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Do clowns attenuate pain and anxiety undergoing botulinum toxin injections in children? / Laetitia Houx in Annals of physical and rehabilitation medicine, Vol. 63, n°5 (Octobre 2020)
[article]
Titre : Do clowns attenuate pain and anxiety undergoing botulinum toxin injections in children? Type de document : texte imprimé Auteurs : Laetitia Houx ; Amandine Dubois ; Sylvain Brochard ; Christelle Pons Année de publication : 2020 Article en page(s) : p. 393-399 Note générale : doi.org/10.1016/j.rehab.2018.12.004 Langues : Anglais (eng) Mots-clés : Clown Pain Anxiety Botulinum toxin injections Children Motor disabilities Résumé : Objective
Botulinum toxin injection (BTI) is the primary treatment for spasticity in children. Anxiety and pain are important concerns to address to attenuate the discomfort of BTI. The aim of this study was to compare the effectiveness of medical clowns and usual distractions, both added to nitrous oxide (N2O) and analgesic cream, on pain and anxiety during BTI sessions in children.
Methods
The primary outcome was pain evaluated by the Face, Legs, Activity, Cry, Consolability (FLACC) scale. Secondary criteria were pain rated on a Visual Analog Scale (VAS) by the child and parent, anxiety rated on a VAS before and during BTIs by the child and parent(s), rating of the success of the sessions on a 4-point Likert scale by the physician and parent(s), and rating of the benefits of the distraction by the parent(s). Non-parametric tests were used for between-group comparisons.
Results
Baseline group characteristics of the clown and control groups did not differ. During 88 BTI sessions (40 with clown distraction and 48 with control distraction) in 59 children (35 boys; 52 with cerebral palsy, 12 with moderate to severe cognitive disorders), median maximal FLACC score was 2.5 (interquartile range [IQR]: 1–4) in the clown group and 3 (IQR: 1–4.3) in the control group. VAS self-reported pain score was 2.5 (IQR: 0–5) and 3 (IQR: 1–6.3) in the clown and control groups (P = 0.56), and VAS proxy-reported pain score was 2.5 (IQR: 0.3–3.4) and 3 (IQR: 1–4.5) (P = 0.25). After BTI sessions, the 2 groups did not differ in VAS self- and proxy-reported anxiety (P = 0.83 and P = 0.81). Physician and parent ratings of the success of sessions were similar between the groups (P = 0.89 and P = 0.11). Parent ratings of the perceived benefits of distraction were higher in the clown than control group (P = 0.004).
Conclusions
Although clown distraction was particularly appreciated by parents, it did not significantly reduce pain or anxiety in children as compared with usual distraction.Permalink : ./index.php?lvl=notice_display&id=91308
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 393-399[article] Do clowns attenuate pain and anxiety undergoing botulinum toxin injections in children? [texte imprimé] / Laetitia Houx ; Amandine Dubois ; Sylvain Brochard ; Christelle Pons . - 2020 . - p. 393-399.
doi.org/10.1016/j.rehab.2018.12.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 393-399
Mots-clés : Clown Pain Anxiety Botulinum toxin injections Children Motor disabilities Résumé : Objective
Botulinum toxin injection (BTI) is the primary treatment for spasticity in children. Anxiety and pain are important concerns to address to attenuate the discomfort of BTI. The aim of this study was to compare the effectiveness of medical clowns and usual distractions, both added to nitrous oxide (N2O) and analgesic cream, on pain and anxiety during BTI sessions in children.
Methods
The primary outcome was pain evaluated by the Face, Legs, Activity, Cry, Consolability (FLACC) scale. Secondary criteria were pain rated on a Visual Analog Scale (VAS) by the child and parent, anxiety rated on a VAS before and during BTIs by the child and parent(s), rating of the success of the sessions on a 4-point Likert scale by the physician and parent(s), and rating of the benefits of the distraction by the parent(s). Non-parametric tests were used for between-group comparisons.
Results
Baseline group characteristics of the clown and control groups did not differ. During 88 BTI sessions (40 with clown distraction and 48 with control distraction) in 59 children (35 boys; 52 with cerebral palsy, 12 with moderate to severe cognitive disorders), median maximal FLACC score was 2.5 (interquartile range [IQR]: 1–4) in the clown group and 3 (IQR: 1–4.3) in the control group. VAS self-reported pain score was 2.5 (IQR: 0–5) and 3 (IQR: 1–6.3) in the clown and control groups (P = 0.56), and VAS proxy-reported pain score was 2.5 (IQR: 0.3–3.4) and 3 (IQR: 1–4.5) (P = 0.25). After BTI sessions, the 2 groups did not differ in VAS self- and proxy-reported anxiety (P = 0.83 and P = 0.81). Physician and parent ratings of the success of sessions were similar between the groups (P = 0.89 and P = 0.11). Parent ratings of the perceived benefits of distraction were higher in the clown than control group (P = 0.004).
