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Embracing the leadership potential of occupational therapy in the social age: Time for a silent revolution / Stephanie Tempest in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 601-603 Titre : Embracing the leadership potential of occupational therapy in the social age: Time for a silent revolution Type de document : texte imprimé Auteurs : Stephanie Tempest ; Karina Dancza Année de publication : 2019 Article en page(s) : p. 601-603 Note générale : doi.org/10.1177/0308022619840247 Langues : Anglais (eng) Résumé : Leadership is vital to the sustainability and success of any profession, and occupational therapy is no exception. Effective leadership ensures our professional purpose, to enable people to engage and participate in occupations to support their health and wellbeing, is preserved and progressed. To advance occupational therapy in the future, it is important for us to discuss how we value, nurture and enact leadership principles which align with the social age in which we live. We see evidence of our social age at every turn: where protest movements rapidly and organically develop; where funding for innovations are crowdsourced through social media and people contribute money or ideas to causes they value; and when the Bank of England asks the United Kingdom (UK) public, rather than a formal committee, to decide who features on the design of the new £50 note. In this space, a different form of leadership has quietly emerged. Social leadership, based on bringing people together to share, to learn from each other and to co-create, is proving an effective leadership style to facilitate meaningful change. This leadership style chimes well with our profession's philosophical values, and we are already seeing examples of how occupational therapists are emerging as natural social leaders. En ligne : https://journals.sagepub.com/doi/epub/10.1177/0308022619840247 Permalink : ./index.php?lvl=notice_display&id=85530 [article] Embracing the leadership potential of occupational therapy in the social age: Time for a silent revolution [texte imprimé] / Stephanie Tempest ; Karina Dancza . - 2019 . - p. 601-603. doi.org/10.1177/0308022619840247 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 601-603 Résumé : Leadership is vital to the sustainability and success of any profession, and occupational therapy is no exception. Effective leadership ensures our professional purpose, to enable people to engage and participate in occupations to support their health and wellbeing, is preserved and progressed. To advance occupational therapy in the future, it is important for us to discuss how we value, nurture and enact leadership principles which align with the social age in which we live. We see evidence of our social age at every turn: where protest movements rapidly and organically develop; where funding for innovations are crowdsourced through social media and people contribute money or ideas to causes they value; and when the Bank of England asks the United Kingdom (UK) public, rather than a formal committee, to decide who features on the design of the new £50 note. In this space, a different form of leadership has quietly emerged. Social leadership, based on bringing people together to share, to learn from each other and to co-create, is proving an effective leadership style to facilitate meaningful change. This leadership style chimes well with our profession's philosophical values, and we are already seeing examples of how occupational therapists are emerging as natural social leaders. En ligne : https://journals.sagepub.com/doi/epub/10.1177/0308022619840247 Permalink : ./index.php?lvl=notice_display&id=85530

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Feasibility, acceptability and potential effectiveness of an occupation-focused cognitive self-management program for breast cancer survivors / Robin Newman in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 604-611 Titre : Feasibility, acceptability and potential effectiveness of an occupation-focused cognitive self-management program for breast cancer survivors Type de document : texte imprimé Auteurs : Robin Newman ; Kathleen Doyle Lyons ; Wendy J. Coster ; Jasin Wong ; Kate Festa ; Naomi Y. Ko Année de publication : 2019 Article en page(s) : p. 604-611 Note générale : doi.org/10.1177/0308022619861893 Langues : Anglais (eng) Mots-clés : Breast cancer  self-management  occupation-focused  cognition  occupational therapy Résumé : Introduction The purpose of this research was to assess the feasibility, acceptability and potential effectiveness of a program to support the occupational performance of urban breast cancer survivors living with cancer-related cognitive impairment. Method Participants (n = 15) reporting cognitive changes following breast cancer treatment were enrolled in an occupation-focused self-management program. Occupational performance challenges, activity level, subjective cognitive function and quality of life were measured at the beginning, end and 3 months after completion of the program. Results Participants reported high satisfaction with the program and high confidence in their problem-solving and goal-setting skills. The 11 participants who completed the post-program assessment showed significant increases in self-perceived performance and satisfaction in daily living, participation, physical and functional wellbeing and perceived cognitive impairment. Conclusion The program was feasible for a vulnerable, socio-economically diverse patient population, acceptable to participants and may have positive effects on occupational performance. Permalink : ./index.php?lvl=notice_display&id=85531 [article] Feasibility, acceptability and