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Powered mobility for people with profound cognitive disabilities leads to developing occupational performance / Lisbeth Nilsson in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 655-657 Titre : Powered mobility for people with profound cognitive disabilities leads to developing occupational performance Type de document : texte imprimé Auteurs : Lisbeth Nilsson Année de publication : 2019 Article en page(s) : p. 655-657 Note générale : doi.org/10.1177/0308022619839617 Langues : Anglais (eng) Résumé : At the start, it was impossible to imagine that a study on powered mobility for a marginalized group of children would expand to a framework for tool use regarding learning and development of occupational performance. It was a novel idea to provide children who have profound cognitive disabilities with opportunities to practice using a joystick-operated powered wheelchair. This idea originated from experiences in a paediatric rehabilitation team in a rural area of north Sweden. My challenge as an occupational therapist was to find ways to provide opportunities for stimulating and meaningful activity for children who had multiple and complex disabilities. Fortunately, several extraordinary experiences from my practice inspired my insight that access to powered wheelchair exploration could result in the unexpected development of occupational performance in children with profound cognitive disabilities (Nilsson, 2007). En ligne : https://journals.sagepub.com/doi/epub/10.1177/0308022619839617 Permalink : ./index.php?lvl=notice_display&id=85651 [article] Powered mobility for people with profound cognitive disabilities leads to developing occupational performance [texte imprimé] / Lisbeth Nilsson . - 2019 . - p. 655-657. doi.org/10.1177/0308022619839617 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 655-657 Résumé : At the start, it was impossible to imagine that a study on powered mobility for a marginalized group of children would expand to a framework for tool use regarding learning and development of occupational performance. It was a novel idea to provide children who have profound cognitive disabilities with opportunities to practice using a joystick-operated powered wheelchair. This idea originated from experiences in a paediatric rehabilitation team in a rural area of north Sweden. My challenge as an occupational therapist was to find ways to provide opportunities for stimulating and meaningful activity for children who had multiple and complex disabilities. Fortunately, several extraordinary experiences from my practice inspired my insight that access to powered wheelchair exploration could result in the unexpected development of occupational performance in children with profound cognitive disabilities (Nilsson, 2007). En ligne : https://journals.sagepub.com/doi/epub/10.1177/0308022619839617 Permalink : ./index.php?lvl=notice_display&id=85651

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Lived experiences of return to paid work following a brain injury / Karen Beaulieu in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 658-665 Titre : Lived experiences of return to paid work following a brain injury Type de document : texte imprimé Auteurs : Karen Beaulieu Année de publication : 2019 Article en page(s) : p. 658-665 Note générale : doi.org/10.1177/0308022619860980 Langues : Anglais (eng) Mots-clés : Brain injury  return to work  occupational therapy Résumé : Introduction Due to resulting psychosocial, cognitive, psychological, communication and/or physical difficulties following a brain injury, it is often difficult to return to paid work. Being in paid work is generally good for individuals’ health; however, currently only one third of the brain injury population manage to achieve this return. Method A descriptive phenomenological approach was used to collect and analyse data from 10 male and six female individuals who had sustained either a moderate or severe traumatic or acquired brain injury. Unstructured interviews explored their experiences of return to paid work. Data analysis resulted in synthesised descriptions of their return to paid work lived experiences following a brain injury. Findings Sixty-one meaning units were established from the data, and six themes emerged: coping with ongoing difficulties; expectation and timing of return to work; workplace colleague reactions; things that help; change and return to work options; and feelings of success. Conclusion Findings can be used to develop a more consistent approach to return to paid work, and will inform future occupational therapy practice and return to paid work rehabilitation. Occupational therapists need to support these individuals to cope with the ongoing difficulties facing them, especially in relation to fatigue, memory and transportation difficulties. Permalink : ./index.php?lvl=notice_display&id=85652 [article] Lived experiences of return to paid work following a brain injury [texte imprimé] / Karen Beaulieu . - 2019 . - p. 658-665. doi.org/10.1177/0308022619860980 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 658-665 Mots-clés : Brain injury  return to work  occupational therapy Résumé : Introduction Due to resulting psychosocial, cognitive, psychological, communication and/or physical difficulties following a brain injury, it is