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The content validity and acceptability of the Evaluation of Daily Activity Questionnaire in musculoskeletal conditions / Alison Hammond in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 144-157 Titre : The content validity and acceptability of the Evaluation of Daily Activity Questionnaire in musculoskeletal conditions Type de document : texte imprimé Auteurs : Alison Hammond, Auteur ; Yeliz Prior, Auteur ; Alan Tennant, Auteur Année de publication : 2015 Article en page(s) : p. 144-157 Langues : Anglais (eng) Mots-clés : Outcome measures  Arthritis  Activities of daily living  Occupational therapy Résumé : Introduction The Evaluation of Daily Activity Questionnaire is a detailed self-report measure of activity limitations. It has two parts, 10 scales of symptom severity and 14 daily activity domains, including 138 activities. It has good psychometric properties in rheumatoid arthritis. The aim was next to establish its content validity and acceptability in seven musculoskeletal conditions: ankylosing spondylitis; osteoarthritis; systemic lupus erythematosus; systemic sclerosis; chronic pain; chronic hand/upper limb musculoskeletal disorders; and primary Sjögren's syndrome. Method Participants completed the Evaluation of Daily Activity Questionnaire in their own time, followed by a cognitive debriefing interview to identify their views of importance of including each item and Evaluation of Daily Activity Questionnaire acceptability. Results Six to 12 people with each condition were interviewed (n = 70): 17 men and 53 women, 57.38 (SD 12.83) years of age and with 13.15 (SD 11.02) years condition duration. Overall, all 10 scales and 138 activities were considered important to include. Most found it: had clear instructions (93%); was easy to complete (87%); included about the right amount of activities (77%); and would help an occupational therapist gain insight into the effects of the person's conditions (87%). Conclusion The Evaluation of Daily Activity Questionnaire has good content validity and acceptability in these seven conditions. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35933 [article] The content validity and acceptability of the Evaluation of Daily Activity Questionnaire in musculoskeletal conditions [texte imprimé] / Alison Hammond, Auteur ; Yeliz Prior, Auteur ; Alan Tennant, Auteur . - 2015 . - p. 144-157. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 144-157 Mots-clés : Outcome measures  Arthritis  Activities of daily living  Occupational therapy Résumé : Introduction The Evaluation of Daily Activity Questionnaire is a detailed self-report measure of activity limitations. It has two parts, 10 scales of symptom severity and 14 daily activity domains, including 138 activities. It has good psychometric properties in rheumatoid arthritis. The aim was next to establish its content validity and acceptability in seven musculoskeletal conditions: ankylosing spondylitis; osteoarthritis; systemic lupus erythematosus; systemic sclerosis; chronic pain; chronic hand/upper limb musculoskeletal disorders; and primary Sjögren's syndrome. Method Participants completed the Evaluation of Daily Activity Questionnaire in their own time, followed by a cognitive debriefing interview to identify their views of importance of including each item and Evaluation of Daily Activity Questionnaire acceptability. Results Six to 12 people with each condition were interviewed (n = 70): 17 men and 53 women, 57.38 (SD 12.83) years of age and with 13.15 (SD 11.02) years condition duration. Overall, all 10 scales and 138 activities were considered important to include. Most found it: had clear instructions (93%); was easy to complete (87%); included about the right amount of activities (77%); and would help an occupational therapist gain insight into the effects of the person's conditions (87%). Conclusion The Evaluation of Daily Activity Questionnaire has good content validity and acceptability in these seven conditions. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35933

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Role functioning among adults with schizophrenia / Cassandra Westcott in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 158-165 Titre : Role functioning among adults with schizophrenia Type de document : texte imprimé Auteurs : Cassandra Westcott, Auteur ; Geoff Waghorn, Auteur ; Duncan McLean, Auteur Année de publication : 2015 Article en page(s) : p. 158-165 Langues : Anglais (eng) Mots-clés : Schizophrenia  Role functioning  Employment Résumé : Introduction The extent that adults with schizophrenia and schizoaffective disorders participate in socially valued roles within their community is an important aspect of recovery and rehabilitation. Although previous research has explored functioning in specific roles (for example, education, employment and independent living) less is known about combined participation in different types of socially valued roles. The purpose of this investigation was to describe the role functioning of a community sample of 255 adults with schizophrenia or schizoaffective disorder. Method The diagnostic interview for genetics study 2.0 was administered by trained clinicians and provided the background clinical information for this report. A subsample from the genetics study was interviewed by telephone using the socially valued role classification scale. Participants were specifically asked about their participation in employment, education and training, rehabilitation, caring for others, and home duties and self-care. Results Overall role participation was high, with 80% participating in socially valued roles other than independent living. Role functioning in each role category was relatively independent of functioning in other role domains. Conclusion Occupational therapists can best facilitate the rehabilitation and recovery of community residents with severe mental illness by adopting a role-specific approach based on individual preferences for particular role domains. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35934 [article] Role functioning among adults with schizophrenia [texte imprimé] / Cassandra Westcott, Auteur ; Geoff Waghorn, Auteur ; Duncan McLean, Auteur . - 2015 . - p. 158-165. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 158-165 Mots-clés : Schizophrenia  Role functioning  Employment Résumé : Introduction The extent that adults with schizophrenia and schizoaffective disorders participate in socially valued roles within their community is an important aspect of recovery and rehabilitation. Although previous research has explored functioning in specific roles (for example, education, employment and independent living) less is known about combined participation in different types of socially valued roles. The purpose of this investigation was to describe the role functioning of a community sample of 255 adults with schizophrenia or schizoaffective disorder. Method The diagnostic interview for genetics study 2.0 was administered by trained clinicians and provided the background clinical information for this report. A subsample from the genetics study was interviewed by telephone using the socially valued role classification scale. Participants were specifically asked about their participation in employment, education and training, rehabilitation, caring for others, and home duties and self-care. Results Overall role participation was high, with 80% participating in socially valued roles other than independent living. Role functioning in each role category was relatively independent of functioning in other role domains. Conclusion Occupational therapists can best facilitate the rehabilitation and recovery of community residents with severe mental illness by adopting a role-specific approach based on individual preferences for particular role domains. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35934

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An explorative study of the relationship between functional and cognitive decline in older persons with mild cognitive impairment and Alzheimer’s disease / Sophie Vermeersch in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 166-174 Titre : An explorative study of the relationship between functional and cognitive decline in older persons with mild cognitive impairment and Alzheimer’s disease Type de document : texte imprimé Auteurs : Sophie Vermeersch, Auteur ; Ellen Gorus, Auteur ; Elise Cornelis, Auteur Année de publication : 2015 Article en page(s) : p. 166-174 Langues : Anglais (eng) Mots-clés : Complex activities of daily living  Functional decline  Mild cognitive disorders  Evaluation ADL Résumé : Introduction This study explored the relationship between functional decline on three advanced activities of daily living and cognitive decline in elderly persons. The use of everyday technology, driving a vehicle, and performing complex economic activities are advanced activities of daily living domains presumed to be sensitive to early cognitive decline and therefore of interest for the profession of occupational therapy. Method We included 45 persons with mild cognitive impairment, 48 persons with Alzheimer’s disease, and 50 cognitively healthy controls. Functional impairment due to cognitive decline was evaluated by the advanced activities of daily living tool. Cognitive disability indices were computed for the investigated advanced activities of daily living domains and correlated with the Mini Mental State Examination and the Cambridge Examination for Mental Disorders of the Elderly, Cognitive Part. Results The cognitive disability index for performing complex economic activities and the cognitive disability index for the three advanced activities of daily living domains together differed significantly between the three groups. For the whole sample, the advanced activity of daily living cognitive disability indices correlated strongly with the cognitive measures. Within each separate group, few correlations were found. Conclusion This study contributes to the field of knowledge for occupational therapy by emphasizing the value of assessment of advanced activities of daily living in early cognitive decline. For the occupational therapy profession, further research is required in the interaction between functional decline and cognition in early cognitive decline. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35935 [article] An explorative study of the relationship between functional and cognitive decline in older persons with mild cognitive impairment and Alzheimer’s disease [texte imprimé] / Sophie Vermeersch, Auteur ; Ellen Gorus, Auteur ; Elise Cornelis, Auteur . - 2015 . - p. 166-174. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 166-174 Mots-clés : Complex activities of daily living  Functional decline  Mild cognitive disorders  Evaluation ADL Résumé : Introduction This study explored the relationship between functional decline on three advanced activities of daily living and cognitive decline in elderly persons. The use of everyday technology, driving a vehicle, and performing complex economic activities are advanced activities of daily living domains presumed to be sensitive to early cognitive decline and therefore of interest for the profession of occupational therapy. Method We included 45 persons with mild cognitive impairment, 48 persons with Alzheimer’s disease, and 50 cognitively healthy controls. Functional impairment due to cognitive decline was evaluated by the advanced activities of daily living tool. Cognitive disability indices were computed for the investigated advanced activities of daily living domains and correlated with the Mini Mental State Examination and the Cambridge Examination for Mental Disorders of the Elderly, Cognitive Part. Results The cognitive disability index for performing complex economic activities and the cognitive disability index for the three advanced activities of daily living domains together differed significantly between the three groups. For the whole sample, the advanced activity of daily living cognitive disability indices correlated strongly with the cognitive measures. Within each separate group, few correlations were found. Conclusion This study contributes to the field of knowledge for occupational therapy by emphasizing the value of assessment of advanced activities of daily living in early cognitive decline. For the occupational therapy profession, further research is required in the interaction between functional decline and cognition in early cognitive decline. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35935

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Turning evidence into practice: Barriers to research use among occupational therapists / Kersti Samuelsson in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 175-181 Titre : Turning evidence into practice: Barriers to research use among occupational therapists Type de document : texte imprimé Auteurs : Kersti Samuelsson, Auteur ; Ewa Wressle, Auteur Année de publication : 2015 Article en page(s) : p. 175-181 Langues : Anglais (eng) Mots-clés : Clinical practice  Support survey Résumé : Introduction Research has demonstrated that occupational therapists generally have a positive attitude regarding the use of evidence in their daily practice and decision-making. In addition, occupational therapists are expected to implement evidence-based practice, which is often understood as equivalent to research. However, evidence-based practice might be difficult to reconcile with occupational therapy from a client-centred focus. This study examines what occupational therapists perceive as barriers to research use and discusses the challenge of clinical implementation. Method This study uses a descriptive cross-sectional design. The Barriers to Research Utilization Scale questionnaire was mailed to 807 randomly selected Swedish occupational therapists. The response rate was 59%. Findings The occupational therapists identified three main barriers to the use of research: insufficient facilities (82%); lack of time to read research (77%); difficulty understanding statistical analyses (75%). Degree of education was shown to affect results; occupational therapists with higher education levels indicated a higher use of research. Conclusion Implementing research in clinical practice is a challenge. Occupational therapists are interested but they lack the optimal prerequisites and time. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35936 [article] Turning evidence into practice: Barriers to research use among occupational therapists [texte imprimé] / Kersti Samuelsson, Auteur ; Ewa Wressle, Auteur . - 2015 . - p. 175-181. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 175-181 Mots-clés : Clinical practice  Support survey Résumé : Introduction Research has demonstrated that occupational therapists generally have a positive attitude regarding the use of evidence in their daily practice and decision-making. In addition, occupational therapists are expected to implement evidence-based practice, which is often understood as equivalent to research. However, evidence-based practice might be difficult to reconcile with occupational therapy from a client-centred focus. This study examines what occupational therapists perceive as barriers to research use and discusses the challenge of clinical implementation. Method This study uses a descriptive cross-sectional design. The Barriers to Research Utilization Scale questionnaire was mailed to 807 randomly selected Swedish occupational therapists. The response rate was 59%. Findings The occupational therapists identified three main barriers to the use of research: insufficient facilities (82%); lack of time to read research (77%); difficulty understanding statistical analyses (75%). Degree of education was shown to affect results; occupational therapists with higher education levels indicated a higher use of research. Conclusion Implementing research in clinical practice is a challenge. Occupational therapists are interested but they lack the optimal prerequisites and time. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35936

