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Challenging traditions to advance occupational therapy / Christine Craik in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 297-298 Titre : Challenging traditions to advance occupational therapy Type de document : texte imprimé Auteurs : Christine Craik Année de publication : 2018 Article en page(s) : p. 297-298 Langues : Anglais (eng) Résumé : This issue marks the 80th anniversary of what was to become the British Journal of Occupational Therapy, first published in June 1938. To celebrate this, a BJOT 80th Anniversary Collection is available online (BJOT online collections). The collection includes past and present key articles, with a commentary to illustrate how the journal has developed from its beginnings as a membership journal largely concerned with announcements and practical information into a truly international journal publishing a wide range of peer-reviewed research and reviews. Permalink : ./index.php?lvl=notice_display&id=80148 [article] Challenging traditions to advance occupational therapy [texte imprimé] / Christine Craik . - 2018 . - p. 297-298. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 297-298 Résumé : This issue marks the 80th anniversary of what was to become the British Journal of Occupational Therapy, first published in June 1938. To celebrate this, a BJOT 80th Anniversary Collection is available online (BJOT online collections). The collection includes past and present key articles, with a commentary to illustrate how the journal has developed from its beginnings as a membership journal largely concerned with announcements and practical information into a truly international journal publishing a wide range of peer-reviewed research and reviews. Permalink : ./index.php?lvl=notice_display&id=80148

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An occupational perspective in hand therapy: A scoping review / Samantha Burley in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 299-318 Titre : An occupational perspective in hand therapy: A scoping review Type de document : texte imprimé Auteurs : Samantha Burley ; Amelia Di Tommaso ; Ruth Cox ; Matthew Molineux Année de publication : 2018 Article en page(s) : p. 299-318 Langues : Anglais (eng) Mots-clés : Hand therapy  occupational therapy  occupational perspective Résumé : Introduction There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists’ expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective. Permalink : ./index.php?lvl=notice_display&id=80150 [article] An occupational perspective in hand therapy: A scoping review [texte imprimé] / Samantha Burley ; Amelia Di Tommaso ; Ruth Cox ; Matthew Molineux . - 2018 . - p. 299-318. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 299-318 Mots-clés : Hand therapy  occupational therapy  occupational perspective Résumé : Introduction There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists’ expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective. Permalink : ./index.php?lvl=notice_display&id=80150

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Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement / Courtney Lightfoot in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 319-325 Titre : Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement Type de document : texte imprimé Auteurs : Courtney Lightfoot ; Khosrow Sehat ; Gary Drury ; Catherine Brewin ; Carol Coole ; Avril Drummond Année de publication : 2018 Article en page(s) : p. 319-325 Langues : Anglais (eng) Mots-clés : Total hip replacement  hip precautions  quality of life Résumé : Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations and concern that they impede activities of daily living. This study compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood, and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions. Method Phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs. Results Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data. Conclusion If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided. Permalink : ./index.php?lvl=notice_display&id=80151 [article] Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement [texte imprimé] / Courtney Lightfoot ; Khosrow Sehat ; Gary Drury ; Catherine Brewin ; Carol Coole ; Avril Drummond . - 2018 . - p. 319-325. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 319-325 Mots-clés : Total hip replacement  hip precautions  quality of life Résumé : Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations and concern that they impede activities of daily living. This study compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood, and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions. Method Phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs. Results Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data. Conclusion If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided. Permalink : ./index.php?lvl=notice_display&id=80151

