Client Centeredness and Health Reform: Key Issues for Occupational Therapy / Tracy M. Mroz in American Journal of Occupational Therapy, Vol. 69/5 (Septembre-Octobre 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.0900110p1-090010p8 Titre : Client Centeredness and Health Reform: Key Issues for Occupational Therapy Type de document : texte imprimé Auteurs : Tracy M. Mroz, Auteur ; Jennifer S. PITONYAK, Auteur ; Donald FOGELBERG, Auteur Année de publication : 2015 Article en page(s) : p.0900110p1-090010p8 Langues : Anglais (eng) Mots-clés : Clients  patient-centered care  health care reform Résumé : Health reform promotes the delivery of patient-centered care. Occupational therapy’s rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy’s perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy’s research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession. Permalink : ./index.php?lvl=notice_display&id=40849 [article] Client Centeredness and Health Reform: Key Issues for Occupational Therapy [texte imprimé] / Tracy M. Mroz, Auteur ; Jennifer S. PITONYAK, Auteur ; Donald FOGELBERG, Auteur . - 2015 . - p.0900110p1-090010p8. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.0900110p1-090010p8 Mots-clés : Clients  patient-centered care  health care reform Résumé : Health reform promotes the delivery of patient-centered care. Occupational therapy’s rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy’s perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy’s research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession. Permalink : ./index.php?lvl=notice_display&id=40849

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Manualization of occupational therapy interventions / Blanche ERNA IMPERATORE in American Journal of Occupational Therapy, Vol. 65/6 (novembre-décembre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/6 (novembre-décembre 2011) . - p. 711-719 Titre : Manualization of occupational therapy interventions : illustrations from the pressure ulcer prevention research program Type de document : texte imprimé Auteurs : Blanche ERNA IMPERATORE ; et al. ; Jesus DIAZ ; Donald FOGELBERG Année de publication : 2011 Article en page(s) : p. 711-719 Langues : Anglais (eng) Mots-clés : Ergothérapie  Protocole  Prévention  Escarre Résumé : The manualization of a complex occupational therapy intervention is a crucial step in ensuring treatment fidelity for both clinical application and research purposes. Toward the latter end, intervention manuals are essential for ensuring trustworthiness and replicability of randomized controlled trials that aim to provide evidence of the effectiveness of occupational therapy. In this article, we review the literature on the process of intervention manualization. We then illustrate the prescribed steps through our experience in implementing the University of Southern California/Rancho Los Amigos National Rehabilitation Center’s collaborative Pressure Ulcer Prevention Project. In this research program, qualitative research provided the initial foundation for manualization of a multifaceted occupational therapy intervention designed to reduce the incidence of medically serious pressure ulcers in adults with spinal cord injury. Permalink : ./index.php?lvl=notice_display&id=14139 [article] Manualization of occupational therapy interventions : illustrations from the pressure ulcer prevention research program [texte imprimé] / Blanche ERNA IMPERATORE ; et al. ; Jesus DIAZ ; Donald FOGELBERG . - 2011 . - p. 711-719. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/6 (novembre-décembre 2011) . - p. 711-719 Mots-clés : Ergothérapie  Protocole  Prévention  Escarre Résumé : The manualization of a complex occupational therapy intervention is a crucial step in ensuring treatment fidelity for both clinical application and research purposes. Toward the latter end, intervention manuals are essential for ensuring trustworthiness and replicability of randomized controlled trials that aim to provide evidence of the effectiveness of occupational therapy. In this article, we review the literature on the process of intervention manualization. We then illustrate the prescribed steps through our experience in implementing the University of Southern California/Rancho Los Amigos National Rehabilitation Center’s collaborative Pressure Ulcer Prevention Project. In this research program, qualitative research provided the initial foundation for manualization of a multifaceted occupational therapy intervention designed to reduce the incidence of medically serious pressure ulcers in adults with spinal cord injury. Permalink : ./index.php?lvl=notice_display&id=14139

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Napping and Nighttime Sleep / Natalie E. LELAND in American Journal of Occupational Therapy, Vol. 70/4 (juillet-août 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/4 (juillet-août 2016) Titre : Napping and Nighttime Sleep : Findings From an Occupation-Based Intervention Type de document : texte imprimé Auteurs : Natalie E. LELAND ; Donald FOGELBERG ; Alix SLEIGHT ; et al. Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Ergothérapie  Sommeil  Personne âgée  Sieste  Trouble sommeil Résumé : OBJECTIVE. To describe sleeping behaviors and trends over time among an ethnically diverse group of community-living older adults. METHOD. A descriptive secondary data analysis of a subsample (n = 217) from the Lifestyle Redesign randomized controlled trial was done to explore baseline napping and sleeping patterns as well as 6-mo changes in these outcomes. RESULTS. At baseline, the average time sleeping was 8.2 hr daily (standard deviation = 1.7). Among all participants, 29% reported daytime napping at baseline, of which 36% no longer napped at follow-up. Among participants who stopped napping, those who received an occupation-based intervention (n = 98) replaced napping time with nighttime sleep, and those not receiving an intervention (n = 119) experienced a net loss of total sleep (p < .05). CONCLUSION. Among participants who stopped napping, the occupation-based intervention may be related to enhanced sleep. More research examining the role of occupation-based interventions in improving sleep is warranted. Permalink : ./index.php?lvl=notice_display&id=44967 [article] Napping and Nighttime Sleep : Findings From an Occupation-Based Intervention [texte imprimé] / Natalie E. LELAND ; Donald FOGELBERG ; Alix SLEIGHT ; et al. . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/4 (juillet-août 2016) Mots-clés : Ergothérapie  Sommeil  Personne âgée  Sieste  Trouble sommeil Résumé : OBJECTIVE. To describe sleeping behaviors and trends over time among an ethnically diverse group of community-living older adults. METHOD. A descriptive secondary data analysis of a subsample (n = 217) from the Lifestyle Redesign randomized controlled trial was done to explore baseline napping and sleeping patterns as well as 6-mo changes in these outcomes. RESULTS. At baseline, the average time sleeping was 8.2 hr daily (standard deviation = 1.7). Among all participants, 29% reported daytime napping at baseline, of which 36% no longer napped at follow-up. Among participants who stopped napping, those who received an occupation-based intervention (n = 98) replaced napping time with nighttime sleep, and those not receiving an intervention (n = 119) experienced a net loss of total sleep (p < .05). CONCLUSION. Among participants who stopped napping, the occupation-based intervention may be related to enhanced sleep. More research examining the role of occupation-based interventions in improving sleep is warranted. Permalink : ./index.php?lvl=notice_display&id=44967

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