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Sleep positioning systems for children and adults with a neurodisability: A systematic review / Ginny Humphreys in The British Journal of Occupational Therapy, Vol. 82 Issue 1 (Janvier 2019)
[article]
Titre : Sleep positioning systems for children and adults with a neurodisability: A systematic review Type de document : texte imprimé Auteurs : Ginny Humphreys ; Tanya King ; Jo Jex ; Morwenna Rogers ; Sharon Blake ; Jo Thompson-Coon ; Christopher Morris Année de publication : 2019 Article en page(s) : p. 5-14 Note générale : doi.org/10.1177/0308022618778254 Langues : Anglais (eng) Mots-clés : Postural management positioning sleep systems cerebral palsy neurodisability sleep Résumé : Introduction
Sleep positioning systems are often prescribed as part of a 24-hour postural management programme for children and adults with neurodisabilities. In a search for evidence of effectiveness for children with cerebral palsy a recent Cochrane review found two randomised controlled trials. This review aims to appraise a broader set of studies including any neurological diagnosis and users of all ages to inform therapists about the quality of the evidence underlying practice.
Method
A comprehensive search for all peer-reviewed studies that evaluated the use of sleep positioning systems was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Library databases, BNI, HMIC, PEDro, OTSeeker and clinical trials registries. Disability organisations, manufacturers and colleagues worldwide were also contacted. Titles were screened for relevance by two reviewers. Data were extracted into bespoke quantitative or qualitative forms by one reviewer and checked by a second. Findings were analysed into simple themes.
Results
A total of 14 studies were eligible for inclusion; all were small and most were of low quality. Inferences of benefits cannot be made from the literature but also no harm was found.
Conclusions
The body of evidence supporting practice remains small and mostly of low quality. Therapists should remain cautious when presenting the benefits to families.Permalink : ./index.php?lvl=notice_display&id=80291
in The British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 5-14[article] Sleep positioning systems for children and adults with a neurodisability: A systematic review [texte imprimé] / Ginny Humphreys ; Tanya King ; Jo Jex ; Morwenna Rogers ; Sharon Blake ; Jo Thompson-Coon ; Christopher Morris . - 2019 . - p. 5-14.
doi.org/10.1177/0308022618778254
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 5-14
Mots-clés : Postural management positioning sleep systems cerebral palsy neurodisability sleep Résumé : Introduction
Sleep positioning systems are often prescribed as part of a 24-hour postural management programme for children and adults with neurodisabilities. In a search for evidence of effectiveness for children with cerebral palsy a recent Cochrane review found two randomised controlled trials. This review aims to appraise a broader set of studies including any neurological diagnosis and users of all ages to inform therapists about the quality of the evidence underlying practice.
Method
A comprehensive search for all peer-reviewed studies that evaluated the use of sleep positioning systems was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Library databases, BNI, HMIC, PEDro, OTSeeker and clinical trials registries. Disability organisations, manufacturers and colleagues worldwide were also contacted. Titles were screened for relevance by two reviewers. Data were extracted into bespoke quantitative or qualitative forms by one reviewer and checked by a second. Findings were analysed into simple themes.
Results
A total of 14 studies were eligible for inclusion; all were small and most were of low quality. Inferences of benefits cannot be made from the literature but also no harm was found.
Conclusions
The body of evidence supporting practice remains small and mostly of low quality. Therapists should remain cautious when presenting the benefits to families.Permalink : ./index.php?lvl=notice_display&id=80291 Exemplaires (1)
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Exclu du prêtAn exploration of the role of the occupational therapist in relation to sleep problems in mental health settings / Sophie Faulkner in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)
[article]
Titre : An exploration of the role of the occupational therapist in relation to sleep problems in mental health settings Type de document : texte imprimé Auteurs : Sophie Faulkner, Auteur ; Hilary Mairs, Auteur Année de publication : 2015 Article en page(s) : p.516-524 Langues : Anglais (eng) Mots-clés : Sleep mental health thematic analysis Résumé : Introduction An adequate quantity and quality of sleep is a necessary pre-requisite for optimal occupational performance and participation in everyday life. Occupational therapists in various settings encounter people who are affected by sleep problems, but the contribution occupational therapists can make to help those experiencing sleep problems has not yet been fully defined.
Method This paper reports upon a focus group study designed to elicit the views of occupational therapists working in mental health settings (where sleep disturbances are particularly prevalent) regarding their role in relation to sleep problems. Thematic analysis using a constant comparative approach was used to capture key themes.
Findings Occupational therapists identified sleep as a significant and persistent occupational problem for many of their clients, and acknowledged that sleep was often overlooked. Although they could identify a series of possible strategies to address sleep needs they were uncertain regarding optimal practice.