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Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions / Dorothy E. Kessler in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 326-337 Titre : Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions Type de document : texte imprimé Auteurs : Dorothy E. Kessler ; Mary Y. Egan ; Claire-Jehanne Dubouloz ; Sara McEwen ; Fiona P. Graham Année de publication : 2018 Article en page(s) : p. 326-337 Langues : Anglais (eng) Mots-clés : Client-centred therapy  coaching  occupational therapy  psychological theory  social participation  stroke rehabilitation Résumé : Introduction Occupational performance coaching modified for stroke survivors is a promising new intervention to improve occupational performance post stroke. In the intervention, following client-centred occupational goal-setting, clients are led through strengths-based problem-solving and experimentation. Emotional support, individualized education and goal-focused problem-solving are hypothesized as key elements. Examination of clients’ experiences is necessary to better understand how occupational performance coaching modified for stroke survivors works, and improve its potential effectiveness. Method A descriptive qualitative study was embedded in a pilot randomized controlled trial. Semi-structured interviews were completed with seven participants in the treatment arm who received occupational performance coaching modified for stroke survivors. Qualitative content analysis was used for analysis. Findings Three categories were identified related to participants’ experiences of occupational performance coaching modified for stroke survivors: (a) the coaching was helpful; (b) the coaching provided opportunity for insightful reflection and (c) a different approach was preferred. Findings also lend support to the critical role of hypothesized key components and theorized mechanisms of action, and demonstrate the overarching role of the therapeutic relationship and the contribution of personal characteristics. Conclusion The revised theoretical understanding of occupational performance coaching modified for stroke survivors provides a valuable framework for communicating the actions that occupational therapists take in enabling occupation and emphasizes the role of the therapeutic relationship in client-centred approaches to improving occupational performance post stroke. Permalink : ./index.php?lvl=notice_display&id=80152 [article] Occupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions [texte imprimé] / Dorothy E. Kessler ; Mary Y. Egan ; Claire-Jehanne Dubouloz ; Sara McEwen ; Fiona P. Graham . - 2018 . - p. 326-337. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 326-337 Mots-clés : Client-centred therapy  coaching  occupational therapy  psychological theory  social participation  stroke rehabilitation Résumé : Introduction Occupational performance coaching modified for stroke survivors is a promising new intervention to improve occupational performance post stroke. In the intervention, following client-centred occupational goal-setting, clients are led through strengths-based problem-solving and experimentation. Emotional support, individualized education and goal-focused problem-solving are hypothesized as key elements. Examination of clients’ experiences is necessary to better understand how occupational performance coaching modified for stroke survivors works, and improve its potential effectiveness. Method A descriptive qualitative study was embedded in a pilot randomized controlled trial. Semi-structured interviews were completed with seven participants in the treatment arm who received occupational performance coaching modified for stroke survivors. Qualitative content analysis was used for analysis. Findings Three categories were identified related to participants’ experiences of occupational performance coaching modified for stroke survivors: (a) the coaching was helpful; (b) the coaching provided opportunity for insightful reflection and (c) a different approach was preferred. Findings also lend support to the critical role of hypothesized key components and theorized mechanisms of action, and demonstrate the overarching role of the therapeutic relationship and the contribution of personal characteristics. Conclusion The revised theoretical understanding of occupational performance coaching modified for stroke survivors provides a valuable framework for communicating the actions that occupational therapists take in enabling occupation and emphasizes the role of the therapeutic relationship in client-centred approaches to improving occupational performance post stroke. Permalink : ./index.php?lvl=notice_display&id=80152