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Eco-social occupational therapy / Salvador Sinó Algado in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 182-186 Titre : Eco-social occupational therapy Type de document : texte imprimé Auteurs : Salvador Sinó Algado, Auteur ; Elizabeth Townsend, Auteur Année de publication : 2015 Article en page(s) : p. 182-186 Langues : Anglais (eng) Mots-clés : Occupational justice  Eco-social occupational therapy  Occupational ecology  Critical thinking  Inequity  Poverty  Sustainability Résumé : Introduction Ecological crises associated with the global degradation of the natural environment call for dialogues and action to develop an economically and environmentally sustainable world. This paper proposes a new narrative for humanity by connecting ecology with broad ideas about occupation and occupational justice. Method The authors reflect on literature and action projects on ecology, occupation, and occupational justice. Results The authors propose that doing ecology is essentially occupational, and necessarily a matter of occupational justice given the strong link between poverty and the degradation of the natural environment. Conclusion Eco-social occupational therapy practices are illustrated in poverty reduction projects, funded through university–community partnerships in Spain. The potential to expand eco-social occupational therapy lies in publicly embracing ecological challenges, focusing practices on changing the environment, and attracting partners to find new funding for enabling people everywhere to participate in ecological sustainability through occupation. This paper calls on occupational therapists to spark dialogues and take action in doing ecology and justice through occupation. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35937 [article] Eco-social occupational therapy [texte imprimé] / Salvador Sinó Algado, Auteur ; Elizabeth Townsend, Auteur . - 2015 . - p. 182-186. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 182-186 Mots-clés : Occupational justice  Eco-social occupational therapy  Occupational ecology  Critical thinking  Inequity  Poverty  Sustainability Résumé : Introduction Ecological crises associated with the global degradation of the natural environment call for dialogues and action to develop an economically and environmentally sustainable world. This paper proposes a new narrative for humanity by connecting ecology with broad ideas about occupation and occupational justice. Method The authors reflect on literature and action projects on ecology, occupation, and occupational justice. Results The authors propose that doing ecology is essentially occupational, and necessarily a matter of occupational justice given the strong link between poverty and the degradation of the natural environment. Conclusion Eco-social occupational therapy practices are illustrated in poverty reduction projects, funded through university–community partnerships in Spain. The potential to expand eco-social occupational therapy lies in publicly embracing ecological challenges, focusing practices on changing the environment, and attracting partners to find new funding for enabling people everywhere to participate in ecological sustainability through occupation. This paper calls on occupational therapists to spark dialogues and take action in doing ecology and justice through occupation. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35937

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The use of adaptive equipment following total knee replacement / Jamie McNaught in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 187-195 Titre : The use of adaptive equipment following total knee replacement Type de document : texte imprimé Auteurs : Jamie McNaught, Auteur ; Lorna Paul, Auteur Année de publication : 2015 Article en page(s) : p. 187-195 Langues : Anglais (eng) Mots-clés : Knee arthroplasty  Fast track  Occupational therapy  Patient education  Enhanced recovery  Outcome measure Résumé : Introduction This study evaluates the need for adaptive equipment following total knee replacement. There are no recent studies to guide occupational therapists in the optimum time adaptive equipment is required following total knee replacement. Method A non-experimental, concurrent mixed methods approach was used. The study population was patients attending for total knee replacement at a large general hospital. Outcome measures were the Oxford Knee Score, the United Kingdom Functional Independence Measure and a weekly diary. Results A total of 19 patients were included in the study. Following assessment, 53% (n = 10) required adaptive equipment following total knee replacement. No significant difference was found in pre-operative pain or function scores, gender or surgical pathway when comparing those who did and did not need adaptive equipment post-operatively. Patients who required adaptive equipment post-operatively had significantly worse pain (p = 0.030) and function (p = 0.040) at 6 weeks post-operatively and had significantly longer inpatient stay (p = 0.041). Conclusion Although there are resource implications, patients requiring adaptive equipment following total knee replacement should be assessed by occupational therapy staff 6 weeks post-operatively to ensure optimal functional outcomes following surgery. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35938 [article] The use of adaptive equipment following total knee replacement [texte imprimé] / Jamie McNaught, Auteur ; Lorna Paul, Auteur . - 2015 . - p. 187-195. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 187-195 Mots-clés : Knee arthroplasty  Fast track  Occupational therapy  Patient education  Enhanced recovery  Outcome measure Résumé : Introduction This study evaluates the need for adaptive equipment following total knee replacement. There are no recent studies to guide occupational therapists in the optimum time adaptive equipment is required following total knee replacement. Method A non-experimental, concurrent mixed methods approach was used. The study population was patients attending for total knee replacement at a large general hospital. Outcome measures were the Oxford Knee Score, the United Kingdom Functional Independence Measure and a weekly diary. Results A total of 19 patients were included in the study. Following assessment, 53% (n = 10) required adaptive equipment following total knee replacement. No significant difference was found in pre-operative pain or function scores, gender or surgical pathway when comparing those who did and did not need adaptive equipment post-operatively. Patients who required adaptive equipment post-operatively had significantly worse pain (p = 0.030) and function (p = 0.040) at 6 weeks post-operatively and had significantly longer inpatient stay (p = 0.041). Conclusion Although there are resource implications, patients requiring adaptive equipment following total knee replacement should be assessed by occupational therapy staff 6 weeks post-operatively to ensure optimal functional outcomes following surgery. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35938

