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When occupational therapy and magic collide / Kevin Spencer in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 713-715 Titre : When occupational therapy and magic collide Type de document : texte imprimé Auteurs : Kevin Spencer ; Gavin G. Jenkins ; Martin M. Davis ; Hon K. Yuen Année de publication : 2019 Article en page(s) : p. 713-715 Note générale : doi.org/10.1177/0308022619834254 Langues : Anglais (eng) Résumé : Since its inception, occupational therapy has recognized the benefits of the arts to promote health and wellbeing. The profession stemmed from two movements of the 1900s: the arts and crafts movement and the moral treatment movement. The influence of the arts and crafts movement was to increase leisure and productivity (Levine, 1987), while the moral treatment movement helped facilitate the holistic point of view by actively involving clients in their treatment (Bockoven, 1971). While the place of arts and crafts in the profession may have wavered through the years, there appears to be a resurgence of interest in the value these traditional tools can have in the occupational therapy tool-kit. The current discussions and debates about “social prescribing” allude to this interest. Social prescribing aims to encourage and assist individuals to take more interest in and control of their health and attempts to address these needs in a holistic way (Brandling and House, 2009). It is important that occupational therapists play a pivotal role not only in these discussions but, ultimately, in the implementation of this emerging awareness of the power of the arts to promote health and wellbeing. En ligne : https://journals.sagepub.com/doi/epub/10.1177/0308022619834254 Permalink : ./index.php?lvl=notice_display&id=85666 [article] When occupational therapy and magic collide [texte imprimé] / Kevin Spencer ; Gavin G. Jenkins ; Martin M. Davis ; Hon K. Yuen . - 2019 . - p. 713-715. doi.org/10.1177/0308022619834254 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 713-715 Résumé : Since its inception, occupational therapy has recognized the benefits of the arts to promote health and wellbeing. The profession stemmed from two movements of the 1900s: the arts and crafts movement and the moral treatment movement. The influence of the arts and crafts movement was to increase leisure and productivity (Levine, 1987), while the moral treatment movement helped facilitate the holistic point of view by actively involving clients in their treatment (Bockoven, 1971). While the place of arts and crafts in the profession may have wavered through the years, there appears to be a resurgence of interest in the value these traditional tools can have in the occupational therapy tool-kit. The current discussions and debates about “social prescribing” allude to this interest. Social prescribing aims to encourage and assist individuals to take more interest in and control of their health and attempts to address these needs in a holistic way (Brandling and House, 2009). It is important that occupational therapists play a pivotal role not only in these discussions but, ultimately, in the implementation of this emerging awareness of the power of the arts to promote health and wellbeing. En ligne : https://journals.sagepub.com/doi/epub/10.1177/0308022619834254 Permalink : ./index.php?lvl=notice_display&id=85666

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Experiences of older people with dementia: Homecare enablement to support transitions in daily life at home / Pat Chung in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 716-725 Titre : Experiences of older people with dementia: Homecare enablement to support transitions in daily life at home Type de document : texte imprimé Auteurs : Pat Chung Année de publication : 2019 Article en page(s) : p. 716-725 Note générale : doi.org/10.1177/0308022619856555 Langues : Anglais (eng) Mots-clés : Dementia  agency  enablement  homecare  ADL  perspectives of people with dementia  occupational therapy Résumé : Abstract Introduction The majority of people with dementia live at home. Homecare enablement services are considered an important short-term intervention, using a person-centred approach. Little is known about people with dementia’s perspectives of the services. This study aimed to explore the users’ experiences. Method Following ethical approval, participants who had recently used homecare enablement services were invited to participate in two semi-structured interviews through homecare enablement services’ teams within a local authority. Interviews focused on people with dementia’s narratives of the impact of homecare enablement services on their daily functioning. Overall findings were taken back to the participants at the follow-up interviews for member checking. Interviews were digitally recorded, transcribed and analysed using grounded theory. Findings Sixteen participants with dementia and eight carers took part. Three key themes were revealed: the meaning of enablement in later life; homecare enablement services as instrumental to support transitions in daily life; and enablement through activity engagement in everyday life. Conclusion