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Development of the International Expert Advisory Panel on Community Health and Transport (I-CHaT) to coordinate research on transport mobility / Paul Vaucher in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 245-246 Titre : Development of the International Expert Advisory Panel on Community Health and Transport (I-CHaT) to coordinate research on transport mobility Type de document : texte imprimé Auteurs : Paul Vaucher ; Moon Choi ; Isabelle Gélinas ; et al. Année de publication : 2018 Article en page(s) : p. 245-246 Langues : Anglais (eng) Résumé : During the past 10 years, there has been a major shift in our understanding of the nexus between transportation and health. Health concerns evolved from road safety alone to encompass a broader view of the important relationships between transportation mobility and engagement in out-of-home activities. Occupational therapists have a leading role in this area, reflecting the American Occupational Therapy Association (2014)Occupational Therapy Practice Framework that includes driving and community mobility as an important Instrumental Activity of Daily Living. Transportation mobility, including driving, is often an essential ‘occupational enabler,’ through which older adults can sustain their continued social engagement and interactions with their wider communities (Stav and McGuire, 2012). As part of their role, occupational therapists facilitate consumers to manage the challenges presented by major transitions. A major transition can be the time when an older adult must relinquish their role as a driver. This transition may have been prompted by a formal assessment of their driving skills. Loss of licensure necessitates the development of new transportation networks to ensure continued connections to the people and places that maintain older people to live happily and successfully at home. There is growing awareness of the role of occupational therapists in the assessment of medical fitness to drive as evidenced by the extensive research literature from Australia, Canada, and the United States, and more recently from Israel, Sweden, the United Kingdom, and Ireland. Moreover, occupational therapists have a significant contribution to make to the wider area of transportation-related concerns and transportation access and mobility planning across the lifespan. The research contributions occupational therapists and colleagues have made in the field of community transport mobility have been showcased in special editions of many occupational therapy journals, most recently in two issues in this journal in 2015 (issues 78(2) and 78(6), guest edited by Priscilla Harries and Carolyn Unsworth) and previously in Canadian (CJOT issue 78(2), guest edited by Polgar) and American (AJOT issue 64(2), guest edited by Classen) occupational therapy journals, and in Occupational Therapy in Health Care (issue 28(2), guest edited by Dickerson). Permalink : ./index.php?lvl=notice_display&id=80077 [article] Development of the International Expert Advisory Panel on Community Health and Transport (I-CHaT) to coordinate research on transport mobility [texte imprimé] / Paul Vaucher ; Moon Choi ; Isabelle Gélinas ; et al. . - 2018 . - p. 245-246. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 245-246 Résumé : During the past 10 years, there has been a major shift in our understanding of the nexus between transportation and health. Health concerns evolved from road safety alone to encompass a broader view of the important relationships between transportation mobility and engagement in out-of-home activities. Occupational therapists have a leading role in this area, reflecting the American Occupational Therapy Association (2014)Occupational Therapy Practice Framework that includes driving and community mobility as an important Instrumental Activity of Daily Living. Transportation mobility, including driving, is often an essential ‘occupational enabler,’ through which older adults can sustain their continued social engagement and interactions with their wider communities (Stav and McGuire, 2012). As part of their role, occupational therapists facilitate consumers to manage the challenges presented by major transitions. A major transition can be the time when an older adult must relinquish their role as a driver. This transition may have been prompted by a formal assessment of their driving skills. Loss of licensure necessitates the development of new transportation networks to ensure continued connections to the people and places that maintain older people to live happily and successfully at home. There is growing awareness of the role of occupational therapists in the assessment of medical fitness to drive as evidenced by the extensive research literature from Australia, Canada, and the United States, and more recently from Israel, Sweden, the United Kingdom, and Ireland. Moreover, occupational therapists have a significant contribution to make to the wider area of transportation-related concerns and transportation access and mobility planning across the lifespan. The research contributions occupational therapists and colleagues have made in the field of community transport mobility have been showcased in special editions of many occupational therapy journals, most recently in two issues in this journal in 2015 (issues 78(2) and 78(6), guest edited by Priscilla Harries and Carolyn Unsworth) and previously in Canadian (CJOT issue 78(2), guest edited by Polgar) and American (AJOT issue 64(2), guest edited by Classen) occupational therapy journals, and in Occupational Therapy in Health Care (issue 28(2), guest edited by Dickerson). Permalink : ./index.php?lvl=notice_display&id=80077

