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The time has come to support occupational therapy scholarship once again / Jennifer Creek in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 641 Titre : The time has come to support occupational therapy scholarship once again Type de document : texte imprimé Auteurs : Jennifer Creek Année de publication : 2017 Article en page(s) : p. 641 Langues : Anglais (eng) Résumé : Founded 100 years ago, in the United States of America, the profession of occupational therapy’s first practitioners were highly skilled at engaging their patients in remedial activity. However, they did not have their own theoretical knowledge base and worked under the direction of doctors. An occupational therapy textbook from 1948, entitled Theory of Occupational Therapy, begins with a brief presentation of the aims and scope of occupational therapy, includes four chapters suggesting suitable activities for patients with different disorders and concludes with three chapters on how to organise an occupational therapy department (Haworth and Macdonald, 1948). There is nothing in the book that we would recognise today as occupational therapy theory. Permalink : ./index.php?lvl=notice_display&id=57792 [article] The time has come to support occupational therapy scholarship once again [texte imprimé] / Jennifer Creek . - 2017 . - p. 641. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 641 Résumé : Founded 100 years ago, in the United States of America, the profession of occupational therapy’s first practitioners were highly skilled at engaging their patients in remedial activity. However, they did not have their own theoretical knowledge base and worked under the direction of doctors. An occupational therapy textbook from 1948, entitled Theory of Occupational Therapy, begins with a brief presentation of the aims and scope of occupational therapy, includes four chapters suggesting suitable activities for patients with different disorders and concludes with three chapters on how to organise an occupational therapy department (Haworth and Macdonald, 1948). There is nothing in the book that we would recognise today as occupational therapy theory. Permalink : ./index.php?lvl=notice_display&id=57792

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Enablers and challenges to occupational therapists’ research engagement: A qualitative study / Laura Di Bona in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 642-650 Titre : Enablers and challenges to occupational therapists’ research engagement: A qualitative study Type de document : texte imprimé Auteurs : Laura Di Bona ; Jennifer Wenborn ; Becky Field ; [et al...] Année de publication : 2017 Article en page(s) : p. 642-650 Langues : Anglais (eng) Mots-clés : ergothérapie  recherche  démence Résumé : Introduction To develop occupational therapy’s evidence base and improve its clinical outcomes, occupational therapists must increase their research involvement. Barriers to research consumption and leadership are well documented, but those relating to delivering research interventions, less so. Yet, interventions need to be researched within practice to demonstrate their clinical effectiveness. This study aims to improve understanding of challenges and enablers experienced by occupational therapists who deliver interventions within research programmes. Method Twenty-eight occupational therapists who participated in the Valuing Active Life in Dementia (VALID) research programme reported their experiences in five focus groups. Data were analysed thematically to identify key and subthemes. Results Occupational therapists reported that overwhelming paperwork, use of videos, recruitment and introducing a new intervention challenged their research involvement, whereas support, protected time and a positive attitude enabled it. The impact of these challenges and enablers varied between therapists and organisations. Conclusion Challenges and enablers to research involvement can be identified but must be addressed within individual and organisational contexts. Multifaceted collective action to minimise challenges and maximise enablers can facilitate clinicians’ involvement in research. Using this approach should enable occupational therapists to increase their research involvement, thus demonstrating the clinical effectiveness of their interventions. Permalink : ./index.php?lvl=notice_display&id=57793 [article] Enablers and challenges to occupational therapists’ research engagement: A qualitative study [texte imprimé] / Laura Di Bona ; Jennifer Wenborn ; Becky Field ; [et al...] . - 2017 . - p. 642-650. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 642-650 Mots-clés : ergothérapie  recherche  démence Résumé : Introduction To develop occupational therapy’s evidence base and improve its clinical outcomes, occupational therapists must increase their research involvement. Barriers to research consumption and leadership are well documented, but those relating to delivering research interventions, less so. Yet, interventions need to be researched within practice to demonstrate their clinical effectiveness. This study aims to improve understanding of challenges and enablers experienced by occupational therapists who deliver interventions within research programmes. Method Twenty-eight occupational therapists who participated in the Valuing Active Life in Dementia (VALID) research programme reported their experiences in five focus groups. Data were analysed thematically to identify key and subthemes. Results Occupational therapists reported that overwhelming paperwork, use of videos, recruitment and introducing a new intervention challenged their research involvement, whereas support, protected time and a positive attitude enabled it. The impact of these challenges and enablers varied between therapists and organisations. Conclusion Challenges and enablers to research involvement can be identified but must be addressed within individual and organisational contexts. Multifaceted collective action to minimise challenges and maximise enablers can facilitate clinicians’ involvement in research. Using this approach should enable occupational therapists to increase their research involvement, thus demonstrating the clinical effectiveness of their interventions. Permalink : ./index.php?lvl=notice_display&id=57793

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Examining a new functional electrical stimulation therapy with people with severe upper extremity hemiparesis and chronic stroke: A feasibility study / Deborah A. Hebert in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 651-659 Titre : Examining a new functional electrical stimulation therapy with people with severe upper extremity hemiparesis and chronic stroke: A feasibility study Type de document : texte imprimé Auteurs : Deborah A. Hebert ; James M. Bowen ; Cindy Ho ; [et al...] Année de publication : 2017 Article en page(s) : p. 651-659 Langues : Anglais (eng) Mots-clés : accident vasculaire cérébral  hémiparésie  rééducation  membre supérieur  stimulation électrique Résumé : Introduction Upper extremity impairment post-stroke is common and results in decreased occupational engagement. For those with chronic stroke and severe hemiparesis, few treatment options are available. MyndMove™ is a functional electrical stimulation technology programmed to stimulate up to eight muscle groups in reach and grip patterns. A pre–post, cohort, feasibility study was conducted to inform the design of a randomized controlled trial examining the effectiveness of MyndMove™ therapy. Method Individuals enrolled had chronic severe upper extremity hemiparesis following a stroke (> 6 months) with Chedoke-McMaster Stroke Assessment Stage 1–2 (arm and hand) and a Fugl-Meyer Upper Extremity score less than 19. Treatment with Myndmove™, consisting of 20 one-hour sessions, 3–5 times per week over 4–6 weeks was provided. Results Of 25 enrolled participants, 24 (96%) completed treatment. Fifty-eight percent (14/24) of the participants demonstrated improvement equal to or exceeding the minimal clinically important difference of five on the Fugl-Meyer Upper Extremity test. Mean change from baseline Fugl-Meyer Upper Extremity overall score was 7.1 (SD 5.0) (p < 0.001). Mean time to complete treatment was 40 days (SD 6.0). Conclusion MyndMove™ therapy is feasible to deliver within outpatient settings and may be a suitable function-based treatment option for severe chronic stroke upper extremity impairment. Permalink : ./index.php?lvl=notice_display&id=57794 [article] Examining a new functional electrical stimulation therapy with people with severe upper extremity hemiparesis and chronic stroke: A feasibility study [texte imprimé] / Deborah A. Hebert ; James M. Bowen ; Cindy Ho ; [et al...] . - 2017 . - p. 651-659. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 651-659 Mots-clés : accident vasculaire cérébral  hémiparésie  rééducation  membre supérieur  stimulation électrique Résumé : Introduction Upper extremity impairment post-stroke is common and results in decreased occupational engagement. For those with chronic stroke and severe hemiparesis, few treatment options are available. MyndMove™ is a functional electrical stimulation technology programmed to stimulate up to eight muscle groups in reach and grip patterns. A pre–post, cohort, feasibility study was conducted to inform the design of a randomized controlled trial examining the effectiveness of MyndMove™ therapy. Method Individuals enrolled had chronic severe upper extremity hemiparesis following a stroke (> 6 months) with Chedoke-McMaster Stroke Assessment Stage 1–2 (arm and hand) and a Fugl-Meyer Upper Extremity score less than 19. Treatment with Myndmove™, consisting of 20 one-hour sessions, 3–5 times per week over 4–6 weeks was provided. Results Of 25 enrolled participants, 24 (96%) completed treatment. Fifty-eight percent (14/24) of the participants demonstrated improvement equal to or exceeding the minimal clinically important difference of five on the Fugl-Meyer Upper Extremity test. Mean change from baseline Fugl-Meyer Upper Extremity overall score was 7.1 (SD 5.0) (p < 0.001). Mean time to complete treatment was 40 days (SD 6.0). Conclusion MyndMove™ therapy is feasible to deliver within outpatient settings and may be a suitable function-based treatment option for severe chronic stroke upper extremity impairment. Permalink : ./index.php?lvl=notice_display&id=57794