The scope of homecare enablement services is evolving to meet the requirements of the Care Act of 2014 and National Institute for Health and Care Excellence guidelines. Services’ improvements and redesign must consider the viewpoints of people with dementia. Permalink : ./index.php?lvl=notice_display&id=85667 [article] Experiences of older people with dementia: Homecare enablement to support transitions in daily life at home [texte imprimé] / Pat Chung . - 2019 . - p. 716-725. doi.org/10.1177/0308022619856555 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 716-725 Mots-clés : Dementia  agency  enablement  homecare  ADL  perspectives of people with dementia  occupational therapy Résumé : Abstract Introduction The majority of people with dementia live at home. Homecare enablement services are considered an important short-term intervention, using a person-centred approach. Little is known about people with dementia’s perspectives of the services. This study aimed to explore the users’ experiences. Method Following ethical approval, participants who had recently used homecare enablement services were invited to participate in two semi-structured interviews through homecare enablement services’ teams within a local authority. Interviews focused on people with dementia’s narratives of the impact of homecare enablement services on their daily functioning. Overall findings were taken back to the participants at the follow-up interviews for member checking. Interviews were digitally recorded, transcribed and analysed using grounded theory. Findings Sixteen participants with dementia and eight carers took part. Three key themes were revealed: the meaning of enablement in later life; homecare enablement services as instrumental to support transitions in daily life; and enablement through activity engagement in everyday life. Conclusion The scope of homecare enablement services is evolving to meet the requirements of the Care Act of 2014 and National Institute for Health and Care Excellence guidelines. Services’ improvements and redesign must consider the viewpoints of people with dementia. Permalink : ./index.php?lvl=notice_display&id=85667

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Effect of self-awareness on goal engagement and outcomes after acquired brain injury / Sarah Prescott in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 726-731 Titre : Effect of self-awareness on goal engagement and outcomes after acquired brain injury Type de document : texte imprimé Auteurs : Sarah Prescott ; Jennifer Fleming ; Emmah Doig Année de publication : 2019 Article en page(s) : p. 726-731 Note générale : doi.org/10.1177/0308022619851434 Langues : Anglais (eng) Mots-clés : Self-awareness  acquired brain injury  client-centred  goal setting  goal outcomes  occupational therapy Résumé : Introduction A client’s level of self-awareness may change after acquired brain injury, including impaired self-awareness or hyper-awareness of impairments. As a result of these impairments, engagement in occupational therapy may be more challenging, especially the setting of client-centred goals. Understanding how engagement in goal setting differs according to level of self-awareness is therefore necessary. The aim of this study was to examine differences between: (a) the client-centredness of goal setting; (b) verbal participation in goal setting discussions and (c) the goal outcomes across clients with acquired brain injury who had different levels of self-awareness. Method A prospective cohort study design was used. Participants were 35 adults with acquired brain injury attending outpatient rehabilitation. Goal setting discussions were audio-recorded and measures of self-awareness and client-centredness completed immediately afterwards, and goal-outcome data collected 12 weeks later. Results Participants were classified into three self-awareness groups: hyper-awareness (n=9), accurate self-awareness (n=17) and impaired self-awareness (n=9). All groups demonstrated high levels of client-centredness of goals and achieved clinically significant goal outcomes. Conclusion Clients with impaired self-awareness, hyper-awareness and accurate awareness can be successfully engaged in rehabilitation goal setting to develop and achieve client-centred goals. Permalink : ./index.php?lvl=notice_display&id=85668 [article] Effect of self-awareness on goal engagement and outcomes after acquired brain injury [texte imprimé] / Sarah Prescott ; Jennifer Fleming ; Emmah Doig . - 2019 . - p. 726-731. doi.org/10.1177/0308022619851434 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 726-731 Mots-clés : Self-awareness  acquired brain injury  client-centred  goal setting  goal outcomes  occupational therapy Résumé : Introduction A client’s level of self-awareness may change after acquired brain injury, including impaired self-awareness or hyper-awareness of impairments. As a result of these impairments, engagement in occupational therapy may be more challenging, especially the setting of client-centred goals. Understanding how engagement in goal setting differs according to level of self-awareness is therefore necessary. The aim of this study was to examine