potential effectiveness of an occupation-focused cognitive self-management program for breast cancer survivors [texte imprimé] / Robin Newman ; Kathleen Doyle Lyons ; Wendy J. Coster ; Jasin Wong ; Kate Festa ; Naomi Y. Ko . - 2019 . - p. 604-611. doi.org/10.1177/0308022619861893 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 604-611 Mots-clés : Breast cancer  self-management  occupation-focused  cognition  occupational therapy Résumé : Introduction The purpose of this research was to assess the feasibility, acceptability and potential effectiveness of a program to support the occupational performance of urban breast cancer survivors living with cancer-related cognitive impairment. Method Participants (n = 15) reporting cognitive changes following breast cancer treatment were enrolled in an occupation-focused self-management program. Occupational performance challenges, activity level, subjective cognitive function and quality of life were measured at the beginning, end and 3 months after completion of the program. Results Participants reported high satisfaction with the program and high confidence in their problem-solving and goal-setting skills. The 11 participants who completed the post-program assessment showed significant increases in self-perceived performance and satisfaction in daily living, participation, physical and functional wellbeing and perceived cognitive impairment. Conclusion The program was feasible for a vulnerable, socio-economically diverse patient population, acceptable to participants and may have positive effects on occupational performance. Permalink : ./index.php?lvl=notice_display&id=85531

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Developing a sustainable cancer educational resource for occupational therapists / Amanda Pigott in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 612-617 Titre : Developing a sustainable cancer educational resource for occupational therapists Type de document : texte imprimé Auteurs : Amanda Pigott ; Jodie Nixon ; Kate Brennan ; Megan Trevethan ; Lauren Mahoney Année de publication : 2019 Article en page(s) : p. 612-617 Note générale : doi.org/10.1177/0308022619848954 Langues : Anglais (eng) Mots-clés : Cancer  occupational therapy  professional development Résumé : Introduction Occupational therapists have a key role in supporting people experiencing cancer and its consequences. A complex skill mix is required to fulfil this role, creating a training need for occupational therapists. Method This study retrospectively examined the evolution and sustainability of the cancer occupational therapy interest group, a cancer educational resource for occupational therapists within public health facilities in Queensland, Australia. Development of the programme was reviewed and data were analysed to examine involvement in the programme and confidence in providing cancer services. Results Membership of the interest group, participating locations and videoconference attendances all increased across the study period from 2012–2016. The practice areas participants most frequently reported confidence addressing were fatigue management and palliative care. Participants most frequently reported they were not confident addressing sexuality and relaxation management. Conclusion The cancer occupational therapy interest group provides an approach that demonstrates some utility with providing education and information for occupational therapists in cancer services. Permalink : ./index.php?lvl=notice_display&id=85532 [article] Developing a sustainable cancer educational resource for occupational therapists [texte imprimé] / Amanda Pigott ; Jodie Nixon ; Kate Brennan ; Megan Trevethan ; Lauren Mahoney . - 2019 . - p. 612-617. doi.org/10.1177/0308022619848954 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 612-617 Mots-clés : Cancer  occupational therapy  professional development Résumé : Introduction Occupational therapists have a key role in supporting people experiencing cancer and its consequences. A complex skill mix is required to fulfil this role, creating a training need for occupational therapists. Method This study retrospectively examined the evolution and sustainability of the cancer occupational therapy interest group, a cancer educational resource for occupational therapists within public health facilities in Queensland, Australia. Development of the programme was reviewed and data were analysed to examine involvement in the programme and confidence in providing cancer services. Results Membership of the interest group, participating locations and videoconference attendances all increased across the study period from 2012–2016. The practice areas participants most frequently reported confidence addressing were fatigue management and palliative care. Participants most frequently reported they were not confident addressing sexuality and relaxation management. Conclusion The cancer occupational therapy interest group provides an approach that demonstrates some utility with providing education and information for occupational therapists in cancer services. Permalink : ./index.php?lvl=notice_display&id=85532

