Analysing and interpreting outcomes data to support evidence-based practice using the example of AusTOMs-OT / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.80 Issue 10 (October 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 631-637 Titre : Analysing and interpreting outcomes data to support evidence-based practice using the example of AusTOMs-OT Type de document : texte imprimé Auteurs : Carolyn Unsworth Année de publication : 2017 Article en page(s) : p. 631-637 Langues : Anglais (eng) Mots-clés : pratique factuelle  évaluation de résultat (soins)  évaluation des résultats des patients Résumé : Statement of context Occupational therapists working with clients who have neurological impairments routinely collect outcomes data. However, data cannot inform practice unless it is routinely reviewed. The aim of this paper was to show how outcomes data collected on the Australian Therapy Outcome Measures – Occupational Therapy scale were analysed and interpreted. Although the example pertains to clients with neurological problems, the approach can be applied to all areas of practice. Critical reflection on practice When outcomes data are routinely analysed and findings reviewed, occupational therapists have an increased understanding of practice strengths and limitations. Implications for practice Incorporating analysis and interpretation of outcomes data for clients with neurological problems into practice contributes evidence to support therapy and ensures clinicians retain control of their data. Permalink : ./index.php?lvl=notice_display&id=52711 [article] Analysing and interpreting outcomes data to support evidence-based practice using the example of AusTOMs-OT [texte imprimé] / Carolyn Unsworth . - 2017 . - p. 631-637. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 631-637 Mots-clés : pratique factuelle  évaluation de résultat (soins)  évaluation des résultats des patients Résumé : Statement of context Occupational therapists working with clients who have neurological impairments routinely collect outcomes data. However, data cannot inform practice unless it is routinely reviewed. The aim of this paper was to show how outcomes data collected on the Australian Therapy Outcome Measures – Occupational Therapy scale were analysed and interpreted. Although the example pertains to clients with neurological problems, the approach can be applied to all areas of practice. Critical reflection on practice When outcomes data are routinely analysed and findings reviewed, occupational therapists have an increased understanding of practice strengths and limitations. Implications for practice Incorporating analysis and interpretation of outcomes data for clients with neurological problems into practice contributes evidence to support therapy and ensures clinicians retain control of their data. Permalink : ./index.php?lvl=notice_display&id=52711

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Commentary : Occupational Therapy - Reflections on the State of the Art / Brigitta Lindquist in WFOT Bulletin, N°39 (01/05/1999)

Public ISBD [article]  inWFOT Bulletin > N°39 (01/05/1999) . - pp. 26-30 Titre : Commentary : Occupational Therapy - Reflections on the State of the Art Type de document : texte imprimé Auteurs : Brigitta Lindquist, Auteur ; Carolyn Unsworth, Auteur Année de publication : 1999 Article en page(s) : pp. 26-30 Langues : Français (fre) Mots-clés : Occupational science  Discipline  Practice Permalink : ./index.php?lvl=notice_display&id=7271 [article] Commentary : Occupational Therapy - Reflections on the State of the Art [texte imprimé] / Brigitta Lindquist, Auteur ; Carolyn Unsworth, Auteur . - 1999 . - pp. 26-30. Langues : Français (fre) in WFOT Bulletin > N°39 (01/05/1999) . - pp. 26-30 Mots-clés : Occupational science  Discipline  Practice Permalink : ./index.php?lvl=notice_display&id=7271

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Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110 Titre : Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline Type de document : texte imprimé Auteurs : Carolyn Unsworth ; Siew-Pang Chan Année de publication : 2016 Article en page(s) : p.102-110 Langues : Anglais (eng) Mots-clés : automobile driving  driver assessment  evaluation  mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery). Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail. Results A total of 63 clients were assessed, and n  =  40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome. Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment. Permalink : ./index.php?lvl=notice_display&id=42391 [article] Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline [texte imprimé] / Carolyn Unsworth ; Siew-Pang Chan . - 2016 . - p.102-110. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110 Mots-clés : automobile driving  driver assessment  evaluation  mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery). Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail. Results A total of 63 clients were assessed, and n  =  40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome. Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment. Permalink : ./index.php?lvl=notice_display&id=42391

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Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury / Ann Baker in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 73-83 Titre : Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury Type de document : texte imprimé Auteurs : Ann Baker, Auteur ; Carolyn Unsworth, Auteur ; Natasha A. Lannin, Auteur Année de publication : 2015 Article en page(s) : p. 73-83 Langues : Anglais (eng) Mots-clés : Driving  Driver assessment  Fitness to drive  Mild traumatic brain injury Résumé : Introduction Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population. Method We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies. Findings A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, non-standardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use. Conclusion While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistent and standardised approach to assessing fitness to drive following mild traumatic brain injury. En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35926 [article] Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury [texte imprimé] / Ann Baker, Auteur ; Carolyn Unsworth, Auteur ; Natasha A. Lannin, Auteur . - 2015 . - p. 73-83. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 73-83 Mots-clés : Driving  Driver assessment  Fitness to drive  Mild traumatic brain injury Résumé : Introduction Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population. Method We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies. Findings A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, non-standardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use. Conclusion While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistent and standardised approach to assessing fitness to drive following mild traumatic brain injury. En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35926

