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Parent Perspectives on Occupational Therapy Assessment Reports / Elizabeth MAKEPEACE in The British Journal of Occupational Therapy, Volume 77 numéro 11 (Novembre 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.538-545 Titre : Parent Perspectives on Occupational Therapy Assessment Reports Type de document : texte imprimé Auteurs : Elizabeth MAKEPEACE, Auteur Année de publication : 2014 Article en page(s) : p.538-545 Langues : Anglais (eng) Résumé : Introduction: Occupational therapy assessment reports in paediatric practice are written for multiple audiences, such as health professionals, school personnel, and parents. As such, reports may not meet the needs of all recipients. In an effort to better target parents in clinical report writing, the purpose of this study was to determine what parents view as important, relevant, and understandable in occupational therapy assessment reports, and to explore evidence for best clinical report-writing practices in paediatrics. Method: This qualitative study used in-depth interviews to gather parent perspectives on reports written for their children. All interviews were audio-recorded and transcribed. Interpretive description with a thematic, inductive approach was used to recognize patterns and themes by coding recurrent data and summarizing results. Findings: Ten parents completed one-on-one interviews. Five key themes were identified: generating an accurate record of assessment; answering referral queries; understanding terminology; using the report for information sharing and partnership building; and being prompted to take action. Conclusion: Results encourage therapists to include parents as the primary audience of reports, to clearly answer referral questions, and to use language and terms that are understandable. Reports must be easily shared with other stakeholders and include simple, age-appropriate recommendations that parents can implement during everyday activities. Permalink : ./index.php?lvl=notice_display&id=35403 [article] Parent Perspectives on Occupational Therapy Assessment Reports [texte imprimé] / Elizabeth MAKEPEACE, Auteur . - 2014 . - p.538-545. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.538-545 Résumé : Introduction: Occupational therapy assessment reports in paediatric practice are written for multiple audiences, such as health professionals, school personnel, and parents. As such, reports may not meet the needs of all recipients. In an effort to better target parents in clinical report writing, the purpose of this study was to determine what parents view as important, relevant, and understandable in occupational therapy assessment reports, and to explore evidence for best clinical report-writing practices in paediatrics. Method: This qualitative study used in-depth interviews to gather parent perspectives on reports written for their children. All interviews were audio-recorded and transcribed. Interpretive description with a thematic, inductive approach was used to recognize patterns and themes by coding recurrent data and summarizing results. Findings: Ten parents completed one-on-one interviews. Five key themes were identified: generating an accurate record of assessment; answering referral queries; understanding terminology; using the report for information sharing and partnership building; and being prompted to take action. Conclusion: Results encourage therapists to include parents as the primary audience of reports, to clearly answer referral questions, and to use language and terms that are understandable. Reports must be easily shared with other stakeholders and include simple, age-appropriate recommendations that parents can implement during everyday activities. Permalink : ./index.php?lvl=notice_display&id=35403

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Musculoskeletal Hand Symptoms and Functional Limitation in Community-Dwelling Adults Aged 50 Years and Over: Results from a Cross-Sectional Study / Hélène MYERS in The British Journal of Occupational Therapy, Volume 77 numéro 11 (Novembre 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.546-555 Titre : Musculoskeletal Hand Symptoms and Functional Limitation in Community-Dwelling Adults Aged 50 Years and Over: Results from a Cross-Sectional Study Type de document : texte imprimé Auteurs : Hélène MYERS, Auteur Année de publication : 2014 Article en page(s) : p.546-555 Langues : Anglais (eng) Mots-clés : Hand pain  hand function  primary care  musculoskeletal  50-year-olds and over  epidemiology Résumé : ntroduction: Hand pain and problems are common in community-dwelling adults aged 50 years and over. As the population ages, the absolute number of people with these issues is likely to increase. Debilitating hand problems affect at least 12% of the older population in the United Kingdom, but fewer than 1 in 30 people with this degree of disability consult an occupational therapist. Method: This paper describes a new analysis of a