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Development and initial validation of the Gilboa functional test (GIFT): A unique measure for preschool graphomotor screening / Yafit Gilboa in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 660-667 Titre : Development and initial validation of the Gilboa functional test (GIFT): A unique measure for preschool graphomotor screening Type de document : texte imprimé Auteurs : Yafit Gilboa Année de publication : 2017 Article en page(s) : p. 660-667 Langues : Anglais (eng) Mots-clés : test de dépistage  activité pré-scolaire  motricité fine  retard de développement Résumé : Introduction Fine motor and graphomotor skills are essential for children’s healthy development, as well as for successful participation in everyday activities. The Gilboa functional test (GIFT) is a newly developed norm-referenced screening instrument for use with children 3–6 years old. The aim of this study was to develop and validate the GIFT as a new measure for preschool graphomotor screening. Method A community-based sample of 611 children aged 3–6 years was screened. Findings Content validity was established via a panel of experts. The GIFT demonstrated good test–retest (0.95) and inter-rater reliability (0.94), demonstrating good concurrent validity in scores which significantly correlated with the Beery-VMI (r = 0.32, P < 0.05), the Beery-MC (r = 0.33, P < 0.05), the ‘manual dexterity’ subcategory of the movement assessment battery for children (r = –0.364, P < 0.05) and the total score of the developmental coordination disorder questionnaire ’07 (DCDQ’07)/little DCDQ (r = 0.41, P < 0.01). A significant difference in total GIFT scoring was found between children from mainstream versus special education preschools (t = 3.99, P < 0.001). Conclusion The GIFT is a unique tool that measures performance skills based on preschool children’s everyday activities. It can be used by paediatric occupational therapists as a first step for early identification of children potentially at risk for graphomotor/fine motor developmental delay. Permalink : ./index.php?lvl=notice_display&id=57795 [article] Development and initial validation of the Gilboa functional test (GIFT): A unique measure for preschool graphomotor screening [texte imprimé] / Yafit Gilboa . - 2017 . - p. 660-667. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 660-667 Mots-clés : test de dépistage  activité pré-scolaire  motricité fine  retard de développement Résumé : Introduction Fine motor and graphomotor skills are essential for children’s healthy development, as well as for successful participation in everyday activities. The Gilboa functional test (GIFT) is a newly developed norm-referenced screening instrument for use with children 3–6 years old. The aim of this study was to develop and validate the GIFT as a new measure for preschool graphomotor screening. Method A community-based sample of 611 children aged 3–6 years was screened. Findings Content validity was established via a panel of experts. The GIFT demonstrated good test–retest (0.95) and inter-rater reliability (0.94), demonstrating good concurrent validity in scores which significantly correlated with the Beery-VMI (r = 0.32, P < 0.05), the Beery-MC (r = 0.33, P < 0.05), the ‘manual dexterity’ subcategory of the movement assessment battery for children (r = –0.364, P < 0.05) and the total score of the developmental coordination disorder questionnaire ’07 (DCDQ’07)/little DCDQ (r = 0.41, P < 0.01). A significant difference in total GIFT scoring was found between children from mainstream versus special education preschools (t = 3.99, P < 0.001). Conclusion The GIFT is a unique tool that measures performance skills based on preschool children’s everyday activities. It can be used by paediatric occupational therapists as a first step for early identification of children potentially at risk for graphomotor/fine motor developmental delay. Permalink : ./index.php?lvl=notice_display&id=57795

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Investigating the enabling factors influencing occupational therapists’ adoption of assisted living technology / Colleen McGrath in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 668-675 Titre : Investigating the enabling factors influencing occupational therapists’ adoption of assisted living technology Type de document : texte imprimé Auteurs : Colleen McGrath ; Maggie Ellis ; Sarah Harney-Levine ; [et al...] Année de publication : 2017 Article en page(s) : p. 668-675 Langues : Anglais (eng) Mots-clés : ergothérapeute  technologie Résumé : Introduction Research into technology adoption has focused on older adults’ motivations, with less exploration of the perspective of healthcare providers, including occupational therapists, who are often described as the gatekeepers to assisted living technology. Method This qualitative study utilized semi-structured interviews and focus groups with 20 occupational therapists in England and Scotland. The goal was to identify those enabling factors necessary for occupational therapists to adopt assisted living technology. Results Five themes emerged regarding the enablers needed to support the adoption of assisted living technology by occupational therapists, including: (1) a positive client–therapist relationship; (2) affordability; (3) time; (4) increased awareness, education, and training; and (5) usability features of the assisted living technology. Conclusion With an aging population and the increasing role that technology is playing globally in older adults’ lives, it has never been more important for occupational therapists to harness the potential of new, developing, and existing technologies to support people to live and age as well as possible. To accomplish this, however, requires that occupational therapists are equipped with the time, training, and education necessary to offer their clients assisted living technologies that are client-centered, usable, and affordable. Permalink : ./index.php?lvl=notice_display&id=57796 [article] Investigating the enabling factors influencing occupational therapists’ adoption of assisted living technology [texte imprimé] / Colleen McGrath ; Maggie Ellis ; Sarah Harney-Levine ; [et al...] . - 2017 . - p. 668-675. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 668-675 Mots-clés : ergothérapeute  technologie Résumé : Introduction Research into technology adoption has focused on older adults’ motivations, with less exploration of the perspective of healthcare providers, including occupational therapists, who are often described as the gatekeepers to assisted living technology. Method This qualitative study utilized semi-structured interviews and focus groups with 20 occupational therapists in England and Scotland. The goal was to identify those enabling factors necessary for occupational therapists to adopt assisted living technology. Results Five themes emerged regarding the enablers needed to support the adoption of assisted living technology by occupational therapists, including: (1) a positive client–therapist relationship; (2) affordability; (3) time; (4) increased awareness, education, and training; and (5) usability features of the assisted living technology. Conclusion With an aging population and the increasing role that technology is playing globally in older adults’ lives, it has never been more important for occupational therapists to harness the potential of new, developing, and existing technologies to support people to live and age as well as possible. To accomplish this, however, requires that occupational therapists are equipped with the time, training, and education necessary to offer their clients assisted living technologies that are client-centered, usable, and affordable. Permalink : ./index.php?lvl=notice_display&id=57796

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Emotion management and occupational therapy student learning on placement: A post-structuralist exploration / Joan Healey in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 676-683 Titre : Emotion management and occupational therapy student learning on placement: A post-structuralist exploration Type de document : texte imprimé Auteurs : Joan Healey Année de publication : 2017 Article en page(s) : p. 676-683 Langues : Anglais (eng) Mots-clés : gestion des émotions  post structuralisme  professionnalisme  ergothérapie  étudiant Résumé : Introduction The role of emotion management and emotional labour has been extensively debated and theorised in nursing and medical literature, but until recently, there has been very little written from an occupational therapy perspective Method This doctoral research explored the emotional aspects of placement learning with a group of seven third-year occupational therapy students, using a post-structural theoretical framework and methodology. A creative arts–based qualitative methodology was employed. The researcher facilitated creative writing groups in which students produced stories and poems about placement experiences. The writing, the group discussions and the one-to-one conversations were analysed with post-structuralist and narrative theory. Findings The innovative method produced writing that evokes the placement experiences and captures the students’ endeavours to manage their emotions in order to ‘perform the professional’. The findings reveal the role of emotion management in the discourses of professionalism in the health and social-care environment. Conclusion The research raises questions for the occupational therapy profession about the hidden emotional aspects of our practice and proposes an alternative view of emotion management to that which is implied in the concept of emotional intelligence Permalink : ./index.php?lvl=notice_display&id=57797 [article] Emotion management and occupational therapy student learning on placement: A post-structuralist exploration [texte imprimé] / Joan Healey . - 2017 . - p. 676-683. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 676-683 Mots-clés : gestion des émotions  post structuralisme  professionnalisme  ergothérapie  étudiant Résumé : Introduction The role of emotion management and emotional labour has been extensively debated and theorised in nursing and medical literature, but until recently, there has been very little written from an occupational therapy perspective Method This doctoral research explored the emotional aspects of placement learning with a group of seven third-year occupational therapy students, using a post-structural theoretical framework and methodology. A creative arts–based qualitative methodology was employed. The researcher facilitated creative writing groups in which students produced stories and poems about placement experiences. The writing, the group discussions and the one-to-one conversations were analysed with post-structuralist and narrative theory. Findings The innovative method produced writing that evokes the placement experiences and captures the students’ endeavours to manage their emotions in order to ‘perform the professional’. The findings reveal the role of emotion management in the discourses of professionalism in the health and social-care environment. Conclusion The research raises questions for the occupational therapy profession about the hidden emotional aspects of our practice and proposes an alternative view of emotion management to that which is implied in the concept of emotional intelligence Permalink : ./index.php?lvl=notice_display&id=57797