often difficult to return to paid work. Being in paid work is generally good for individuals’ health; however, currently only one third of the brain injury population manage to achieve this return. Method A descriptive phenomenological approach was used to collect and analyse data from 10 male and six female individuals who had sustained either a moderate or severe traumatic or acquired brain injury. Unstructured interviews explored their experiences of return to paid work. Data analysis resulted in synthesised descriptions of their return to paid work lived experiences following a brain injury. Findings Sixty-one meaning units were established from the data, and six themes emerged: coping with ongoing difficulties; expectation and timing of return to work; workplace colleague reactions; things that help; change and return to work options; and feelings of success. Conclusion Findings can be used to develop a more consistent approach to return to paid work, and will inform future occupational therapy practice and return to paid work rehabilitation. Occupational therapists need to support these individuals to cope with the ongoing difficulties facing them, especially in relation to fatigue, memory and transportation difficulties. Permalink : ./index.php?lvl=notice_display&id=85652

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Using systematic collaborative reflection to enhance consumer-led mental health research / Anne Honey in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 666-674 Titre : Using systematic collaborative reflection to enhance consumer-led mental health research Type de document : texte imprimé Auteurs : Anne Honey ; Bridget Berry ; Nicola Hancock ; Justin Newton Scanlan ; Richard Schweizer ; Shifra Waks Année de publication : 2019 Article en page(s) : p. 666-674 Note générale : doi.org/10.1177/0308022619862126 Langues : Anglais (eng) Mots-clés : Consumer-led research  qualitative research  mental health  inclusive practice  occupational therapy Résumé : Introduction Consumer-led and collaborative research is consistent with occupational therapy principles of inclusion and client-centredness, and is increasingly valued in mental health. Our research team of three occupational therapists and three consumers was funded to conduct a consumer-led mental health service evaluation. Because of a lack of previous research to guide our practice, we engaged in a collaborative autoethnography to gather information about the process of consumer-led research. We discovered that the systematic reflective processes of collaborative autoethnography played a critical part in shaping the very experiences being investigated. This article describes the impact of using this systematic collaborative reflection on the process of consumer-led research. Method Data from weekly journal entries and quarterly focus groups were analysed using constant comparative analysis. Codes relating to experiences and impacts of the collaborative autoethnography were extracted for presentation in this article. Findings Our collaborative autoethnography activities provided unique opportunities that developed our shared understanding of consumer-led research in mental health, facilitated a respectful and open group culture and, ultimately, resulted in a more consumer-led research project. Conclusion Occupational therapists striving to include and empower service users in research and evaluation could benefit from adopting systematic collaborative, reflective techniques. Permalink : ./index.php?lvl=notice_display&id=85653 [article] Using systematic collaborative reflection to enhance consumer-led mental health research [texte imprimé] / Anne Honey ; Bridget Berry ; Nicola Hancock ; Justin Newton Scanlan ; Richard Schweizer ; Shifra Waks . - 2019 . - p. 666-674. doi.org/10.1177/0308022619862126 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 666-674 Mots-clés : Consumer-led research  qualitative research  mental health  inclusive practice  occupational therapy Résumé : Introduction Consumer-led and collaborative research is consistent with occupational therapy principles of inclusion and client-centredness, and is increasingly valued in mental health. Our research team of three occupational therapists and three consumers was funded to conduct a consumer-led mental health service evaluation. Because of a lack of previous research to guide our practice, we engaged in a collaborative autoethnography to gather information about the process of consumer-led research. We discovered that the systematic reflective processes of collaborative autoethnography played a critical part in shaping the very experiences being investigated. This article describes the impact of using this systematic collaborative reflection on the process of consumer-led research. Method Data from weekly journal entries and quarterly focus groups were analysed using constant comparative analysis. Codes relating to experiences and impacts of the collaborative autoethnography were extracted for presentation in this article. Findings Our collaborative autoethnography activities provided unique opportunities that developed our shared understanding of consumer-led research in mental health, facilitated a respectful and open group culture and, ultimately, resulted in a more consumer-led research project. Conclusion Occupational therapists striving to include and empower service users in research and evaluation could benefit from adopting systematic collaborative, reflective techniques. Permalink : ./index.php?lvl=notice_display&id=85653