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Implementation of individual placement and support (IPS) into community forensic mental health settings: Lessons learned / Emily Talbot in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 338-347 Titre : Implementation of individual placement and support (IPS) into community forensic mental health settings: Lessons learned Type de document : texte imprimé Auteurs : Emily Talbot ; Yvonne Bird ; Jo Russell ; Karan Sahota ; Justine Schneider ; Najat Khalifa Année de publication : 2018 Article en page(s) : p. 338-347 Langues : Anglais (eng) Mots-clés : Individual placement and support  implementation  employment  offenders  forensic mental health  reoffending Résumé : Introduction Assessment of the effectiveness of individual placement and support in forensic mental health settings is a relatively new field of research despite evidence demonstrating its effectiveness in generic mental health settings. Method IPS was implemented into a community forensic mental health setting within a large National Health Service trust in the United Kingdom over 6 months. Using the Consolidated Framework for Implementation Research this paper describes the lessons learned from implementing individual placement and support into such settings. Results Our findings suggest that implementation of individual placement and support in forensic mental health settings is complex and requires robust planning and collaboration with internal and external agencies. Barriers to implementation included staff attitudes, difficulty engaging employers and lack of employment related performance indicators, and facilitators included the support of service managers and outside groups. Adaptations to the IPS model were made to address challenges encountered, including difficulty starting rapid job searches, concerns about stigma, lack of confidence, uncertainty around employment opportunities, offence restrictions and lack of interest from potential employers. Conclusion This paper adds to the limited literature in the field. Findings are relevant to practitioners and service providers who wish to implement individual placement and support services for people with mental disorder and offending histories. Permalink : ./index.php?lvl=notice_display&id=80153 [article] Implementation of individual placement and support (IPS) into community forensic mental health settings: Lessons learned [texte imprimé] / Emily Talbot ; Yvonne Bird ; Jo Russell ; Karan Sahota ; Justine Schneider ; Najat Khalifa . - 2018 . - p. 338-347. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 338-347 Mots-clés : Individual placement and support  implementation  employment  offenders  forensic mental health  reoffending Résumé : Introduction Assessment of the effectiveness of individual placement and support in forensic mental health settings is a relatively new field of research despite evidence demonstrating its effectiveness in generic mental health settings. Method IPS was implemented into a community forensic mental health setting within a large National Health Service trust in the United Kingdom over 6 months. Using the Consolidated Framework for Implementation Research this paper describes the lessons learned from implementing individual placement and support into such settings. Results Our findings suggest that implementation of individual placement and support in forensic mental health settings is complex and requires robust planning and collaboration with internal and external agencies. Barriers to implementation included staff attitudes, difficulty engaging employers and lack of employment related performance indicators, and facilitators included the support of service managers and outside groups. Adaptations to the IPS model were made to address challenges encountered, including difficulty starting rapid job searches, concerns about stigma, lack of confidence, uncertainty around employment opportunities, offence restrictions and lack of interest from potential employers. Conclusion This paper adds to the limited literature in the field. Findings are relevant to practitioners and service providers who wish to implement individual placement and support services for people with mental disorder and offending histories. Permalink : ./index.php?lvl=notice_display&id=80153

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Understanding activity participation among individuals with Wolfram syndrome / Emily Bumpus in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 348-357 Titre : Understanding activity participation among individuals with Wolfram syndrome Type de document : texte imprimé Auteurs : Emily Bumpus ; Tamara Hershey ; Tasha Doty ; Samantha Ranck ; Meredith Gronski ; Fumihko Urano ; Erin R. Foster Année de publication : 2018 Article en page(s) : p. 348-357 Langues : Anglais (eng) Mots-clés : Wolfram syndrome  participation  occupational therapy  neurodegeneration  function Résumé : Introduction Wolfram syndrome is a rare genetic disease associated with a variety of progressive metabolic and neurologic impairments. Previous research has focused on Wolfram syndrome-related impairments and biomarkers for disease progression; however, information about how Wolfram syndrome impacts participation in daily activities is lacking. Method Wolfram syndrome (n = 45; 20 children, 25 adults) participants completed an online questionnaire about activity participation. Thirty-six non-Wolfram syndrome comparison participants (11 children; 25 adults) completed a portion of the questionnaire. Symptom data from a subset of Wolfram syndrome participants (n = 20) were also examined in relation to participation data. Results Wolfram syndrome children and adults had lower participation than non-Wolfram syndrome children and adults in almost all activity domains, and social and exercise-related activities were the most problematic. In the subset of Wolfram syndrome adults with symptom data, poorer vision, balance, gait, hearing, and overall symptom severity were related to lower participation. Conclusion Wolfram syndrome appears to negatively impact participation in a variety of activities, and this effect may increase as people age and/or Wolfram syndrome progresses. The most functionally pertinent Wolfram syndrome symptoms are those associated with neurodegeneration, especially vision loss and walking and balance problems. This study revealed symptoms and activity domains that are most relevant for people with Wolfram syndrome and, thus, can inform current practice and treatment development research. Permalink : ./index.php?lvl=notice_display&id=80154 [article] Understanding activity participation among individuals with Wolfram syndrome [texte imprimé] / Emily Bumpus ; Tamara Hershey ; Tasha Doty ; Samantha Ranck ; Meredith Gronski ; Fumihko Urano ; Erin R. Foster . - 2018 . - p. 348-357. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 348-357 Mots-clés : Wolfram syndrome  participation  occupational therapy  neurodegeneration  function Résumé : Introduction Wolfram syndrome is a rare genetic disease associated with a variety of progressive metabolic and neurologic impairments. Previous research has focused on Wolfram syndrome-related impairments and biomarkers for disease progression; however, information about how Wolfram syndrome impacts participation in daily activities is lacking. Method Wolfram syndrome (n = 45; 20 children, 25 adults) participants completed an online questionnaire about activity participation. Thirty-six non-Wolfram syndrome comparison participants (11 children; 25 adults) completed a portion of the questionnaire. Symptom data from a subset of Wolfram syndrome participants (n = 20) were also examined in relation to participation data. Results Wolfram syndrome children and adults had lower participation than non-Wolfram syndrome children and adults in almost all activity domains, and social and exercise-related activities were the most problematic. In the subset of Wolfram syndrome adults with symptom data, poorer vision, balance, gait, hearing, and overall symptom severity were related to lower participation. Conclusion Wolfram syndrome appears to negatively impact participation in a variety of activities, and this effect may increase as people age and/or Wolfram syndrome progresses. The most functionally pertinent Wolfram syndrome symptoms are those associated with neurodegeneration, especially vision loss and walking and balance problems. This study revealed symptoms and activity domains that are most relevant for people with Wolfram syndrome and, thus, can inform current practice and treatment development research. Permalink : ./index.php?lvl=notice_display&id=80154