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Reasons for readmission to hospital after hip fracture: Implications for occupational therapy / Kylee J. Lockwood in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 247-254 Titre : Reasons for readmission to hospital after hip fracture: Implications for occupational therapy Type de document : texte imprimé Auteurs : Kylee J. Lockwood ; Katherine E. Harding ; Jude N. Boyd ; Nicholas F. Taylor Année de publication : 2018 Article en page(s) : p. 247-254 Langues : Anglais (eng) Mots-clés : Occupational therapy  readmission  hip fracture  home visit  falls  discharge planning Résumé : Introduction The aim of this study was to determine the rate of readmission to hospital after hip fracture. The relationship between readmission to hospital and a range of social and functional variables, including receiving a home visit by an occupational therapist prior to discharge from hospital, was explored. Method A retrospective cohort study was conducted of 154 patients returning to community living following hip fracture. Multivariate logistic regression identified variables associated with risk of readmission to hospital. Results One in three patients was readmitted to hospital within 12 months after discharge, with 7% readmitted within 30 days. The most common reason for readmission was another fall. A low level of mobility prior to hip fracture was the strongest independent predictor of risk of readmission to hospital. There was no association between receiving a pre-discharge home visit by an occupational therapist and risk of readmission to hospital. Conclusion Rates of readmission to hospital are high after hip fracture, and falls are the single most common reason for readmission. Interventions provided by occupational therapists, including home visits, should emphasise and incorporate evidence-based falls prevention strategies. Permalink : ./index.php?lvl=notice_display&id=80078 [article] Reasons for readmission to hospital after hip fracture: Implications for occupational therapy [texte imprimé] / Kylee J. Lockwood ; Katherine E. Harding ; Jude N. Boyd ; Nicholas F. Taylor . - 2018 . - p. 247-254. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 247-254 Mots-clés : Occupational therapy  readmission  hip fracture  home visit  falls  discharge planning Résumé : Introduction The aim of this study was to determine the rate of readmission to hospital after hip fracture. The relationship between readmission to hospital and a range of social and functional variables, including receiving a home visit by an occupational therapist prior to discharge from hospital, was explored. Method A retrospective cohort study was conducted of 154 patients returning to community living following hip fracture. Multivariate logistic regression identified variables associated with risk of readmission to hospital. Results One in three patients was readmitted to hospital within 12 months after discharge, with 7% readmitted within 30 days. The most common reason for readmission was another fall. A low level of mobility prior to hip fracture was the strongest independent predictor of risk of readmission to hospital. There was no association between receiving a pre-discharge home visit by an occupational therapist and risk of readmission to hospital. Conclusion Rates of readmission to hospital are high after hip fracture, and falls are the single most common reason for readmission. Interventions provided by occupational therapists, including home visits, should emphasise and incorporate evidence-based falls prevention strategies. Permalink : ./index.php?lvl=notice_display&id=80078

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Search training for people with visual field loss after stroke: A cohort study / Ailie J. Turton in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 255-265 Titre : Search training for people with visual field loss after stroke: A cohort study Type de document : texte imprimé Auteurs : Ailie J. Turton ; Jayne Angilley ; Verity Longley ; Philip Clatworthy ; Ian D. Gilchrist Année de publication : 2018 Article en page(s) : p. 255-265 Langues : Anglais (eng) Mots-clés : Occupational therapy  stroke  hemianopia  intervention  measurement Résumé : Introduction People with visual field loss after stroke often experience difficulties in everyday activities. The purpose of this study was to assess the acceptability of search training as used within occupational therapy and the feasibility of possible measures for use in a future trial. Method Nine participants took part in a goal oriented intervention that was delivered three times a week for 3 weeks. Patient reports of acceptability and outcomes using the Visual Function Questionnaire-25 were collected. Participants’ room-search behaviour before and after the intervention was recorded using a head-worn camera. Results Eight participants completed nine treatment visits. All participants reported improved awareness and attention to the blind side during activities following the intervention. Seven participants’ change scores on the Visual Function Questionnaire-25 exceeded six points. Patterns of head-direction behaviour and overall room-search times were variable across patients; markedly, improved performance was only evident in the most severely affected participant. Conclusion The intervention was acceptable. The Visual Function Questionnaire-25 is a feasible measure for assessing patient-reported outcomes. While the room search was informative about individuals’ behaviour, more sophisticated methods of gaze tracking would allow search processes to be determined in real-world activities that are relevant to patients’ goals. Permalink : ./index.php?lvl=notice_display&id=80079 [article] Search training for people with visual field loss after stroke: A cohort study [texte imprimé] / Ailie J. Turton ; Jayne Angilley ; Verity Longley ; Philip Clatworthy ; Ian D. Gilchrist . - 2018 . - p. 255-265. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 255-265 Mots-clés : Occupational therapy  stroke  hemianopia  intervention  measurement Résumé : Introduction People with visual field loss after stroke often experience difficulties in everyday activities. The purpose of this study was to assess the acceptability of search training as used within occupational therapy and the feasibility of possible measures for use in a future trial. Method Nine participants took part in a goal oriented intervention that was delivered three times a week for 3 weeks. Patient reports of acceptability and outcomes using the Visual Function Questionnaire-25 were collected. Participants’ room-search behaviour before and after the intervention was recorded using a head-worn camera. Results Eight participants completed nine treatment visits. All participants reported improved awareness and attention to the blind side during activities following the intervention. Seven participants’ change scores on the Visual Function Questionnaire-25 exceeded six points. Patterns of head-direction behaviour and overall room-search times were variable across patients; markedly, improved performance was only evident in the most severely affected participant. Conclusion The intervention was acceptable. The Visual Function Questionnaire-25 is a feasible measure for assessing patient-reported outcomes. While the room search was informative about individuals’ behaviour, more sophisticated methods of gaze tracking would allow search processes to be determined in real-world activities that are relevant to patients’ goals. Permalink : ./index.php?lvl=notice_display&id=80079

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The everyday lives of older adults with visual impairment: An occupational perspective / Julie Ann Nastasi in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 266-275 Titre : The everyday lives of older adults with visual impairment: An occupational perspective Type de document : texte imprimé Auteurs : Julie Ann Nastasi Année de publication : 2018 Article en page(s) : p. 266-275 Langues : Anglais (eng) Mots-clés : Occupational lives  visual impairment  participation  independence Résumé : Introduction In order to live in a world created for the sighted, older adults with visual impairment must adapt to complete vision-dependent activities that require reading, writing, and object identification. The objective of this study was to explore the occupational lives of three older adults with visual impairment. Method A qualitative study with four interviews each and two observation sessions each was conducted with older adults with visual impairment. Data were analyzed by participant and across participants using open, axial, and selective coding. Codes were refined throughout the process yielding the themes of the study. Results Three themes emerged from the analysis: an occupational life of doing, an occupational life rich with well-being, and an occupational life filled with motivation for independence. Participants were highly motivated to complete their occupations and activities independently. Participation in activities in the home and community environments provided participants with life satisfaction and happiness. Through problem-solving skills, adaptations, and support of family and friends, participants successfully completed their desired occupations. Conclusion This study highlights the importance of motivation and support to facilitate participation in occupations in the home and community environments. Permalink : ./index.php?lvl=notice_display&id=80080 [article] The everyday lives of older adults with visual impairment: An occupational perspective [texte imprimé] / Julie Ann Nastasi . - 2018 . - p. 266-275. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 266-275 Mots-clés : Occupational lives  visual impairment  participation  independence Résumé : Introduction In order to live in a world created for the sighted, older adults with visual impairment must adapt to complete vision-dependent activities that require reading, writing, and object identification. The objective of this study was to explore the occupational lives of three older adults with visual impairment. Method A qualitative study with four interviews each and two observation sessions each was conducted with older adults with visual impairment. Data were analyzed by participant and across participants using open, axial, and selective coding. Codes were refined throughout the process yielding the themes of the study. Results Three themes emerged from the analysis: an occupational life of doing, an occupational life rich with well-being, and an occupational life filled with motivation for independence. Participants were highly motivated to complete their occupations and activities independently. Participation in activities in the home and community environments provided participants with life satisfaction and happiness. Through problem-solving skills, adaptations, and support of family and friends, participants successfully completed their desired occupations. Conclusion This study highlights the importance of motivation and support to facilitate participation in occupations in the home and community environments. Permalink : ./index.php?lvl=notice_display&id=80080

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Short-term changes in occupational therapy students’ self-efficacy for therapeutic use of self / Ratna A. Hussain in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 276-284 Titre : Short-term changes in occupational therapy students’ self-efficacy for therapeutic use of self Type de document : texte imprimé Auteurs : Ratna A. Hussain ; Tove Carstensen ; Farzaneh Yazdani ; Brian Ellingham ; Tore Bonsaksen Année de publication : 2018 Article en page(s) : p. 276-284 Langues : Anglais (eng) Mots-clés : Intentional relationship model  longitudinal study  self-efficacy Résumé : Introduction Self-efficacy concerned with the therapeutic use of self is important for occupational therapists, and students need to develop the skills and the self-efficacy required to meet interpersonal challenges in practice. This study examined short-term changes in occupational therapy students’ self-efficacy for using therapeutic modes, for recognizing clients’ interpersonal characteristics, and for managing interpersonal events. Factors associated with such changes were also examined. Method A sample of 89 Norwegian occupational therapy students from two universities was used, and the students completed three questionnaires 2–3 weeks after a workshop and at 3 months’ follow-up. Changes on the outcome measures were analyzed with t-tests for dependent samples, and factors associated with the outcome changes were analyzed with linear regression analyses. Results During the follow-up period, the students improved their self-efficacy scores on all three outcome measures. Higher age was associated with more improvement on two of the outcome measures. Conclusion The occupational therapy students improved their self-efficacy for therapeutic use of self during the brief follow-up period. Thus, the time in education, either university-based or practice-based, seems to add to students’ self-efficacy for clinical skills in this area. Higher age appears to be a resource for gaining more self-efficacy from attending educational courses. Permalink : ./index.php?lvl=notice_display&id=80081 [article] Short-term changes in occupational therapy students’ self-efficacy for therapeutic use of self [texte imprimé] / Ratna A. Hussain ; Tove Carstensen ; Farzaneh Yazdani ; Brian Ellingham ; Tore Bonsaksen . - 2018 . - p. 276-284. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 276-284 Mots-clés : Intentional relationship model  longitudinal study  self-efficacy Résumé : Introduction Self-efficacy concerned with the therapeutic use of self is important for occupational therapists, and students need to develop the skills and the self-efficacy required to meet interpersonal challenges in practice. This study examined short-term changes in occupational therapy students’ self-efficacy for using therapeutic modes, for recognizing clients’ interpersonal characteristics, and for managing interpersonal events. Factors associated with such changes were also examined. Method A sample of 89 Norwegian occupational therapy students from two universities was used, and the students completed three questionnaires 2–3 weeks after a workshop and at 3 months’ follow-up. Changes on the outcome measures were analyzed with t-tests for dependent samples, and factors associated with the outcome changes were analyzed with linear regression analyses. Results During the follow-up period, the students improved their self-efficacy scores on all three outcome measures. Higher age was associated with more improvement on two of the outcome measures. Conclusion The occupational therapy students improved their self-efficacy for therapeutic use of self during the brief follow-up period. Thus, the time in education, either university-based or practice-based, seems to add to students’ self-efficacy for clinical skills in this area. Higher age appears to be a resource for gaining more self-efficacy from attending educational courses. Permalink : ./index.php?lvl=notice_display&id=80081

