Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury / Ann Baker in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 73-83 Titre : Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury Type de document : texte imprimé Auteurs : Ann Baker, Auteur ; Carolyn Unsworth, Auteur ; Natasha A. Lannin, Auteur Année de publication : 2015 Article en page(s) : p. 73-83 Langues : Anglais (eng) Mots-clés : Driving  Driver assessment  Fitness to drive  Mild traumatic brain injury Résumé : Introduction Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population. Method We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies. Findings A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, non-standardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use. Conclusion While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistent and standardised approach to assessing fitness to drive following mild traumatic brain injury. En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35926 [article] Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury [texte imprimé] / Ann Baker, Auteur ; Carolyn Unsworth, Auteur ; Natasha A. Lannin, Auteur . - 2015 . - p. 73-83. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 73-83 Mots-clés : Driving  Driver assessment  Fitness to drive  Mild traumatic brain injury Résumé : Introduction Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population. Method We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies. Findings A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, non-standardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use. Conclusion While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistent and standardised approach to assessing fitness to drive following mild traumatic brain injury. En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35926

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Information and communication technology use within occupational therapy home assessments: A scoping review / Kayla Ninnis in The British Journal of Occupational Therapy, Vol. 82 Issue 3 (Mars 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 3 (Mars 2019) . - p. 141-152 Titre : Information and communication technology use within occupational therapy home assessments: A scoping review Type de document : texte imprimé Auteurs : Kayla Ninnis ; Maayken Van Den Berg ; Natasha A. Lannin ; Stacey George ; Kate Laver Année de publication : 2019 Article en page(s) : p. 141-152 Note générale : doi.org/10.1177/0308022618786928 Langues : Anglais (eng) Mots-clés : Occupational therapy  technology  home assessment  telemedicine Résumé : Introduction Home assessments conducted by occupational therapists can identify hazards and prevent falls. However, they may not be conducted because of limited time or long distances between the therapist’s workplace and the person’s home. Developments in technologies may overcome such barriers and could improve the quality of the home assessment process. Method This scoping review synthesises the findings of studies evaluating information and communication technology use within occupational therapy home assessments. Results Fourteen studies were included and revealed the two main approaches to technology use: the development of new applications and the use of existing and readily available technologies. Facilitators and barriers to use were also identified. Facilitators included usefulness, ease of use and the potential for cost-effectiveness. Barriers to use included poor usability, unsuitability for some populations and perceived threat to the role of occupational therapy. The synthesis revealed that traditional in-home assessments conducted by therapists are more sensitive in identifying hazards. Conclusion The availability of new technologies offers potential to improve service delivery; however these technologies are underutilised in clinical practice. Technologies may offer advantages in the conduct of home assessments, especially regarding efficiency, but have not yet been shown to be superior in terms of patient outcome. Permalink : ./index.php?lvl=notice_display&id=84412 [article] Information and communication technology use within occupational therapy home assessments: A scoping review [texte imprimé] / Kayla Ninnis ; Maayken Van Den Berg ; Natasha A. Lannin ; Stacey George ; Kate Laver . - 2019 . - p. 141-152. doi.org/10.1177/0308022618786928 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 3 (Mars 2019) . - p. 141-152 Mots-clés : Occupational therapy  technology  home assessment  telemedicine Résumé : Introduction Home assessments conducted by occupational therapists can identify hazards and prevent falls. However, they may not be conducted because of limited time or long distances between the therapist’s workplace and the person’s home. Developments in technologies may overcome such barriers and could improve the quality of the home assessment process. Method This scoping review synthesises the findings of studies evaluating information and communication technology use within occupational therapy home assessments. Results Fourteen studies were included and revealed the two main approaches to technology use: the development of new applications and the use of existing and readily available technologies. Facilitators and barriers to use were also identified. Facilitators included usefulness, ease of use and the potential for cost-effectiveness. Barriers to use included poor usability, unsuitability for some populations and perceived threat to the role of occupational therapy. The synthesis revealed that traditional in-home assessments conducted by therapists are more sensitive in identifying hazards. Conclusion The availability of new technologies offers potential to improve service delivery; however these technologies are underutilised in clinical practice. Technologies may offer advantages in the conduct of home assessments, especially regarding efficiency, but have not yet been shown to be superior in terms of patient outcome. Permalink : ./index.php?lvl=notice_display&id=84412

