Dépouillements

Children’s assessment of participation and enjoyment/preference for activities of children / Marie-Christine POTVIN in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 209-217 Titre : Children’s assessment of participation and enjoyment/preference for activities of children : psychometric properties in a population with high-functioning autism Type de document : texte imprimé Auteurs : Marie-Christine POTVIN ; Laurie M. SNIDER ; et al. ; Patricia PRELOCK Année de publication : 2013 Article en page(s) : p. 209-217 Langues : Anglais (eng) Mots-clés : Handicap physique  Autisme  Participation  Loisir  Enfant Résumé : The psychometric properties of assessments must be established for specific populations. The psychometric properties of the Children’s Assessment of Participation and Enjoyment/Preference for Activities of Children have been studied only in a sample of children with physical disability. We conducted a study to determine the appropriateness of drawing inferences from this assessment for children with high-functioning autism (HFA). The content validity and test–retest reliability (r > .7) were both found to be adequate for this population. Parents’ agreement with most of their children’s self-ratings on this assessment provided an estimate of interrater reliability. We also ascertained the feasibility of gathering recreational participation information from children with HFA and found that adaptations to facilitate the self-completion of the tool should be made available. The study findings support the use of this tool to assess recreational participation among children with HFA. Permalink : ./index.php?lvl=notice_display&id=14011 [article] Children’s assessment of participation and enjoyment/preference for activities of children : psychometric properties in a population with high-functioning autism [texte imprimé] / Marie-Christine POTVIN ; Laurie M. SNIDER ; et al. ; Patricia PRELOCK . - 2013 . - p. 209-217. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 209-217 Mots-clés : Handicap physique  Autisme  Participation  Loisir  Enfant Résumé : The psychometric properties of assessments must be established for specific populations. The psychometric properties of the Children’s Assessment of Participation and Enjoyment/Preference for Activities of Children have been studied only in a sample of children with physical disability. We conducted a study to determine the appropriateness of drawing inferences from this assessment for children with high-functioning autism (HFA). The content validity and test–retest reliability (r > .7) were both found to be adequate for this population. Parents’ agreement with most of their children’s self-ratings on this assessment provided an estimate of interrater reliability. We also ascertained the feasibility of gathering recreational participation information from children with HFA and found that adaptations to facilitate the self-completion of the tool should be made available. The study findings support the use of this tool to assess recreational participation among children with HFA. Permalink : ./index.php?lvl=notice_display&id=14011

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Comprehensive behavioral intervention to improve occupational performance in children with Tourette disorder / Jan ROWE in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 194-200 Titre : Comprehensive behavioral intervention to improve occupational performance in children with Tourette disorder Type de document : texte imprimé Auteurs : Jan ROWE ; Leon S. DURE ; Hon K. Yuen Année de publication : 2013 Article en page(s) : p. 194-200 Langues : Anglais (eng) Mots-clés : Enfant  Système nerveux [pathologie]  Activités vie quotidienne Résumé : OBJECTIVE. We evaluated the efficacy of a comprehensive behavioral intervention for tics (CBIT) program to reduce tic severity and improve occupational performance in children with tic disorder using a one-group pretest–posttest design. METHOD. Thirty children with tic disorder completed an eight-session CBIT program. The program focused on habit reversal, relaxation training, and function-based approaches to address how the environment and social situations (antecedents and consequences) sustain or influence tic severity. RESULTS. We observed significant reduction in the number of tics and improvement in scores on the Parent Tic Questionnaire, Subjective Units of Distress Scale, and Child Occupational Self Assessment after CBIT compared with scores at baseline. CONCLUSION. Findings provided support that CBIT reduced the number of tic expressions, tic severity, and level of distress associated with tic and improved these children’s self-perception of their competence in and importance of performing everyday activities (i.e., occupational performance). Permalink : ./index.php?lvl=notice_display&id=14020 [article] Comprehensive behavioral intervention to improve occupational performance in children with Tourette disorder [texte imprimé] / Jan ROWE ; Leon S. DURE ; Hon K. Yuen . - 2013 . - p. 194-200. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 194-200 Mots-clés : Enfant  Système nerveux [pathologie]  Activités vie quotidienne Résumé : OBJECTIVE. We evaluated the efficacy of a comprehensive behavioral intervention for tics (CBIT) program to reduce tic severity and improve occupational performance in children with tic disorder using a one-group pretest–posttest design. METHOD. Thirty children with tic disorder completed an eight-session CBIT program. The program focused on habit reversal, relaxation training, and function-based approaches to address how the environment and social situations (antecedents and consequences) sustain or influence tic severity. RESULTS. We observed significant reduction in the number of tics and improvement in scores on the Parent Tic Questionnaire, Subjective Units of Distress Scale, and Child Occupational Self Assessment after CBIT compared with scores at baseline. CONCLUSION. Findings provided support that CBIT reduced the number of tic expressions, tic severity, and level of distress associated with tic and improved these children’s self-perception of their competence in and importance of performing everyday activities (i.e., occupational performance). Permalink : ./index.php?lvl=notice_display&id=14020

