Development of a tool to facilitate real life activity retraining in hand and arm therapy / Kanta Ohno in The British Journal of Occupational Therapy, Vol.80 Issue 5 (May 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 5 (May 2017) . - p. 310-318 Titre : Development of a tool to facilitate real life activity retraining in hand and arm therapy Type de document : texte imprimé Auteurs : Kanta Ohno ; Kounosuke Tomori ; Takashi Takebayashi ; [et al...] Année de publication : 2017 Article en page(s) : p. 310-318 Langues : Anglais (eng) Mots-clés : activité de la vie quotidienne  tablette Résumé : Introduction Successful recovery of upper extremity function after stroke is more likely when the affected limb is used regularly in daily life. We developed an iPad (Apple) application called the ‘Aid for Decision-Making in Occupation Choice for Hand’ to facilitate daily upper extremity use. This study examined the suitability of items and pictures in the Aid for Decision-Making in Occupation Choice for Hand, and tested a paper prototype of the application (which has since been produced). Method We used a Delphi method with 10 expert occupational therapists to refine the items in the aid. Next, we prepared pictures of items in the aid and confirmed their suitability by testing them with 10 patients (seven stroke, three cervical spondylotic myelopathy). Nine occupational therapists conducted field tests with a paper prototype of the aid in clinical practice to examine its utility. Results After four Delphi rounds, we selected 130 items representing activities of daily living, organized into 16 categories. Of 130 pictures, 128 were recognizable to patients as representing the intended activities. Based on testing of the paper prototype, we found the Aid for Decision-Making in Occupation Choice for Hand process was suitable for clinical practice, and could be organized into six steps. Conclusion The Aid for Decision-Making in Occupation Choice for Hand process may promote daily upper extremity use. This application, since developed, now needs to be clinically tested in its digital form. Permalink : ./index.php?lvl=notice_display&id=50115 [article] Development of a tool to facilitate real life activity retraining in hand and arm therapy [texte imprimé] / Kanta Ohno ; Kounosuke Tomori ; Takashi Takebayashi ; [et al...] . - 2017 . - p. 310-318. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 5 (May 2017) . - p. 310-318 Mots-clés : activité de la vie quotidienne  tablette Résumé : Introduction Successful recovery of upper extremity function after stroke is more likely when the affected limb is used regularly in daily life. We developed an iPad (Apple) application called the ‘Aid for Decision-Making in Occupation Choice for Hand’ to facilitate daily upper extremity use. This study examined the suitability of items and pictures in the Aid for Decision-Making in Occupation Choice for Hand, and tested a paper prototype of the application (which has since been produced). Method We used a Delphi method with 10 expert occupational therapists to refine the items in the aid. Next, we prepared pictures of items in the aid and confirmed their suitability by testing them with 10 patients (seven stroke, three cervical spondylotic myelopathy). Nine occupational therapists conducted field tests with a paper prototype of the aid in clinical practice to examine its utility. Results After four Delphi rounds, we selected 130 items representing activities of daily living, organized into 16 categories. Of 130 pictures, 128 were recognizable to patients as representing the intended activities. Based on testing of the paper prototype, we found the Aid for Decision-Making in Occupation Choice for Hand process was suitable for clinical practice, and could be organized into six steps. Conclusion The Aid for Decision-Making in Occupation Choice for Hand process may promote daily upper extremity use. This application, since developed, now needs to be clinically tested in its digital form. Permalink : ./index.php?lvl=notice_display&id=50115

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Reliability and validity of the Assessment of Client's Enablement (ACE) / Tatsunori Sawada in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 369-375 Titre : Reliability and validity of the Assessment of Client's Enablement (ACE) Type de document : texte imprimé Auteurs : Tatsunori Sawada ; Taeko Kitahashi ; Ayami Kose ; Samantha Ashby ; Yu Karamatsu ; Kanta Ohno ; Masahiro Ogawa ; Kounosuke Tomori Année de publication : 2018 Article en page(s) : p. 369-375 Langues : Anglais (eng) Mots-clés : Client-centred practice  occupational performance  perception gap Résumé : Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings. Permalink : ./index.php?lvl=notice_display&id=80157 [article] Reliability and validity of the Assessment of Client's Enablement (ACE) [texte imprimé] / Tatsunori Sawada ; Taeko Kitahashi ; Ayami Kose ; Samantha Ashby ; Yu Karamatsu ; Kanta Ohno ; Masahiro Ogawa ; Kounosuke Tomori . - 2018 . - p. 369-375. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 369-375 Mots-clés : Client-centred practice  occupational performance  perception gap Résumé : Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings. Permalink : ./index.php?lvl=notice_display&id=80157

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