Dépouillements

Development of an Item Pool Reflecting Cognitive Concerns Expressed by People With HIV. / Sorayya Askari in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-9 Titre : Development of an Item Pool Reflecting Cognitive Concerns Expressed by People With HIV. Type de document : texte imprimé Auteurs : Sorayya Askari, Auteur ; Lesley Fellows, Auteur ; Marie-Josée Brouillette, Auteur Année de publication : 2018 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Séropositivité VIH  Infections à VIH  cognition  Évaluation des symptômes Résumé : OBJECTIVE. The overall aim of this study is to create an item pool reflecting the cognitive concerns expressed by people with HIV as a first step toward developing such a measure. METHOD. Semiqualitative interviews with 292 people with HIV were carried out. Their concerns were mapped to neurocognitive domains to identify concern content areas and were compared with existing cognitive questionnaires. A questionnaire was developed to estimate the prevalence and importance of the items. RESULTS. Sixty of 125 items were retained in the questionnaire based on ratings of their prevalence, importance, and clarity. Memory and behavioral and emotional concerns were the most common content areas (15 each); other domains were attention (7), executive function (6), language (5), and cognitive change (12). CONCLUSION. People living with HIV experience difficulties in all domains of cognition. By recognizing all domains, this new measure can help clinicians better understand areas of perceived cognitive difficulty and plan interventions accordingly. Permalink : ./index.php?lvl=notice_display&id=60744 [article] Development of an Item Pool Reflecting Cognitive Concerns Expressed by People With HIV. [texte imprimé] / Sorayya Askari, Auteur ; Lesley Fellows, Auteur ; Marie-Josée Brouillette, Auteur . - 2018 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-9 Mots-clés : Séropositivité VIH  Infections à VIH  cognition  Évaluation des symptômes Résumé : OBJECTIVE. The overall aim of this study is to create an item pool reflecting the cognitive concerns expressed by people with HIV as a first step toward developing such a measure. METHOD. Semiqualitative interviews with 292 people with HIV were carried out. Their concerns were mapped to neurocognitive domains to identify concern content areas and were compared with existing cognitive questionnaires. A questionnaire was developed to estimate the prevalence and importance of the items. RESULTS. Sixty of 125 items were retained in the questionnaire based on ratings of their prevalence, importance, and clarity. Memory and behavioral and emotional concerns were the most common content areas (15 each); other domains were attention (7), executive function (6), language (5), and cognitive change (12). CONCLUSION. People living with HIV experience difficulties in all domains of cognition. By recognizing all domains, this new measure can help clinicians better understand areas of perceived cognitive difficulty and plan interventions accordingly. Permalink : ./index.php?lvl=notice_display&id=60744

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Development of Internet-Based Tasks for the Executive Function Performance Test. / Debbie Rand in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-7 Titre : Development of Internet-Based Tasks for the Executive Function Performance Test. Type de document : texte imprimé Auteurs : Debbie Rand, Auteur ; Keren Lee Ben-Haim, Auteur ; Rachel Malka, Auteur Année de publication : 2018 Article en page(s) : pp.1-7 Langues : Américain (ame) Mots-clés : Fonction exécutive  Trouble déficitaire de l'attention avec hyperactivité  Accident vasculaire cérébral  Étude comparative  Activités de la vie quotidienne  Facteurs de l'âge Résumé : OBJECTIVE. The Executive Function Performance Test (EFPT) is a reliable and valid performance-based tool to assess executive functions (EFs). This study's objective was to develop and verify two Internet-based tasks for the EFPT. METHOD. A cross-sectional study assessed the alternate-form reliability of the Internet-based bill-paying and telephone-use tasks in healthy adults and people with subacute stroke (Study 1). It also sought to establish the tasks' criterion reliability for assessing EF deficits by correlating performance with that on the Trail Making Test in five groups: healthy young adults, healthy older adults, people with subacute stroke, people with chronic stroke, and young adults with attention deficit hyperactivity disorder (Study 2). RESULTS. The alternative-form reliability and initial construct validity for the Internet-based bill-paying task were verified. Criterion validity was established for both tasks. CONCLUSION. The Internet-based tasks are comparable to the original EFPT tasks and can be used for assessment of EF deficits. Permalink : ./index.php?lvl=notice_display&id=60745 [article] Development of Internet-Based Tasks for the Executive Function Performance Test. [texte imprimé] / Debbie Rand, Auteur ; Keren Lee Ben-Haim, Auteur ; Rachel Malka, Auteur . - 2018 . - pp.1-7. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-7 Mots-clés : Fonction exécutive  Trouble déficitaire de l'attention avec hyperactivité  Accident vasculaire cérébral  Étude comparative  Activités de la vie quotidienne  Facteurs de l'âge Résumé : OBJECTIVE. The Executive Function Performance Test (EFPT) is a reliable and valid performance-based tool to assess executive functions (EFs). This study's objective was to develop and verify two Internet-based tasks for the EFPT. METHOD. A cross-sectional study assessed the alternate-form reliability of the Internet-based bill-paying and telephone-use tasks in healthy adults and people with subacute stroke (Study 1). It also sought to establish the tasks' criterion reliability for assessing EF deficits by correlating performance with that on the Trail Making Test in five groups: healthy young adults, healthy older adults, people with subacute stroke, people with chronic stroke, and young adults with attention deficit hyperactivity disorder (Study 2). RESULTS. The alternative-form reliability and initial construct validity for the Internet-based bill-paying task were verified. Criterion validity was established for both tasks. CONCLUSION. The Internet-based tasks are comparable to the original EFPT tasks and can be used for assessment of EF deficits. Permalink : ./index.php?lvl=notice_display&id=60745