Conclusion Sleep is a valid and relevant area of concern for the profession. Given the findings of this study and the paucity of literature there is an urgent need to identify, design and evaluate occupational therapy assessments and interventions to address sleep problems in mental health and in other settings.Permalink : ./index.php?lvl=notice_display&id=40391
in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.516-524[article] An exploration of the role of the occupational therapist in relation to sleep problems in mental health settings [texte imprimé] / Sophie Faulkner, Auteur ; Hilary Mairs, Auteur . - 2015 . - p.516-524.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.516-524
Mots-clés : Sleep mental health thematic analysis Résumé : Introduction An adequate quantity and quality of sleep is a necessary pre-requisite for optimal occupational performance and participation in everyday life. Occupational therapists in various settings encounter people who are affected by sleep problems, but the contribution occupational therapists can make to help those experiencing sleep problems has not yet been fully defined.
Method This paper reports upon a focus group study designed to elicit the views of occupational therapists working in mental health settings (where sleep disturbances are particularly prevalent) regarding their role in relation to sleep problems. Thematic analysis using a constant comparative approach was used to capture key themes.
Findings Occupational therapists identified sleep as a significant and persistent occupational problem for many of their clients, and acknowledged that sleep was often overlooked. Although they could identify a series of possible strategies to address sleep needs they were uncertain regarding optimal practice.
Conclusion Sleep is a valid and relevant area of concern for the profession. Given the findings of this study and the paucity of literature there is an urgent need to identify, design and evaluate occupational therapy assessments and interventions to address sleep problems in mental health and in other settings.Permalink : ./index.php?lvl=notice_display&id=40391 Exemplaires (1)
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Exclu du prêtExperience of sleep disruption in primary Sjögren’s syndrome: A focus group study / Katie Hackett in The British Journal of Occupational Therapy, Vol.81 Issue 4 (Avril 2018)
[article]
Titre : Experience of sleep disruption in primary Sjögren’s syndrome: A focus group study Type de document : texte imprimé Auteurs : Katie Hackett ; Vincent Deary ; Katherine HO Deane ; Julia Newton ; Wan-Fai Ng ; TIM RAPLEY Année de publication : 2018 Article en page(s) : p. 218-226 Langues : Anglais (eng) Mots-clés : Sleep long-term conditions qualitative research Résumé : Introduction
Primary Sjögren’s syndrome is the third most common systemic autoimmune rheumatic disease, following rheumatoid arthritis and systemic lupus erythematosus, and results in dryness, fatigue, discomfort and sleep disturbances. Sleep is relatively unexplored in primary Sjögren’s syndrome. We investigated the experiences of sleep disturbances from the viewpoint of primary Sjögren’s syndrome patients and their partners and explored the acceptability of cognitive behavioural therapy for insomnia.
Method
We used focus groups to collect qualitative data from 10 patients with primary Sjögren’s syndrome and three partners of patients. The data were recorded, transcribed verbatim and analysed using thematic analysis.
Results
Five themes emerged from the data: (a) Experience of sleep disturbances; (b) variation and inconsistency in sleep disturbances; (c) the domino effect of primary Sjögren’s syndrome symptoms; (d) strategies to manage sleep; (e) acceptability of evidence-based techniques. Sleep disturbances were problematic for all patients, but specific disturbances varied between participants. These included prolonged sleep onset time and frequent night awakenings and were aggravated by pain and discomfort. Patients deployed a range of strategies to try and self-manage. Cognitive behavioural therapy for insomnia was seen as an acceptable intervention, as long as a rationale for its use is given and it is tailored for primary Sjögren’s syndrome.
Conclusion
Primary Sjögren’s syndrome patients described a range of sleep disturbances. Applying tailored, evidence-based sleep therapy interventions may improve sleep, severity of other primary Sjögren’s syndrome symptoms and functional ability.Permalink : ./index.php?lvl=notice_display&id=80074
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 218-226[article] Experience of sleep disruption in primary Sjögren’s syndrome: A focus group study [texte imprimé] / Katie Hackett ; Vincent Deary ; Katherine HO Deane ; Julia Newton ; Wan-Fai Ng ; TIM RAPLEY . - 2018 . - p. 218-226.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 218-226
Mots-clés : Sleep long-term conditions qualitative research Résumé : Introduction
Primary Sjögren’s syndrome is the third most common systemic autoimmune rheumatic disease, following rheumatoid arthritis and systemic lupus erythematosus, and results in dryness, fatigue, discomfort and sleep disturbances. Sleep is relatively unexplored in primary Sjögren’s syndrome. We investigated the experiences of sleep disturbances from the viewpoint of primary Sjögren’s syndrome patients and their partners and explored the acceptability of cognitive behavioural therapy for insomnia.