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Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation / Mary Vining Radomski in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 285-289 Titre : Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation Type de document : texte imprimé Auteurs : Mary Vining Radomski ; Mattie Anheluk ; Christine Arulanantham ; Marsha Finkelstein ; Nancy Flinn Année de publication : 2018 Article en page(s) : p. 285-289 Langues : Anglais (eng) Mots-clés : Evidence-based practice  context analysis  task-based training  stroke Résumé : Statement of context Many occupational therapists experience challenges in implementing evidence-based practice, which may be best approached as a context-specific enterprise. Critical reflection on practice This practice analysis article reports the results of analyzing 24 home programs that occupational therapists issued to rehabilitation inpatients with stroke upon their discharge home. Home programs did not reflect a task-based approach to upper-limb recovery, even though this is supported by established evidence. Examination of contextual factors provides a framework to facilitate evidence implementation. Implications for practice Occupational therapists may optimize evidence-based practice implementation by first evaluating and addressing practice-specific contextual factors. Permalink : ./index.php?lvl=notice_display&id=80082 [article] Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation [texte imprimé] / Mary Vining Radomski ; Mattie Anheluk ; Christine Arulanantham ; Marsha Finkelstein ; Nancy Flinn . - 2018 . - p. 285-289. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 285-289 Mots-clés : Evidence-based practice  context analysis  task-based training  stroke Résumé : Statement of context Many occupational therapists experience challenges in implementing evidence-based practice, which may be best approached as a context-specific enterprise. Critical reflection on practice This practice analysis article reports the results of analyzing 24 home programs that occupational therapists issued to rehabilitation inpatients with stroke upon their discharge home. Home programs did not reflect a task-based approach to upper-limb recovery, even though this is supported by established evidence. Examination of contextual factors provides a framework to facilitate evidence implementation. Implications for practice Occupational therapists may optimize evidence-based practice implementation by first evaluating and addressing practice-specific contextual factors. Permalink : ./index.php?lvl=notice_display&id=80082

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A reflective case review: Relearning handwriting after a traumatic brain injury / Alison Titchener in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 290-293 Titre : A reflective case review: Relearning handwriting after a traumatic brain injury Type de document : texte imprimé Auteurs : Alison Titchener ; Carolyn Dunford ; Lorna Wales Année de publication : 2018 Article en page(s) : p. 290-293 Langues : Anglais (eng) Mots-clés : Handwriting  traumatic brain injury  children  neuro-rehabilitation Résumé : Statement of context A retrospective single case study reflecting on a child relearning handwriting following a traumatic brain injury as part of an inpatient neuro-rehabilitation programme. Applying evidence-based handwriting guidelines and comparisons with community experiences are explored. Critical reflection on practice Relearning to write following a traumatic brain injury showed dramatic improvements in 36 sessions over 12 weeks, supporting the evidence. Progress in this timeframe contrasts with clinical experiences of working with children’s community services. Implications for practice Whilst the literature on handwriting interventions does not include children with traumatic brain injury, following the recommendations was an effective intervention for this individual. Permalink : ./index.php?lvl=notice_display&id=80083 [article] A reflective case review: Relearning handwriting after a traumatic brain injury [texte imprimé] / Alison Titchener ; Carolyn Dunford ; Lorna Wales . - 2018 . - p. 290-293. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 290-293 Mots-clés : Handwriting  traumatic brain injury  children  neuro-rehabilitation Résumé : Statement of context A retrospective single case study reflecting on a child relearning handwriting following a traumatic brain injury as part of an inpatient neuro-rehabilitation programme. Applying evidence-based handwriting guidelines and comparisons with community experiences are explored. Critical reflection on practice Relearning to write following a traumatic brain injury showed dramatic improvements in 36 sessions over 12 weeks, supporting the evidence. Progress in this timeframe contrasts with clinical experiences of working with children’s community services. Implications for practice Whilst the literature on handwriting interventions does not include children with traumatic brain injury, following the recommendations was an effective intervention for this individual. Permalink : ./index.php?lvl=notice_display&id=80083

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