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Effectiveness of the Co-PID for Students With Moderate Intellectual Disability. / Efrat Selanikyo in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-10 Titre : Effectiveness of the Co-PID for Students With Moderate Intellectual Disability. Type de document : texte imprimé Auteurs : Efrat Selanikyo, Auteur ; Naomi Weintraub, Auteur ; Shira Yalon-Chamovitz, Auteur Année de publication : 2018 Article en page(s) : pp.1-10 Langues : Américain (ame) Mots-clés : Déficience intellectuelle  Personnes handicapées  Étudiants  Enseignement Résumé : OBJECTIVE. We aimed to corroborate the effectiveness of the Collaborative Consultation for Participation of Students With Intellectual Disability (Co-PID), intended for enhancing participation in classroom-related activities. METHOD. The study took place in two special education schools and included students with moderate intellectual and developmental disabilities ages 7-20 yr. The schools were randomly assigned to intervention (Co-PID; n = 28 students, n = 4 teachers) and control (In-Service [IS]; n = 32 students, n = 7 teachers) groups. Participation was evaluated at pre- and posttest of an 8-mo intervention. RESULTS. The Co-PID improved students' ability to choose among provided options. Additionally, the Co-PID group achieved more goals (measured by goal attainment scaling) than the IS group in all participation areas, and their enhanced participation transferred to other school environments (as measured by the School Function Assessment). CONCLUSION. The Co-PID was found to be an effective program for enhancing classroom and school participation. Permalink : ./index.php?lvl=notice_display&id=60746 [article] Effectiveness of the Co-PID for Students With Moderate Intellectual Disability. [texte imprimé] / Efrat Selanikyo, Auteur ; Naomi Weintraub, Auteur ; Shira Yalon-Chamovitz, Auteur . - 2018 . - pp.1-10. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-10 Mots-clés : Déficience intellectuelle  Personnes handicapées  Étudiants  Enseignement Résumé : OBJECTIVE. We aimed to corroborate the effectiveness of the Collaborative Consultation for Participation of Students With Intellectual Disability (Co-PID), intended for enhancing participation in classroom-related activities. METHOD. The study took place in two special education schools and included students with moderate intellectual and developmental disabilities ages 7-20 yr. The schools were randomly assigned to intervention (Co-PID; n = 28 students, n = 4 teachers) and control (In-Service [IS]; n = 32 students, n = 7 teachers) groups. Participation was evaluated at pre- and posttest of an 8-mo intervention. RESULTS. The Co-PID improved students' ability to choose among provided options. Additionally, the Co-PID group achieved more goals (measured by goal attainment scaling) than the IS group in all participation areas, and their enhanced participation transferred to other school environments (as measured by the School Function Assessment). CONCLUSION. The Co-PID was found to be an effective program for enhancing classroom and school participation. Permalink : ./index.php?lvl=notice_display&id=60746