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Dissemination / Florence A. CLARK in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 185-193 Titre : Dissemination : bringing ranslational research to completion Type de document : texte imprimé Auteurs : Florence A. CLARK ; Janice P. BURKE ; Daniel J. PARK Année de publication : 2013 Article en page(s) : p. 185-193 Langues : Anglais (eng) Mots-clés : Recherche  Connaissance  Pratique soins Résumé : Despite the availability of innovative health care research, a gap exists between research-generated knowledge and the utilization of that knowledge in real-world practice settings. This article examines the transition from research to implementation in the context of the dissemination of A. Jean Ayres’ sensory integration procedures and of the challenges currently facing the University of Southern California Well Elderly Studies research team. Drawing from the emerging field of implementation science, this article discusses how researchers can develop an implementation plan to more easily translate evidence into practice. Such plans should address the intervention’s reach (i.e., its capacity to penetrate into the intended target population), the settings for which it is applicable, the leaders who will encourage practitioner uptake, stakeholder groups, and challenges to dissemination. By taking action to ensure the more effective dissemination of research-generated knowledge, researchers can increase the likelihood that their interventions will lead to improvements in practice and more effective care for consumers. Permalink : ./index.php?lvl=notice_display&id=14043 [article] Dissemination : bringing ranslational research to completion [texte imprimé] / Florence A. CLARK ; Janice P. BURKE ; Daniel J. PARK . - 2013 . - p. 185-193. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 185-193 Mots-clés : Recherche  Connaissance  Pratique soins Résumé : Despite the availability of innovative health care research, a gap exists between research-generated knowledge and the utilization of that knowledge in real-world practice settings. This article examines the transition from research to implementation in the context of the dissemination of A. Jean Ayres’ sensory integration procedures and of the challenges currently facing the University of Southern California Well Elderly Studies research team. Drawing from the emerging field of implementation science, this article discusses how researchers can develop an implementation plan to more easily translate evidence into practice. Such plans should address the intervention’s reach (i.e., its capacity to penetrate into the intended target population), the settings for which it is applicable, the leaders who will encourage practitioner uptake, stakeholder groups, and challenges to dissemination. By taking action to ensure the more effective dissemination of research-generated knowledge, researchers can increase the likelihood that their interventions will lead to improvements in practice and more effective care for consumers. Permalink : ./index.php?lvl=notice_display&id=14043

