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Creating meaning in the use of time in occupational therapy / Teena J. Clouston in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 127-128 Titre : Creating meaning in the use of time in occupational therapy Type de document : texte imprimé Auteurs : Teena J. Clouston Année de publication : 2018 Article en page(s) : p. 127-128 Langues : Anglais (eng) Mots-clés : ergothérapie  participation sociale Résumé : Occupational therapists believe that time to engage in personally meaningful occupations is integral to health and wellbeing. Meaningful occupations tend to be understood as those we enjoy, attribute value to, or that can create a sense of purpose, fulfillment or satisfaction in life (Wilcock, 1999). To achieve effective participation in these kinds of occupations requires an element of choice. Without this capacity for self-determination, the ability to achieve a personal sense of congruence between personal values, strengths and meaningful occupations (Pentland and McColl, 2008) can be compromised (Clouston, 2015). Permalink : ./index.php?lvl=notice_display&id=57841 [article] Creating meaning in the use of time in occupational therapy [texte imprimé] / Teena J. Clouston . - 2018 . - p. 127-128. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 127-128 Mots-clés : ergothérapie  participation sociale Résumé : Occupational therapists believe that time to engage in personally meaningful occupations is integral to health and wellbeing. Meaningful occupations tend to be understood as those we enjoy, attribute value to, or that can create a sense of purpose, fulfillment or satisfaction in life (Wilcock, 1999). To achieve effective participation in these kinds of occupations requires an element of choice. Without this capacity for self-determination, the ability to achieve a personal sense of congruence between personal values, strengths and meaningful occupations (Pentland and McColl, 2008) can be compromised (Clouston, 2015). Permalink : ./index.php?lvl=notice_display&id=57841

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Qualitative synthesis: A guide to conducting a meta-ethnography / Mairead Cahill in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 129-137 Titre : Qualitative synthesis: A guide to conducting a meta-ethnography Type de document : texte imprimé Auteurs : Mairead Cahill ; Katie Robinson ; Judith Pettigrew ; [et al...] Année de publication : 2018 Article en page(s) : p. 129-137 Langues : Anglais (eng) Mots-clés : recherche qualitative Résumé : Introduction Qualitative meta-synthesis draws together data from multiple studies and can enrich understandings of client experiences and inform health policy. Meta-ethnography is the most commonly utilised qualitative synthesis approach in healthcare; however, there is variation in the conduct and quality of many published meta-ethnographies. This paper aims to guide occupational therapists on the process of completing a meta-ethnography. Method A systematic search of articles published from 1986–2016 was conducted. Studies which described an evaluation or critique of meta-ethnography as a research method, and consequently provided reflections or guidance on the method, were included. Two authors independently screened papers and nine relevant papers and one key text were identified. Two authors independently extracted data from identified sources. Results The seven stages of meta-ethnography described by Noblit and Hare (1988) are presented and integrated with key advancements from subsequent publications. Stages include starting the meta-synthesis, consideration of relevant studies, reading the studies and deciding on how they should be put together, translating the studies into one another, synthesising translations and expressing the synthesis. Conclusion Given the proliferation of qualitative methods in occupational therapy research, rigorous use of meta-ethnography has great potential to contribute to the research evidence base. Permalink : ./index.php?lvl=notice_display&id=57842 [article] Qualitative synthesis: A guide to conducting a meta-ethnography [texte imprimé] / Mairead Cahill ; Katie Robinson ; Judith Pettigrew ; [et al...] . - 2018 . - p. 129-137. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 129-137 Mots-clés : recherche qualitative Résumé : Introduction Qualitative meta-synthesis draws together data from multiple studies and can enrich understandings of client experiences and inform health policy. Meta-ethnography is the most commonly utilised qualitative synthesis approach in healthcare; however, there is variation in the conduct and quality of many published meta-ethnographies. This paper aims to guide occupational therapists on the process of completing a meta-ethnography. Method A systematic search of articles published from 1986–2016 was conducted. Studies which described an evaluation or critique of meta-ethnography as a research method, and consequently provided reflections or guidance on the method, were included. Two authors independently screened papers and nine relevant papers and one key text were identified. Two authors independently extracted data from identified sources. Results The seven stages of meta-ethnography described by Noblit and Hare (1988) are presented and integrated with key advancements from subsequent publications. Stages include starting the meta-synthesis, consideration of relevant studies, reading the studies and deciding on how they should be put together, translating the studies into one another, synthesising translations and expressing the synthesis. Conclusion Given the proliferation of qualitative methods in occupational therapy research, rigorous use of meta-ethnography has great potential to contribute to the research evidence base. Permalink : ./index.php?lvl=notice_display&id=57842