population study using data from surveys and a nested clinical cohort. Demographic characteristics, and the nature, severity, and frequency of symptoms and functional limitation in 1,811 adults aged 50 years and over with disabling hand problems are described, and the potential need for healthcare estimated. Findings: Moderate or severe functional limitation within the previous week was commonly reported. Irrespective of age and gender, weakness was the most frequently reported severe symptom (n = 470, 27%). Most problems occurred in activities requiring strength (such as opening a jar: n = 945, 52%). More females reported difficulty with tasks requiring strength (such as opening a jar: f: 59%; m: 38%), and more males reported difficulty with dexterous activities (such as picking up coins: m: 24%; f: 17%). Conclusion: The results from this study have implications for current and future management of hand problems in the community, highlighting a potential role for occupational therapy. Permalink : ./index.php?lvl=notice_display&id=35404 [article] Musculoskeletal Hand Symptoms and Functional Limitation in Community-Dwelling Adults Aged 50 Years and Over: Results from a Cross-Sectional Study [texte imprimé] / Hélène MYERS, Auteur . - 2014 . - p.546-555. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.546-555 Mots-clés : Hand pain  hand function  primary care  musculoskeletal  50-year-olds and over  epidemiology Résumé : ntroduction: Hand pain and problems are common in community-dwelling adults aged 50 years and over. As the population ages, the absolute number of people with these issues is likely to increase. Debilitating hand problems affect at least 12% of the older population in the United Kingdom, but fewer than 1 in 30 people with this degree of disability consult an occupational therapist. Method: This paper describes a new analysis of a population study using data from surveys and a nested clinical cohort. Demographic characteristics, and the nature, severity, and frequency of symptoms and functional limitation in 1,811 adults aged 50 years and over with disabling hand problems are described, and the potential need for healthcare estimated. Findings: Moderate or severe functional limitation within the previous week was commonly reported. Irrespective of age and gender, weakness was the most frequently reported severe symptom (n = 470, 27%). Most problems occurred in activities requiring strength (such as opening a jar: n = 945, 52%). More females reported difficulty with tasks requiring strength (such as opening a jar: f: 59%; m: 38%), and more males reported difficulty with dexterous activities (such as picking up coins: m: 24%; f: 17%). Conclusion: The results from this study have implications for current and future management of hand problems in the community, highlighting a potential role for occupational therapy. Permalink : ./index.php?lvl=notice_display&id=35404

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Live Music Promotes Positive Behaviours in People with Alzheimer's Disease / Elissa COX in The British Journal of Occupational Therapy, Volume 77 numéro 11 (Novembre 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.556-564 Titre : Live Music Promotes Positive Behaviours in People with Alzheimer's Disease Type de document : texte imprimé Auteurs : Elissa COX, Auteur Année de publication : 2014 Article en page(s) : p.556-564 Langues : Anglais (eng) Mots-clés : Alzheimer's disease  live music  positive behaviour  residential care Résumé : Introduction: Behavioural symptoms of Alzheimer's disease present barriers to providing a holistic standard of care. Limited attention has been given to the potential effects of live music, rather than background music or music therapy, on mood, function, and participation in and performance of daily activities. This exploratory study investigated whether live music could facilitate the expression of positive behaviour in people with Alzheimer's disease. Method: A live musical violin intervention, provided on a one-to-one basis in a residential care facility, was employed to assess positive behaviour in people with moderate-to-severe Alzheimer's disease using a one-group repeated measures design. Seven participants were video-recorded before, during, and after the intervention, which was provided individually in three separate sessions. The investigator and a blinded assessor used an investigator-modified version of the Cohen-Mansfield Agitation Inventory to assess 16 positive behaviours. Quotations from study participants are presented. Data were analysed using the Friedman test. Results: The total number of positive behaviours increased significantly from a median number of 4.3 (range 1.3–13) before the intervention to 30 (range 13–47.7) during, and 24.3 (range 4–27.7) after the intervention (p = 0.001). Conclusion: Live individualized music may provide occupational therapists with a useful strategy to enrich the lives of people with Alzheimer's disease. Permalink : ./index.php?lvl=notice_display&id=35405 [article] Live Music Promotes Positive Behaviours in People with Alzheimer's Disease [texte imprimé] / Elissa COX, Auteur . - 2014 . - p.556-564. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.556-564 Mots-clés : Alzheimer's disease  live music  positive behaviour  residential care Résumé : Introduction: Behavioural symptoms of Alzheimer's disease present barriers to providing a holistic standard of care. Limited attention has been given to the potential effects of live music, rather than background music or music therapy, on mood, function, and participation in and performance of daily activities. This exploratory study investigated whether live music could facilitate the expression of positive behaviour in people with Alzheimer's disease. Method: A live musical violin intervention, provided on a one-to-one basis in a residential care facility, was employed to assess positive behaviour in people with moderate-to-severe Alzheimer's disease using a one-group repeated measures design. Seven participants were video-recorded before, during, and after the intervention, which was provided individually in three separate sessions. The investigator and a blinded assessor used an investigator-modified version of the Cohen-Mansfield Agitation Inventory to assess 16 positive behaviours. Quotations from study participants are presented. Data were analysed using the Friedman test. Results: The total number of positive behaviours increased significantly from a median number of 4.3 (range 1.3–13) before the intervention to 30 (range 13–47.7) during, and 24.3 (range 4–27.7) after the intervention (p = 0.001). Conclusion: Live individualized music may provide occupational therapists with a useful strategy to enrich the lives of people with Alzheimer's disease. Permalink : ./index.php?lvl=notice_display&id=35405

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Engagement in Instrumental Activities of Daily Living, Social Activities, and Use of Everyday Technology in Older Adults with and without Cognitive Impairment / Louise Nygard in The British Journal of Occupational Therapy, Volume 77 numéro 11 (Novembre 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.565-573 Titre : Engagement in Instrumental Activities of Daily Living, Social Activities, and Use of Everyday Technology in Older Adults with and without Cognitive Impairment Type de document : texte imprimé Auteurs : Louise Nygard, Auteur Année de publication : 2014 Article en page(s) : p.565-573 Langues : Anglais (eng) Mots-clés : Ageing  assessment  cognitive disorders  dementia  function Résumé : Introduction: Little is known about how subtle activity limitations may be manifested and clinically detected in people with mild cognitive impairment, but these people have been found to experience greater challenges with everyday technology use. The aim of this study was to investigate levels and profiles of engagement in activities, and their associations with perceived difficulty in technology use, for people with mild cognitive impairment, and to compare this group to people with Alzheimer's disease and to controls. Method: Samples with mild cognitive impairment (n = 37), Alzheimer's disease (n = 37), and controls (n = 44) were included. Based on raw data from the Frenchay Activity Index, a Rasch model was used to generate linear measures. Analysis of variance and differential item functioning were used. Results: The analysis yielded a profile of decreased engagement in specific activities even in mild cognitive impairment. The association between activity engagement and difficulty with everyday technology use was stronger in people with mild cognitive impairment and Alzheimer's disease than in controls. Conclusion: Taken together, engagement in outdoor activities showed the greatest decrease of all activity types for the group with mild cognitive impairment, suggesting that participation in life outside the home is threatened. The results also suggest that challenges in managing technology are restricting people with cognitive impairment more than they restrict controls. Permalink : ./index.php?lvl=notice_display&id=35406 [article] Engagement in Instrumental Activities of Daily Living, Social Activities, and Use of Everyday Technology in Older Adults with and without Cognitive Impairment [texte imprimé] / Louise Nygard, Auteur . - 2014 . - p.565-573. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.565-573 Mots-clés : Ageing  assessment  cognitive disorders  dementia  function Résumé : Introduction: Little is known about how subtle activity limitations may be manifested and clinically detected in people with mild cognitive impairment, but these people have been found to experience greater challenges with everyday technology use. The aim of this study was to investigate levels and profiles of engagement in activities, and their associations with perceived difficulty in technology use, for people with mild cognitive impairment, and to compare this group to people with Alzheimer's disease and to controls. Method: Samples with mild cognitive impairment (n = 37), Alzheimer's disease (n = 37), and controls (n = 44) were included. Based on raw data from the Frenchay Activity Index, a Rasch model was used to generate linear measures. Analysis of variance and differential item functioning were used. Results: The analysis yielded a profile of decreased engagement in specific activities even in mild cognitive impairment. The association between activity engagement and difficulty with everyday technology use was stronger in people with mild cognitive impairment and Alzheimer's disease than in controls. Conclusion: Taken together, engagement in outdoor activities showed the greatest decrease of all activity types for the group with mild cognitive impairment, suggesting that participation in life outside the home is threatened. The results also suggest that challenges in managing technology are restricting people with cognitive impairment more than they restrict controls. Permalink : ./index.php?lvl=notice_display&id=35406

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Implications of Occupational Therapy Job Advertisement Trends for Occupational Therapy Education / Kieran Broome in The British Journal of Occupational Therapy, Volume 77 numéro 11 (Novembre 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.574-581 Titre : Implications of Occupational Therapy Job Advertisement Trends for Occupational Therapy Education Type de document : texte imprimé Auteurs : Kieran Broome, Auteur Année de publication : 2014 Article en page(s) : p.574-581 Langues : Anglais (eng) Mots-clés : Job description  trends  competency based education Résumé : Introduction: The aim of this study was to consider trends in occupational therapy workplace demands in Queensland between December 2009 and November 2011, as demonstrated by advertised job requirements. These trends are considered in the context of both undergraduate curriculum design and continuing professional development. Method: A mixed-methods approach was used. The content of occupational therapy job advertisements from four job databases over a 2-year period were examined using quantitative and qualitative analysis to identify trends, concepts, and themes. Results: Six lessons regarding occupational therapy education were drawn from the data. These included lessons relating to balancing graduate demand and supply, intake and exit timing, high-demand areas of practice, non-traditional occupational therapy roles, the roles of continuing professional development providers, and discrepancies between existing new graduate competencies and required workplace competencies. Conclusion: Occupational therapy educators have an obligation to produce graduates who meet the profession's graduate competencies, as well as those competencies required by workplaces, if those graduates are to be considered work-ready and fit for practice. Similarly, education at a continuing professional development level should reflect market trends and offer graduates and practitioners the opportunity to maintain employment currency. Permalink : ./index.php?lvl=notice_display&id=35407 [article] Implications of Occupational Therapy Job Advertisement Trends for Occupational Therapy Education [texte imprimé] / Kieran Broome, Auteur . - 2014 . - p.574-581. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.574-581 Mots-clés : Job description  trends  competency based education Résumé : Introduction: The aim of this study was to consider trends in occupational therapy workplace demands in Queensland between December 2009 and November 2011, as demonstrated by advertised job requirements. These trends are considered in the context of both undergraduate curriculum design and continuing professional development. Method: A mixed-methods approach was used. The content of occupational therapy job advertisements from four job databases over a 2-year period were examined using quantitative and qualitative analysis to identify trends, concepts, and themes. Results: Six lessons regarding occupational therapy education were drawn from the data. These included lessons relating to balancing graduate demand and supply, intake and exit timing, high-demand areas of practice, non-traditional occupational therapy roles, the roles of continuing professional development providers, and discrepancies between existing new graduate competencies and required workplace competencies. Conclusion: Occupational therapy educators have an obligation to produce graduates who meet the profession's graduate competencies, as well as those competencies required by workplaces, if those graduates are to be considered work-ready and fit for practice. Similarly, education at a continuing professional development level should reflect market trends and offer graduates and practitioners the opportunity to maintain employment currency. Permalink : ./index.php?lvl=notice_display&id=35407

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