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Effects of constraint-induced therapy combined with eye patching on functional outcomes and movement kinematics in poststroke neglect / Ching-Yi WU in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 236-245 Titre : Effects of constraint-induced therapy combined with eye patching on functional outcomes and movement kinematics in poststroke neglect Type de document : texte imprimé Auteurs : Ching-Yi WU ; et al. ; Yu-Ting CHEN ; Tien-Ni WANG Année de publication : 2013 Article en page(s) : p. 236-245 Langues : Anglais (eng) Mots-clés : Thérapie par contrainte induite  Oeil  Perception Résumé : OBJECTIVE. We investigated the effect of constraint-induced therapy (CIT) plus eye patching (EP), CIT alone, and conventional treatment on functional performance, eye movement, and trunk–arm kinematics in stroke patients with neglect syndrome. METHOD. Twenty-four participants were recruited and randomly allocated to three intervention groups. All participants received intervention 2 hr/day, 5 days/wk, for 3 wk. Outcome measures included the Catherine Bergego Scale, eye movement, and trunk–arm kinematic analysis. RESULTS. The CIT + EP and CIT groups demonstrated larger improvements in functional performance than the control group. The CIT group showed better performance with left fixation points than the CIT+EP group and shorter reaction time than the control group. The CIT + EP group improved more in preplanned control and leftward trunk shift than the other two groups. CONCLUSION. CIT + EP and CIT were more effective interventions than conventional treatment of patients with neglect syndrome in daily functional performance. Permalink : ./index.php?lvl=notice_display&id=14086 [article] Effects of constraint-induced therapy combined with eye patching on functional outcomes and movement kinematics in poststroke neglect [texte imprimé] / Ching-Yi WU ; et al. ; Yu-Ting CHEN ; Tien-Ni WANG . - 2013 . - p. 236-245. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 236-245 Mots-clés : Thérapie par contrainte induite  Oeil  Perception Résumé : OBJECTIVE. We investigated the effect of constraint-induced therapy (CIT) plus eye patching (EP), CIT alone, and conventional treatment on functional performance, eye movement, and trunk–arm kinematics in stroke patients with neglect syndrome. METHOD. Twenty-four participants were recruited and randomly allocated to three intervention groups. All participants received intervention 2 hr/day, 5 days/wk, for 3 wk. Outcome measures included the Catherine Bergego Scale, eye movement, and trunk–arm kinematic analysis. RESULTS. The CIT + EP and CIT groups demonstrated larger improvements in functional performance than the control group. The CIT group showed better performance with left fixation points than the CIT+EP group and shorter reaction time than the control group. The CIT + EP group improved more in preplanned control and leftward trunk shift than the other two groups. CONCLUSION. CIT + EP and CIT were more effective interventions than conventional treatment of patients with neglect syndrome in daily functional performance. Permalink : ./index.php?lvl=notice_display&id=14086

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Family-centered principles implemented in home-based, clinic-based, and school-based pediatric settings / Patricia E. FINGERHUT in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 228-235 Titre : Family-centered principles implemented in home-based, clinic-based, and school-based pediatric settings Type de document : texte imprimé Auteurs : Patricia E. FINGERHUT ; et al. ; Ashley SUTTON ; Jocelyn PIRO Année de publication : 2013 Article en page(s) : p. 228-235 Langues : Anglais (eng) Mots-clés : Pédiatrie  Pratique professionnelle  Famille  Soins domicile Résumé : OBJECTIVE: The goal of this study was to determine whether pediatric occupational therapy practitioners implemented family-centered principles in their practice. METHOD: Twenty-eight occupational therapy practitioners were interviewed in three practice settings: home based, clinic based, and school based. A grounded theory approach was used to analyze the results. Responses were compared across respondents and across practice settings. RESULTS: Responses varied among practitioners and, more significantly, practice settings. A continuum of family-centered practice was demonstrated, with home-based practice as the most family centered, school-based practice as the least family centered, and clinic practice varying in between. CONCLUSION: Occupational therapy practitioners are familiar with most principles of family-centered practice. However, implementation of those principles differs significantly across practice settings. Permalink : ./index.php?lvl=notice_display&id=14105 [article] Family-centered principles implemented in home-based, clinic-based, and school-based pediatric settings [texte imprimé] / Patricia E. FINGERHUT ; et al. ; Ashley SUTTON ; Jocelyn PIRO . - 2013 . - p. 228-235. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 228-235 Mots-clés : Pédiatrie  Pratique professionnelle  Famille  Soins domicile Résumé : OBJECTIVE: The goal of this study was to determine whether pediatric occupational therapy practitioners implemented family-centered principles in their practice. METHOD: Twenty-eight occupational therapy practitioners were interviewed in three practice settings: home based, clinic based, and school based. A grounded theory approach was used to analyze the results. Responses were compared across respondents and across practice settings. RESULTS: Responses varied among practitioners and, more significantly, practice settings. A continuum of family-centered practice was demonstrated, with home-based practice as the most family centered, school-based practice as the least family centered, and clinic practice varying in between. CONCLUSION: Occupational therapy practitioners are familiar with most principles of family-centered practice. However, implementation of those principles differs significantly across practice settings. Permalink : ./index.php?lvl=notice_display&id=14105