Conclusions
Although clown distraction was particularly appreciated by parents, it did not significantly reduce pain or anxiety in children as compared with usual distraction.Permalink : ./index.php?lvl=notice_display&id=91308 Exemplaires (1)
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Exclu du prêtThe experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing / Fiona Mulholland in The British Journal of Occupational Therapy, Vol.81 Issue 11 (Novembre 2018)
[article]
Titre : The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing Type de document : texte imprimé Auteurs : Fiona Mulholland ; Jeanne Jackson Année de publication : 2018 Article en page(s) : p. 657-666 Note générale : doi.org/10.1177/0308022618777200 Langues : Anglais (eng) Mots-clés : Occupational identity occupational disruption wellbeing mental health anxiety depression older people Résumé : Introduction
As life expectancy grows so does the need for mental health services for older people. Occupational science and therapy literature demonstrates how occupation supports older adults' wellbeing, but there has been little research into the relationship between occupation and health for those with anxiety and depression. The aim of this study was to understand the occupational experience of Irish older adults with anxiety and depression so as to inform therapeutic programmes.
Method
A qualitative research design with a phenomenological framework was adopted. A total of five community-dwelling people with diagnoses of anxiety and/or depression were purposively selected to participate in semi-structured interviews. The interviews were analysed using thematic analysis.
Findings
The themes which emerged – ‘Occupation as a marker for wellness’ and ‘Sustaining a sense of occupational identity’ – support existing literature and reveal new information about interactions between occupational identity crisis and mental health. Personally meaningful occupation which connects a person to their life worlds and sense of self has the potential to consolidate recovery from anxiety and depression.
Conclusion
The study contributes to knowledge on how occupation supports an older person's wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.Permalink : ./index.php?lvl=notice_display&id=80280
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 657-666[article] The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing [texte imprimé] / Fiona Mulholland ; Jeanne Jackson . - 2018 . - p. 657-666.
doi.org/10.1177/0308022618777200
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 657-666
Mots-clés : Occupational identity occupational disruption wellbeing mental health anxiety depression older people Résumé : Introduction
As life expectancy grows so does the need for mental health services for older people. Occupational science and therapy literature demonstrates how occupation supports older adults' wellbeing, but there has been little research into the relationship between occupation and health for those with anxiety and depression. The aim of this study was to understand the occupational experience of Irish older adults with anxiety and depression so as to inform therapeutic programmes.
Method
A qualitative research design with a phenomenological framework was adopted. A total of five community-dwelling people with diagnoses of anxiety and/or depression were purposively selected to participate in semi-structured interviews. The interviews were analysed using thematic analysis.
Findings
The themes which emerged – ‘Occupation as a marker for wellness’ and ‘Sustaining a sense of occupational identity’ – support existing literature and reveal new information about interactions between occupational identity crisis and mental health. Personally meaningful occupation which connects a person to their life worlds and sense of self has the potential to consolidate recovery from anxiety and depression.
Conclusion
The study contributes to knowledge on how occupation supports an older person's wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.Permalink : ./index.php?lvl=notice_display&id=80280 Exemplaires (1)
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Exclu du prêtEffectiveness of the Community–Academia Student Tutoring (CAST) program in enhancing students’ practice placement readiness / Miri Tal Saban in The British Journal of Occupational Therapy, Vol. 85 Issue 4 (Avril 2019)
[article]
Titre : Effectiveness of the Community–Academia Student Tutoring (CAST) program in enhancing students’ practice placement readiness Type de document : texte imprimé Auteurs : Miri Tal Saban ; Naomi Weintraub Année de publication : 2019 Article en page(s) : p. 220-226 Note générale : doi.org/10.1177/0308022618800179 Langues : Anglais (eng) Mots-clés : Practice education practice placement students’ self-perception anxiety community service learning occupational therapy Résumé : Introduction
Occupational therapy programs include practice education, which is a vital aspect of professional practice preparation. We evaluated the effectiveness of the Community–Academia Student Tutoring program for enhancing occupational therapy students’ perceived readiness for their practice placement, thus reducing their feelings of anxiety.
Method
The study included 84 first-year undergraduate occupational therapy students aged 21–35 years, of whom 43 participated in the Community–Academia Student Tutoring group program and the rest comprised the control group. Participants completed the Student Self-Competency and Readiness for Fieldwork questionnaire prior to their first practice placement.
Findings
Anxiety was related to the Student Self-Competency and Readiness for Fieldwork’s components and total score. The Community–Academia Student Tutoring group scored significantly higher (p < .05) than the controls in the Evaluation and Communication with Patients components of the questionnaire, after controlling for anxiety level.