differences between: (a) the client-centredness of goal setting; (b) verbal participation in goal setting discussions and (c) the goal outcomes across clients with acquired brain injury who had different levels of self-awareness. Method A prospective cohort study design was used. Participants were 35 adults with acquired brain injury attending outpatient rehabilitation. Goal setting discussions were audio-recorded and measures of self-awareness and client-centredness completed immediately afterwards, and goal-outcome data collected 12 weeks later. Results Participants were classified into three self-awareness groups: hyper-awareness (n=9), accurate self-awareness (n=17) and impaired self-awareness (n=9). All groups demonstrated high levels of client-centredness of goals and achieved clinically significant goal outcomes. Conclusion Clients with impaired self-awareness, hyper-awareness and accurate awareness can be successfully engaged in rehabilitation goal setting to develop and achieve client-centred goals. Permalink : ./index.php?lvl=notice_display&id=85668

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Occupational therapists’ perspectives on the implementation of client-centred practice in Tanzania / Dominick Mshanga in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 732-742 Titre : Occupational therapists’ perspectives on the implementation of client-centred practice in Tanzania Type de document : texte imprimé Auteurs : Dominick Mshanga ; Eve M. Duncan ; Helen Buchanan Année de publication : 2019 Article en page(s) : p. 732-742 Note générale : doi.org/10.1177/0308022619858859 Langues : Anglais (eng) Mots-clés : Barriers  enablers  therapist views  occupational therapy Résumé : Introduction Client-centred practice was theorised by occupational therapists in Canada and subsequently introduced into the Tanzanian occupational therapy curriculum. There has been no critique of its relevance for African countries, nor research into occupational therapists’ perspectives of applying client-centred practice in African world contexts. This study aimed to determine the understanding and use of client-centred practice by occupational therapists in Tanzania. Method A descriptive cross-sectional design was used. Working Tanzanian occupational therapists (n=64) completed a questionnaire based on two existing instruments. Data were analysed using SSPS (version 20.0) and qualitative coding. Results Barriers were shortage of time (79.7%), client-centred practice is too demanding for the client (78.1%) and the therapist and client have different goals (76.6%). Enablers included education about client-centred practice as a student (98.4%), client involvement in planning services (96.9%) and staff and service provider training (96.9%). Three themes were identified: client-centred practice enriches relationships, is difficult to implement, and needs to be supported by increasing human resources, further training and client education. Conclusion The implementation of client-centred practice in Tanzania is compromised by the resource-constrained and hospi-centric health service context. Alternative practice approaches that are aligned with collectivist cultural attitudes could be considered. Permalink : ./index.php?lvl=notice_display&id=85669 [article] Occupational therapists’ perspectives on the implementation of client-centred practice in Tanzania [texte imprimé] / Dominick Mshanga ; Eve M. Duncan ; Helen Buchanan . - 2019 . - p. 732-742. doi.org/10.1177/0308022619858859 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 732-742 Mots-clés : Barriers  enablers  therapist views  occupational therapy Résumé : Introduction Client-centred practice was theorised by occupational therapists in Canada and subsequently introduced into the Tanzanian occupational therapy curriculum. There has been no critique of its relevance for African countries, nor research into occupational therapists’ perspectives of applying client-centred practice in African world contexts. This study aimed to determine the understanding and use of client-centred practice by occupational therapists in Tanzania. Method A descriptive cross-sectional design was used. Working Tanzanian occupational therapists (n=64) completed a questionnaire based on two existing instruments. Data were analysed using SSPS (version 20.0) and qualitative coding. Results Barriers were shortage of time (79.7%), client-centred practice is too demanding for the client (78.1%) and the therapist and client have different goals (76.6%). Enablers included education about client-centred practice as a student (98.4%), client involvement in planning services (96.9%) and staff and service provider training (96.9%). Three themes were identified: client-centred practice enriches relationships, is difficult to implement, and needs to be supported by increasing human resources, further training and client education. Conclusion The implementation of client-centred practice in Tanzania is compromised by the resource-constrained and hospi-centric health service context. Alternative practice approaches that are aligned with collectivist cultural attitudes could be considered. Permalink : ./index.php?lvl=notice_display&id=85669

