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Attention,
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7 résultat(s) recherche sur le mot-clé 'self-management' ![Ne pas surligner les mots recherchés Ne pas surligner les mots recherchés](./images/text_horizontalrule.png)
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Cancer survivors' experience of OptiMal, a 6-week, occupation-based, self-management intervention / Lauren Boland in The British Journal of Occupational Therapy, Vol. 82 Issue 2 (Février 2019)
[article]
Titre : Cancer survivors' experience of OptiMal, a 6-week, occupation-based, self-management intervention Type de document : texte imprimé Auteurs : Lauren Boland ; Kathleen Bennett ; Sinead Cuffe ; Noreen Gleeson ; Cliona Grant ; John Kennedy ; Deirdre Connolly Année de publication : 2019 Article en page(s) : p. 90-100 Note générale : doi.org/10.1177/0308022618804704 Langues : Anglais (eng) Mots-clés : Cancer survivors self-management activity participation occupational therapy Résumé : Introduction
Cancer survivors experience persistent symptoms such as pain, fatigue, anxiety and depression post-treatment, resulting in social isolation and decreased activity participation. A 6-week, occupation-focused, self-management programme, OptiMal, was delivered to cancer survivors. A mixed methods approach was employed to explore the impact of the programme. For the purpose of addressing the focus of this paper, only qualitative data were extrapolated.
Methods
A qualitative description design was undertaken with survivors to explore their perceptions of the impact of OptiMal on cancer survivorship and opinions of the programme. Qualitative data were collected through focus groups and semi-structured interviews post-intervention and at 3 months follow-up. Data were analysed using thematic analysis.
Results
Four OptiMal programmes were delivered with 26 individuals of mixed cancer diagnoses over an 18-month period. Following thematic analysis, two themes emerged: 1. Supporting the transition to survivorship; 2. Programme design and delivery. The content and design of OptiMal was reported to meet cancer survivors' needs. However, many survivors stated that they would have benefited from it earlier post-treatment.
Conclusion
An occupation-based group programme, OptiMal, appears to assist cancer survivors to transition from treatment to survivorship. However, many survivors stated that they would have benefited from the programme earlier post-treatment.Permalink : ./index.php?lvl=notice_display&id=80399
in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 90-100[article] Cancer survivors' experience of OptiMal, a 6-week, occupation-based, self-management intervention [texte imprimé] / Lauren Boland ; Kathleen Bennett ; Sinead Cuffe ; Noreen Gleeson ; Cliona Grant ; John Kennedy ; Deirdre Connolly . - 2019 . - p. 90-100.
doi.org/10.1177/0308022618804704
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 90-100
Mots-clés : Cancer survivors self-management activity participation occupational therapy Résumé : Introduction
Cancer survivors experience persistent symptoms such as pain, fatigue, anxiety and depression post-treatment, resulting in social isolation and decreased activity participation. A 6-week, occupation-focused, self-management programme, OptiMal, was delivered to cancer survivors. A mixed methods approach was employed to explore the impact of the programme. For the purpose of addressing the focus of this paper, only qualitative data were extrapolated.
Methods
A qualitative description design was undertaken with survivors to explore their perceptions of the impact of OptiMal on cancer survivorship and opinions of the programme. Qualitative data were collected through focus groups and semi-structured interviews post-intervention and at 3 months follow-up. Data were analysed using thematic analysis.
Results
Four OptiMal programmes were delivered with 26 individuals of mixed cancer diagnoses over an 18-month period. Following thematic analysis, two themes emerged: 1. Supporting the transition to survivorship; 2. Programme design and delivery. The content and design of OptiMal was reported to meet cancer survivors' needs. However, many survivors stated that they would have benefited from it earlier post-treatment.
Conclusion
An occupation-based group programme, OptiMal, appears to assist cancer survivors to transition from treatment to survivorship. However, many survivors stated that they would have benefited from the programme earlier post-treatment.Permalink : ./index.php?lvl=notice_display&id=80399 Exemplaires (2)
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Exclu du prêtFeasibility, acceptability and potential effectiveness of an occupation-focused cognitive self-management program for breast cancer survivors / Robin Newman in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)
[article]
Titre : Feasibility, acceptability and potential effectiveness of an occupation-focused cognitive self-management program for breast cancer survivors Type de document : texte imprimé Auteurs : Robin Newman ; Kathleen Doyle Lyons ; Wendy J. Coster ; Jasin Wong ; Kate Festa ; Naomi Y. Ko Année de publication : 2019 Article en page(s) : p. 604-611 Note générale : doi.org/10.1177/0308022619861893 Langues : Anglais (eng) Mots-clés : Breast cancer self-management occupation-focused cognition occupational therapy Résumé : Introduction
The purpose of this research was to assess the feasibility, acceptability and potential effectiveness of a program to support the occupational performance of urban breast cancer survivors living with cancer-related cognitive impairment.
Method
Participants (n = 15) reporting cognitive changes following breast cancer treatment were enrolled in an occupation-focused self-management program. Occupational performance challenges, activity level, subjective cognitive function and quality of life were measured at the beginning, end and 3 months after completion of the program.