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A randomized controlled trial protocol investigating effectiveness of an activity-pacing program for deconditioned older adults / Amanda J. Timmer in Canadian Journal of Occupational Therapy, 86(2) (Avril 2019)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 86(2) (Avril 2019) . - p. 136-147 Titre : A randomized controlled trial protocol investigating effectiveness of an activity-pacing program for deconditioned older adults Titre original : Un protocole d'essai randomisé pour évaluer l'efficacité d'un programme de planification et de dosage des activités pour des adultes déconditionnés Type de document : texte imprimé Auteurs : Amanda J. Timmer ; Carolyn Unsworth ; Matthew Browne Année de publication : 2019 Article en page(s) : p. 136-147 Note générale : doi.org/10.1177/0008417419830374 Langues : Français (fre) Mots-clés : Gériatrie  Ergothérapie  Personne âgée  Soins pour affections subaiguës  Vie autonome Résumé : L’hospitalisation des aînés en soins de courte durée peut entraîner un déconditionnement et un besoin de réadaptation en vue de favoriser le retour à domicile et la reprise du style de vie antérieur. La planification et le dosage des activités est l’une des interventions ergothérapiques pouvant permettre de lutter contre le déconditionnement; il s’agit d’une stratégie active d’autogestion selon laquelle les individus apprennent à modifier leur façon de faire des activités et le moment où ils doivent les faire, en vue de rehausser leur participation à des occupations. But. Cette étude vise à examiner l’efficacité d’un programme de planification et de dosage des activités en ergothérapie utilisé pendant la réadaptation de personnes âgées déconditionnées. Méthodologie. Un essai randomisé comportant les critères d’inclusion suivants a été proposé: personnes âgées de plus de 65 ans, vivant de manière autonome dans la collectivité avant leur admission et ayant des niveaux de cognition et de langage adéquats pour participer à l’intervention. La participation, l’état de santé, l’autoefficacité dans la réalisation des activités quotidiennes, l’autoefficacité face aux techniques de planification et de dosage des activités, et la gestion des symptômes (douleur et fatigue) seront mesurés à l’admission et trois mois après la sortie de l’hôpital. Conséquences. Cette étude visant à déterminer l’efficacité d’un programme de planification et de dosage des activités fournira aux ergothérapeutes des données probantes pour appuyer la prestation de services. Permalink : ./index.php?lvl=notice_display&id=84255 [article] A randomized controlled trial protocol investigating effectiveness of an activity-pacing program for deconditioned older adults = Un protocole d'essai randomisé pour évaluer l'efficacité d'un programme de planification et de dosage des activités pour des adultes déconditionnés [texte imprimé] / Amanda J. Timmer ; Carolyn Unsworth ; Matthew Browne . - 2019 . - p. 136-147. doi.org/10.1177/0008417419830374 Langues : Français (fre) in Canadian Journal of Occupational Therapy > 86(2) (Avril 2019) . - p. 136-147 Mots-clés : Gériatrie  Ergothérapie  Personne âgée  Soins pour affections subaiguës  Vie autonome Résumé : L’hospitalisation des aînés en soins de courte durée peut entraîner un déconditionnement et un besoin de réadaptation en vue de favoriser le retour à domicile et la reprise du style de vie antérieur. La planification et le dosage des activités est l’une des interventions ergothérapiques pouvant permettre de lutter contre le déconditionnement; il s’agit d’une stratégie active d’autogestion selon laquelle les individus apprennent à modifier leur façon de faire des activités et le moment où ils doivent les faire, en vue de rehausser leur participation à des occupations. But. Cette étude vise à examiner l’efficacité d’un programme de planification et de dosage des activités en ergothérapie utilisé pendant la réadaptation de personnes âgées déconditionnées. Méthodologie. Un essai randomisé comportant les critères d’inclusion suivants a été proposé: personnes âgées de plus de 65 ans, vivant de manière autonome dans la collectivité avant leur admission et ayant des niveaux de cognition et de langage adéquats pour participer à l’intervention. La participation, l’état de santé, l’autoefficacité dans la réalisation des activités quotidiennes, l’autoefficacité face aux techniques de planification et de dosage des activités, et la gestion des symptômes (douleur et fatigue) seront mesurés à l’admission et trois mois après la sortie de l’hôpital. Conséquences. Cette étude visant à déterminer l’efficacité d’un programme de planification et de dosage des activités fournira aux ergothérapeutes des données probantes pour appuyer la prestation de services. Permalink : ./index.php?lvl=notice_display&id=84255

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Relationship between intuition and emotional intelligence in occupational therapists in mental health practice / Lisa CHAFFEY in American Journal of Occupational Therapy, Vol. 66/1 (janvier-février 2012)

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Review papers: Getting the best occupational therapy evidence into practice / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.80 Issue 3 (March 2017)

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Special Issue: Driving and community mobility (II) – interventions to enable driving / Carolyn Unsworth in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

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A systematic review of professional reasoning literature in occupational therapy / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.79 N°1 (January 2016)

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Using Social Judgment Theory method to examine how experienced occupational therapy driver assessors use information to make fitness-to-drive recommendations / Carolyn Unsworth in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)  

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