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Using children and young people as advocates to inform research design / Naomi Graham in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 684-688 Titre : Using children and young people as advocates to inform research design Type de document : texte imprimé Auteurs : Naomi Graham ; Anne Mandy ; Mandy Clarke ; Christopher Morriss-Roberts Année de publication : 2017 Article en page(s) : p. 684-688 Langues : Anglais (eng) Mots-clés : enfant  paralysie cérébrale Résumé : Statement of context This practice analysis discusses the benefits and challenges of young advocates with physical disabilities and communication difficulties informing research design. Critical reflection on practice The use of advocates helped to inform a PhD project exploring the experience of play for 6–12-year-olds with high levels of physical disability due to cerebral palsy. This enabled the improvement of the study design in terms of participant information, interview questions, and the format of the participant interviews. Implications for practice Rigorous and well-designed research has a positive impact upon therapy practice. Researchers should make use of children and young people as advocates in order to enable high-quality research design. Permalink : ./index.php?lvl=notice_display&id=57798 [article] Using children and young people as advocates to inform research design [texte imprimé] / Naomi Graham ; Anne Mandy ; Mandy Clarke ; Christopher Morriss-Roberts . - 2017 . - p. 684-688. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 684-688 Mots-clés : enfant  paralysie cérébrale Résumé : Statement of context This practice analysis discusses the benefits and challenges of young advocates with physical disabilities and communication difficulties informing research design. Critical reflection on practice The use of advocates helped to inform a PhD project exploring the experience of play for 6–12-year-olds with high levels of physical disability due to cerebral palsy. This enabled the improvement of the study design in terms of participant information, interview questions, and the format of the participant interviews. Implications for practice Rigorous and well-designed research has a positive impact upon therapy practice. Researchers should make use of children and young people as advocates in order to enable high-quality research design. Permalink : ./index.php?lvl=notice_display&id=57798

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The impact of seven-day working for patients and staff in an acute physical older adults unit: A service evaluation / Naomi Davies in The British Journal of Occupational Therapy, Vol.80 Issue 11 (Novembre 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 689-693 Titre : The impact of seven-day working for patients and staff in an acute physical older adults unit: A service evaluation Type de document : texte imprimé Auteurs : Naomi Davies ; Brian Simelane Année de publication : 2017 Article en page(s) : p. 689-693 Langues : Anglais (eng) Mots-clés : hospitalisation  personne âgée  ergothérapie Résumé : Statement of context The occupational therapy service within an acute unit for complex older patients began operating over seven days, in response to the government strategy for the National Health Service to improve patient outcomes. Critical reflection on practice This evaluation shares findings on patient outcomes in the acute unit and a qualitative review of staff perspectives of the changes. There was an increase in both patient contact and the number of patients assessed by occupational therapists within 24 hours of admission. Although length of stay decreased by an average of 2.35 days, this cannot solely be attributed to the change in occupational therapy service. Occupational therapists and members of the multidisciplinary team felt that seven-day working is beneficial to patients; however, occupational therapists noted an impact on their work–life balance. Implications for practice The evaluation demonstrates the positive impact that seven-day working can have on patient outcomes and the importance that it extends to other members of the multidisciplinary team to be fully effective. The impact on job satisfaction for occupational therapists should be taken into consideration when planning seven-day services. Permalink : ./index.php?lvl=notice_display&id=57799 [article] The impact of seven-day working for patients and staff in an acute physical older adults unit: A service evaluation [texte imprimé] / Naomi Davies ; Brian Simelane . - 2017 . - p. 689-693. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 11 (Novembre 2017) . - p. 689-693 Mots-clés : hospitalisation  personne âgée  ergothérapie Résumé : Statement of context The occupational therapy service within an acute unit for complex older patients began operating over seven days, in response to the government strategy for the National Health Service to improve patient outcomes. Critical reflection on practice This evaluation shares findings on patient outcomes in the acute unit and a qualitative review of staff perspectives of the changes. There was an increase in both patient contact and the number of patients assessed by occupational therapists within 24 hours of admission. Although length of stay decreased by an average of 2.35 days, this cannot solely be attributed to the change in occupational therapy service. Occupational therapists and members of the multidisciplinary team felt that seven-day working is beneficial to patients; however, occupational therapists noted an impact on their work–life balance. Implications for practice The evaluation demonstrates the positive impact that seven-day working can have on patient outcomes and the importance that it extends to other members of the multidisciplinary team to be fully effective. The impact on job satisfaction for occupational therapists should be taken into consideration when planning seven-day services. Permalink : ./index.php?lvl=notice_display&id=57799

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