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Reliability and validity of the Assessment of Client's Enablement (ACE) / Tatsunori Sawada in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 369-375 Titre : Reliability and validity of the Assessment of Client's Enablement (ACE) Type de document : texte imprimé Auteurs : Tatsunori Sawada ; Taeko Kitahashi ; Ayami Kose ; Samantha Ashby ; Yu Karamatsu ; Kanta Ohno ; Masahiro Ogawa ; Kounosuke Tomori Année de publication : 2018 Article en page(s) : p. 369-375 Langues : Anglais (eng) Mots-clés : Client-centred practice  occupational performance  perception gap Résumé : Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings. Permalink : ./index.php?lvl=notice_display&id=80157 [article] Reliability and validity of the Assessment of Client's Enablement (ACE) [texte imprimé] / Tatsunori Sawada ; Taeko Kitahashi ; Ayami Kose ; Samantha Ashby ; Yu Karamatsu ; Kanta Ohno ; Masahiro Ogawa ; Kounosuke Tomori . - 2018 . - p. 369-375. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 369-375 Mots-clés : Client-centred practice  occupational performance  perception gap Résumé : Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings. Permalink : ./index.php?lvl=notice_display&id=80157

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Driving after an injury or disease affecting the brain: an analysis of clinical data / Kersti Samuelsson in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 376-383 Titre : Driving after an injury or disease affecting the brain: an analysis of clinical data Type de document : texte imprimé Auteurs : Kersti Samuelsson ; Ingalill Modig-Arding ; Ewa Wressle Année de publication : 2018 Article en page(s) : p. 376-383 Langues : Anglais (eng) Mots-clés : Acquired brain injury  cognition  dementia Résumé : Introduction Traffic safety may be affected if a licence holder has experienced illness or injury that may have an impact on cognition. Occupational therapists are involved in assessing cognitive functions that might affect a patient’s ability to drive a car using different evaluation tools in different countries and settings. The aim of this study was to look at the predictive value of some of the assessment tools available to occupational therapists for making judgements about resuming driving after cognitive impairment due to brain trauma or disease. Method A retrospective study based on clinical data from 204 patients referred to a specialist department for recommendations on ability to drive after brain injury or disease. All patients underwent three assessments: stroke drivers screening assessment, useful field of view and simulated driving skill. In addition, an on-road assessment was added in 76% of the sample. Results Useful field of view had the highest sensitivity (78%) and, combined with the results from the simulator, the sensitivity was 87%. The specificity for the two methods was 55%. Conclusion The results from useful field of view and a simulator test combined best predicted the final recommendation from the multi-professional team discussion on which clients should be recommended not to resume driving. Permalink : ./index.php?lvl=notice_display&id=80158 [article] Driving after an injury or disease affecting the brain: an analysis of clinical data [texte imprimé] / Kersti Samuelsson ; Ingalill Modig-Arding ; Ewa Wressle . - 2018 . - p. 376-383. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 376-383 Mots-clés : Acquired brain injury  cognition  dementia Résumé : Introduction Traffic safety may be affected if a licence holder has experienced illness or injury that may have an impact on cognition. Occupational therapists are involved in assessing cognitive functions that might affect a patient’s ability to drive a car using different evaluation tools in different countries and settings. The aim of this study was to look at the predictive value of some of the assessment tools available to occupational therapists for making judgements about resuming driving after cognitive impairment due to brain trauma or disease. Method A retrospective study based on clinical data from 204 patients referred to a specialist department for recommendations on ability to drive after brain injury or disease. All patients underwent three assessments: stroke drivers screening assessment, useful field of view and simulated driving skill. In addition, an on-road assessment was added in 76% of the sample. Results Useful field of view had the highest sensitivity (78%) and, combined with the results from the simulator, the sensitivity was 87%. The specificity for the two methods was 55%. Conclusion The results from useful field of view and a simulator test combined best predicted the final recommendation from the multi-professional team discussion on which clients should be recommended not to resume driving. Permalink : ./index.php?lvl=notice_display&id=80158

