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Definitions of occupational balance and their coverage by instruments / Mona Dür in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.4-15 Titre : Definitions of occupational balance and their coverage by instruments Type de document : texte imprimé Auteurs : Mona Dür, Auteur ; Julia Unger, Auteur ; Michaela Stoffer, Auteur Année de publication : 2015 Article en page(s) : p.4-15 Langues : Anglais (eng) Mots-clés : Occupational science  Assessments  Content analysis  Outcome research  Conceptualisation Résumé : Introduction Occupational balance is an important and widely used concept in occupational therapy and occupational science. There is, however, not one unified definition in use, but several different ones, and thus instruments that measure the concept in research studies are diverse as well. Consequently, it is unclear how instruments and definitions correspond. The purpose of this study was to examine the coverage of occupational balance definitions by occupational balance instruments. Method Within a mixed-methods design we conducted a qualitative and quantitative content analysis of definitions and items of existing instruments. Definitions and items were extracted from articles identified in a systematic literature search. The extent of congruence and coverage between definitions and instruments was examined. Results The definitions used in 47 articles were structured into 19 categories. The categories which were found in most definitions were a balance of ‘various occupational patterns and areas’ (42; 89%) and ‘occupational accomplishment, performance, roles and responsibilities’ (35; 75%); 20 instruments were explored. Together they covered 16 (84%) of the 19 categories. Conclusion Knowing which instruments cover which dimensions of occupational balance can support occupational therapists, other health professionals and health researchers in their selection of an instrument to measure occupational balance. Permalink : ./index.php?lvl=notice_display&id=35919 [article] Definitions of occupational balance and their coverage by instruments [texte imprimé] / Mona Dür, Auteur ; Julia Unger, Auteur ; Michaela Stoffer, Auteur . - 2015 . - p.4-15. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.4-15 Mots-clés : Occupational science  Assessments  Content analysis  Outcome research  Conceptualisation Résumé : Introduction Occupational balance is an important and widely used concept in occupational therapy and occupational science. There is, however, not one unified definition in use, but several different ones, and thus instruments that measure the concept in research studies are diverse as well. Consequently, it is unclear how instruments and definitions correspond. The purpose of this study was to examine the coverage of occupational balance definitions by occupational balance instruments. Method Within a mixed-methods design we conducted a qualitative and quantitative content analysis of definitions and items of existing instruments. Definitions and items were extracted from articles identified in a systematic literature search. The extent of congruence and coverage between definitions and instruments was examined. Results The definitions used in 47 articles were structured into 19 categories. The categories which were found in most definitions were a balance of ‘various occupational patterns and areas’ (42; 89%) and ‘occupational accomplishment, performance, roles and responsibilities’ (35; 75%); 20 instruments were explored. Together they covered 16 (84%) of the 19 categories. Conclusion Knowing which instruments cover which dimensions of occupational balance can support occupational therapists, other health professionals and health researchers in their selection of an instrument to measure occupational balance. Permalink : ./index.php?lvl=notice_display&id=35919

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Are clients' performances on the Rowland Universal Dementia Assessment Scale associated with their functional performance? A preliminary investigation / Laura Joliffe in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.16-23 Titre : Are clients' performances on the Rowland Universal Dementia Assessment Scale associated with their functional performance? A preliminary investigation Type de document : texte imprimé Auteurs : Laura Joliffe, Auteur ; Ted Brown, Auteur ; Leesa Fielding, Auteur Année de publication : 2015 Article en page(s) : p.16-23 Langues : Anglais (eng) Mots-clés : Cognition  Function  Assessment  Dementia  Rowland Universal Dementia Assessment Scale  Functional Independence Measure Résumé : Introduction The process of selecting the most appropriate cognitive assessments to use with clients presenting with symptoms of dementia is an important consideration. Are cognitive assessment results associated with the functional performance of clients presenting suspected cognitive decline? The purpose of this study was to investigate whether the Rowland Universal Dementia Assessment Scale was associated with the functional performance of clients with suspected dementia. Method A within-subjects quantitative research design was employed whereby a sample of 30 participants suspected of having dementia were recruited from three acute care hospital sites in the Melbourne metropolitan region. The Rowland Universal Dementia Assessment Scale was used to assess participants' cognitive abilities, while the Functional Independence Measure was the functional scale used. Linear regression analyses were completed. Results The six Rowland Universal Dementia Assessment Scale items were found