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Feasibility of a Manualized Occupation-Based Diabetes Management Intervention. / Kristine M. Carandang in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Titre : Feasibility of a Manualized Occupation-Based Diabetes Management Intervention. Type de document : texte imprimé Auteurs : Kristine M. Carandang, Auteur ; Elizabeth PYATAK, Auteur Année de publication : 2018 Article en page(s) : pp.1-6 Langues : Américain (ame) Mots-clés : Diabète de type 1  Diabète de type 2  Prise en charge de la maladie  ergothérapie Résumé : OBJECTIVE. We investigated the feasibility and acceptability of an occupational therapy intervention targeting diabetes management for underserved young adults. METHOD. Eight participants completed the intervention and a battery of assessments at baseline and after the intervention. At completion, the participants and occupational therapist were interviewed about their experiences with the study. Four categories of assessment questions were used to guide the study: process, resource, management, and scientific. RESULTS. Successes included recruitment; fulfillment of tasks by staff and partnering clinics; adequate space, financial support, and equipment; and meaningfulness of the intervention for participants. Challenges included scheduling participants for the intervention and follow-up focus groups and providing client centeredness and flexibility while reducing burden on the intervener. CONCLUSION. This feasibility study allowed us to make necessary revisions to our study protocol before implementing a larger pilot study. Permalink : ./index.php?lvl=notice_display&id=60747 [article] Feasibility of a Manualized Occupation-Based Diabetes Management Intervention. [texte imprimé] / Kristine M. Carandang, Auteur ; Elizabeth PYATAK, Auteur . - 2018 . - pp.1-6. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Mots-clés : Diabète de type 1  Diabète de type 2  Prise en charge de la maladie  ergothérapie Résumé : OBJECTIVE. We investigated the feasibility and acceptability of an occupational therapy intervention targeting diabetes management for underserved young adults. METHOD. Eight participants completed the intervention and a battery of assessments at baseline and after the intervention. At completion, the participants and occupational therapist were interviewed about their experiences with the study. Four categories of assessment questions were used to guide the study: process, resource, management, and scientific. RESULTS. Successes included recruitment; fulfillment of tasks by staff and partnering clinics; adequate space, financial support, and equipment; and meaningfulness of the intervention for participants. Challenges included scheduling participants for the intervention and follow-up focus groups and providing client centeredness and flexibility while reducing burden on the intervener. CONCLUSION. This feasibility study allowed us to make necessary revisions to our study protocol before implementing a larger pilot study. Permalink : ./index.php?lvl=notice_display&id=60747

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Goal Attainment and Goal Adjustment of Older Adults During Person-Directed Cancer Rehabilitation. / Kathleen Doyle Lyons in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Titre : Goal Attainment and Goal Adjustment of Older Adults During Person-Directed Cancer Rehabilitation. Type de document : texte imprimé Auteurs : Kathleen Doyle Lyons, Auteur ; Robin M. Newman, Auteur ; Peter A. Kaufman, Auteur Année de publication : 2018 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : cancer  qualité de vie  ergothérapie  Environnement Résumé : OBJECTIVE. In this pilot study of a home-based occupational therapy intervention intended to reduce disability and improve quality of life, our objective was to identify rates of goal attainment and patterns of goal adjustment of participants. METHOD. Thirty older adults with cancer were randomized to the intervention arm, and 24 participants identified goals and completed the six-session intervention. An exploratory content analysis of qualitative and quantitative session data was performed. RESULTS. Participants set 63 6-wk goals and attained 62% of them. Most of the goals addressed walking (28%), sedentary leisure (24%), exercising (16%), or instrumental activities of daily living (14%). When 6-wk goals were not attained (n = 24), there were 10 instances of goal disengagement and 14 instances of goal reengagement. CONCLUSION. Although most participants were able to meet their goals, many also changed their goals and priorities after reflection and attempts to resume or initiate meaningful activities. Permalink : ./index.php?lvl=notice_display&id=60748 [article] Goal Attainment and Goal Adjustment of Older Adults During Person-Directed Cancer Rehabilitation. [texte imprimé] / Kathleen Doyle Lyons, Auteur ; Robin M. Newman, Auteur ; Peter A. Kaufman, Auteur . - 2018 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Mots-clés : cancer  qualité de vie  ergothérapie  Environnement Résumé : OBJECTIVE. In this pilot study of a home-based occupational therapy intervention intended to reduce disability and improve quality of life, our objective was to identify rates of goal attainment and patterns of goal adjustment of participants. METHOD. Thirty older adults with cancer were randomized to the intervention arm, and 24 participants identified goals and completed the six-session intervention. An exploratory content analysis of qualitative and quantitative session data was performed. RESULTS. Participants set 63 6-wk goals and attained 62% of them. Most of the goals addressed walking (28%), sedentary leisure (24%), exercising (16%), or instrumental activities of daily living (14%). When 6-wk goals were not attained (n = 24), there were 10 instances of goal disengagement and 14 instances of goal reengagement. CONCLUSION. Although most participants were able to meet their goals, many also changed their goals and priorities after reflection and attempts to resume or initiate meaningful activities. Permalink : ./index.php?lvl=notice_display&id=60748