Results
Participants reported high satisfaction with the program and high confidence in their problem-solving and goal-setting skills. The 11 participants who completed the post-program assessment showed significant increases in self-perceived performance and satisfaction in daily living, participation, physical and functional wellbeing and perceived cognitive impairment.
Conclusion
The program was feasible for a vulnerable, socio-economically diverse patient population, acceptable to participants and may have positive effects on occupational performance.Permalink : ./index.php?lvl=notice_display&id=85531
in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 604-611[article] Feasibility, acceptability and potential effectiveness of an occupation-focused cognitive self-management program for breast cancer survivors [texte imprimé] / Robin Newman ; Kathleen Doyle Lyons ; Wendy J. Coster ; Jasin Wong ; Kate Festa ; Naomi Y. Ko . - 2019 . - p. 604-611.
doi.org/10.1177/0308022619861893
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 604-611
Mots-clés : Breast cancer self-management occupation-focused cognition occupational therapy Résumé : Introduction
The purpose of this research was to assess the feasibility, acceptability and potential effectiveness of a program to support the occupational performance of urban breast cancer survivors living with cancer-related cognitive impairment.
Method
Participants (n = 15) reporting cognitive changes following breast cancer treatment were enrolled in an occupation-focused self-management program. Occupational performance challenges, activity level, subjective cognitive function and quality of life were measured at the beginning, end and 3 months after completion of the program.
Results
Participants reported high satisfaction with the program and high confidence in their problem-solving and goal-setting skills. The 11 participants who completed the post-program assessment showed significant increases in self-perceived performance and satisfaction in daily living, participation, physical and functional wellbeing and perceived cognitive impairment.
Conclusion
The program was feasible for a vulnerable, socio-economically diverse patient population, acceptable to participants and may have positive effects on occupational performance.Permalink : ./index.php?lvl=notice_display&id=85531 Exemplaires (1)
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Exclu du prêtLimited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
[article]
Titre : Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 181-188 Note générale : doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) Mots-clés : Physical activity level Exercise Osteoarthritis Education Self-management Résumé : Background
The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated.
Objective
This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level.
Methods
This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded.
Results
In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively).
Conclusions
This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level.Permalink : ./index.php?lvl=notice_display&id=90793
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188[article] Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre . - 2020 . - p. 181-188.
doi.org/10.1016/j.rehab.2019.10.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188
Mots-clés : Physical activity level Exercise Osteoarthritis Education Self-management Résumé : Background
The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated.
Objective
This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level.
Methods
This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded.
Results
In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively).
Conclusions
This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level.Permalink : ./index.php?lvl=notice_display&id=90793 Exemplaires (1)
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Exclu du prêtFeasibility and results of a pilot study of group occupational therapy for fall risk management after stroke / Arlene A. Schmid in The British Journal of Occupational Therapy, Volume 78 Numéro 10 (Octobre 2015)
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[article]
Titre : Feasibility and results of a pilot study of group occupational therapy for fall risk management after stroke Type de document : texte imprimé Auteurs : Arlene A. Schmid, Auteur ; Kristine K. Miller, Auteur ; Marieke Van Puymbroeck, Auteur Année de publication : 2015 Article en page(s) : p.653-660 Langues : Anglais (eng) Mots-clés : Stroke occupational therapy group self-management falls fear of falling Résumé : Introduction: This article examines the feasibility and outcomes of a pilot study of Group Occupational Therapy for Falls, a fall risk management program designed for individuals with chronic stroke.
Method: This was a single-arm pilot study. All 10 participants had chronic stroke (>6 months), self-reported falling or fear of falling, and used a mobility device. Group Occupational Therapy for Falls included six sessions and focused on individual fall risk factor management. Assessments were completed before and after the intervention and assessed management of fall risk factors (five assessments, including the Falls Control Scale and Falls Prevention Strategy Survey), fear of falling (yes/no) question, falls self-efficacy, and activity and participation with the IMPACT (ICF Measure of Participation and ACTivity). Alpha was set at .10 owing to the small sample size and feasibility/pilot-study design.
Results: Group Occupational Therapy for Falls was feasible and management of fall risk factors improved overall, with significant improvements noted in the Falls Control Scale (p = .046) and Falls Prevention Strategy Survey (.064). The number of people with FoF significantly decreased (p = .076).
Conclusion: Group Occupational Therapy for Falls for fall prevention after stroke should be further developed and assessed in people with stroke as a promising intervention that may manage fall risks and possibly fall rates in the future.En ligne : http://bjo.sagepub.com/content/78/10/653.abstract Permalink : ./index.php?lvl=notice_display&id=40847
in The British Journal of Occupational Therapy > Volume 78 Numéro 10 (Octobre 2015) . - p.653-660[article] Feasibility and results of a pilot study of group occupational therapy for fall risk management after stroke [texte imprimé] / Arlene A. Schmid, Auteur ; Kristine K. Miller, Auteur ; Marieke Van Puymbroeck, Auteur . - 2015 . - p.653-660.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 Numéro 10 (Octobre 2015) . - p.653-660
Mots-clés : Stroke occupational therapy group self-management falls fear of falling Résumé : Introduction: This article examines the feasibility and outcomes of a pilot study of Group Occupational Therapy for Falls, a fall risk management program designed for individuals with chronic stroke.