to be significantly linked with the Functional Independence Measure total score (adjusted R 2 = 0.298, p < 0.05), the Functional Independence Measure ‘cognition’ subscale score (adjusted R 2 = 0.349, p < 0.05) and the Functional Independence Measure ‘physical’ subscale score (adjusted R 2 = 0.244; p < 0.05). Conclusion The Rowland Universal Dementia Assessment Scale appears to be associated with the functional performance of clients with suspected dementia. The findings provide an insight into the link between cognition and everyday functional performance. Permalink : ./index.php?lvl=notice_display&id=35920 [article] Are clients' performances on the Rowland Universal Dementia Assessment Scale associated with their functional performance? A preliminary investigation [texte imprimé] / Laura Joliffe, Auteur ; Ted Brown, Auteur ; Leesa Fielding, Auteur . - 2015 . - p.16-23. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.16-23 Mots-clés : Cognition  Function  Assessment  Dementia  Rowland Universal Dementia Assessment Scale  Functional Independence Measure Résumé : Introduction The process of selecting the most appropriate cognitive assessments to use with clients presenting with symptoms of dementia is an important consideration. Are cognitive assessment results associated with the functional performance of clients presenting suspected cognitive decline? The purpose of this study was to investigate whether the Rowland Universal Dementia Assessment Scale was associated with the functional performance of clients with suspected dementia. Method A within-subjects quantitative research design was employed whereby a sample of 30 participants suspected of having dementia were recruited from three acute care hospital sites in the Melbourne metropolitan region. The Rowland Universal Dementia Assessment Scale was used to assess participants' cognitive abilities, while the Functional Independence Measure was the functional scale used. Linear regression analyses were completed. Results The six Rowland Universal Dementia Assessment Scale items were found to be significantly linked with the Functional Independence Measure total score (adjusted R 2 = 0.298, p < 0.05), the Functional Independence Measure ‘cognition’ subscale score (adjusted R 2 = 0.349, p < 0.05) and the Functional Independence Measure ‘physical’ subscale score (adjusted R 2 = 0.244; p < 0.05). Conclusion The Rowland Universal Dementia Assessment Scale appears to be associated with the functional performance of clients with suspected dementia. The findings provide an insight into the link between cognition and everyday functional performance. Permalink : ./index.php?lvl=notice_display&id=35920

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The lived experience of diabetes: Conceptualisation using a metaphor / Annabel Youngson in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.24-32 Titre : The lived experience of diabetes: Conceptualisation using a metaphor Type de document : texte imprimé Auteurs : Annabel Youngson, Auteur ; Fiona Cole, Auteur ; Helen Wilby, Auteur Année de publication : 2015 Article en page(s) : p.24-32 Langues : Anglais (eng) Mots-clés : Occupational therapy  Diabetes  Metaphor Résumé : Introduction It is important for healthcare professionals to understand the reality of living with diabetes in order to better engage and enable people to self-manage. The purpose of this research was thus a preliminary exploration of the lived experience of diabetes. Method This qualitative study involved seven people with a diagnosis of type 1, type 2 or pre-diabetes. Data was collected via semi-structured interviews and analysed using a phenomenological approach including the use of metaphor. Findings were shared with participants using a felted metaphor of charting a course of health and wellbeing through a choppy sea. Findings: Themes explored within the elements of the metaphor included the boat (self-identity, control, balance, compliance and empowerment, emotions), the sea (physical and social environment, lifestyle, life events), the course (information gathering, change, self-action) and the boatyard (relationships with healthcare providers). Conclusion For those with type 1, type 2 and pre-diabetes, the elements of charting a course of health and wellbeing through a choppy sea are very much focused on the person in their own context, impacted by their environment, life stage, occupations and attitudes to diabetes self-management, all of which fall within the remit of occupational therapy. Permalink : ./index.php?lvl=notice_display&id=35921 [article] The lived experience of diabetes: Conceptualisation using a metaphor [texte imprimé] / Annabel Youngson, Auteur ; Fiona Cole, Auteur ; Helen Wilby, Auteur . - 2015 . - p.24-32. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.24-32 Mots-clés : Occupational therapy  Diabetes  Metaphor Résumé : Introduction It is important for healthcare professionals to understand the reality of living with diabetes in order to better engage and enable people to self-manage. The purpose of this research was thus a preliminary exploration of the lived experience of diabetes. Method This qualitative study involved seven people with a diagnosis of type 1, type 2 or pre-diabetes. Data was collected via semi-structured interviews and analysed using a phenomenological approach including the use of metaphor. Findings were shared with participants using a felted metaphor of charting a course of health and wellbeing through a choppy sea. Findings: Themes explored within the elements of the metaphor included the boat (self-identity, control, balance, compliance and empowerment, emotions), the sea (physical and social environment, lifestyle, life events), the course (information gathering, change, self-action) and the boatyard (relationships with healthcare providers). Conclusion For those with type 1, type 2 and pre-diabetes, the elements of charting a course of health and wellbeing through a choppy sea are very much focused on the person in their own context, impacted by their environment, life stage, occupations and attitudes to diabetes self-management, all of which fall within the remit of occupational therapy. Permalink : ./index.php?lvl=notice_display&id=35921