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Goal-directed occupational therapy for children with unilateral cerebral palsy: Categorising and quantifying session content / Nataya Branjerdporn in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 138-146 Titre : Goal-directed occupational therapy for children with unilateral cerebral palsy: Categorising and quantifying session content Type de document : texte imprimé Auteurs : Nataya Branjerdporn ; Jenny Ziviani ; Leanne Sakzewski Année de publication : 2018 Article en page(s) : p. 138-146 Langues : Anglais (eng) Mots-clés : ergothérapie  enfant  réadaptation  infirme moteur cérébral Résumé : Introduction There is strong evidence that goal-directed occupational therapy achieves improvements in motor and self-care outcomes for children with unilateral cerebral palsy. This pilot study aimed to describe collaborative goals set in occupational therapy sessions, develop categories to describe session content and determine the percentage of in-session time spent addressing goal practice for children with unilateral cerebral palsy. Method Videos of 10 therapy sessions with 10 unique child–therapist dyads were analysed. Session content was categorised into goal practice (goal-directed therapy, meaningful goal-supporting activity) and other activity (non-goal-related, child engagement and behavioural support, parent engagement, transition). Descriptive statistics determined the percentage of in-session time spent in goal practice. Results Forty-three goals were set and 41 (95%) were activity focused. Mean percentage of time spent in-session on goal practice was 47.5% (SD 31.1%, range 0%–88.1%). Child behavioural support (4.9%), engaging parents (3.2%), transitioning between activities (6.7%) and non-goal-related activity (45.3%) comprised the remaining session time. Conclusion Less than half of session time was spent in goal practice, despite being conducted under a goal-directed framework. Non-goal-related activities comprised nearly half of in-session time. Therapists need to consider how to maximise time spent in goal practice during therapy sessions. Permalink : ./index.php?lvl=notice_display&id=57843 [article] Goal-directed occupational therapy for children with unilateral cerebral palsy: Categorising and quantifying session content [texte imprimé] / Nataya Branjerdporn ; Jenny Ziviani ; Leanne Sakzewski . - 2018 . - p. 138-146. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 138-146 Mots-clés : ergothérapie  enfant  réadaptation  infirme moteur cérébral Résumé : Introduction There is strong evidence that goal-directed occupational therapy achieves improvements in motor and self-care outcomes for children with unilateral cerebral palsy. This pilot study aimed to describe collaborative goals set in occupational therapy sessions, develop categories to describe session content and determine the percentage of in-session time spent addressing goal practice for children with unilateral cerebral palsy. Method Videos of 10 therapy sessions with 10 unique child–therapist dyads were analysed. Session content was categorised into goal practice (goal-directed therapy, meaningful goal-supporting activity) and other activity (non-goal-related, child engagement and behavioural support, parent engagement, transition). Descriptive statistics determined the percentage of in-session time spent in goal practice. Results Forty-three goals were set and 41 (95%) were activity focused. Mean percentage of time spent in-session on goal practice was 47.5% (SD 31.1%, range 0%–88.1%). Child behavioural support (4.9%), engaging parents (3.2%), transitioning between activities (6.7%) and non-goal-related activity (45.3%) comprised the remaining session time. Conclusion Less than half of session time was spent in goal practice, despite being conducted under a goal-directed framework. Non-goal-related activities comprised nearly half of in-session time. Therapists need to consider how to maximise time spent in goal practice during therapy sessions. Permalink : ./index.php?lvl=notice_display&id=57843

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Application of the comprehensive environmental questionnaire for older adults requiring support for community-living / Hiromi Nakamura-Thomas in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 147-153 Titre : Application of the comprehensive environmental questionnaire for older adults requiring support for community-living Type de document : texte imprimé Auteurs : Hiromi Nakamura-Thomas ; Makoto Kyougoku ; Kenji Yabuwaki Année de publication : 2018 Article en page(s) : p. 147-153 Langues : Anglais (eng) Mots-clés : ergothérapie  environnement  évaluation Résumé : Introduction The Comprehensive Environmental Questionnaire for the Elderly (CEQ) was developed to measure satisfaction levels among community-dwelling older adults regarding their environment. The CEQ comprises 14 question items grouped into three