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Dual-task cost in people with multiple sclerosis: A case–control study / Jolien Lemmens in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 384-392 Titre : Dual-task cost in people with multiple sclerosis: A case–control study Type de document : texte imprimé Auteurs : Jolien Lemmens ; Sofie Ferdinand ; Annick Vandenbroucke ; Stephan Ilsbroukx ; Daphne Kos Année de publication : 2018 Article en page(s) : p. 384-392 Langues : Anglais (eng) Mots-clés : Dual-task cost  task performance  multiple sclerosis  nine-hole peg test  months backwards test Résumé : Introduction Limitations in fine motor functioning and cognitive performance are frequently reported in multiple sclerosis. Studies about dual-task costs in multiple sclerosis generally explore walking and postural performance. This study aims at exploring dual-task costs when simultaneously performing fine motor and cognitive tasks. Method Eighty people with multiple sclerosis and 80 matched controls performed the nine-hole peg test and the months backward test under single and dual-task conditions. Differences in performance over time were analysed with the paired t-test; differences in dual-task costs between groups were analysed with independent t-tests. Results People with multiple sclerosis and controls showed a significant decrease in fine motor and cognitive performance in dual-task conditions compared to single-task conditions (P < 0.01). People with multiple sclerosis with limited hand capacity showed larger dual-task costs for cognitive performance compared to other hand capacity groups (P < 0.05). Individuals with multiple sclerosis with lower cognitive capacity showed larger dual-task costs for fine motor performance (P < 0.01). Conclusion Both people with multiple sclerosis and controls experience dual-task costs. People with multiple sclerosis with limited hand function showed an increased dual-task cost of cognitive performance and individuals with limited cognitive capacity showed a higher dual-task cost for fine motor performance. Therefore, occupational therapists should focus on cognitive or fine motor aspects during dual-task training dependent on individuals' capacities. Permalink : ./index.php?lvl=notice_display&id=80159 [article] Dual-task cost in people with multiple sclerosis: A case–control study [texte imprimé] / Jolien Lemmens ; Sofie Ferdinand ; Annick Vandenbroucke ; Stephan Ilsbroukx ; Daphne Kos . - 2018 . - p. 384-392. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 384-392 Mots-clés : Dual-task cost  task performance  multiple sclerosis  nine-hole peg test  months backwards test Résumé : Introduction Limitations in fine motor functioning and cognitive performance are frequently reported in multiple sclerosis. Studies about dual-task costs in multiple sclerosis generally explore walking and postural performance. This study aims at exploring dual-task costs when simultaneously performing fine motor and cognitive tasks. Method Eighty people with multiple sclerosis and 80 matched controls performed the nine-hole peg test and the months backward test under single and dual-task conditions. Differences in performance over time were analysed with the paired t-test; differences in dual-task costs between groups were analysed with independent t-tests. Results People with multiple sclerosis and controls showed a significant decrease in fine motor and cognitive performance in dual-task conditions compared to single-task conditions (P < 0.01). People with multiple sclerosis with limited hand capacity showed larger dual-task costs for cognitive performance compared to other hand capacity groups (P < 0.05). Individuals with multiple sclerosis with lower cognitive capacity showed larger dual-task costs for fine motor performance (P < 0.01). Conclusion Both people with multiple sclerosis and controls experience dual-task costs. People with multiple sclerosis with limited hand function showed an increased dual-task cost of cognitive performance and individuals with limited cognitive capacity showed a higher dual-task cost for fine motor performance. Therefore, occupational therapists should focus on cognitive or fine motor aspects during dual-task training dependent on individuals' capacities. Permalink : ./index.php?lvl=notice_display&id=80159