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Malaysian occupational therapists’ practices with children and adolescents with autism spectrum disorder / Masne Kadar in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.33-41 Titre : Malaysian occupational therapists’ practices with children and adolescents with autism spectrum disorder Type de document : texte imprimé Auteurs : Masne Kadar, Auteur ; Rachael McDonald, Auteur ; Primrose Lentin, Auteur Année de publication : 2015 Article en page(s) : p.33-41 Langues : Anglais (eng) Mots-clés : Theory  Interventions  Professional development Résumé : Introduction Occupational therapy is one of the health care professions that provides assessments and interventions for children and adolescents with autism spectrum disorder. However, to date, there is no information available regarding occupational therapy practices in Malaysia for this population. The purpose of this study is to describe the occupational therapy services for children and adolescents with autism spectrum disorder in Malaysia, including the perceived training needs of practitioners. Method We surveyed the registered members of the Malaysian Occupational Therapy Association using a mailed questionnaire. Results A response rate of 15.5% was obtained. The majority of the responses were from those working in hospital settings who had less than 5 years’ experience working as occupational therapists with children and adolescents with autism spectrum disorder. The theories, assessments, interventions, and training that related to respondents’ practices mainly revolved around sensory-based approaches. Encouragingly, more than 70% of the respondents claimed that they performed assessments of daily living activities in their service. Client-centred practice was a further feature of occupational therapist respondents involved in this study. Conclusion Future study is needed, especially to engage more respondents and thereby produce more generalizable results and an in-depth exploration of the continuing education needs of occupational therapists in Malaysia. Permalink : ./index.php?lvl=notice_display&id=35922 [article] Malaysian occupational therapists’ practices with children and adolescents with autism spectrum disorder [texte imprimé] / Masne Kadar, Auteur ; Rachael McDonald, Auteur ; Primrose Lentin, Auteur . - 2015 . - p.33-41. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.33-41 Mots-clés : Theory  Interventions  Professional development Résumé : Introduction Occupational therapy is one of the health care professions that provides assessments and interventions for children and adolescents with autism spectrum disorder. However, to date, there is no information available regarding occupational therapy practices in Malaysia for this population. The purpose of this study is to describe the occupational therapy services for children and adolescents with autism spectrum disorder in Malaysia, including the perceived training needs of practitioners. Method We surveyed the registered members of the Malaysian Occupational Therapy Association using a mailed questionnaire. Results A response rate of 15.5% was obtained. The majority of the responses were from those working in hospital settings who had less than 5 years’ experience working as occupational therapists with children and adolescents with autism spectrum disorder. The theories, assessments, interventions, and training that related to respondents’ practices mainly revolved around sensory-based approaches. Encouragingly, more than 70% of the respondents claimed that they performed assessments of daily living activities in their service. Client-centred practice was a further feature of occupational therapist respondents involved in this study. Conclusion Future study is needed, especially to engage more respondents and thereby produce more generalizable results and an in-depth exploration of the continuing education needs of occupational therapists in Malaysia. Permalink : ./index.php?lvl=notice_display&id=35922

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Sustaining professional identity in practice following role-emerging placements: Opportunities and challenges for occupational therapists / Channine Clarke in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p. 42-50 Titre : Sustaining professional identity in practice following role-emerging placements: Opportunities and challenges for occupational therapists Type de document : texte imprimé Auteurs : Channine Clarke, Auteur ; Marion Martin, Auteur ; Richard de Visser, Auteur Année de publication : 2015 Article en page(s) : p. 42-50 Langues : Anglais (eng) Mots-clés : Role-emerging placements  Professional identity Résumé : Introduction Role-emerging placements are increasingly being used to help prepare occupational therapy graduates for practice in a changing health and social care climate. However, while the literature on such placements is increasing, few longitudinal studies have explored their impact on graduates’ professional