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Impact of an Activity-Based Program on Health, Quality of Life, and Occupational Performance of Women Diagnosed With Cancer. / Colleen Maher in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Titre : Impact of an Activity-Based Program on Health, Quality of Life, and Occupational Performance of Women Diagnosed With Cancer. Type de document : texte imprimé Auteurs : Colleen Maher, Auteur ; Rochelle J. Mendonca, Auteur Année de publication : 2018 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : cancer  qualité de vie  ergothérapie  activité physique  Psychologie Résumé : OBJECTIVE. We evaluated the impact of a 1-wk activity program on the health, quality of life (QOL), and occupational performance of community-living women diagnosed with cancer. METHOD. A one-group pretest-posttest repeated-measures design was used. Participants completed a functional health measure (36-Item Short Form Health Survey [SF-36]), a QOL measure (World Health Organization Quality of Life-Brief version [WHOQOL-BREF]), and an occupational performance and satisfaction measure (Canadian Occupational Performance Measure [COPM]) before and 6 wk after program completion. The COPM was also administered on Day 5. RESULTS. Paired t tests for the SF-36 and WHOQOL-BREF showed no significant differences, except for the WHOQOL-BREF's Social Relationships subscale (p < .008). Repeated-measures analyses of variance showed a significant difference in COPM performance and satisfaction scores (p < .001). CONCLUSION. The activity program effectively improved occupational performance and satisfaction and social relationships of community-living women diagnosed with cancer. Permalink : ./index.php?lvl=notice_display&id=60749 [article] Impact of an Activity-Based Program on Health, Quality of Life, and Occupational Performance of Women Diagnosed With Cancer. [texte imprimé] / Colleen Maher, Auteur ; Rochelle J. Mendonca, Auteur . - 2018 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Mots-clés : cancer  qualité de vie  ergothérapie  activité physique  Psychologie Résumé : OBJECTIVE. We evaluated the impact of a 1-wk activity program on the health, quality of life (QOL), and occupational performance of community-living women diagnosed with cancer. METHOD. A one-group pretest-posttest repeated-measures design was used. Participants completed a functional health measure (36-Item Short Form Health Survey [SF-36]), a QOL measure (World Health Organization Quality of Life-Brief version [WHOQOL-BREF]), and an occupational performance and satisfaction measure (Canadian Occupational Performance Measure [COPM]) before and 6 wk after program completion. The COPM was also administered on Day 5. RESULTS. Paired t tests for the SF-36 and WHOQOL-BREF showed no significant differences, except for the WHOQOL-BREF's Social Relationships subscale (p < .008). Repeated-measures analyses of variance showed a significant difference in COPM performance and satisfaction scores (p < .001). CONCLUSION. The activity program effectively improved occupational performance and satisfaction and social relationships of community-living women diagnosed with cancer. Permalink : ./index.php?lvl=notice_display&id=60749

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Interventions for Women With Substance Abuse Issues: A Scoping Review. / Alison Leppard in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Titre : Interventions for Women With Substance Abuse Issues: A Scoping Review. Type de document : texte imprimé Auteurs : Alison Leppard, Auteur ; Margaret Ramsay, Auteur Année de publication : 2018 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Santé des femmes  Troubles liés à une substance  ergothérapie Résumé : OBJECTIVE. The aim of this scoping review was to describe the characteristics and features of substance abuse interventions for women in North America and discuss the findings from an occupational perspective. METHOD. A scoping review was conducted to examine North American peer-reviewed literature published between 2001 and 2014. Four databases were searched using terms related to intervention, substance abuse, and women only. Descriptive statistics of categorical groupings were used to describe the data sources and characteristics and features of the interventions. RESULTS. Forty-two articles met the inclusion criteria, with the majority citing a harm-reduction approach and using multifaceted interventions with various targets for change. CONCLUSION. Substance abuse interventions for women are typically multifaceted and follow a harm-reduction philosophy. Further research into the efficacy of interventions that more specifically target occupation beyond substance use is needed. Permalink : ./index.php?lvl=notice_display&id=60750 [article] Interventions for Women With Substance Abuse Issues: A Scoping Review. [texte imprimé] / Alison Leppard, Auteur ; Margaret Ramsay, Auteur . - 2018 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Mots-clés : Santé des femmes  Troubles liés à une substance  ergothérapie Résumé : OBJECTIVE. The aim of this scoping review was to describe the characteristics and features of substance abuse interventions for women in North America and discuss the findings from an occupational perspective. METHOD. A scoping review was conducted to examine North American peer-reviewed literature published between 2001 and 2014. Four databases were searched using terms related to intervention, substance abuse, and women only. Descriptive statistics of categorical groupings were used to describe the data sources and characteristics and features of the interventions. RESULTS. Forty-two articles met the inclusion criteria, with the majority citing a harm-reduction approach and using multifaceted interventions with various targets for change. CONCLUSION. Substance abuse interventions for women are typically multifaceted and follow a harm-reduction philosophy. Further research into the efficacy of interventions that more specifically target occupation beyond substance use is needed. Permalink : ./index.php?lvl=notice_display&id=60750