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Occupational therapy metacognitive intervention for adolescents with ADHD: Teen Cognitive-Functional (Cog-Fun) feasibility study / Nirit Levanon-Erez in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 618-629 Titre : Occupational therapy metacognitive intervention for adolescents with ADHD: Teen Cognitive-Functional (Cog-Fun) feasibility study Type de document : texte imprimé Auteurs : Nirit Levanon-Erez ; Orli Kampf-Sherf ; Adina Maeir Année de publication : 2019 Article en page(s) : p. 618-629 Note générale : doi.org/10.1177/0308022619860978 Langues : Anglais (eng) Mots-clés : ADHD  adolescents  occupational therapy  metacognitive intervention  executive function  self-awareness Résumé : Introduction Adolescents with attention deficit hyperactivity disorder face neurocognitive impairments that impede their occupational functioning. The Cognitive-Functional model is a metacognitive occupational therapy intervention for individuals with attention deficit hyperactivity disorder that harnesses self-awareness and strategy behavior to support participation in an individualized occupational context. This study explored preliminary feasibility and efficacy of the Cognitive Functional model adapted for adolescents with attention deficit hyperactivity disorder, the Teen Cognitive-Functional intervention. Method A mixed method feasibility study including 22 adolescents with attention deficit hyperactivity disorder and their parents was conducted. Pre–post assessments included: occupational performance (Canadian Occupational Performance Measure); executive functioning (Behavior Rating Inventory of Executive Function); self-awareness and strategy behavior (Self-Regulation Skills Interview). Results Modest attrition and high satisfaction from Teen Cognitive-Functional intervention were found. Significant improvements were reported in adolescents’ occupational performance, executive functioning and strategy behavior. No significant gains were found in adolescents’ self-awareness. Adolescents’ strategy behavior was correlated with parent-rated occupational performance. Qualitative analysis of the strategies reported by the adolescents after intervention revealed three categories: “self-determined choices”; “plan and organize” and “adaptations.” Conclusion This study provides initial support for feasibility of the Teen Cognitive-Functional intervention and its potential efficacy in promoting occupational performance, executive functioning and strategy behavior. Controlled studies are needed to further validate these findings. Permalink : ./index.php?lvl=notice_display&id=85533 [article] Occupational therapy metacognitive intervention for adolescents with ADHD: Teen Cognitive-Functional (Cog-Fun) feasibility study [texte imprimé] / Nirit Levanon-Erez ; Orli Kampf-Sherf ; Adina Maeir . - 2019 . - p. 618-629. doi.org/10.1177/0308022619860978 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 618-629 Mots-clés : ADHD  adolescents  occupational therapy  metacognitive intervention  executive function  self-awareness Résumé : Introduction Adolescents with attention deficit hyperactivity disorder face neurocognitive impairments that impede their occupational functioning. The Cognitive-Functional model is a metacognitive occupational therapy intervention for individuals with attention deficit hyperactivity disorder that harnesses self-awareness and strategy behavior to support participation in an individualized occupational context. This study explored preliminary feasibility and efficacy of the Cognitive Functional model adapted for adolescents with attention deficit hyperactivity disorder, the Teen Cognitive-Functional intervention. Method A mixed method feasibility study including 22 adolescents with attention deficit hyperactivity disorder and their parents was conducted. Pre–post assessments included: occupational performance (Canadian Occupational Performance Measure); executive functioning (Behavior Rating Inventory of Executive Function); self-awareness and strategy behavior (Self-Regulation Skills Interview). Results Modest attrition and high satisfaction from Teen Cognitive-Functional intervention were found. Significant improvements were reported in adolescents’ occupational performance, executive functioning and strategy behavior. No significant gains were found in adolescents’ self-awareness. Adolescents’ strategy behavior was correlated with parent-rated occupational performance. Qualitative analysis of the strategies reported by the adolescents after intervention revealed three categories: “self-determined choices”; “plan and organize” and “adaptations.” Conclusion This study provides initial support for feasibility of the Teen Cognitive-Functional intervention and its potential efficacy in promoting occupational performance, executive functioning and strategy behavior. Controlled studies are needed to further validate these findings. Permalink : ./index.php?lvl=notice_display&id=85533

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Reported restorative experiences associated with everyday activities among university students / Karen E. Atler in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 630-638 Titre : Reported restorative experiences associated with everyday activities among university students Type de document : texte imprimé Auteurs : Karen E. Atler ; Julia Sharp Année de publication : 2019 Article en page(s) : p. 630-638 Note générale : doi.org/10.1177/0308022619859158 Langues : Anglais (eng) Mots-clés : Daily activities  restorative occupation  student  subjective experience  university  occupational therapy Résumé : Introduction Increasing international concern about the mental health of university students continues to rise, as they are among those at great risk for experiencing stress. Yet little research exists on the role of activity engagement as a means to renew resources often impacted by stress. This study aimed to explore university students’ restorative experiences associated with everyday activities. Method Data were gathered from 264 students, using a stress scale and time-use assessment. Students’ activity descriptions were coded into 20 activity types. A hierarchical linear mixed effects statistical model was employed to estimate the average restoration by activity types. Results