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Capabilities for recovery-oriented practice in mental health occupational therapy: A thematic analysis of lived experience perspectives / Karen Arblaster in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 675-684 Titre : Capabilities for recovery-oriented practice in mental health occupational therapy: A thematic analysis of lived experience perspectives Type de document : texte imprimé Auteurs : Karen Arblaster ; Lynette Mackenzie ; Katherine Gill ; Karen Willis ; Lynda Matthews Année de publication : 2019 Article en page(s) : p. 675-684 Note générale : doi.org/10.1177/0308022619866129 Langues : Anglais (eng) Mots-clés : Recovery-oriented practice  thematic analysis  mental health  community-based participatory research  occupational therapy  education Résumé : Introduction Recovery in mental health is both a policy imperative and a contested concept with individual and systemic elements. Occupational therapy research and pre-registration education have not engaged in a substantial way with these ideas, raising questions about how well graduates are equipped for real world practice. We aimed to address this gap by developing lived experience informed recovery-oriented capabilities to inform occupational therapy practice and pre-registration curricula. Method A participatory qualitative approach guided by a consumer reference group was adopted. In-depth interviews were conducted with 16 mental health consumers, wherever possible with a lived experience co-interviewer. Interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Findings Three core capabilities were developed: knowing, comprising five types of knowledge; doing, focused on three key areas of action in practice; and being/becoming, emphasising the lifelong learning journey of becoming a recovery-oriented practitioner who can ‘be’ in authentic partnerships with consumers to support recovery. Conclusion These lived experience-informed capabilities offer new areas of focus for pre-registration education, practice and research. A need to engage with systemic factors, build students’ capacity for critical thinking about power and structural inequality, and integration of knowledge frameworks through participatory research is suggested. Permalink : ./index.php?lvl=notice_display&id=85654 [article] Capabilities for recovery-oriented practice in mental health occupational therapy: A thematic analysis of lived experience perspectives [texte imprimé] / Karen Arblaster ; Lynette Mackenzie ; Katherine Gill ; Karen Willis ; Lynda Matthews . - 2019 . - p. 675-684. doi.org/10.1177/0308022619866129 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 675-684 Mots-clés : Recovery-oriented practice  thematic analysis  mental health  community-based participatory research  occupational therapy  education Résumé : Introduction Recovery in mental health is both a policy imperative and a contested concept with individual and systemic elements. Occupational therapy research and pre-registration education have not engaged in a substantial way with these ideas, raising questions about how well graduates are equipped for real world practice. We aimed to address this gap by developing lived experience informed recovery-oriented capabilities to inform occupational therapy practice and pre-registration curricula. Method A participatory qualitative approach guided by a consumer reference group was adopted. In-depth interviews were conducted with 16 mental health consumers, wherever possible with a lived experience co-interviewer. Interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Findings Three core capabilities were developed: knowing, comprising five types of knowledge; doing, focused on three key areas of action in practice; and being/becoming, emphasising the lifelong learning journey of becoming a recovery-oriented practitioner who can ‘be’ in authentic partnerships with consumers to support recovery. Conclusion These lived experience-informed capabilities offer new areas of focus for pre-registration education, practice and research. A need to engage with systemic factors, build students’ capacity for critical thinking about power and structural inequality, and integration of knowledge frameworks through participatory research is suggested. Permalink : ./index.php?lvl=notice_display&id=85654

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Perception of task realism in mirror therapy activities for the upper extremity / Veronica T. Rowe in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 685-692 Titre : Perception of task realism in mirror therapy activities for the upper extremity Type de document : texte imprimé Auteurs : Veronica T. Rowe ; Mallory Halverson ; Laiken Wilbanks ; Shannon Perry Année de publication : 2019 Article en page(s) : p. 685-692 Note générale : doi.org/10.1177/0308022619866654 Langues : Anglais (eng) Mots-clés : Mirror therapy  upper extremity  hemiparesis  rehabilitation  tasks  movements  occupational therapy Résumé : Introduction Mirror therapy is an effective stroke rehabilitation intervention for upper extremity hemiparesis; however, there are no established