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Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness / Gemma Prat in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 743-749 Titre : Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness Type de document : texte imprimé Auteurs : Gemma Prat ; Arantxa Ribot ; Silvia Recorder ; Francisco Munoz Année de publication : 2019 Article en page(s) : p. 743-749 Note générale : doi.org/10.1177/0308022619856557 Langues : Anglais (eng) Mots-clés : Engagement in Meaningful Activities Survey (EMAS)  psychometric properties  people with serious mental illness (PSMI)  community adjustment  social functioning  occupational therapy Résumé : Introduction Facilitating engagement in meaningful activities is a key intervention in the recovery process of people with serious mental illness. This study validates the use of the Engagement in Meaningful Activities Survey in the Spanish mental health population for the purposes of measuring such engagement. Method Two hundred and ninety-five people with serious mental illness (68.3% were male; M = 47.5, SD = 9.7 years) participated voluntarily and anonymously in the study. All gave written informed consent. A translation into Spanish and back-translation to English was made. Reliability and validity of the Engagement in Meaningful Activities Survey was assessed by the internal consistency, temporal stability and dimensionality of the scale. Results The Cronbach’s alpha of the Engagement in Meaningful Activities Survey scale was 0.91 and the intraclass correlation coefficient was 0.76. Confirmatory factor analysis revealed a two-factor structure of the scale (χ2 = 93.906, p < .001; comparative fit index = .96, Tucker–Lewis index = .95, root-mean-square error of approximation (90% confidence interval) = .05 (.03–.07) and standardized root mean square residual = .04). All the items showed significant standardized factor loadings above .59. Correlation between the two factors was .97 (p < .001). Conclusion The instrument could be useful for assessing engagement in meaningful activities and helpful for recovery process interventions focused on enhancing community adjustment in people with serious mental illness. Permalink : ./index.php?lvl=notice_display&id=85670 [article] Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness [texte imprimé] / Gemma Prat ; Arantxa Ribot ; Silvia Recorder ; Francisco Munoz . - 2019 . - p. 743-749. doi.org/10.1177/0308022619856557 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 743-749 Mots-clés : Engagement in Meaningful Activities Survey (EMAS)  psychometric properties  people with serious mental illness (PSMI)  community adjustment  social functioning  occupational therapy Résumé : Introduction Facilitating engagement in meaningful activities is a key intervention in the recovery process of people with serious mental illness. This study validates the use of the Engagement in Meaningful Activities Survey in the Spanish mental health population for the purposes of measuring such engagement. Method Two hundred and ninety-five people with serious mental illness (68.3% were male; M = 47.5, SD = 9.7 years) participated voluntarily and anonymously in the study. All gave written informed consent. A translation into Spanish and back-translation to English was made. Reliability and validity of the Engagement in Meaningful Activities Survey was assessed by the internal consistency, temporal stability and dimensionality of the scale. Results The Cronbach’s alpha of the Engagement in Meaningful Activities Survey scale was 0.91 and the intraclass correlation coefficient was 0.76. Confirmatory factor analysis revealed a two-factor structure of the scale (χ2 = 93.906, p < .001; comparative fit index = .96, Tucker–Lewis index = .95, root-mean-square error of approximation (90% confidence interval) = .05 (.03–.07) and standardized root mean square residual = .04). All the items showed significant standardized factor loadings above .59. Correlation between the two factors was .97 (p < .001). Conclusion The instrument could be useful for assessing engagement in meaningful activities and helpful for recovery process interventions focused on enhancing community adjustment in people with serious mental illness. Permalink : ./index.php?lvl=notice_display&id=85670

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Reliability of revised scoring methods for the Schenkenberg Line Bisection Test with adults following stroke: Preliminary findings / Andrew Stone in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 750-758 Titre : Reliability of revised scoring methods for the Schenkenberg Line Bisection Test with adults following stroke: Preliminary findings Type de document : texte imprimé Auteurs : Andrew Stone ; Deirdre Cooke ; Deborah Morton ; Michael Steele Année de publication : 2019 Article en page(s) : p. 750-758 Note générale : doi.org/10.1177/0308022619866377 Langues : Anglais (eng) Mots-clés : Unilateral spatial neglect  stroke  line bisection  assessment  reliability  occupational therapy Résumé : Introduction The Schenkenberg Line Bisection Test is a brief screening tool following stroke to assess for