Method: This was a single-arm pilot study. All 10 participants had chronic stroke (>6 months), self-reported falling or fear of falling, and used a mobility device. Group Occupational Therapy for Falls included six sessions and focused on individual fall risk factor management. Assessments were completed before and after the intervention and assessed management of fall risk factors (five assessments, including the Falls Control Scale and Falls Prevention Strategy Survey), fear of falling (yes/no) question, falls self-efficacy, and activity and participation with the IMPACT (ICF Measure of Participation and ACTivity). Alpha was set at .10 owing to the small sample size and feasibility/pilot-study design.
Results: Group Occupational Therapy for Falls was feasible and management of fall risk factors improved overall, with significant improvements noted in the Falls Control Scale (p = .046) and Falls Prevention Strategy Survey (.064). The number of people with FoF significantly decreased (p = .076).
Conclusion: Group Occupational Therapy for Falls for fall prevention after stroke should be further developed and assessed in people with stroke as a promising intervention that may manage fall risks and possibly fall rates in the future.En ligne : http://bjo.sagepub.com/content/78/10/653.abstract Permalink : ./index.php?lvl=notice_display&id=40847 Exemplaires (1)
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Exclu du prêtDelivering cognitive behavioural interventions in an internet-based healthcare delivery environment / Emily Nalder in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)
[article]
Titre : Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment Type de document : texte imprimé Auteurs : Emily Nalder ; Elsa Marziali ; Deirde Dawson ; Kelly Murphy Année de publication : 2018 Article en page(s) : p. 591-600 Note générale : doi.org/10.1177/0308022618760786 Langues : Anglais (eng) Mots-clés : Chronic disease ageing self-management telerehabilitation cognition cardiovascular disease Résumé : Introduction
This exploratory qualitative study assessed the feasibility of transitioning three face-to-face, cognitive behavioural interventions for adults with chronic health conditions to online delivery, by examining clinician and clients' satisfaction with intervention training and delivery.
Method
The interventions adapted for online delivery were: ‘Managing Chronic Disease’, a programme for individuals who were nonadherent to prescribed rehabilitation regimens; ‘Real-World Strategy Training’, an occupation-based intervention for individuals with subjective cognitive decline; and ‘Learning the Ropes’, a memory programme for persons with mild cognitive impairment. Two occupational therapists and one nurse received training in, and then delivered one of the three interventions. Qualitative feedback interviews with participants, and archived video recordings of intervention sessions were analysed thematically.
Results
Key features of each manualised intervention were evident in the online sessions and perceived by clients as enhancing engagement (for example, peer support and strategy training). Clinicians felt that meeting individually with intervention experts was helpful to problem-solve technical issues and ensure adherence to protocols.
Conclusion
Three cognitive behavioural interventions transitioned to online delivery were acceptable to older adults and clinicians. A next step would be to complete randomised controlled trials investigating whether the interventions yield equivalent health benefits, using online and face-to-face delivery.Permalink : ./index.php?lvl=notice_display&id=80272
in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 591-600[article] Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment [texte imprimé] / Emily Nalder ; Elsa Marziali ; Deirde Dawson ; Kelly Murphy . - 2018 . - p. 591-600.
doi.org/10.1177/0308022618760786
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 591-600
Mots-clés : Chronic disease ageing self-management telerehabilitation cognition cardiovascular disease Résumé : Introduction
This exploratory qualitative study assessed the feasibility of transitioning three face-to-face, cognitive behavioural interventions for adults with chronic health conditions to online delivery, by examining clinician and clients' satisfaction with intervention training and delivery.
Method
The interventions adapted for online delivery were: ‘Managing Chronic Disease’, a programme for individuals who were nonadherent to prescribed rehabilitation regimens; ‘Real-World Strategy Training’, an occupation-based intervention for individuals with subjective cognitive decline; and ‘Learning the Ropes’, a memory programme for persons with mild cognitive impairment. Two occupational therapists and one nurse received training in, and then delivered one of the three interventions. Qualitative feedback interviews with participants, and archived video recordings of intervention sessions were analysed thematically.
Results
Key features of each manualised intervention were evident in the online sessions and perceived by clients as enhancing engagement (for example, peer support and strategy training). Clinicians felt that meeting individually with intervention experts was helpful to problem-solve technical issues and ensure adherence to protocols.
Conclusion
Three cognitive behavioural interventions transitioned to online delivery were acceptable to older adults and clinicians. A next step would be to complete randomised controlled trials investigating whether the interventions yield equivalent health benefits, using online and face-to-face delivery.Permalink : ./index.php?lvl=notice_display&id=80272 Exemplaires (1)
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Exclu du prêtThe Elizabeth Casson Memorial Lecture 2014: Changing ways; changing times / Alison Hammond in The British Journal of Occupational Therapy, volume 77 numéro 8 (Août 2014)
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