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Examination of psychometric properties of PROMIS®: Pediatric upper limb measures in youth with cerebral palsy / Mary Jane Mulcahey in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 393-401 Titre : Examination of psychometric properties of PROMIS®: Pediatric upper limb measures in youth with cerebral palsy Type de document : texte imprimé Auteurs : Mary Jane Mulcahey ; Mary D. Slavin ; Ni Pengsheng ; Anna Kratz ; Pamela A. Kisala ; David S. Tulsky ; Alan M. Jette Année de publication : 2018 Article en page(s) : p. 393-401 Langues : Anglais (eng) Mots-clés : Cerebral palsy  patient-reported outcome measures  computerized adaptive testing Résumé : Introduction This study examines the validity and distribution characteristics of the PROMIS® pediatric upper limb measures in a sample of young people with cerebral palsy. Method Data are a cross-sectional subset of a larger prospective study of the responsiveness to change of PROMIS® pediatric measures following surgery to improve functioning in young people with cerebral palsy. Ninety-three participants between the ages of eight and 21 years completed the PROMIS® pediatric mobility and upper limb computer adaptive tests and short forms in conjunction with a set of static “legacy” measures of physical functioning, including a parent-report of upper limb function. Results The PROMIS® Pediatric upper limb short form demonstrated acceptable internal consistency (Cronbach’s alpha = 0.85). PROMIS® pediatric upper limb computer adaptive tests and short form mean values (42.1(11) and 43(10.4), respectively) were nearly 1 SD below normal, which is appropriate when a generic measure is used in a sample of young persons with cerebral palsy. The PROMIS® pediatric upper limb computer adaptive tests had a higher frequency of ceiling effects (29.50%) compared to the short form (18.30%). Conclusion Results of this study suggest that the PROMIS® pediatric upper limb computer adaptive tests and the short form are valid indicators of upper limb function in young people with cerebral palsy. The item bank can be replenished to address ceiling effects. Permalink : ./index.php?lvl=notice_display&id=80160 [article] Examination of psychometric properties of PROMIS®: Pediatric upper limb measures in youth with cerebral palsy [texte imprimé] / Mary Jane Mulcahey ; Mary D. Slavin ; Ni Pengsheng ; Anna Kratz ; Pamela A. Kisala ; David S. Tulsky ; Alan M. Jette . - 2018 . - p. 393-401. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 393-401 Mots-clés : Cerebral palsy  patient-reported outcome measures  computerized adaptive testing Résumé : Introduction This study examines the validity and distribution characteristics of the PROMIS® pediatric upper limb measures in a sample of young people with cerebral palsy. Method Data are a cross-sectional subset of a larger prospective study of the responsiveness to change of PROMIS® pediatric measures following surgery to improve functioning in young people with cerebral palsy. Ninety-three participants between the ages of eight and 21 years completed the PROMIS® pediatric mobility and upper limb computer adaptive tests and short forms in conjunction with a set of static “legacy” measures of physical functioning, including a parent-report of upper limb function. Results The PROMIS® Pediatric upper limb short form demonstrated acceptable internal consistency (Cronbach’s alpha = 0.85). PROMIS® pediatric upper limb computer adaptive tests and short form mean values (42.1(11) and 43(10.4), respectively) were nearly 1 SD below normal, which is appropriate when a generic measure is used in a sample of young persons with cerebral palsy. The PROMIS® pediatric upper limb computer adaptive tests had a higher frequency of ceiling effects (29.50%) compared to the short form (18.30%). Conclusion Results of this study suggest that the PROMIS® pediatric upper limb computer adaptive tests and the short form are valid indicators of upper limb function in young people with cerebral palsy. The item bank can be replenished to address ceiling effects. Permalink : ./index.php?lvl=notice_display&id=80160

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Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer / Sharon Keesing in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 402-412 Titre : Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer Type de document : texte imprimé Auteurs : Sharon Keesing ; Lorna Rosenwax ; Beverley McNamara Année de publication : 2018 Article en page(s) : p. 402-412 Langues : Anglais (eng) Mots-clés : Breast cancer  survivorship  partners Résumé : Introduction Little is known about how occupational therapy could assist women survivors of breast cancer and their partners who experience activity and role limitations during survivorship. This study sought to obtain views and consensus among occupational therapists regarding their potential role and the barriers and enablers to this potential service. Method We used a three-round classical Delphi process to determine the views of occupational therapists (n = 40), and sought consensus (70%) for 49 statements concerning barriers and enablers affecting occupational therapy service provision during survivorship. Thematic analysis was used to determine themes and descriptive statistics to determine consensus level and median for statements. Findings Forty-six statements showed consensus. Themes identified were: (a) women and partners experience unmet needs; (b) gaps exist regarding supportive care; (c) access to comprehensive survivorship support is required; (d) barriers to occupational therapy exist; and (e) occupational therapists offer many supports to improve activity and role engagement for women and partners. Conclusion Occupational therapy is well-positioned to affect improvements in occupational engagement and role participation for women survivors of breast cancer and their partners. However, many barriers are identified. Occupational therapists must advocate the value of occupational therapy during survivorship to facilitate women’s engagement in meaningful activities and roles. Permalink : ./index.php?lvl=notice_display&id=80161 [article] Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer [texte imprimé] / Sharon Keesing ; Lorna Rosenwax ; Beverley McNamara . - 2018 . - p. 402-412. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 402-412 Mots-clés : Breast cancer  survivorship  partners Résumé : Introduction Little is known about how occupational therapy could assist women survivors of breast cancer and their partners who experience activity and role limitations during survivorship. This study sought to obtain views and consensus among occupational therapists regarding their potential role and the barriers and enablers to this potential service. Method We used a three-round classical Delphi process to determine the views of occupational therapists (n = 40), and sought consensus (70%) for 49 statements concerning barriers and enablers affecting occupational therapy service provision during survivorship. Thematic analysis was used to determine themes and descriptive statistics to determine consensus level and median for statements. Findings Forty-six statements showed consensus. Themes identified were: (a) women and partners experience unmet needs; (b) gaps exist regarding supportive care; (c) access to comprehensive survivorship support is required; (d) barriers to occupational therapy exist; and (e) occupational therapists offer many supports to improve activity and role engagement for women and partners. Conclusion Occupational therapy is well-positioned to affect improvements in occupational engagement and role participation for women survivors of breast cancer and their partners. However, many barriers are identified. Occupational therapists must advocate the value of occupational therapy during survivorship to facilitate women’s engagement in meaningful activities and roles. Permalink : ./index.php?lvl=notice_display&id=80161

