Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke / Mary W. Hildebrand in American Journal of Occupational Therapy, Vol. 69/1 (janvier-février 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Titre : Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke : An Evidence-Based Review Type de document : texte imprimé Auteurs : Mary W. Hildebrand Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Psychopathologie  Adulte  Médecine fondée sur les preuves  Qualité vie Résumé : This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health–related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from well-conducted research supports using problem-solving or motivational interviewing behavioral techniques to address depression. The evidence is inconclusive for using multicomponent exercise programs to combat depression after stroke and for the use of stroke education and care support and coordination interventions to address poststroke anxiety. One study provided support for an intensive multidisciplinary home program in improving depression, anxiety, and health-related quality of life. The implications of the findings for practice, research, and education are discussed. Permalink : ./index.php?lvl=notice_display&id=35328 [article] Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke : An Evidence-Based Review [texte imprimé] / Mary W. Hildebrand . - 2015. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Mots-clés : Accident cérébrovasculaire  Psychopathologie  Adulte  Médecine fondée sur les preuves  Qualité vie Résumé : This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health–related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from well-conducted research supports using problem-solving or motivational interviewing behavioral techniques to address depression. The evidence is inconclusive for using multicomponent exercise programs to combat depression after stroke and for the use of stroke education and care support and coordination interventions to address poststroke anxiety. One study provided support for an intensive multidisciplinary home program in improving depression, anxiety, and health-related quality of life. The implications of the findings for practice, research, and education are discussed. Permalink : ./index.php?lvl=notice_display&id=35328

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Treatment fidelity / Mary W. Hildebrand in The British Journal of Occupational Therapy, Vol. 82 Issue 5 (Mai 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 5 (Mai 2019) . - p. 261-262 Titre : Treatment fidelity Type de document : texte imprimé Auteurs : Mary W. Hildebrand Année de publication : 2019 Article en page(s) : p. 261-262 Note générale : doi.org/10.1177/0308022618816602 Langues : Anglais (eng) Résumé : Occupational therapy interventions are difficult to evaluate because they are complex and dependent on therapist and client interactions. Psychotherapy and health behavior change interventions are similar in this respect, but to improve credibility for evidence-based interventions, over the previous few decades these fields have made significant progress in requiring that outcomes research incorporate and report treatment fidelity methods. Treatment fidelity is simply the degree to which an intervention was delivered as designed. However, health behavior change research has identified multiple components of treatment fidelity in outcomes research (Bellg et al., 2004). Leaders in these fields have urged researchers to measure and report the following components for achieving treatment fidelity: define specific characteristics or active ingredients of the intervention so that it is replicable (treatment design); provide standardized training of the clinicians to ensure the accuracy and consistency of delivery of the intervention over time (treatment integrity); ensure that the experimental and control treatment conditions are distinct from one another (treatment differentiation); assess how well the subjects understand the treatment (treatment receipt); and determine if the subjects apply the intervention (treatment enactment). These concepts and techniques can be incorporated into occupational therapy research and, as in psychotherapy and behavior change interventions, can lead to increased confidence that the outcomes of a study are attributable to the active ingredients of the intervention and not to extraneous variables or differences in practitioners who deliver the intervention (Bellg et al., 2004). Permalink : ./index.php?lvl=notice_display&id=80411 [article] Treatment fidelity [texte imprimé] / Mary W. Hildebrand . - 2019 . - p. 261-262. doi.org/10.1177/0308022618816602 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 5 (Mai 2019) . - p. 261-262 Résumé : Occupational therapy interventions are difficult to evaluate because they are complex and dependent on therapist and client interactions. Psychotherapy and health behavior change interventions are similar in this respect, but to improve credibility for evidence-based interventions, over the previous few decades these fields have made significant progress in requiring that outcomes research incorporate and report treatment fidelity methods. Treatment fidelity is simply the degree to which an intervention was delivered as designed. However, health behavior change research has identified multiple components of treatment fidelity in outcomes research (Bellg et al., 2004). Leaders in these fields have urged researchers to measure and report the following components for achieving treatment fidelity: define specific characteristics or active ingredients of the intervention so that it is replicable (treatment design); provide standardized training of the clinicians to ensure the accuracy and consistency of delivery of the intervention over time (treatment integrity); ensure that the experimental and control treatment conditions are distinct from one another (treatment differentiation); assess how well the subjects understand the treatment (treatment receipt); and determine if the subjects apply the intervention (treatment enactment). These concepts and techniques can be incorporated into occupational therapy research and, as in psychotherapy and behavior change interventions, can lead to increased confidence that the outcomes of a study are attributable to the active ingredients of the intervention and not to extraneous variables or differences in practitioners who deliver the intervention (Bellg et al., 2004). Permalink : ./index.php?lvl=notice_display&id=80411

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