factors, which are rated on a four-point Likert scale. To expand the applicability of the CEQ to community-dwelling older adults requiring support from long-term care and family members for their community-living, this study examined the factorial structure and scale system of the CEQ to verify its validity and reliability. Method Data were collected individually from 218 participants who receive no rehabilitative services but require homemaking services and/or support from family members. The factorial structure and scale system were examined using structural equation modeling and an item response theory (IRT) approach, respectively. Findings We obtained values between 0.93 and 0.66 for factor loadings, 0.98 for comparative fit index, and 0.97 for Tucker–Lewis index, which indicated a good to adequate fit. The value of root mean square error of approximation was 0.094, indicating a mediocre fit. The IRT analysis showed an accurate description of item function of the CEQ. Conclusion The CEQ was applicable to the present study population. Although the CEQ concept was confirmed, the questionnaire warrants further improvement. Permalink : ./index.php?lvl=notice_display&id=57844 [article] Application of the comprehensive environmental questionnaire for older adults requiring support for community-living [texte imprimé] / Hiromi Nakamura-Thomas ; Makoto Kyougoku ; Kenji Yabuwaki . - 2018 . - p. 147-153. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 147-153 Mots-clés : ergothérapie  environnement  évaluation Résumé : Introduction The Comprehensive Environmental Questionnaire for the Elderly (CEQ) was developed to measure satisfaction levels among community-dwelling older adults regarding their environment. The CEQ comprises 14 question items grouped into three factors, which are rated on a four-point Likert scale. To expand the applicability of the CEQ to community-dwelling older adults requiring support from long-term care and family members for their community-living, this study examined the factorial structure and scale system of the CEQ to verify its validity and reliability. Method Data were collected individually from 218 participants who receive no rehabilitative services but require homemaking services and/or support from family members. The factorial structure and scale system were examined using structural equation modeling and an item response theory (IRT) approach, respectively. Findings We obtained values between 0.93 and 0.66 for factor loadings, 0.98 for comparative fit index, and 0.97 for Tucker–Lewis index, which indicated a good to adequate fit. The value of root mean square error of approximation was 0.094, indicating a mediocre fit. The IRT analysis showed an accurate description of item function of the CEQ. Conclusion The CEQ was applicable to the present study population. Although the CEQ concept was confirmed, the questionnaire warrants further improvement. Permalink : ./index.php?lvl=notice_display&id=57844

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Occupational therapists in emergency departments: A qualitative study / Kristin James in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 154-161 Titre : Occupational therapists in emergency departments: A qualitative study Type de document : texte imprimé Auteurs : Kristin James ; Derek Jones ; Larissa Kempenaar ; [et al...] Année de publication : 2018 Article en page(s) : p. 154-161 Langues : Anglais (eng) Mots-clés : ergothérapie  service d'urgence  accident  urgence Résumé : Introduction Globally, occupational therapists are establishing their role in emergency care, especially in emergency departments. This practice development merits investigation due to its nascence and the challenges that face emergency department professionals. A qualitative study examined the lived experience of occupational therapists in emergency departments to contribute to knowledge and inform practice development. Method Interpretative phenomenological analysis framed the research methods. Nine occupational therapists were purposively recruited with experience of emergency departments. Individual, semi-structured interviews were audio-recorded and transcribed verbatim. Interview transcripts were analysed line-by-line and interpreted using interpretative phenomenological analysis methods. Findings Theme one: ‘On the Factory Floor’ captured the experience of working in emergency departments. They were perceived as ordered environments, but nonetheless could be unpredictable, even chaotic. Theme two: ‘A Stranger in a Strange Land’ encapsulated what it was like to enter and establish a new role in the emergency department. The emergency department brings considerable personal and professional challenges, but it can offer rewards, especially enjoyment, recognition and being valued. At the time of the study, the participants were discovering how they might acculturate. Conclusion Occupational therapists are establishing their presence in the emergency department; professional identity is forming and the practice paradigm requires further consideration. Permalink : ./index.php?lvl=notice_display&id=57845 [article] Occupational therapists in emergency departments: A qualitative study [texte imprimé] / Kristin James ; Derek Jones ; Larissa Kempenaar ; [et al...] . - 2018 . - p. 154-161. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 154-161 Mots-clés : ergothérapie  service d'urgence  accident  urgence Résumé : Introduction Globally, occupational therapists are establishing their role in emergency care, especially in emergency departments. This practice development merits investigation due to its nascence and the challenges that face emergency department professionals. A qualitative study examined the lived experience of occupational therapists in emergency departments to contribute to knowledge and inform practice development. Method Interpretative phenomenological analysis framed the research methods. Nine occupational therapists were purposively recruited with experience of emergency departments. Individual, semi-structured interviews were audio-recorded and transcribed verbatim. Interview transcripts were analysed line-by-line and interpreted using interpretative phenomenological analysis methods. Findings Theme one: ‘On the Factory Floor’ captured the experience of working in emergency departments. They were perceived as ordered environments, but nonetheless could be unpredictable, even chaotic. Theme two: ‘A Stranger in a Strange Land’ encapsulated what it was like to enter and establish a new role in the emergency department. The emergency department brings considerable personal and professional challenges, but it can offer rewards, especially enjoyment, recognition and being valued. At the time of the study, the participants were discovering how they might acculturate. Conclusion Occupational therapists are establishing their presence in the emergency department; professional identity is forming and the practice paradigm requires further consideration. Permalink : ./index.php?lvl=notice_display&id=57845

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Sensory processing styles and eating behaviors in healthy adults / Karen Hebert in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 162-170 Titre : Sensory processing styles and eating behaviors in healthy adults Type de document : texte imprimé Auteurs : Karen Hebert Année de publication : 2018 Article en page(s) : p. 162-170 Langues : Anglais (eng) Mots-clés : obésité  comportement alimentaire  adulte  émotion Résumé : Introduction Engagement in unhealthy eating behaviors is a significant risk factor for the development of obesity. These eating behaviors include uncontrolled and mindless eating in response to emotional and sensory cues. This study examines the relationship between sensory processing styles and eating behaviors in typical adults. Method One hundred and fifty healthy individuals aged 18–60 completed the Adolescent/Adult Sensory Profile, the Dutch Eating Behaviors Questionnaire, and a rating task of 40 healthy and unhealthy food images. Findings Sensory processing styles characterized by passive self-regulation strategies (low registration and sensory sensitivity) were positively correlated with rates of emotional and external eating behaviors. Sensory seeking was positively correlated with ratings of desirability of healthy food images. Conclusion Individuals whose sensory processing styles are characterized by passive self-regulation strategies are more likely to engage in unhealthy eating behaviors, including consuming food in relation to internal emotional and external sensory cues. Occupational therapists should consider the role of sensory factors when working with clients who engage in unhealthy food overconsumption. Permalink : ./index.php?lvl=notice_display&id=57846 [article] Sensory processing styles and eating behaviors in healthy adults [texte imprimé] / Karen Hebert . - 2018 . - p. 162-170. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 162-170 Mots-clés : obésité  comportement alimentaire  adulte  émotion Résumé : Introduction Engagement in unhealthy eating behaviors is a significant risk factor for the development of obesity. These eating behaviors include uncontrolled and mindless eating in response to emotional and sensory cues. This study examines the relationship between sensory processing styles and eating behaviors in typical adults. Method One hundred and fifty healthy individuals aged 18–60 completed the Adolescent/Adult Sensory Profile, the Dutch Eating Behaviors Questionnaire, and a rating task of 40 healthy and unhealthy food images. Findings Sensory processing styles characterized by passive self-regulation strategies (low registration and sensory sensitivity) were positively correlated with rates of emotional and external eating behaviors. Sensory seeking was positively correlated with ratings of desirability of healthy food images. Conclusion Individuals whose sensory processing styles are characterized by passive self-regulation strategies are more likely to engage in unhealthy eating behaviors, including consuming food in relation to internal emotional and external sensory cues. Occupational therapists should consider the role of sensory factors when working with clients who engage in unhealthy food overconsumption. Permalink : ./index.php?lvl=notice_display&id=57846

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Using robots to assess problem-solving skills / Kim Adams in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 171-176 Titre : Using robots to assess problem-solving skills Type de document : texte imprimé Auteurs : Kim Adams ; Liliana Alvarez ; Lina M. Becerra Puyo ; [et al...] Année de publication : 2018 Article en page(s) : p. 171-176 Langues : Anglais (eng) Mots-clés : ergothérapie  enfant  robot  assistance technologique  handicap physique Résumé : Introduction Assistive robots may allow children with physical disabilities to manipulate objects and provide a means to participate in cognitive assessments of problem-solving skills. This study aimed to test the problem-solving skills of typically developing children when using a LEGO® robot to solve a reverse sequencing task. Additionally, the study aimed to determine the chronological ages at which typically developing children can effectively solve the levels of difficulty. Method An experimental crossover study was conducted, where 30 typically developing children aged from 3 to 7 years old were randomly assigned to a first condition (either robot or direct hand manipulation using a toy truck). Results This pilot study demonstrated that older children outperformed younger children when they used both the truck and the robot, and that the robot was best suited for children over the age of five. Conclusion Children were able to use the robot to manipulate objects and perform the problem-solving task. A robot may be an alternative assessment tool to identify problem-solving skills for children with disabilities. A larger sample size is required to build a database of results when typically developing children use robots, to gauge the level of understanding of children with disabilities. Permalink : ./index.php?lvl=notice_display&id=57847 [article] Using robots to assess problem-solving skills [texte imprimé] / Kim Adams ; Liliana Alvarez ; Lina M. Becerra Puyo ; [et al...] . - 2018 . - p. 171-176. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 171-176 Mots-clés : ergothérapie  enfant  robot  assistance technologique  handicap physique Résumé : Introduction Assistive robots may allow children with physical disabilities to manipulate objects and provide a means to participate in cognitive assessments of problem-solving skills. This study aimed to test the problem-solving skills of typically developing children when using a LEGO® robot to solve a reverse sequencing task. Additionally, the study aimed to determine the chronological ages at which typically developing children can effectively solve the levels of difficulty. Method An experimental crossover study was conducted, where 30 typically developing children aged from 3 to 7 years old were randomly assigned to a first condition (either robot or direct hand manipulation using a toy truck). Results This pilot study demonstrated that older children outperformed younger children when they used both the truck and the robot, and that the robot was best suited for children over the age of five. Conclusion Children were able to use the robot to manipulate objects and perform the problem-solving task. A robot may be an alternative assessment tool to identify problem-solving skills for children with disabilities. A larger sample size is required to build a database of results when typically developing children use robots, to gauge the level of understanding of children with disabilities. Permalink : ./index.php?lvl=notice_display&id=57847

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Occupational formulation: A three-part structure / Rob Brooks in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 177-179 Titre : Occupational formulation: A three-part structure Type de document : texte imprimé Auteurs : Rob Brooks ; Sue Parkinson Année de publication : 2018 Article en page(s) : p. 177-179 Langues : Anglais (eng) Mots-clés : ergothérapie  théorie et concept Résumé : Occupational formulation is a process of making sense of someone’s circumstances that is informed by occupational theories and concepts. This opinion piece presents occupational formulation as a stage in the occupational therapy process that emerges from professional reasoning. A three-part formulation structure is proposed: occupational influences, occupational presentation and occupational focus. A narrative approach to formulation is recommended which holds occupation at its core and incorporates a client’s subjective perspective. We believe that the proposed formulation approach has the potential to reflect constructs from a range of occupational therapy models to suit the breadth of occupational therapy practice. Permalink : ./index.php?lvl=notice_display&id=57848 [article] Occupational formulation: A three-part structure [texte imprimé] / Rob Brooks ; Sue Parkinson . - 2018 . - p. 177-179. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 177-179 Mots-clés : ergothérapie  théorie et concept Résumé : Occupational formulation is a process of making sense of someone’s circumstances that is informed by occupational theories and concepts. This opinion piece presents occupational formulation as a stage in the occupational therapy process that emerges from professional reasoning. A three-part formulation structure is proposed: occupational influences, occupational presentation and occupational focus. A narrative approach to formulation is recommended which holds occupation at its core and incorporates a client’s subjective perspective. We believe that the proposed formulation approach has the potential to reflect constructs from a range of occupational therapy models to suit the breadth of occupational therapy practice. Permalink : ./index.php?lvl=notice_display&id=57848

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