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Lighting as a Compensatory Strategy for Acquired Visual Deficits After Stroke: Two Case Reports. / Matthew Green in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Titre : Lighting as a Compensatory Strategy for Acquired Visual Deficits After Stroke: Two Case Reports. Type de document : texte imprimé Auteurs : Matthew Green, Auteur ; Beth A. Barstow, Auteur ; Laura K. Vogtle, Auteur Année de publication : 2018 Article en page(s) : pp.1-6 Langues : Américain (ame) Mots-clés : Accident vasculaire cérébral  Troubles de la vision  lumière  ergothérapie Résumé : OBJECTIVE. The objective of this article was to explore the effects of enhanced lighting on the function of people with an acquired visual deficit resulting from cerebrovascular accident (CVA) in an inpatient rehabilitation facility (IRF). METHOD. An ABAB design was used with two cases to assess how a short-term intervention involving lighting changes affected clients' grooming performance in an IRF. Analysis consisted of scores on the grooming section of the FIM®, times for each grooming task, and light meter readings. RESULTS. Both participants demonstrated improvements in function as measured by the FIM and in time to complete grooming tasks with enhanced lighting. CONCLUSION. These results suggest that individualized lighting can lead to improved grooming function in clients with CVA. Permalink : ./index.php?lvl=notice_display&id=60751 [article] Lighting as a Compensatory Strategy for Acquired Visual Deficits After Stroke: Two Case Reports. [texte imprimé] / Matthew Green, Auteur ; Beth A. Barstow, Auteur ; Laura K. Vogtle, Auteur . - 2018 . - pp.1-6. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Mots-clés : Accident vasculaire cérébral  Troubles de la vision  lumière  ergothérapie Résumé : OBJECTIVE. The objective of this article was to explore the effects of enhanced lighting on the function of people with an acquired visual deficit resulting from cerebrovascular accident (CVA) in an inpatient rehabilitation facility (IRF). METHOD. An ABAB design was used with two cases to assess how a short-term intervention involving lighting changes affected clients' grooming performance in an IRF. Analysis consisted of scores on the grooming section of the FIM®, times for each grooming task, and light meter readings. RESULTS. Both participants demonstrated improvements in function as measured by the FIM and in time to complete grooming tasks with enhanced lighting. CONCLUSION. These results suggest that individualized lighting can lead to improved grooming function in clients with CVA. Permalink : ./index.php?lvl=notice_display&id=60751

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Mirror Therapy and Task-Oriented Training for People With a Paretic Upper Extremity. / Salvador Bondoc in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Titre : Mirror Therapy and Task-Oriented Training for People With a Paretic Upper Extremity. Type de document : texte imprimé Auteurs : Salvador Bondoc, Auteur ; Julie Booth, Auteur ; Grace Budde, Auteur Année de publication : 2018 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Latéralité fonctionnelle  hémiplégie  rééducation  ergothérapie  Membre supérieur Résumé : OBJECTIVE. This study investigates the effect of mirror therapy and task-oriented training on the paretic upper extremity function and occupational performance of people with stroke. METHOD. This study used a repeated-measures, case-series design in which 4 participants completed a 4-wk intervention consisting of mirror therapy and task-specific training. The intervention was conducted 2x/wk in the clinic and 4x/wk at home. RESULTS. All participants displayed clinically meaningful improvements in self-identified goals at the end of the intervention and at follow-up. Three participants showed clinically meaningful changes in motor function. Although only 1 participant improved in his reported amount of use, all participants showed clinically meaningful improvements in perceived movement quality at varying points of assessment. CONCLUSION. Mirror therapy, when used as priming for task-oriented training, can produce clinical improvements in upper extremity function and occupational performance in people with hemiparesis. Permalink : ./index.php?lvl=notice_display&id=60752 [article] Mirror Therapy and Task-Oriented Training for People With a Paretic Upper Extremity. [texte imprimé] / Salvador Bondoc, Auteur ; Julie Booth, Auteur ; Grace Budde, Auteur . - 2018 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Mots-clés : Latéralité fonctionnelle  hémiplégie  rééducation  ergothérapie  Membre supérieur Résumé : OBJECTIVE. This study investigates the effect of mirror therapy and task-oriented training on the paretic upper extremity function and occupational performance of people with stroke. METHOD. This study used a repeated-measures, case-series design in which 4 participants completed a 4-wk intervention consisting of mirror therapy and task-specific training. The intervention was conducted 2x/wk in the clinic and 4x/wk at home. RESULTS. All participants displayed clinically meaningful improvements in self-identified goals at the end of the intervention and at follow-up. Three participants showed clinically meaningful changes in motor function. Although only 1 participant improved in his reported amount of use, all participants showed clinically meaningful improvements in perceived movement quality at varying points of assessment. CONCLUSION. Mirror therapy, when used as priming for task-oriented training, can produce clinical improvements in upper extremity function and occupational performance in people with hemiparesis. Permalink : ./index.php?lvl=notice_display&id=60752