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Group constraint-induced movement therapy for children with hemiplegic cerebral palsy / Wen-Chi WU in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 201-208 Titre : Group constraint-induced movement therapy for children with hemiplegic cerebral palsy : a pilot study Type de document : texte imprimé Auteurs : Wen-Chi WU ; et al. ; Chiung-Yi TSENG ; Jen-Weng HUNG Année de publication : 2013 Article en page(s) : p. 201-208 Langues : Anglais (eng) Mots-clés : Thérapie par contrainte induite  Paralysie cérébrale Résumé : OBJECTIVE. We investigated the feasibility and effectiveness of group-based constraint-induced movement therapy (CIMT) for children with hemiplegic cerebral palsy in a clinical setting. METHOD. Seven children received CIMT together under the guidance of two occupational therapy practitioners, 2.5 hr/day, 5 days/wk for 4 wk. We used the Grasping and Visual–Motor Integration subtests of the Peabody Developmental Motor Scales to assess the primary outcome and the Functional Skills and Caregiver Assistance Scales of the Pediatric Evaluation Disability Inventory to assess the secondary outcome. Children were examined at preintervention, postintervention, and 1- and 3-mo follow-up. RESULTS. Children demonstrated significant improvement on all outcome measures after intervention (all ps < .05, effect sizes = .39–.84), and effects were maintained at 3-mo follow-up. CONCLUSION. This preliminary study revealed that group-based CIMT for children with hemiplegic cerebral palsy may be a feasible and effective alternative to individual CIMT in clinical practice. Permalink : ./index.php?lvl=notice_display&id=14113 [article] Group constraint-induced movement therapy for children with hemiplegic cerebral palsy : a pilot study [texte imprimé] / Wen-Chi WU ; et al. ; Chiung-Yi TSENG ; Jen-Weng HUNG . - 2013 . - p. 201-208. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 201-208 Mots-clés : Thérapie par contrainte induite  Paralysie cérébrale Résumé : OBJECTIVE. We investigated the feasibility and effectiveness of group-based constraint-induced movement therapy (CIMT) for children with hemiplegic cerebral palsy in a clinical setting. METHOD. Seven children received CIMT together under the guidance of two occupational therapy practitioners, 2.5 hr/day, 5 days/wk for 4 wk. We used the Grasping and Visual–Motor Integration subtests of the Peabody Developmental Motor Scales to assess the primary outcome and the Functional Skills and Caregiver Assistance Scales of the Pediatric Evaluation Disability Inventory to assess the secondary outcome. Children were examined at preintervention, postintervention, and 1- and 3-mo follow-up. RESULTS. Children demonstrated significant improvement on all outcome measures after intervention (all ps < .05, effect sizes = .39–.84), and effects were maintained at 3-mo follow-up. CONCLUSION. This preliminary study revealed that group-based CIMT for children with hemiplegic cerebral palsy may be a feasible and effective alternative to individual CIMT in clinical practice. Permalink : ./index.php?lvl=notice_display&id=14113

