decision-making and goal-setting were the two aspects that were most congruent with client-centred practice, while staff interactions with significant others and the process and outcome of service were least congruent. Exploration by interviewing revealed the complexity of client-centred practice and the influence of contextual factors. Conclusion Some aspects of client-centred mental health practice seem to be more easily achieved than others. At the contextual level, professional culture, work habits and power structure may be some of the limiting factors. Permalink : ./index.php?lvl=notice_display&id=47787

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