No significant differences were found in average restoration within activity types between high and low stress categories. Sleeping was the most restorative activity reported. However, the mean restoration value of sleeping did not significantly differ from eight other activities, such as reading and engaging in a hobby. Working was the least restorative activity, and did not differ from five other activities such as studying and attending class. Restorative experience varied more among some activities, such as engaging in a hobby and caring for the home, than others, such as sleeping and caring for self. Conclusion University students’ report of some everyday activities being as restorative as sleep offers support for the use of occupation by occupational therapists, enabling students to learn how to manage their energy needs through everyday occupations. Permalink : ./index.php?lvl=notice_display&id=85534 [article] Reported restorative experiences associated with everyday activities among university students [texte imprimé] / Karen E. Atler ; Julia Sharp . - 2019 . - p. 630-638. doi.org/10.1177/0308022619859158 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 630-638 Mots-clés : Daily activities  restorative occupation  student  subjective experience  university  occupational therapy Résumé : Introduction Increasing international concern about the mental health of university students continues to rise, as they are among those at great risk for experiencing stress. Yet little research exists on the role of activity engagement as a means to renew resources often impacted by stress. This study aimed to explore university students’ restorative experiences associated with everyday activities. Method Data were gathered from 264 students, using a stress scale and time-use assessment. Students’ activity descriptions were coded into 20 activity types. A hierarchical linear mixed effects statistical model was employed to estimate the average restoration by activity types. Results No significant differences were found in average restoration within activity types between high and low stress categories. Sleeping was the most restorative activity reported. However, the mean restoration value of sleeping did not significantly differ from eight other activities, such as reading and engaging in a hobby. Working was the least restorative activity, and did not differ from five other activities such as studying and attending class. Restorative experience varied more among some activities, such as engaging in a hobby and caring for the home, than others, such as sleeping and caring for self. Conclusion University students’ report of some everyday activities being as restorative as sleep offers support for the use of occupation by occupational therapists, enabling students to learn how to manage their energy needs through everyday occupations. Permalink : ./index.php?lvl=notice_display&id=85534

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Effect of hippotherapy on physiological cost index and walking speed of adolescents with diplegia / Ninette du Plessis in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 639-645 Titre : Effect of hippotherapy on physiological cost index and walking speed of adolescents with diplegia Type de document : texte imprimé Auteurs : Ninette du Plessis ; Jodie Tamarin de Bruyne Année de publication : 2019 Article en page(s) : p. 639-645 Note générale : doi.org/10.1177/0308022619841318 Langues : Anglais (eng) Mots-clés : Hippotherapy  adolescents  diplegia  Physiological Cost Index  walking speed  occupational therapy Résumé : Introduction This research describes the therapeutic impact of hippotherapy on adolescents with cerebral palsy diplegia using the Physiological Cost Index and walking speed as outcome measures. Method A single-system multiple-baseline design across subjects was implemented. Ten adolescents with diplegia were included. Participants had to be able to walk independently or with an assistive device. Adolescents were classified using the gross motor functional classification system levels I to III, and were 12 to 17 years old. Physiological Cost Index and walking speed were measured. Hippotherapy sessions took place once a week over a 12-week period. Each hippotherapy session (conducted by an occupational therapist) lasted 30 minutes. Average baseline measurements were compared with measurements taken before each intervention session and with post-intervention measurements. Results One participant’s Physiological Cost Index values decreased significantly (p = 0.014). Walking speed increased significantly over the course of treatment from the sixth intervention session (Wilcoxon Signed Rank Test, p = 0.024 post-intervention). The greatest improvement in walking speed was seen at intervention session 12 (p = 0.018). Conclusion One participant’s Physiological Cost Index decreased and 10 participants showed increased walking speeds. Adolescents with diplegia need to adjust to increased growth and their walking ability may regress if therapy is not provided. Hippotherapy supports gross motor functioning and simulates the pelvic movement of normal walking. Permalink : ./index.php?lvl=notice_display&id=85535 [article] Effect of hippotherapy on physiological cost index and walking speed of adolescents with diplegia [texte imprimé] / Ninette du Plessis ; Jodie Tamarin de Bruyne . - 2019 . - p. 639-645. doi.org/10.1177/0308022619841318 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 639-645 Mots-clés : Hippotherapy  adolescents  diplegia  Physiological Cost Index  walking speed  occupational therapy Résumé : Introduction This research describes the therapeutic impact of hippotherapy on adolescents with cerebral palsy diplegia