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Introducing a new intervention / Laura N. GITLIN in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 177-184 Titre : Introducing a new intervention : an overview of research phases and common challenges Type de document : texte imprimé Auteurs : Laura N. GITLIN Année de publication : 2013 Article en page(s) : p. 177-184 Langues : Anglais (eng) Mots-clés : Essai thérapeutique Résumé : This article examines the challenges in and progress of behavioral intervention research, the trajectory followed for introducing new interventions, and key considerations in protocol development. Developing and testing health-related behavioral interventions involve an incremental and iterative process to build a robust body of evidence that initially supports feasibility and safety, then proves efficacy and effectiveness, and subsequently involves translation, implementation, and sustainability in a real-world context. This process occurs over close to two decades and yields less than 14% of the evidence being integrated into practice. New hybrid models that blend test phases and involve stakeholders and end users up front in developing and testing interventions may shorten this time frame and enhance adoption of a proven intervention. Knowledge of setting exigencies and implementation challenges may also inform intervention protocol development and facilitate rapid and efficient translation into practice. Although interventions needed to improve the public’s health are complex and funding lags behind, introducing new interventions remains a critical and most worthy pursuit. Permalink : ./index.php?lvl=notice_display&id=14132 [article] Introducing a new intervention : an overview of research phases and common challenges [texte imprimé] / Laura N. GITLIN . - 2013 . - p. 177-184. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 177-184 Mots-clés : Essai thérapeutique Résumé : This article examines the challenges in and progress of behavioral intervention research, the trajectory followed for introducing new interventions, and key considerations in protocol development. Developing and testing health-related behavioral interventions involve an incremental and iterative process to build a robust body of evidence that initially supports feasibility and safety, then proves efficacy and effectiveness, and subsequently involves translation, implementation, and sustainability in a real-world context. This process occurs over close to two decades and yields less than 14% of the evidence being integrated into practice. New hybrid models that blend test phases and involve stakeholders and end users up front in developing and testing interventions may shorten this time frame and enhance adoption of a proven intervention. Knowledge of setting exigencies and implementation challenges may also inform intervention protocol development and facilitate rapid and efficient translation into practice. Although interventions needed to improve the public’s health are complex and funding lags behind, introducing new interventions remains a critical and most worthy pursuit. Permalink : ./index.php?lvl=notice_display&id=14132

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Making the best match / Wendy J. Coster in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 162-170 Titre : Making the best match : selecting outcome measures for clinical trials and outcome studies Type de document : texte imprimé Auteurs : Wendy J. Coster Année de publication : 2013 Article en page(s) : p. 162-170 Langues : Anglais (eng) Mots-clés : Essai thérapeutique  Résultat  Evaluation Résumé : Selecting an appropriate outcome measure is a critical step in designing valid and useful clinical trials and outcome studies. This selection process needs to extend beyond examining basic psychometric properties to consider additional features of instruments that may affect their validity and utility for the study’s purpose. This article discusses these additional factors and their potential impact on outcome measurement. Guidelines are proposed to help clinical researchers and consumers of clinical research literature evaluate the match between the study purpose, population, and instrument. Permalink : ./index.php?lvl=notice_display&id=14138 [article] Making the best match : selecting outcome measures for clinical trials and outcome studies [texte imprimé] / Wendy J. Coster . - 2013 . - p. 162-170. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 162-170 Mots-clés : Essai thérapeutique  Résultat  Evaluation Résumé : Selecting an appropriate outcome measure is a critical step in designing valid and useful clinical trials and outcome studies. This selection process needs to extend beyond examining basic psychometric properties to consider additional features of instruments that may affect their validity and utility for the study’s purpose. This article discusses these additional factors and their potential impact on outcome measurement. Guidelines are proposed to help clinical researchers and consumers of clinical research literature evaluate the match between the study purpose, population, and instrument. Permalink : ./index.php?lvl=notice_display&id=14138

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Nuts and bolts of conducting feasibility studies / Linda TICKLE-DEGNEN in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 171-176 Titre : Nuts and bolts of conducting feasibility studies Type de document : texte imprimé Auteurs : Linda TICKLE-DEGNEN Année de publication : 2013 Article en page(s) : p. 171-176 Langues : Anglais (eng) Mots-clés : Essai comparatif  Etude faisabilité Résumé : Many factors can affect the successful implementation and validity of intervention studies. A primary purpose of feasibility and pilot studies is to assess the potential for successful implementation of the proposed main intervention studies and to reduce threats to the validity of these studies. This article describes a typology to guide the aims of feasibility and pilot studies designed to support the development of randomized controlled trials and provides an example of the studies underlying the development of one rehabilitation trial. The purpose of most feasibility and pilot studies should be to describe information and evidence related to the successful implementation and validity of a planned main trial. Null hypothesis significance testing is not appropriate for these studies unless the sample size is properly powered. The primary tests of the intervention effectiveness hypotheses should occur in the main study, not in the studies that are serving as feasibility or pilot studies. Permalink : ./index.php?lvl=notice_display&id=14157 [article] Nuts and bolts of conducting feasibility studies [texte imprimé] / Linda TICKLE-DEGNEN . - 2013 . - p. 171-176. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 171-176 Mots-clés : Essai comparatif  Etude faisabilité Résumé : Many factors can affect the successful implementation and validity of intervention studies. A primary purpose of feasibility and pilot studies is to assess the potential for successful implementation of the proposed main intervention studies and to reduce threats to the validity of these studies. This article describes a typology to guide the aims of feasibility and pilot studies designed to support the development of randomized controlled trials and provides an example of the studies underlying the development of one rehabilitation trial. The purpose of most feasibility and pilot studies should be to describe information and evidence related to the successful implementation and validity of a planned main trial. Null hypothesis significance testing is not appropriate for these studies unless the sample size is properly powered. The primary tests of the intervention effectiveness hypotheses should occur in the main study, not in the studies that are serving as feasibility or pilot studies. Permalink : ./index.php?lvl=notice_display&id=14157