Method
We used focus groups to collect qualitative data from 10 patients with primary Sjögren’s syndrome and three partners of patients. The data were recorded, transcribed verbatim and analysed using thematic analysis.
Results
Five themes emerged from the data: (a) Experience of sleep disturbances; (b) variation and inconsistency in sleep disturbances; (c) the domino effect of primary Sjögren’s syndrome symptoms; (d) strategies to manage sleep; (e) acceptability of evidence-based techniques. Sleep disturbances were problematic for all patients, but specific disturbances varied between participants. These included prolonged sleep onset time and frequent night awakenings and were aggravated by pain and discomfort. Patients deployed a range of strategies to try and self-manage. Cognitive behavioural therapy for insomnia was seen as an acceptable intervention, as long as a rationale for its use is given and it is tailored for primary Sjögren’s syndrome.
Conclusion
Primary Sjögren’s syndrome patients described a range of sleep disturbances. Applying tailored, evidence-based sleep therapy interventions may improve sleep, severity of other primary Sjögren’s syndrome symptoms and functional ability.Permalink : ./index.php?lvl=notice_display&id=80074 Exemplaires (1)
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Exclu du prêtThe experience of sleep for women with borderline personality disorder: An occupational perspective / Anna Wood in The British Journal of Occupational Therapy, Vol.78 N°12 (December 2015)
[article]
Titre : The experience of sleep for women with borderline personality disorder: An occupational perspective Type de document : texte imprimé Auteurs : Anna Wood ; Rob Brooks ; Catherine Beynon-Pindar Année de publication : 2015 Article en page(s) : p.750-756 Langues : Anglais (eng) Mots-clés : borderline personality disorder ocupation sleep Résumé :
Introduction Sleep difficulties are prevalent in borderline personality disorder; however, the experience of sleep for individuals with a diagnosis of borderline personality disorder has not been considered from an occupational therapy perspective.
Method This study adopted a qualitative methodology. Semi-structured interviews were utilised to explore how sleep is experienced by four women with a diagnosis of borderline personality disorder, in an inpatient setting. Interviews were recorded and transcribed verbatim.
Findings Through thematic analysis four themes were identified: ‘there isn’t a proper pattern or structure to my sleeps’, ‘sleep is getting away for me’, ‘before I came in [to the unit] my life–work balance was all chaotic’ and ‘I know the routine, but it doesn’t really seem to affect me’. These findings described the variety of problems experienced by participants with regard to sleep and the implications of sleep difficulties on occupational performance and participation.
Conclusion Women with borderline personality disorder on an inpatient unit experienced a variety of sleep difficulties that impact on their ability to engage in occupations. Sleep and sleep difficulties should be explicitly addressed by occupational therapists and sleep interventions should be individually tailored; further research is required to examine occupational therapy interventions for sleep.Permalink : ./index.php?lvl=notice_display&id=42376
in The British Journal of Occupational Therapy > Vol.78 N°12 (December 2015) . - p.750-756[article] The experience of sleep for women with borderline personality disorder: An occupational perspective [texte imprimé] / Anna Wood ; Rob Brooks ; Catherine Beynon-Pindar . - 2015 . - p.750-756.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.78 N°12 (December 2015) . - p.750-756
Mots-clés : borderline personality disorder ocupation sleep Résumé :
Introduction Sleep difficulties are prevalent in borderline personality disorder; however, the experience of sleep for individuals with a diagnosis of borderline personality disorder has not been considered from an occupational therapy perspective.
Method This study adopted a qualitative methodology. Semi-structured interviews were utilised to explore how sleep is experienced by four women with a diagnosis of borderline personality disorder, in an inpatient setting. Interviews were recorded and transcribed verbatim.
Findings Through thematic analysis four themes were identified: ‘there isn’t a proper pattern or structure to my sleeps’, ‘sleep is getting away for me’, ‘before I came in [to the unit] my life–work balance was all chaotic’ and ‘I know the routine, but it doesn’t really seem to affect me’. These findings described the variety of problems experienced by participants with regard to sleep and the implications of sleep difficulties on occupational performance and participation.
Conclusion Women with borderline personality disorder on an inpatient unit experienced a variety of sleep difficulties that impact on their ability to engage in occupations. Sleep and sleep difficulties should be explicitly addressed by occupational therapists and sleep interventions should be individually tailored; further research is required to examine occupational therapy interventions for sleep.Permalink : ./index.php?lvl=notice_display&id=42376 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt