Cognitive Management Pathways in Stroke Services (COMPASS): A qualitative investigation of key issues in relation to community stroke teams undertaking cognitive assessments / Joanne Ablewhite in The British Journal of Occupational Therapy, Vol. 82 Issue 7 (Juillet 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 7 (Juillet 2019) . - p. 404-411 Titre : Cognitive Management Pathways in Stroke Services (COMPASS): A qualitative investigation of key issues in relation to community stroke teams undertaking cognitive assessments Type de document : texte imprimé Auteurs : Joanne Ablewhite ; Jenni Geraghty ; Roshan das Nair ; Nadina Lincoln ; Avril Drummond Année de publication : 2019 Article en page(s) : p. 404-411 Note générale : doi.org/10.1177/0308022619841320 Langues : Anglais (eng) Mots-clés : Occupational therapy  stroke  community  cognitive rehabilitation assessment Résumé : Introduction Cognitive problems are common after stroke and their identification and management is important for survivors, carers and clinicians. However, the appropriateness of the screening methods and ways in which results inform community clinical care have not been established. The aim of this phase of the Cognitive Management Pathways in Stroke Services study was to explore key issues to undertaking cognitive assessment, particularly in community settings. Method Participants recruited via local and national contacts, and from an earlier phase of the Cognitive Management Pathways in Stroke Services research, took part in face-to-face or telephone semi-structured interviews. Data were analysed using framework analysis. Findings: Twenty-one occupational therapists were recruited. Availability of cognitive tests, personal knowledge, previous experience, training, cost, time and familiarity were key factors in conducting cognitive screening assessments and interpreting results. Other factors included patient language or mood deficits, the assessment environment, lack of experience, confidence and workload. Conclusion There is variation in the cognitive screening of stroke survivors in the community. Screening assessments are being used by occupational therapists based on availability and familiarity, rather than evidence of their validity and sensitivity. There is also variation in the interpretation of such assessments, which has implications for clinical practice. Permalink : ./index.php?lvl=notice_display&id=84560 [article] Cognitive Management Pathways in Stroke Services (COMPASS): A qualitative investigation of key issues in relation to community stroke teams undertaking cognitive assessments [texte imprimé] / Joanne Ablewhite ; Jenni Geraghty ; Roshan das Nair ; Nadina Lincoln ; Avril Drummond . - 2019 . - p. 404-411. doi.org/10.1177/0308022619841320 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 7 (Juillet 2019) . - p. 404-411 Mots-clés : Occupational therapy  stroke  community  cognitive rehabilitation assessment Résumé : Introduction Cognitive problems are common after stroke and their identification and management is important for survivors, carers and clinicians. However, the appropriateness of the screening methods and ways in which results inform community clinical care have not been established. The aim of this phase of the Cognitive Management Pathways in Stroke Services study was to explore key issues to undertaking cognitive assessment, particularly in community settings. Method Participants recruited via local and national contacts, and from an earlier phase of the Cognitive Management Pathways in Stroke Services research, took part in face-to-face or telephone semi-structured interviews. Data were analysed using framework analysis. Findings: Twenty-one occupational therapists were recruited. Availability of cognitive tests, personal knowledge, previous experience, training, cost, time and familiarity were key factors in conducting cognitive screening assessments and interpreting results. Other factors included patient language or mood deficits, the assessment environment, lack of experience, confidence and workload. Conclusion There is variation in the cognitive screening of stroke survivors in the community. Screening assessments are being used by occupational therapists based on availability and familiarity, rather than evidence of their validity and sensitivity. There is also variation in the interpretation of such assessments, which has implications for clinical practice. Permalink : ./index.php?lvl=notice_display&id=84560

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Content and acceptability of an Occupational Therapy intervention in HomEcare Re-ablement Services (OTHERS) / Phillip J. Whitehead in The British Journal of Occupational Therapy, Vol.81 Issue 9 (Septembre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 9 (Septembre 2018) . - p. 535-542 Titre : Content and acceptability of an Occupational Therapy intervention in HomEcare Re-ablement Services (OTHERS) Type de document : texte imprimé Auteurs : Phillip J. Whitehead ; Avril Drummond ; Ruth H. Parry ; Marion F. Walker Année de publication : 2018 Article en page(s) : p. 535-542 Langues : Anglais (eng) Mots-clés : Re-ablement  homecare  ADL  acceptability of intervention Résumé : Introduction Despite clear compatibilities between the tenets of occupational therapy and re-ablement, there is limited research on occupational therapy in homecare reablement services. This article describes an occupational therapy intervention that was delivered as part of a feasibility randomised controlled trial (Occupational Therapy intervention in HomEcare Re-ablement Services), and evaluates whether the intervention was acceptable to participants. Method There were three phases: (1) a bespoke pro forma was completed, recording the activities undertaken after each therapy visit; (2) an acceptability questionnaire was sent to every intervention participant and (3) semi-structured interviews were completed with key informants who received the intervention. Results The principal activities undertaken were assessment, case management, goal-setting, advice and support, and practising activities in relation to bathing/showering or kitchen activities. Participants particularly valued the advice and support provided. However, there were difficulties due to fluctuations in circumstances and with activities of daily living outside the home within the 6 week timescale. Conclusion An intervention focusing on activities of daily living within the home was acceptable for participants and consistent with their goals; however, they also had goals beyond personal activities of daily living and the timescale of the re-ablement episode. Further research should focus on extended activities of daily living, beyond this time-limited period. Permalink : ./index.php?lvl=notice_display&id=80203 [article] Content and acceptability of an Occupational Therapy intervention in HomEcare Re-ablement Services (OTHERS) [texte imprimé] / Phillip J. Whitehead ; Avril Drummond ; Ruth H. Parry ; Marion F. Walker . - 2018 . - p. 535-542. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 9 (Septembre 2018) . - p. 535-542 Mots-clés : Re-ablement  homecare  ADL  acceptability of intervention Résumé : Introduction Despite clear compatibilities between the tenets of occupational therapy and re-ablement, there is limited research on occupational therapy in homecare reablement services. This article describes an occupational therapy intervention that was delivered as part of a feasibility randomised controlled trial (Occupational Therapy intervention in HomEcare Re-ablement Services), and evaluates whether the intervention was acceptable to participants. Method There were three phases: (1) a bespoke pro forma was completed, recording the activities undertaken after each therapy visit; (2) an acceptability questionnaire was sent to every intervention participant and (3) semi-structured interviews were completed with key informants who received the intervention. Results The principal activities undertaken were assessment, case management, goal-setting, advice and support, and practising activities in relation to bathing/showering or kitchen activities. Participants particularly valued the advice and support provided. However, there were difficulties due to fluctuations in circumstances and with activities of daily living outside the home within the 6 week timescale. Conclusion An intervention focusing on activities of daily living within the home was acceptable for participants and consistent with their goals; however, they also had goals beyond personal activities of daily living and the timescale of the re-ablement episode. Further research should focus on extended activities of daily living, beyond this time-limited period. Permalink : ./index.php?lvl=notice_display&id=80203