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Development of an aphasia-friendly Canadian Occupational Performance Measure / Richard Coates in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 196-199 Titre : Development of an aphasia-friendly Canadian Occupational Performance Measure Type de document : texte imprimé Auteurs : Richard Coates, Auteur ; Claire Irvine, Auteur ; Catherine Sutherland, Auteur Année de publication : 2015 Article en page(s) : p. 196-199 Langues : Anglais (eng) Mots-clés : Canadian Occupational Performance Measure Résumé : An aphasia-friendly Canadian Occupational Performance Measure has been developed for routine clinical use. Use of the aphasia-friendly Canadian Occupational Performance Measure in a community neurological rehabilitation setting indicates that a person with aphasia was able to identify individual goals and rate performance and satisfaction in these areas pre- and post-intervention. The aphasia-friendly Canadian Occupational Performance Measure will allow greater inclusion for people with aphasia in goal-setting and measuring the outcome of intervention, in keeping with client-centred practice. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35939 [article] Development of an aphasia-friendly Canadian Occupational Performance Measure [texte imprimé] / Richard Coates, Auteur ; Claire Irvine, Auteur ; Catherine Sutherland, Auteur . - 2015 . - p. 196-199. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 196-199 Mots-clés : Canadian Occupational Performance Measure Résumé : An aphasia-friendly Canadian Occupational Performance Measure has been developed for routine clinical use. Use of the aphasia-friendly Canadian Occupational Performance Measure in a community neurological rehabilitation setting indicates that a person with aphasia was able to identify individual goals and rate performance and satisfaction in these areas pre- and post-intervention. The aphasia-friendly Canadian Occupational Performance Measure will allow greater inclusion for people with aphasia in goal-setting and measuring the outcome of intervention, in keeping with client-centred practice. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35939

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Helping occupational performance through engagement: A service evaluation of a programme for informal carers of people with dementia / Caroline Hampson in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 200-204 Titre : Helping occupational performance through engagement: A service evaluation of a programme for informal carers of people with dementia Type de document : texte imprimé Auteurs : Caroline Hampson, Auteur ; Sarah Jane Smith, Auteur Année de publication : 2015 Article en page(s) : p. 200-204 Langues : Anglais (eng) Mots-clés : Dementia  Occupation  Caregivers Résumé : Statement of context The Helping Occupational Performance through Engagement programme is a series of workshops which aim to equip informal caregivers with the skills and knowledge they require to engage a person with dementia in meaningful daily occupations. Reflection on practice Following the initial implementation of the programme, a service evaluation was carried out to establish whether these aims were being met. The evaluation took a mixed methods approach, combining questionnaire and focus group data obtained from participants of the programme. Implications for practice Results demonstrated that whilst in general the programme is fulfilling its aims, further evaluation is required to establish the long-term impact of the programme. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35940 [article] Helping occupational performance through engagement: A service evaluation of a programme for informal carers of people with dementia [texte imprimé] / Caroline Hampson, Auteur ; Sarah Jane Smith, Auteur . - 2015 . - p. 200-204. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 200-204 Mots-clés : Dementia  Occupation  Caregivers Résumé : Statement of context The Helping Occupational Performance through Engagement programme is a series of workshops which aim to equip informal caregivers with the skills and knowledge they require to engage a person with dementia in meaningful daily occupations. Reflection on practice Following the initial implementation of the programme, a service evaluation was carried out to establish whether these aims were being met. The evaluation took a mixed methods approach, combining questionnaire and focus group data obtained from participants of the programme. Implications for practice Results demonstrated that whilst in general the programme is fulfilling its aims, further evaluation is required to establish the long-term impact of the programme. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35940

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