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Occupational Therapy in Medicaid Home and Community-Based Services Waivers. / Carli Friedman in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-21 Titre : Occupational Therapy in Medicaid Home and Community-Based Services Waivers. Type de document : texte imprimé Auteurs : Carli Friedman, Auteur ; Laura VanPuymbrouck, Auteur Année de publication : 2018 Article en page(s) : pp.1-21 Langues : Américain (ame) Mots-clés : Services de soins à domicile  Soins à domicile  économie  Etats-Unis  Déficience intellectuelle Résumé : OBJECTIVE. Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are the largest provider of long-term services and supports for people with intellectual and developmental disabilities (IDDs). In this study, we explored how HCBS IDD waivers projected providing occupational therapy services in Fiscal Year (FY) 2015. METHOD. Medicaid HCBS IDD waivers across the nation gathered from the Centers for Medicare and Medicaid Services were qualitatively and quantitatively analyzed to determine how they projected providing occupational therapy services in terms of service expenditures and utilization. RESULTS. In FY 2015, $14.13 million of spending was projected for occupational therapy services of 7,500 participants. However, there was large heterogeneity across states and services in terms of total projected spending, spending per participant, and reimbursement rates. CONCLUSION. Comparisons across states strengthen the profession's ability to assert the value of its services. These findings can help identify best practices and can advocate for the refinement of state occupational therapy programs. Permalink : ./index.php?lvl=notice_display&id=60753 [article] Occupational Therapy in Medicaid Home and Community-Based Services Waivers. [texte imprimé] / Carli Friedman, Auteur ; Laura VanPuymbrouck, Auteur . - 2018 . - pp.1-21. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-21 Mots-clés : Services de soins à domicile  Soins à domicile  économie  Etats-Unis  Déficience intellectuelle Résumé : OBJECTIVE. Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are the largest provider of long-term services and supports for people with intellectual and developmental disabilities (IDDs). In this study, we explored how HCBS IDD waivers projected providing occupational therapy services in Fiscal Year (FY) 2015. METHOD. Medicaid HCBS IDD waivers across the nation gathered from the Centers for Medicare and Medicaid Services were qualitatively and quantitatively analyzed to determine how they projected providing occupational therapy services in terms of service expenditures and utilization. RESULTS. In FY 2015, $14.13 million of spending was projected for occupational therapy services of 7,500 participants. However, there was large heterogeneity across states and services in terms of total projected spending, spending per participant, and reimbursement rates. CONCLUSION. Comparisons across states strengthen the profession's ability to assert the value of its services. These findings can help identify best practices and can advocate for the refinement of state occupational therapy programs. Permalink : ./index.php?lvl=notice_display&id=60753