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Opportunities for occupational therapy behavioral health / Virginia Stoffel in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 140-145 Titre : Opportunities for occupational therapy behavioral health : a call to action Type de document : texte imprimé Auteurs : Virginia Stoffel Année de publication : 2013 Article en page(s) : p. 140-145 Langues : Anglais (eng) Mots-clés : Ergothérapie  Psychologie comportement  Santé mentale Résumé : The Patient Protection and Affordable Care Act of 2010 (ACA; Pub. L. 111–148) provides a window of opportunity for occupational therapy to reengage in serving people with serious mental illness (SMI) and substance use challenges using contemporary community-based and person-centered, recovery-oriented services and supports. As implementation of the law moves forward, occupational therapy practitioners must respond to this call for action to ensure that the essential benefits in products offered by state-based purchasing exchanges fully include rehabilitation, habilitation, mental health, substance abuse, and behavioral treatment services for all covered persons with behavioral health conditions. Each benefit category is required to be covered under the exchange-based offerings. Occupational therapy’s goal must be that occupational therapy is recognized in all of them. [...] Permalink : ./index.php?lvl=notice_display&id=14177 [article] Opportunities for occupational therapy behavioral health : a call to action [texte imprimé] / Virginia Stoffel . - 2013 . - p. 140-145. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 140-145 Mots-clés : Ergothérapie  Psychologie comportement  Santé mentale Résumé : The Patient Protection and Affordable Care Act of 2010 (ACA; Pub. L. 111–148) provides a window of opportunity for occupational therapy to reengage in serving people with serious mental illness (SMI) and substance use challenges using contemporary community-based and person-centered, recovery-oriented services and supports. As implementation of the law moves forward, occupational therapy practitioners must respond to this call for action to ensure that the essential benefits in products offered by state-based purchasing exchanges fully include rehabilitation, habilitation, mental health, substance abuse, and behavioral treatment services for all covered persons with behavioral health conditions. Each benefit category is required to be covered under the exchange-based offerings. Occupational therapy’s goal must be that occupational therapy is recognized in all of them. [...] Permalink : ./index.php?lvl=notice_display&id=14177

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Protocol development, treatment fidelity, adherence to treatment, and quality control / Andrew C. PERSCH in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 146-153 Titre : Protocol development, treatment fidelity, adherence to treatment, and quality control Type de document : texte imprimé Auteurs : Andrew C. PERSCH ; Stephen J. PAGE Année de publication : 2013 Article en page(s) : p. 146-153 Langues : Anglais (eng) Mots-clés : Protocole thérapeutique  Recherche médicale  Qualité  Observance thérapeutique Résumé : Occupational therapy leaders have emphasized the importance of intervention effectiveness research. The CONSORT and TREND checklists have been suggested as useful tools for reporting the results of randomized and nonrandomized studies, respectively. Despite such recommendations, research protocols and reports continue to underutilize the available tools, a situation reflecting limited resources for and experience with the conduct of effectiveness research. To address this issue, and using the CONSORT statement to structure the analysis, this article discusses strategies for optimization of protocol development, treatment fidelity, adherence to treatment, and quality control. We recommend several approaches to increase the quality of research throughout these various processes. Examples of implementation from our laboratory provide evidence of the utility of these strategies. Permalink : ./index.php?lvl=notice_display&id=14200 [article] Protocol development, treatment fidelity, adherence to treatment, and quality control [texte imprimé] / Andrew C. PERSCH ; Stephen J. PAGE . - 2013 . - p. 146-153. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 146-153 Mots-clés : Protocole thérapeutique  Recherche médicale  Qualité  Observance thérapeutique Résumé : Occupational therapy leaders have emphasized the importance of intervention effectiveness research. The CONSORT and TREND checklists have been suggested as useful tools for reporting the results of randomized and nonrandomized studies, respectively. Despite such recommendations, research protocols and reports continue to underutilize the available tools, a situation reflecting limited resources for and experience with the conduct of effectiveness research. To address this issue, and using the CONSORT statement to structure the analysis, this article discusses strategies for optimization of protocol development, treatment fidelity, adherence to treatment, and quality control. We recommend several approaches to increase the quality of research throughout these various processes. Examples of implementation from our laboratory provide evidence of the utility of these strategies. Permalink : ./index.php?lvl=notice_display&id=14200