using the Physiological Cost Index and walking speed as outcome measures. Method A single-system multiple-baseline design across subjects was implemented. Ten adolescents with diplegia were included. Participants had to be able to walk independently or with an assistive device. Adolescents were classified using the gross motor functional classification system levels I to III, and were 12 to 17 years old. Physiological Cost Index and walking speed were measured. Hippotherapy sessions took place once a week over a 12-week period. Each hippotherapy session (conducted by an occupational therapist) lasted 30 minutes. Average baseline measurements were compared with measurements taken before each intervention session and with post-intervention measurements. Results One participant’s Physiological Cost Index values decreased significantly (p = 0.014). Walking speed increased significantly over the course of treatment from the sixth intervention session (Wilcoxon Signed Rank Test, p = 0.024 post-intervention). The greatest improvement in walking speed was seen at intervention session 12 (p = 0.018). Conclusion One participant’s Physiological Cost Index decreased and 10 participants showed increased walking speeds. Adolescents with diplegia need to adjust to increased growth and their walking ability may regress if therapy is not provided. Hippotherapy supports gross motor functioning and simulates the pelvic movement of normal walking. Permalink : ./index.php?lvl=notice_display&id=85535

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Detecting longitudinal changes in activities of daily living (ADL) dependence: Optimizing ADL staircase response choices / Anna Axmon in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 646-652 Titre : Detecting longitudinal changes in activities of daily living (ADL) dependence: Optimizing ADL staircase response choices Type de document : texte imprimé Auteurs : Anna Axmon ; Lisa Ekstam ; Björn Slaug ; Steven M. Schmidt ; Agneta Malmgren Fänge Année de publication : 2019 Article en page(s) : p. 646-652 Note générale : doi.org/10.1177/0308022619853513 Langues : Anglais (eng) Mots-clés : Activities of daily living  data interpretation  statistical longitudinal studies  occupational therapy Résumé : Introduction Using a sum score based on a three-graded response scale for the activities of daily living staircase has previously been found to increase the statistical power compared to dichotomized responses when assessing longitudinal changes in activities of daily living. We aimed to investigate if the statistical power could be further increased by using a four-graded scale. Methods We used data from two previous studies on community-living people to calculate sum scores based on a dichotomized (independent/dependent), a three-graded (independent/partly dependent/dependent), and a four-graded (independent without difficulty/independent with difficulty/partly dependent/dependent) response scale for the activities of daily living staircase. In total, 1818 paired observations (baseline to follow-up) from 482 people were included. Statistical power was estimated for the entire material as well as stratified by follow-up time and baseline activities of daily living using simulations. Results The four-graded scale provided the highest statistical power, particularly for shorter follow-up times and low and high baseline activities of daily living, but had similar statistical power to the three-graded scale for longer follow-up times and medium baseline activities of daily living. Conclusion Adding a second level to “independent” in the activities of daily living staircase improved the detection of changes over time. Permalink : ./index.php?lvl=notice_display&id=85536 [article] Detecting longitudinal changes in activities of daily living (ADL) dependence: Optimizing ADL staircase response choices [texte imprimé] / Anna Axmon ; Lisa Ekstam ; Björn Slaug ; Steven M. Schmidt ; Agneta Malmgren Fänge . - 2019 . - p. 646-652. doi.org/10.1177/0308022619853513 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 646-652 Mots-clés : Activities of daily living  data interpretation  statistical longitudinal studies  occupational therapy Résumé : Introduction Using a sum score based on a three-graded response scale for the activities of daily living staircase has previously been found to increase the statistical power compared to dichotomized responses when assessing longitudinal changes in activities of daily living. We aimed to investigate if the statistical power could be further increased by using a four-graded scale. Methods We used data from two previous studies on community-living people to calculate sum scores based on a dichotomized (independent/dependent), a three-graded (independent/partly dependent/dependent), and a four-graded (independent without difficulty/independent with difficulty/partly dependent/dependent) response scale for the activities of daily living staircase. In total, 1818 paired observations (baseline to follow-up) from 482 people were included. Statistical power was estimated for the entire material as well as stratified by follow-up time and baseline activities of daily living using simulations. Results The four-graded scale provided the highest statistical power, particularly for shorter follow-up times and low and high baseline activities of daily living, but had similar statistical power to the three-graded scale for longer follow-up times and medium baseline activities of daily living. Conclusion Adding a second level to “independent” in the activities of daily living staircase improved the detection of changes over time. Permalink : ./index.php?lvl=notice_display&id=85536

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