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Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke. / Barbara M. Doucet in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Titre : Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke. Type de document : texte imprimé Auteurs : Barbara M. Doucet, Auteur ; Joni A. Mettler, Auteur Année de publication : 2018 Article en page(s) : pp.1-6 Langues : Américain (ame) Mots-clés : accident vasculaire cérébral  rééducation  main  orthèse  ergothérapie Résumé : OBJECTIVE. We investigated the effect of a combined neuromuscular electrical stimulation (ES) and dynamic hand orthosis (DHO) regimen with a group of people with chronic stroke to improve performance on specific daily tasks. METHOD. Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5x/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography. Ability to perform specific daily living tasks was assessed using the Assessment of Motor and Process Skills (AMPS). RESULTS. Results suggested that improvements in strength, ROM, and grasp deactivation are possible with the combined ES-DHO regimen. All participants' AMPS motor scores improved. CONCLUSIONS. An ES-DHO regimen may improve motor skills needed for functional task performance in people with chronic stroke. Results should be interpreted cautiously because of the pilot nature of the study and the small sample size. Permalink : ./index.php?lvl=notice_display&id=60754 [article] Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke. [texte imprimé] / Barbara M. Doucet, Auteur ; Joni A. Mettler, Auteur . - 2018 . - pp.1-6. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Mots-clés : accident vasculaire cérébral  rééducation  main  orthèse  ergothérapie Résumé : OBJECTIVE. We investigated the effect of a combined neuromuscular electrical stimulation (ES) and dynamic hand orthosis (DHO) regimen with a group of people with chronic stroke to improve performance on specific daily tasks. METHOD. Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5x/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography. Ability to perform specific daily living tasks was assessed using the Assessment of Motor and Process Skills (AMPS). RESULTS. Results suggested that improvements in strength, ROM, and grasp deactivation are possible with the combined ES-DHO regimen. All participants' AMPS motor scores improved. CONCLUSIONS. An ES-DHO regimen may improve motor skills needed for functional task performance in people with chronic stroke. Results should be interpreted cautiously because of the pilot nature of the study and the small sample size. Permalink : ./index.php?lvl=notice_display&id=60754

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Success in Adults With Probable Developmental Coordination Disorder Using Structural Equation Modeling. / Miri Tal Saban in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Titre : Success in Adults With Probable Developmental Coordination Disorder Using Structural Equation Modeling. Type de document : texte imprimé Auteurs : Miri Tal Saban, Auteur ; Asher ORNOY, Auteur ; Shula Parush, Auteur Année de publication : 2018 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Troubles des habiletés motrices  Résultat thérapeutique  Émotions  fonction exécutive  activité de la vie quotidienne Résumé : OBJECTIVE. The aim of this study was to conduct a broad in-depth examination of the relationship between developmental coordination disorder (DCD) and use of executive strategies, daily life activities, emotional state, and internal factors attributed to success. METHOD. We used a large randomized cohort of young adults. Structural equation modeling was performed to test both the direct effects and the mediated effects of the independent variable (probable DCD) on dependent variables (executive functions, academic and nonacademic activities, emotional state, and attribution to success). RESULTS. Probable DCD had a direct and significant effect on all variables. Motor coordination impairments directly affected daily function in nonacademic and academic abilities and resulted in decreased use of executive strategies. Likewise, all the indirect effects hypothesized in the model were found to be significant. CONCLUSION. The model revealed the direct and indirect influences of probable DCD on a range of functions, with far-reaching clinical implications. Permalink : ./index.php?lvl=notice_display&id=60755 [article] Success in Adults With Probable Developmental Coordination Disorder Using Structural Equation Modeling. [texte imprimé] / Miri Tal Saban, Auteur ; Asher ORNOY, Auteur ; Shula Parush, Auteur . - 2018 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-8 Mots-clés : Troubles des habiletés motrices  Résultat thérapeutique  Émotions  fonction exécutive  activité de la vie quotidienne Résumé : OBJECTIVE. The aim of this study was to conduct a broad in-depth examination of the relationship between developmental coordination disorder (DCD) and use of executive strategies, daily life activities, emotional state, and internal factors attributed to success. METHOD. We used a large randomized cohort of young adults. Structural equation modeling was performed to test both the direct effects and the mediated effects of the independent variable (probable DCD) on dependent variables (executive functions, academic and nonacademic activities, emotional state, and attribution to success). RESULTS. Probable DCD had a direct and significant effect on all variables. Motor coordination impairments directly affected daily function in nonacademic and academic abilities and resulted in decreased use of executive strategies. Likewise, all the indirect effects hypothesized in the model were found to be significant. CONCLUSION. The model revealed the direct and indirect influences of probable DCD on a range of functions, with far-reaching clinical implications. Permalink : ./index.php?lvl=notice_display&id=60755