protocols of specific tasks for use during mirror therapy. Identifying the most realistic tasks would help establish a protocol for replicable research studies. The aim of this study is to describe characteristics of mirror therapy tasks that appear to be most realistic to healthy individuals. Method Ninety-two healthy individuals completed 25 tasks and movements with their dominant upper extremity reflected in a mirror. Participants rated each task for its perceived level of reality, or naturalistic appearance of a bilateral task as reflected in the mirror, by completing a task realism scale. Nonparametric analyses were used to compare tasks/movements designated as simple vs complex, functional vs range of motion/exercise, and performed parallel vs perpendicular to the mirror. Results Tasks categorized as simple and range of motion/exercise movements performed parallel to the mirror were rated as more realistic than tasks categorized as complex, involving functional tasks, or performed perpendicular to the mirror. Conclusions The findings of this study could potentially increase the efficacy of mirror therapy. Further research of this precursory assumption is needed in developing a standardized mirror therapy treatment protocol. Permalink : ./index.php?lvl=notice_display&id=85656 [article] Perception of task realism in mirror therapy activities for the upper extremity [texte imprimé] / Veronica T. Rowe ; Mallory Halverson ; Laiken Wilbanks ; Shannon Perry . - 2019 . - p. 685-692. doi.org/10.1177/0308022619866654 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 685-692 Mots-clés : Mirror therapy  upper extremity  hemiparesis  rehabilitation  tasks  movements  occupational therapy Résumé : Introduction Mirror therapy is an effective stroke rehabilitation intervention for upper extremity hemiparesis; however, there are no established protocols of specific tasks for use during mirror therapy. Identifying the most realistic tasks would help establish a protocol for replicable research studies. The aim of this study is to describe characteristics of mirror therapy tasks that appear to be most realistic to healthy individuals. Method Ninety-two healthy individuals completed 25 tasks and movements with their dominant upper extremity reflected in a mirror. Participants rated each task for its perceived level of reality, or naturalistic appearance of a bilateral task as reflected in the mirror, by completing a task realism scale. Nonparametric analyses were used to compare tasks/movements designated as simple vs complex, functional vs range of motion/exercise, and performed parallel vs perpendicular to the mirror. Results Tasks categorized as simple and range of motion/exercise movements performed parallel to the mirror were rated as more realistic than tasks categorized as complex, involving functional tasks, or performed perpendicular to the mirror. Conclusions The findings of this study could potentially increase the efficacy of mirror therapy. Further research of this precursory assumption is needed in developing a standardized mirror therapy treatment protocol. Permalink : ./index.php?lvl=notice_display&id=85656

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Practice analysis: Critical reflexivity on discourses constraining socially transformative occupational therapy practices / Lisette Farias in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 693-697 Titre : Practice analysis: Critical reflexivity on discourses constraining socially transformative occupational therapy practices Type de document : texte imprimé Auteurs : Lisette Farias ; Debbie Laliberte Rudman Année de publication : 2019 Article en page(s) : p. 693-697 Note générale : doi.org/10.1177/0308022619862111 Langues : Anglais (eng) Mots-clés : Social responsibility  social change  social justice  professional practice  occupational therapy Résumé : Statement of context: Despite recognition of the potential of occupation for enacting social transformation, occupational therapy continues to struggle in developing and enacting practice approaches that address sociopolitical barriers to people’s right to engage in occupations. Critical reflection on practice: Ways of thinking and writing about problems and solutions, that is discourses, shape occupational therapy practices. This article draws attention to three dominant discourses that constrain the development of occupational therapy practices aimed at social transformation, specifically, individualism, healthism and managerialism. Implications for practice: Examining discourses that bound occupational therapy practice can open spaces for alternative ways of thinking and more socially responsive practices addressing sociopolitical barriers to occupation. Permalink : ./index.php?lvl=notice_display&id=85659 [article] Practice analysis: Critical reflexivity on discourses constraining socially transformative occupational therapy practices [texte imprimé] / Lisette Farias ; Debbie Laliberte Rudman . - 2019 . - p. 693-697. doi.org/10.1177/0308022619862111 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 693-697 Mots-clés : Social responsibility  social change  social justice  professional practice  occupational therapy Résumé : Statement of context: Despite recognition of the potential of occupation for enacting social transformation, occupational therapy continues to struggle in developing and enacting practice approaches that address sociopolitical barriers to people’s right to engage in occupations. Critical reflection on practice: Ways of thinking and writing about problems and solutions, that is discourses, shape occupational therapy practices. This article draws attention to three dominant discourses that constrain the development of occupational therapy practices aimed at social transformation, specifically, individualism, healthism and managerialism. Implications for practice: Examining discourses that bound occupational therapy practice can open spaces for alternative ways of thinking and more socially responsive practices addressing sociopolitical barriers to occupation. Permalink : ./index.php?lvl=notice_display&id=85659