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Changes in the emotional intelligence of occupational therapy students during practice education: A longitudinal study / Nigel Gribble in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 413-422 Titre : Changes in the emotional intelligence of occupational therapy students during practice education: A longitudinal study Type de document : texte imprimé Auteurs : Nigel Gribble ; Richard K. Ladyshewsky ; Richard Parsons Année de publication : 2018 Article en page(s) : p. 413-422 Langues : Anglais (eng) Mots-clés : Occupational therapy  emotional intelligence  practice education  university students Résumé : Introduction Emotional intelligence competencies assist occupational therapists in responding in a manner that enables them to be effective healthcare practitioners. Method This longitudinal study tracked the emotional intelligence of occupational therapy and business students using the Emotional Quotient Inventory 2.0 at three time-points over the final 16 months of their university programme. Results Undergraduate occupational therapy students (n = 139 at time-point 1; n = 52 at time-point 3) completed a mean of 117 days of practice education. Before occupational therapy students commenced placements, emotional intelligence scores were significantly lower than population norms in self-regard, self-expression, assertiveness, independence, problem-solving, stress management, stress tolerance and flexibility. By the end of their programme, students reported significant increases in the emotional intelligence realms of total emotional intelligence score, self-perception, decision-making, self-actualisation, emotional self-awareness, independence and reality testing. However, assertiveness, problem-solving and stress tolerance remained relatively low, and other emotional intelligence domains remained below the population norms. The business students who did zero practice placements showed no increase in any emotional intelligence domains over the same period. Conclusion Emotional intelligence skills are malleable and can improve during practice placements. Supervisors and employers should encourage students and new graduates to practice their emotional intelligence skills under supervision and then provide feedback, so they are better prepared for the emotional demands of healthcare workplaces. Permalink : ./index.php?lvl=notice_display&id=80162 [article] Changes in the emotional intelligence of occupational therapy students during practice education: A longitudinal study [texte imprimé] / Nigel Gribble ; Richard K. Ladyshewsky ; Richard Parsons . - 2018 . - p. 413-422. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 413-422 Mots-clés : Occupational therapy  emotional intelligence  practice education  university students Résumé : Introduction Emotional intelligence competencies assist occupational therapists in responding in a manner that enables them to be effective healthcare practitioners. Method This longitudinal study tracked the emotional intelligence of occupational therapy and business students using the Emotional Quotient Inventory 2.0 at three time-points over the final 16 months of their university programme. Results Undergraduate occupational therapy students (n = 139 at time-point 1; n = 52 at time-point 3) completed a mean of 117 days of practice education. Before occupational therapy students commenced placements, emotional intelligence scores were significantly lower than population norms in self-regard, self-expression, assertiveness, independence, problem-solving, stress management, stress tolerance and flexibility. By the end of their programme, students reported significant increases in the emotional intelligence realms of total emotional intelligence score, self-perception, decision-making, self-actualisation, emotional self-awareness, independence and reality testing. However, assertiveness, problem-solving and stress tolerance remained relatively low, and other emotional intelligence domains remained below the population norms. The business students who did zero practice placements showed no increase in any emotional intelligence domains over the same period. Conclusion Emotional intelligence skills are malleable and can improve during practice placements. Supervisors and employers should encourage students and new graduates to practice their emotional intelligence skills under supervision and then provide feedback, so they are better prepared for the emotional demands of healthcare workplaces. Permalink : ./index.php?lvl=notice_display&id=80162

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Occupation-based practice: A new momentum in Japan / Hiromi Nakamura-Thomas in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 367-368 Titre : Occupation-based practice: A new momentum in Japan Type de document : texte imprimé Auteurs : Hiromi Nakamura-Thomas Année de publication : 2018 Article en page(s) : p. 367-368 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=107563 [article] Occupation-based practice: A new momentum in Japan [texte imprimé] / Hiromi Nakamura-Thomas . - 2018 . - p. 367-368. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 367-368 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=107563

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