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Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region. / Mackenzi PERGOLOTTI in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-9 Titre : Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region. Type de document : texte imprimé Auteurs : Mackenzi PERGOLOTTI, Auteur ; Jessica Lavery, Auteur ; Bryce B. Reeve, Auteur Année de publication : 2018 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Soins ambulatoires  ergothérapie  économie  Etats-unis  Assurance maladie  Couverture d'assurance Résumé : OBJECTIVE. This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. METHOD. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. RESULTS. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. DISCUSSION. Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium. Permalink : ./index.php?lvl=notice_display&id=60756 [article] Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region. [texte imprimé] / Mackenzi PERGOLOTTI, Auteur ; Jessica Lavery, Auteur ; Bryce B. Reeve, Auteur . - 2018 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-9 Mots-clés : Soins ambulatoires  ergothérapie  économie  Etats-unis  Assurance maladie  Couverture d'assurance Résumé : OBJECTIVE. This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. METHOD. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. RESULTS. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. DISCUSSION. Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium. Permalink : ./index.php?lvl=notice_display&id=60756

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Use of the Wilmington Robotic Exoskeleton to Improve Upper Extremity Function in Patients With Duchenne Muscular Dystrophy. / Timothy Estilow in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-5 Titre : Use of the Wilmington Robotic Exoskeleton to Improve Upper Extremity Function in Patients With Duchenne Muscular Dystrophy. Type de document : texte imprimé Auteurs : Timothy Estilow, Auteur ; Allan M. Glanzman, Auteur ; Kacy Powers, Auteur Année de publication : 2018 Article en page(s) : pp.1-5 Langues : Américain (ame) Mots-clés : Dispositif d'exosquelette  Membre supérieur  Myopathie de Duchenne Résumé : Patients with Duchenne muscular dystrophy in their second decade of life present with decreased upper extremity strength and active range of motion (AROM) that limit activities of daily living (ADLs). We evaluated the ability of the Wilmington Robotic Exoskeleton (WREX) to improve AROM and independence with ADLs. A retrospective chart review of 9 patients who trialed the WREX was performed. Patients were classified on the basis of the Brooke Upper Extremity Scale. AROM, strength, and independence with ADLs were assessed before and after a WREX trial. Patients demonstrated increased shoulder flexion and abduction (25°-100°, median = 55°) and elbow flexion (10°-110°, median = 60°). Increased independence with self-feeding, item retrieval, use of phones and tablets, and facial grooming were noted. The WREX allowed for gravity-reduced movement via elastic bands to unweight the upper extremity, enabling increased upper extremity active movement that supported increased independence with ADLs. Permalink : ./index.php?lvl=notice_display&id=60757 [article] Use of the Wilmington Robotic Exoskeleton to Improve Upper Extremity Function in Patients With Duchenne Muscular Dystrophy. [texte imprimé] / Timothy Estilow, Auteur ; Allan M. Glanzman, Auteur ; Kacy Powers, Auteur . - 2018 . - pp.1-5. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-5 Mots-clés : Dispositif d'exosquelette  Membre supérieur  Myopathie de Duchenne Résumé : Patients with Duchenne muscular dystrophy in their second decade of life present with decreased upper extremity strength and active range of motion (AROM) that limit activities of daily living (ADLs). We evaluated the ability of the Wilmington Robotic Exoskeleton (WREX) to improve AROM and independence with ADLs. A retrospective chart review of 9 patients who trialed the WREX was performed. Patients were classified on the basis of the Brooke Upper Extremity Scale. AROM, strength, and independence with ADLs were assessed before and after a WREX trial. Patients demonstrated increased shoulder flexion and abduction (25°-100°, median = 55°) and elbow flexion (10°-110°, median = 60°). Increased independence with self-feeding, item retrieval, use of phones and tablets, and facial grooming were noted. The WREX allowed for gravity-reduced movement via elastic bands to unweight the upper extremity, enabling increased upper extremity active movement that supported increased independence with ADLs. Permalink : ./index.php?lvl=notice_display&id=60757

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Using the New Postacute Care Quality Measures to Demonstrate the Value of Occupational Therapy. / Sharmila Sandhu in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Titre : Using the New Postacute Care Quality Measures to Demonstrate the Value of Occupational Therapy. Type de document : texte imprimé Auteurs : Sharmila Sandhu, Auteur ; Jeremy Furniss, Auteur ; Christina METZLER, Auteur Année de publication : 2018 Article en page(s) : pp.1-6 Langues : Américain (ame) Mots-clés : Post-cure  ergothérapie  Évaluation de résultat (soins) Permalink : ./index.php?lvl=notice_display&id=60758 [article] Using the New Postacute Care Quality Measures to Demonstrate the Value of Occupational Therapy. [texte imprimé] / Sharmila Sandhu, Auteur ; Jeremy Furniss, Auteur ; Christina METZLER, Auteur . - 2018 . - pp.1-6. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-6 Mots-clés : Post-cure  ergothérapie  Évaluation de résultat (soins) Permalink : ./index.php?lvl=notice_display&id=60758

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