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The home environments and occupational engagement of people with intellectual disabilities in supported living / Danielle Ashley in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 698-709 Titre : The home environments and occupational engagement of people with intellectual disabilities in supported living Type de document : texte imprimé Auteurs : Danielle Ashley ; Ellie M. Fossey Année de publication : 2019 Article en page(s) : p. 698-709 Note générale : doi.org/10.1177/0308022619843080 Langues : Anglais (eng) Mots-clés : Intellectual disability  supported living  occupational engagement  environment  occupational therapy Résumé : Introduction Social inclusion for people with intellectual disabilities includes engagement in the occupations of daily life. Given the focus on people with intellectual disabilities living independently with support, identifying the qualities of their home environments is integral to understanding the possibilities for engagement in occupations of daily life and better quality of life outcomes. In turn, this can inform the types of person-centred supports, such as active support, necessary to enable increased engagement for people with intellectual disabilities. Method A case study methodology and mixed methods were utilised to develop an in-depth understanding of the home environments of six people with intellectual disabilities in supported living, and their experience of how these environments impacted their occupational engagement both at home and in their community. Semi-structured interviews and observation of participants’ home environments, using the Residential Environment Impact Survey – Short Form, were completed. Findings Participants valued the opportunity to be self-reliant and live in their own homes. They had adequate means to engage in basic daily activities; however, their homes lacked expression of their occupational identity, and they had minimal occupational opportunities and demands, resulting in limited occupational engagement. Conclusion For people with intellectual disabilities, it is important to increase opportunities for participation in valued occupations that foster social identities, and to provide adequate environmental supports and demands, to enable sustained occupational engagement and social inclusion. Permalink : ./index.php?lvl=notice_display&id=85660 [article] The home environments and occupational engagement of people with intellectual disabilities in supported living [texte imprimé] / Danielle Ashley ; Ellie M. Fossey . - 2019 . - p. 698-709. doi.org/10.1177/0308022619843080 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 698-709 Mots-clés : Intellectual disability  supported living  occupational engagement  environment  occupational therapy Résumé : Introduction Social inclusion for people with intellectual disabilities includes engagement in the occupations of daily life. Given the focus on people with intellectual disabilities living independently with support, identifying the qualities of their home environments is integral to understanding the possibilities for engagement in occupations of daily life and better quality of life outcomes. In turn, this can inform the types of person-centred supports, such as active support, necessary to enable increased engagement for people with intellectual disabilities. Method A case study methodology and mixed methods were utilised to develop an in-depth understanding of the home environments of six people with intellectual disabilities in supported living, and their experience of how these environments impacted their occupational engagement both at home and in their community. Semi-structured interviews and observation of participants’ home environments, using the Residential Environment Impact Survey – Short Form, were completed. Findings Participants valued the opportunity to be self-reliant and live in their own homes. They had adequate means to engage in basic daily activities; however, their homes lacked expression of their occupational identity, and they had minimal occupational opportunities and demands, resulting in limited occupational engagement. Conclusion For people with intellectual disabilities, it is important to increase opportunities for participation in valued occupations that foster social identities, and to provide adequate environmental supports and demands, to enable sustained occupational engagement and social inclusion. Permalink : ./index.php?lvl=notice_display&id=85660

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