unilateral spatial neglect. This assessment takes under five minutes to administer, but scoring using the guidelines of the original authors is lengthy and complex. This study examined the interrater, intrarater, and test–retest reliability of the test using both a brief and detailed method of scoring developed for this study that are more readily used in the clinical setting. Method Fifteen participants following stroke were assessed using the Schenkenberg Line Bisection Test. Assessments were scored by four occupational therapists on two separate occasions using both the brief and detailed scoring method developed for this study. Results Intraclass correlation coefficients obtained for interrater reliability for the brief scoring method ranged from .89 to 1, and from .82 to .95 for the detailed method. Intraclass correlation coefficients for intrarater reliability ranged from .82 to 1 for the brief method and from .72 to .99 for the detailed method. Strong agreement was observed between first and second assessments in most situations for test–retest reliability. Conclusion Preliminary exploration of the revised scoring methods for the Schenkenberg Line Bisection Test demonstrate high reliability and that scoring can be completed relatively quickly in clinical practice. Permalink : ./index.php?lvl=notice_display&id=85671 [article] Reliability of revised scoring methods for the Schenkenberg Line Bisection Test with adults following stroke: Preliminary findings [texte imprimé] / Andrew Stone ; Deirdre Cooke ; Deborah Morton ; Michael Steele . - 2019 . - p. 750-758. doi.org/10.1177/0308022619866377 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 750-758 Mots-clés : Unilateral spatial neglect  stroke  line bisection  assessment  reliability  occupational therapy Résumé : Introduction The Schenkenberg Line Bisection Test is a brief screening tool following stroke to assess for unilateral spatial neglect. This assessment takes under five minutes to administer, but scoring using the guidelines of the original authors is lengthy and complex. This study examined the interrater, intrarater, and test–retest reliability of the test using both a brief and detailed method of scoring developed for this study that are more readily used in the clinical setting. Method Fifteen participants following stroke were assessed using the Schenkenberg Line Bisection Test. Assessments were scored by four occupational therapists on two separate occasions using both the brief and detailed scoring method developed for this study. Results Intraclass correlation coefficients obtained for interrater reliability for the brief scoring method ranged from .89 to 1, and from .82 to .95 for the detailed method. Intraclass correlation coefficients for intrarater reliability ranged from .82 to 1 for the brief method and from .72 to .99 for the detailed method. Strong agreement was observed between first and second assessments in most situations for test–retest reliability. Conclusion Preliminary exploration of the revised scoring methods for the Schenkenberg Line Bisection Test demonstrate high reliability and that scoring can be completed relatively quickly in clinical practice. Permalink : ./index.php?lvl=notice_display&id=85671

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Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital / Alice Murray in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 759-769 Titre : Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital Type de document : texte imprimé Auteurs : Alice Murray ; Amelia Di Tommaso ; Matthew Molineux ; Anna Young ; Penny Power Année de publication : 2019 Article en page(s) : p. 759-769 Note générale : doi.org/10.1177/0308022619876836 Langues : Anglais (eng) Mots-clés : Occupational therapists  occupational therapy philosophy  occupation-based practice  acute hospital setting  occupational therapy Résumé : Introduction The acute occupational therapy department at a specialist paediatric hospital in metropolitan Australia is undergoing a service transformation to increase their alignment with contemporary occupational therapy philosophy and practice. The purpose of this study was to explore occupational therapists’ current knowledge and skills regarding contemporary occupational therapy philosophy and practice, and their attitudes and motivation towards a service transformation. Method Qualitative data were collected through semi-structured interviews with eight occupational therapists. Interviews were audio-recorded and transcribed for thematic data analysis. Findings Four major themes were established: a glimmer of occupation; variability with recognising and articulating the core of occupational therapy; therapists externalising challenges; and the barriers and enablers to the transformation. Conclusion The findings suggest that therapists in acute settings are attempting to incorporate contemporary occupational therapy philosophies in practice. Therapists recognised the power of occupation and the benefits of an occupation-based approach, and hence were accepting of the service transformation; although the implementation of occupation-based practice appears to be inconsistent in acute