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Occupational therapists and paramedics form a mutually beneficial alliance to reduce the pressure on hospitals: A practice analysis / Jenny Preston in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 358-362 Titre : Occupational therapists and paramedics form a mutually beneficial alliance to reduce the pressure on hospitals: A practice analysis Type de document : texte imprimé Auteurs : Jenny Preston ; Martin Galloway ; Rebekah Wilson ; Lyndsey McNamee ; Yvonne Deans ; Grier McGhee Année de publication : 2018 Article en page(s) : p. 358-362 Langues : Anglais (eng) Mots-clés : Emergency care  clinical reasoning  emergency services Résumé : Statement of context Despite the emergence of collaborative models of practice between occupational therapists and paramedics, there is a lack of evidence examining the similarities and differences between the two healthcare professions including seemingly divergent models of clinical reasoning. Critical reflection on practice Occupational therapists, paramedics and partner agencies developed a structured learning programme which facilitated a positive approach to exploring clinical reasoning through shared clinical experiences. This led to the creation of a flexible care pathway with the aim of reducing unnecessary admission to hospital. Implications for practice Understanding models of clinical reasoning can facilitate the cultural shift between healthcare professions with the potential to reduce pressure on hospitals. Permalink : ./index.php?lvl=notice_display&id=107562 [article] Occupational therapists and paramedics form a mutually beneficial alliance to reduce the pressure on hospitals: A practice analysis [texte imprimé] / Jenny Preston ; Martin Galloway ; Rebekah Wilson ; Lyndsey McNamee ; Yvonne Deans ; Grier McGhee . - 2018 . - p. 358-362. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 358-362 Mots-clés : Emergency care  clinical reasoning  emergency services Résumé : Statement of context Despite the emergence of collaborative models of practice between occupational therapists and paramedics, there is a lack of evidence examining the similarities and differences between the two healthcare professions including seemingly divergent models of clinical reasoning. Critical reflection on practice Occupational therapists, paramedics and partner agencies developed a structured learning programme which facilitated a positive approach to exploring clinical reasoning through shared clinical experiences. This led to the creation of a flexible care pathway with the aim of reducing unnecessary admission to hospital. Implications for practice Understanding models of clinical reasoning can facilitate the cultural shift between healthcare professions with the potential to reduce pressure on hospitals. Permalink : ./index.php?lvl=notice_display&id=107562

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