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Psychometric properties of the practical skills test (PST) / Feng-Hang CHANG in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 246-253 Titre : Psychometric properties of the practical skills test (PST) Type de document : texte imprimé Auteurs : Feng-Hang CHANG ; Wendy J. Coster ; Christine A. HELFRICH Année de publication : 2013 Article en page(s) : p. 246-253 Langues : Anglais (eng) Mots-clés : Sans domicile fixe  Test  Compétence  Evaluation Résumé : The Practical Skills Test (PST) is a new assessment of individuals’ knowledge of life skills. We evaluated the PST’s reliability, validity, and sensitivity to change among a homeless population. Participants were 123 homeless persons in a longitudinal experimental study who were assessed before and after intervention with the PST, Allen Cognitive Level Screen–2000 (ACLS–2000), and Impact of Event Scale–Revised (IES–R). The PST showed generally good internal consistency, no floor effects, and limited ceiling effects (<20% on each test). Supportive evidence for the PST’s convergent validity was seen in its moderate correlations with the ACLS–2000; we found no significant correlation with the IES–R. Paired t tests indicated that the PST is sensitive to changes in life skills after intervention, but effect sizes were small. The results suggest that the PST has generally good reliability and validity. However, ceiling effects suggest an area for further development. Permalink : ./index.php?lvl=notice_display&id=14201 [article] Psychometric properties of the practical skills test (PST) [texte imprimé] / Feng-Hang CHANG ; Wendy J. Coster ; Christine A. HELFRICH . - 2013 . - p. 246-253. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 246-253 Mots-clés : Sans domicile fixe  Test  Compétence  Evaluation Résumé : The Practical Skills Test (PST) is a new assessment of individuals’ knowledge of life skills. We evaluated the PST’s reliability, validity, and sensitivity to change among a homeless population. Participants were 123 homeless persons in a longitudinal experimental study who were assessed before and after intervention with the PST, Allen Cognitive Level Screen–2000 (ACLS–2000), and Impact of Event Scale–Revised (IES–R). The PST showed generally good internal consistency, no floor effects, and limited ceiling effects (<20% on each test). Supportive evidence for the PST’s convergent validity was seen in its moderate correlations with the ACLS–2000; we found no significant correlation with the IES–R. Paired t tests indicated that the PST is sensitive to changes in life skills after intervention, but effect sizes were small. The results suggest that the PST has generally good reliability and validity. However, ceiling effects suggest an area for further development. Permalink : ./index.php?lvl=notice_display&id=14201