settings. Findings highlight a need to enhance therapists’ knowledge of contemporary occupational therapy. However, therapists did not foresee this as a significant factor, leading to feeling a lack of control and externalising the barriers to service transformation. Permalink : ./index.php?lvl=notice_display&id=85673 [article] Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital [texte imprimé] / Alice Murray ; Amelia Di Tommaso ; Matthew Molineux ; Anna Young ; Penny Power . - 2019 . - p. 759-769. doi.org/10.1177/0308022619876836 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 759-769 Mots-clés : Occupational therapists  occupational therapy philosophy  occupation-based practice  acute hospital setting  occupational therapy Résumé : Introduction The acute occupational therapy department at a specialist paediatric hospital in metropolitan Australia is undergoing a service transformation to increase their alignment with contemporary occupational therapy philosophy and practice. The purpose of this study was to explore occupational therapists’ current knowledge and skills regarding contemporary occupational therapy philosophy and practice, and their attitudes and motivation towards a service transformation. Method Qualitative data were collected through semi-structured interviews with eight occupational therapists. Interviews were audio-recorded and transcribed for thematic data analysis. Findings Four major themes were established: a glimmer of occupation; variability with recognising and articulating the core of occupational therapy; therapists externalising challenges; and the barriers and enablers to the transformation. Conclusion The findings suggest that therapists in acute settings are attempting to incorporate contemporary occupational therapy philosophies in practice. Therapists recognised the power of occupation and the benefits of an occupation-based approach, and hence were accepting of the service transformation; although the implementation of occupation-based practice appears to be inconsistent in acute settings. Findings highlight a need to enhance therapists’ knowledge of contemporary occupational therapy. However, therapists did not foresee this as a significant factor, leading to feeling a lack of control and externalising the barriers to service transformation. Permalink : ./index.php?lvl=notice_display&id=85673

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Occupational therapy-led pulmonary rehabilitation: A practice analysis / Susan Easthaugh in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 770-774 Titre : Occupational therapy-led pulmonary rehabilitation: A practice analysis Type de document : texte imprimé Auteurs : Susan Easthaugh ; Gemma Bradley ; Lorna Peel ; Joanna Donnelly Année de publication : 2019 Article en page(s) : p. 770-774 Note générale : doi.org/10.1177/0308022619871030 Langues : Anglais (eng) Mots-clés : Pulmonary rehabilitation  chronic obstructive pulmonary disease  COPD  occupational therapy Résumé : Statement of context: Pulmonary rehabilitation is accepted as an essential strategy for the management of respiratory disease. However, there is wide variation in models of service delivery, and evidence to understand which elements are most effective is less clear. This analysis outlines key elements of an occupational therapy-led pulmonary rehabilitation programme. Critical reflection on practice: It is proposed that the core focus on occupation and the unique skills and reasoning of occupational therapists contribute to positive outcomes for service users. Implications for practice: Occupational therapists are ideally placed to lead and develop pulmonary rehabilitation programmes. As there is genuine uncertainty about which elements are most effective, this analysis should encourage further evaluation and research. Permalink : ./index.php?lvl=notice_display&id=85674 [article] Occupational therapy-led pulmonary rehabilitation: A practice analysis [texte imprimé] / Susan Easthaugh ; Gemma Bradley ; Lorna Peel ; Joanna Donnelly . - 2019 . - p. 770-774. doi.org/10.1177/0308022619871030 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 770-774 Mots-clés : Pulmonary rehabilitation  chronic obstructive pulmonary disease  COPD  occupational therapy Résumé : Statement of context: Pulmonary rehabilitation is accepted as an essential strategy for the management of respiratory disease. However, there is wide variation in models of service delivery, and evidence to understand which elements are most effective is less clear. This analysis outlines key elements of an occupational therapy-led pulmonary rehabilitation programme. Critical reflection on practice: It is proposed that the core focus on occupation and the unique skills and reasoning of occupational therapists contribute to positive outcomes for service users. Implications for practice: Occupational therapists are ideally placed to lead and develop pulmonary rehabilitation programmes. As there is genuine uncertainty about which elements are most effective, this analysis should encourage further evaluation and research. Permalink : ./index.php?lvl=notice_display&id=85674

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