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Feasibility and pilot studies: Why are they important? / Avril Drummond in The British Journal of Occupational Therapy, Vol.80 Issue 6 (June 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 6 (June 2017) . - p. 335-336 Titre : Feasibility and pilot studies: Why are they important? Type de document : texte imprimé Auteurs : Avril Drummond Année de publication : 2017 Article en page(s) : p. 335-336 Langues : Anglais (eng) Résumé : Feasibility and pilot studies, including feasibility and pilot trials, are essential for the future of occupational therapy; they confirm the need for and inform definitive research. Feasibility and pilot studies are important in laying the foundations for future research to support the evidence base, or in highlighting ineffective practice that should be stopped. Yet, ironically, these kinds of studies can be difficult to publish because they are usually, by definition, small and cannot provide clear or significant results. Permalink : ./index.php?lvl=notice_display&id=52658 [article] Feasibility and pilot studies: Why are they important? [texte imprimé] / Avril Drummond . - 2017 . - p. 335-336. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 6 (June 2017) . - p. 335-336 Résumé : Feasibility and pilot studies, including feasibility and pilot trials, are essential for the future of occupational therapy; they confirm the need for and inform definitive research. Feasibility and pilot studies are important in laying the foundations for future research to support the evidence base, or in highlighting ineffective practice that should be stopped. Yet, ironically, these kinds of studies can be difficult to publish because they are usually, by definition, small and cannot provide clear or significant results. Permalink : ./index.php?lvl=notice_display&id=52658

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Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement / Courtney Lightfoot in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 319-325 Titre : Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement Type de document : texte imprimé Auteurs : Courtney Lightfoot ; Khosrow Sehat ; Gary Drury ; Catherine Brewin ; Carol Coole ; Avril Drummond Année de publication : 2018 Article en page(s) : p. 319-325 Langues : Anglais (eng) Mots-clés : Total hip replacement  hip precautions  quality of life Résumé : Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations and concern that they impede activities of daily living. This study compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood, and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions. Method Phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs. Results Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data. Conclusion If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided. Permalink : ./index.php?lvl=notice_display&id=80151 [article] Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement [texte imprimé] / Courtney Lightfoot ; Khosrow Sehat ; Gary Drury ; Catherine Brewin ; Carol Coole ; Avril Drummond . - 2018 . - p. 319-325. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 319-325 Mots-clés : Total hip replacement  hip precautions  quality of life Résumé : Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations and concern that they impede activities of daily living. This study compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood, and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions. Method Phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs. Results Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data. Conclusion If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided. Permalink : ./index.php?lvl=notice_display&id=80151

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Special issue: Community-based services / Avril Drummond in The British Journal of Occupational Therapy, Vol. 82 Issue 2 (Février 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 69-70 Titre : Special issue: Community-based services Type de document : texte imprimé Auteurs : Avril Drummond Année de publication : 2019 Article en page(s) : p. 69-70 Note générale : doi.org/10.1177/0308022618816605 Langues : Anglais (eng) Résumé : We know that community rehabilitation is a core foundation of occupational therapy practice and so it is wonderful to showcase such an international range of research in this special issue of the British Journal of Occupational Therapy. The articles selected offer a variety of international perspectives, from the UK, Ireland, South Africa, Sweden, Australia and Canada. They also offer a range of methodologies, including mixed methods research, surveys, case studies and interviews, and cover a range of areas of practice and of conditions. I am very pleased to be able to bring all these elements together in a single special issue, which can only provide a snapshot of the breadth of occupational therapy in the community. Permalink : ./index.php?lvl=notice_display&id=80396 [article] Special issue: Community-based services [texte imprimé] / Avril Drummond . - 2019 . - p. 69-70. doi.org/10.1177/0308022618816605 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 69-70 Résumé : We know that community rehabilitation is a core foundation of occupational therapy practice and so it is wonderful to showcase such an international range of research in this special issue of the British Journal of Occupational Therapy. The articles selected offer a variety of international perspectives, from the UK, Ireland, South Africa, Sweden, Australia and Canada. They also offer a range of methodologies, including mixed methods research, surveys, case studies and interviews, and cover a range of areas of practice and of conditions. I am very pleased to be able to bring all these elements together in a single special issue, which can only provide a snapshot of the breadth of occupational therapy in the community. Permalink : ./index.php?lvl=notice_display&id=80396

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Virtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke / Kate Threapleton in The British Journal of Occupational Therapy, Vol.81 Issue 4 (Avril 2018)

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