practice and identity. Method Interpretative phenomenological analysis was used to gain an understanding of the ways in which five occupational therapy graduates felt their role-emerging placement influenced their professional identity and practice once qualified. In-depth interviews were carried out with the graduates once they had been working as occupational therapists for a minimum of 6 months. Results In the absence of other occupational therapists, students on placements created professional identities of their own making and generated visions of the type of therapist they wanted to become. Once qualified, however, there were mixed experiences concerning the extent to which this identity could be sustained in practice. Particular difficulty was encountered by those working in National Health Service settings, where graduates questioned whether their practice was congruent with the professional understandings and ways of being they had developed on placement. Conclusion Role-emerging placements acted as a catalyst for participants’ personal and professional development. Further research on the long-term influence of role-emerging placements is required. Permalink : ./index.php?lvl=notice_display&id=35923 [article] Sustaining professional identity in practice following role-emerging placements: Opportunities and challenges for occupational therapists [texte imprimé] / Channine Clarke, Auteur ; Marion Martin, Auteur ; Richard de Visser, Auteur . - 2015 . - p. 42-50. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p. 42-50 Mots-clés : Role-emerging placements  Professional identity Résumé : Introduction Role-emerging placements are increasingly being used to help prepare occupational therapy graduates for practice in a changing health and social care climate. However, while the literature on such placements is increasing, few longitudinal studies have explored their impact on graduates’ professional practice and identity. Method Interpretative phenomenological analysis was used to gain an understanding of the ways in which five occupational therapy graduates felt their role-emerging placement influenced their professional identity and practice once qualified. In-depth interviews were carried out with the graduates once they had been working as occupational therapists for a minimum of 6 months. Results In the absence of other occupational therapists, students on placements created professional identities of their own making and generated visions of the type of therapist they wanted to become. Once qualified, however, there were mixed experiences concerning the extent to which this identity could be sustained in practice. Particular difficulty was encountered by those working in National Health Service settings, where graduates questioned whether their practice was congruent with the professional understandings and ways of being they had developed on placement. Conclusion Role-emerging placements acted as a catalyst for participants’ personal and professional development. Further research on the long-term influence of role-emerging placements is required. Permalink : ./index.php?lvl=notice_display&id=35923

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Predicting fears of intimacy among individuals with post-traumatic stress symptoms by their sensory profile / Batya Engel-Yeger in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.51-57 Titre : Predicting fears of intimacy among individuals with post-traumatic stress symptoms by their sensory profile Type de document : texte imprimé Auteurs : Batya Engel-Yeger, Auteur ; Dafna Palgy-Levin, Auteur ; Rachel Lev-Wiesel, Auteur Année de publication : 2015 Article en page(s) : p.51-57 Langues : Anglais (eng) Mots-clés : Sensory processing  Post-traumatic stress  Intimate relationships Résumé : Introduction The purpose of the research was: (1) to compare fears of intimacy between people with post-traumatic stress symptoms and healthy controls; (2) to examine the relationships between sensory processing patterns and fears of intimacy among people with post-traumatic stress symptoms; (3) to examine the ability of post-traumatic stress symptoms and sensory processing patterns to predict fears of intimacy. Method The study consisted of 60 people between 24 and 62 years old. Thirty of the participants had post-traumatic stress symptoms and the other 30 were healthy controls. All participants were involved in an intimate relationship. Participants completed the Post-traumatic Stress Disorder Symptom Scale, the Adolescent/Adult Sensory Profile, and the Fear of Close Personal Relationship Questionnaire. Findings Higher prevalence of extreme sensory sensitivity, avoidance, and low registration was found among the study group. These patterns significantly correlated with impaired emotional responses associated with intimacy. Low registration and group membership predicted fears of intimacy. Conclusion Sensory processing difficulties may contribute to the impaired intimate relationships of people with post-traumatic stress symptoms. Occupational therapists may help people with post-traumatic stress symptoms to be aware of their sensory processing difficulties and their impact on social/intimate relationships. This awareness may contribute to the person's ability to cope with post-traumatic stress symptoms, enable better emotional performance, and elevate quality of life. Permalink : ./index.php?lvl=notice_display&id=35924 [article] Predicting fears of intimacy among individuals with post-traumatic stress symptoms by their sensory profile [texte imprimé] / Batya Engel-Yeger, Auteur ; Dafna Palgy-Levin, Auteur ; Rachel Lev-Wiesel, Auteur . - 2015 . - p.51-57. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.51-57 Mots-clés : Sensory processing  Post-traumatic stress  Intimate relationships Résumé : Introduction The purpose of the research was: (1) to compare fears of intimacy between people with post-traumatic stress symptoms and healthy controls; (2) to examine the relationships between sensory processing patterns and fears of intimacy among people with post-traumatic stress symptoms; (3) to examine the ability of post-traumatic stress symptoms and sensory processing patterns to predict fears of intimacy. Method The study consisted of 60 people between 24 and 62 years old. Thirty of the participants had post-traumatic stress symptoms and the other 30 were healthy controls. All participants were involved in an intimate relationship. Participants completed the Post-traumatic Stress Disorder Symptom Scale, the Adolescent/Adult Sensory Profile, and the Fear of Close Personal Relationship Questionnaire. Findings Higher prevalence of extreme sensory sensitivity, avoidance, and low registration was found among the study group. These patterns significantly correlated with impaired emotional responses associated with intimacy. Low registration and group membership predicted fears of intimacy. Conclusion Sensory processing difficulties may contribute to the impaired intimate relationships of people with post-traumatic stress symptoms. Occupational therapists may help people with post-traumatic stress symptoms to be aware of their sensory processing difficulties and their impact on social/intimate relationships. This awareness may contribute to the person's ability to cope with post-traumatic stress symptoms, enable better emotional performance, and elevate quality of life. Permalink : ./index.php?lvl=notice_display&id=35924

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Exploring paid employment options with a person with severe learning disabilities and high support needs: An exploratory case study / Rachel Ineson in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.58-65 Titre : Exploring paid employment options with a person with severe learning disabilities and high support needs: An exploratory case study Type de document : texte imprimé Auteurs : Rachel Ineson, Auteur Année de publication : 2015 Article en page(s) : p.58-65 Langues : Anglais (eng) Mots-clés : Severe learning disability  Paid employment Résumé : Introduction This case-study research followed the journey of one person who has severe learning and high support needs as, supported by occupational therapy, she attempted to gain a real paid job. Method Qualitative triangulated methodology was used, combining a reflexive account of clinical occupational therapy intervention with interview data and secondary documentary analysis. The link between policy and practice was also explored. Findings Ultimately, the participant was unsuccessful in gaining a paid job, but remained motivated towards this goal. She became empowered to aspire for paid work, voiced opinions, and developed pre-vocational skills enabling continued pursuit of her goals. Negotiating access to potential employers on behalf of the participant was a significant barrier for the occupational therapist. Conclusion The journey of the participant in seeking paid employment was a new experience for everyone involved. There was a clear dichotomy between the aspirational language of policy and the reality of putting those aspirations into practice. As occupational therapists increasingly move into emerging fields, exploring employment for this client group presents opportunities to apply and expand core occupational therapy skills, to achieve mutually rewarding co-occupation and to influence an outstanding issue of occupational injustice. Permalink : ./index.php?lvl=notice_display&id=35925 [article] Exploring paid employment options with a person with severe learning disabilities and high support needs: An exploratory case study [texte imprimé] / Rachel Ineson, Auteur . - 2015 . - p.58-65. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.58-65 Mots-clés : Severe learning disability  Paid employment Résumé : Introduction This case-study research followed the journey of one person who has severe learning and high support needs as, supported by occupational therapy, she attempted to gain a real paid job. Method Qualitative triangulated methodology was used, combining a reflexive account of clinical occupational therapy intervention with interview data and secondary documentary analysis. The link between policy and practice was also explored. Findings Ultimately, the participant was unsuccessful in gaining a paid job, but remained motivated towards this goal. She became empowered to aspire for paid work, voiced opinions, and developed pre-vocational skills enabling continued pursuit of her goals. Negotiating access to potential employers on behalf of the participant was a significant barrier for the occupational therapist. Conclusion The journey of the participant in seeking paid employment was a new experience for everyone involved. There was a clear dichotomy between the aspirational language of policy and the reality of putting those aspirations into practice. As occupational therapists increasingly move into emerging fields, exploring employment for this client group presents opportunities to apply and expand core occupational therapy skills, to achieve mutually rewarding co-occupation and to influence an outstanding issue of occupational injustice. Permalink : ./index.php?lvl=notice_display&id=35925

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