Implications
It appears that it is possible to enhance students’ readiness for their practice placement through a structured and intensive community-based mentoring program that is guided by faculty and includes activities of briefing and debriefing, such as the Community–Academia Student Tutoring program.Permalink : ./index.php?lvl=notice_display&id=80407
in The British Journal of Occupational Therapy > Vol. 85 Issue 4 (Avril 2019) . - p. 220-226[article] Effectiveness of the Community–Academia Student Tutoring (CAST) program in enhancing students’ practice placement readiness [texte imprimé] / Miri Tal Saban ; Naomi Weintraub . - 2019 . - p. 220-226.
doi.org/10.1177/0308022618800179
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 85 Issue 4 (Avril 2019) . - p. 220-226
Mots-clés : Practice education practice placement students’ self-perception anxiety community service learning occupational therapy Résumé : Introduction
Occupational therapy programs include practice education, which is a vital aspect of professional practice preparation. We evaluated the effectiveness of the Community–Academia Student Tutoring program for enhancing occupational therapy students’ perceived readiness for their practice placement, thus reducing their feelings of anxiety.
Method
The study included 84 first-year undergraduate occupational therapy students aged 21–35 years, of whom 43 participated in the Community–Academia Student Tutoring group program and the rest comprised the control group. Participants completed the Student Self-Competency and Readiness for Fieldwork questionnaire prior to their first practice placement.
Findings
Anxiety was related to the Student Self-Competency and Readiness for Fieldwork’s components and total score. The Community–Academia Student Tutoring group scored significantly higher (p < .05) than the controls in the Evaluation and Communication with Patients components of the questionnaire, after controlling for anxiety level.
Implications
It appears that it is possible to enhance students’ readiness for their practice placement through a structured and intensive community-based mentoring program that is guided by faculty and includes activities of briefing and debriefing, such as the Community–Academia Student Tutoring program.Permalink : ./index.php?lvl=notice_display&id=80407 Exemplaires (1)
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Exclu du prêtFear of Falling in People With Chronic Stroke / Arlene A. Schmid in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)
[article]
Titre : Fear of Falling in People With Chronic Stroke Type de document : texte imprimé Auteurs : Arlene A. Schmid ; Sarah E. ARNOLD ; Valerie A. JONES ; et al. Année de publication : 2015 Article en page(s) : p.1 Langues : Anglais (eng) Mots-clés : Maladie chronique Peur Chute Trouble anxieux Equilibration Etat dépressifAccidental falls Anxiety Fear Postural balance Severity of illness index Stroke Résumé : OBJECTIVE. We assessed the prevalence of fear of falling (FoF) in a sample of people with chronic stroke and compared multiple variables (balance, anxiety, depression, activity and participation, and stroke severity) in people with and without FoF.
METHOD. This study was a secondary analysis of data collected from a cross-sectional study of mobility after stroke in 77 participants with chronic stroke (>6 mo poststroke).
RESULTS. Of the 77 participants, 51 (66%) reported experiencing FoF. People with FoF had significantly decreased balance (p < .001) and activity and participation (p = .006) and significantly increased anxiety (p = .007). People with FoF also had significantly worse stroke severity (p = .001).
CONCLUSION. FoF is a prevalent concern in the chronic stroke population. The presence of FoF was associated with a variety of negative consequences. Occupational therapy practitioners should address FoF to help clients manage FoF and possibly improve recovery.Permalink : ./index.php?lvl=notice_display&id=35897
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1[article] Fear of Falling in People With Chronic Stroke [texte imprimé] / Arlene A. Schmid ; Sarah E. ARNOLD ; Valerie A. JONES ; et al. . - 2015 . - p.1.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1
Mots-clés : Maladie chronique Peur Chute Trouble anxieux Equilibration Etat dépressifAccidental falls Anxiety Fear Postural balance Severity of illness index Stroke Résumé : OBJECTIVE. We assessed the prevalence of fear of falling (FoF) in a sample of people with chronic stroke and compared multiple variables (balance, anxiety, depression, activity and participation, and stroke severity) in people with and without FoF.
METHOD. This study was a secondary analysis of data collected from a cross-sectional study of mobility after stroke in 77 participants with chronic stroke (>6 mo poststroke).
RESULTS. Of the 77 participants, 51 (66%) reported experiencing FoF. People with FoF had significantly decreased balance (p < .001) and activity and participation (p = .006) and significantly increased anxiety (p = .007). People with FoF also had significantly worse stroke severity (p = .001).
CONCLUSION. FoF is a prevalent concern in the chronic stroke population. The presence of FoF was associated with a variety of negative consequences. Occupational therapy practitioners should address FoF to help clients manage FoF and possibly improve recovery.Permalink : ./index.php?lvl=notice_display&id=35897 Réservation
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