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Observed recovery sequence in neurobehavioral function after severe traumatic brain injury / Natasha A. Lannin in American Journal of Occupational Therapy, Vol. 67/5 (septembre-octobre 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.543-549 Titre : Observed recovery sequence in neurobehavioral function after severe traumatic brain injury : Lannin NA, Cusick A, McLachlan R, Allaous J. Type de document : texte imprimé Auteurs : Natasha A. Lannin ; Robyn McLACHLAN ; Anne CUSICK ; et al. Année de publication : 2013 Article en page(s) : p.543-549 Langues : Anglais (eng) Mots-clés : Coma  Récupération Résumé : OBJECTIVE: The Western Neuro Sensory Stimulation Profile (WNSSP) presents a hierarchy of items suggestive of a sequence of recovery. The aim of this study was to understand the sequence of recovery of neurobehavioral function in patients with brain injury and determine whether this sequence was consistent with the WNSSP test item order. METHOD: We conducted a retrospective clinical chart audit of 37 adult inpatients (mean age = 29 yr; 31 men, 6 women) with a diagnosis of traumatic brain injury and a minimum of two medical record entries on the WNSSP. The sequence of recovery was statistically derived from the content and structure of the WNSSP. RESULTS: Our analysis did not support the current item ordering of the WNSSP as a function of the sequence of recovery from coma, with the exception of the Arousal/Attention subscale. CONCLUSION: WNSSP item performance suggested a sequence of recovery; clinicians may consider a revised item order that reflects this observed order. Permalink : ./index.php?lvl=notice_display&id=14159 [article] Observed recovery sequence in neurobehavioral function after severe traumatic brain injury : Lannin NA, Cusick A, McLachlan R, Allaous J. [texte imprimé] / Natasha A. Lannin ; Robyn McLACHLAN ; Anne CUSICK ; et al. . - 2013 . - p.543-549. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.543-549 Mots-clés : Coma  Récupération Résumé : OBJECTIVE: The Western Neuro Sensory Stimulation Profile (WNSSP) presents a hierarchy of items suggestive of a sequence of recovery. The aim of this study was to understand the sequence of recovery of neurobehavioral function in patients with brain injury and determine whether this sequence was consistent with the WNSSP test item order. METHOD: We conducted a retrospective clinical chart audit of 37 adult inpatients (mean age = 29 yr; 31 men, 6 women) with a diagnosis of traumatic brain injury and a minimum of two medical record entries on the WNSSP. The sequence of recovery was statistically derived from the content and structure of the WNSSP. RESULTS: Our analysis did not support the current item ordering of the WNSSP as a function of the sequence of recovery from coma, with the exception of the Arousal/Attention subscale. CONCLUSION: WNSSP item performance suggested a sequence of recovery; clinicians may consider a revised item order that reflects this observed order. Permalink : ./index.php?lvl=notice_display&id=14159

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Strategies for increasing the intensity of upper limb task-specific practice after acquired brain impairment: A secondary analysis from a randomised controlled trial / Leo F. Ross in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 353-360 Titre : Strategies for increasing the intensity of upper limb task-specific practice after acquired brain impairment: A secondary analysis from a randomised controlled trial Type de document : texte imprimé Auteurs : Leo F. Ross ; Lisa A. Harvey ; Natasha A. Lannin Année de publication : 2016 Article en page(s) : p. 353-360 Langues : Anglais (eng) Mots-clés : accident vasculaire cérébral  rééducation  main  bras  épaule  membre supérieur Résumé : Introduction Patients with acquired brain impairments require intensive, task-specific training to maximise upper limb recovery. Current evidence suggests, however, that they rarely achieve this. The purpose of this study was to describe the amount of practice that can be achieved by patients with acquired brain impairment during intensive upper limb treatment within a public hospital, and to examine the strategies used by therapists to maximise practice. Method A secondary analysis was conducted using data from a previously published randomised trial. The training received by 20 people with acquired brain impairment over the 6-week trial period was recorded. The strategies used by therapists to maximise practice were also noted. Results Over the 6-week period, 45 hours of upper limb training was provided. The median (interquartile range) amount of actual practice achieved by patients was 59 (54–63) minutes per day, with a median (interquartile range) of 186 (50–330) repetitions of active movement. Patients’ practice was maximised through the use of task-specific feedback, practice books, counters, environmental cues and stopwatches. In addition, therapists provided coaching as well as ensuring tasks were goal-oriented, measurable and patient-driven. Conclusion Described strategies enabled patients with acquired brain impairment to practise upper limb tasks at intensities greater than currently reported in the literature. Permalink : ./index.php?lvl=notice_display&id=45772 [article] Strategies for increasing the intensity of upper limb task-specific practice after acquired brain impairment: A secondary analysis from a randomised controlled trial [texte imprimé] / Leo F. Ross ; Lisa A. Harvey ; Natasha A. Lannin . - 2016 . - p. 353-360. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 353-360 Mots-clés : accident vasculaire cérébral  rééducation  main  bras  épaule  membre supérieur Résumé : Introduction Patients with acquired brain impairments require intensive, task-specific training to maximise upper limb recovery. Current evidence suggests, however, that they rarely achieve this. The purpose of this study was to describe the amount of practice that can be achieved by patients with acquired brain impairment during intensive upper limb treatment within a public hospital, and to examine the strategies used by therapists to maximise practice. Method A secondary analysis was conducted using data from a previously published randomised trial. The training received by 20 people with acquired brain impairment over the 6-week trial period was recorded. The strategies used by therapists to maximise practice were also noted. Results Over the 6-week period, 45 hours of upper limb training was provided. The median (interquartile range) amount of actual practice achieved by patients was 59 (54–63) minutes per day, with a median (interquartile range) of 186 (50–330) repetitions of active movement. Patients’ practice was maximised through the use of task-specific feedback, practice books, counters, environmental cues and stopwatches. In addition, therapists provided coaching as well as ensuring tasks were goal-oriented, measurable and patient-driven. Conclusion Described strategies enabled patients with acquired brain impairment to practise upper limb tasks at intensities greater than currently reported in the literature. Permalink : ./index.php?lvl=notice_display&id=45772

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