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Recruitment, retention, and blinding in clinical trials / Stephen J. PAGE in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 154-161 Titre : Recruitment, retention, and blinding in clinical trials Type de document : texte imprimé Auteurs : Stephen J. PAGE ; Andrew C. PERSCH Année de publication : 2013 Article en page(s) : p. 154-161 Langues : Anglais (eng) Mots-clés : Essai thérapeutique  Critère sélection  Malade Résumé : The recruitment and retention of participants and the blinding of participants, health care providers, and data collectors present challenges for clinical trial investigators. This article reviews challenges and alternative strategies associated with these three important clinical trial activities. Common recruiting pitfalls, including low sample size, unfriendly study designs, suboptimal testing locations, and untimely recruitment are discussed together with strategies for overcoming these barriers. The use of active controls, technology-supported visit reminders, and up-front scheduling is recommended to prevent attrition and maximize retention of participants. Blinding is conceptualized as the process of concealing research design elements from key players in the research process. Strategies for blinding participants, health care providers, and data collectors are suggested. Permalink : ./index.php?lvl=notice_display&id=14211 [article] Recruitment, retention, and blinding in clinical trials [texte imprimé] / Stephen J. PAGE ; Andrew C. PERSCH . - 2013 . - p. 154-161. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 154-161 Mots-clés : Essai thérapeutique  Critère sélection  Malade Résumé : The recruitment and retention of participants and the blinding of participants, health care providers, and data collectors present challenges for clinical trial investigators. This article reviews challenges and alternative strategies associated with these three important clinical trial activities. Common recruiting pitfalls, including low sample size, unfriendly study designs, suboptimal testing locations, and untimely recruitment are discussed together with strategies for overcoming these barriers. The use of active controls, technology-supported visit reminders, and up-front scheduling is recommended to prevent attrition and maximize retention of participants. Blinding is conceptualized as the process of concealing research design elements from key players in the research process. Strategies for blinding participants, health care providers, and data collectors are suggested. Permalink : ./index.php?lvl=notice_display&id=14211

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Writing forces associated with fo / Heidi SCHWELLNUS in American Journal of Occupational Therapy, Vol. 67/2 (mars-avril 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 218-227 Titre : Writing forces associated with fo Type de document : texte imprimé Auteurs : Heidi SCHWELLNUS ; et al. ; Azadeh KUSHKI ; Heather CARNAHAN Année de publication : 2013 Article en page(s) : p. 218-227 Langues : Anglais (eng) Mots-clés : Préhension  Ecriture Résumé : OBJECTIVE. We investigated differences in handwriting kinetics, speed, and legibility among four pencil grasps after a 10-min copy task. METHOD. Seventy-four Grade 4 students completed a handwriting assessment before and after a copy task. Grip and axial forces were measured with an instrumented stylus and force-sensitive tablet. We used multiple linear regression to analyze the relationship between grasp pattern and grip and axial forces. RESULTS. We found no kinetic differences among grasps, whether considered individually or grouped by the number of fingers on the barrel. However, when grasps were grouped according to the thumb position, the adducted grasps exhibited higher mean grip and axial forces. CONCLUSION. Grip forces were generally similar across the different grasps. Kinetic differences resulting from thumb position seemed to have no bearing on speed and legibility. Interventions for handwriting difficulties should focus more on speed and letter formation than on grasp pattern. Permalink : ./index.php?lvl=notice_display&id=14268 [article] Writing forces associated with fo [texte imprimé] / Heidi SCHWELLNUS ; et al. ; Azadeh KUSHKI ; Heather CARNAHAN . - 2013 . - p. 218-227. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/2 (mars-avril 2013) . - p. 218-227 Mots-clés : Préhension  Ecriture Résumé : OBJECTIVE. We investigated differences in handwriting kinetics, speed, and legibility among four pencil grasps after a 10-min copy task. METHOD. Seventy-four Grade 4 students completed a handwriting assessment before and after a copy task. Grip and axial forces were measured with an instrumented stylus and force-sensitive tablet. We used multiple linear regression to analyze the relationship between grasp pattern and grip and axial forces. RESULTS. We found no kinetic differences among grasps, whether considered individually or grouped by the number of fingers on the barrel. However, when grasps were grouped according to the thumb position, the adducted grasps exhibited higher mean grip and axial forces. CONCLUSION. Grip forces were generally similar across the different grasps. Kinetic differences resulting from thumb position seemed to have no bearing on speed and legibility. Interventions for handwriting difficulties should focus more on speed and letter formation than on grasp pattern. Permalink : ./index.php?lvl=notice_display&id=14268

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Revue	Revue	Centre de Documentation HELHa Campus Montignies	Réserve	Consultable sur demande auprès des documentalistes Exclu du prêt