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Occupational Therapy in Health Care

Helena I S Reis, Catarina Vale, Catarina Camacho, Cátia Estrela, Maria Dos Anjos Dixe
This pilot study was conducted using a sample of 374 Portuguese occupational therapists to evaluate burnout levels and prevalence among occupational therapists as well as to relate those levels to practitioner age, gender, client age, years of professional activity, and area of practice. The Copenhagen Burnout Inventory questionnaire (Portuguese version) and a sociodemographic questionnaire was used. Results showed that ∼23%, 44%, and 45% of occupational therapists presented with client-related burnout, personal burnout (PB), and work-related burnout, respectively...
September 5, 2018: Occupational Therapy in Health Care
Guby Wai Chu Lau, Mong-Lin Yu, Ted Brown, Cassandra Locke
This study investigates the effectiveness of home modifications from clients' perspectives. Ten participants who received home assessments and modification recommendations were recruited from a rehabilitation agency. The dimension of home measure and qualitative interviews was conducted. The interviewers were transcribed verbatim and analyzed thematically. Participants found home modifications improved their safety, accessibility, privacy, and occupational performance, especially in performing self-care activities...
September 5, 2018: Occupational Therapy in Health Care
Malek Amini, Seyed Hassan Saneii, Marzieh Pashmdarfard
The purpose of this study was to identify the factors affecting the social participation of Iranian children with cerebral palsy (CP). Participants were 274 (male = 62%; female = 38%) children with CP, 6- to 12-years old (mean = 1.64) and their parents. Several standardized measures were used to assess social participation, gather environmental factors, and demographic questionnaires. The results of stepwise linear regression analysis indicated that the type of CP, Manual ability level and cognitive level (IQ) appear to be strong predictors of social participation between personal and environmental factors...
September 5, 2018: Occupational Therapy in Health Care
Kathlyn L Reed
The Pioneer Schools of Occupation: Can They Teach Us Anything Today? This study reviews the development of the pioneer schools of occupation and their curriculum or program design between 1906 and 1923. The purposes are to document the existence of the schools, to explore the issues in establishing the schools, and to compare and contrast concepts stated in early curriculum models with those in current models of practice. The dates were selected to examine ideas before the passage of the Minimum Standards for Courses of Training in Occupational Therapy by the American Occupational Therapy Association (AOTA) outlining a consensus course of study...
August 3, 2018: Occupational Therapy in Health Care
Erika L Kemp, Jeffrey L Crabtree
Academic fieldwork coordinators (AFWCs) face the challenge of matching students to Level II fieldwork (FW) sites. This study surveyed 301 fieldwork educators (FWEs) from 30 states to explore how important it was for students to possess 25 characteristics or abilities to enable success at the educators' individual work sites. The top three characteristics and abilities overall were as follows: (1) time management, (2) ability to communicate with supervisor when help is needed, and (3) overall professional behavior...
July 27, 2018: Occupational Therapy in Health Care
Shannon L Scott, Salvador Bondoc
This descriptive study, consisting of a survey followed by semi-structured interviews, sought to describe the practice patterns and perceived competencies of occupational therapy practitioners in the provision of return to work (RTW) services for stroke survivors. Respondents (n = 119) were mostly occupational therapists (95%) working in outpatient settings (61%); 47% reported a caseload of mostly stroke survivors; and most addressing RTW (60%). Respondents focused predominantly on remediation of cognitive and physical skills and less on actual work performance and supports...
July 27, 2018: Occupational Therapy in Health Care
Kathlyn L Reed
The creation of a new profession in the early 20th century, such as occupational therapy, required a commitment to certain ideas and a willingness to accept certain challenges. This study examines the commitment to the idea of therapeutic and health supporting occupation by the early leaders and proponents of the profession and the challenges they faced in gaining acceptance of occupational therapy as a profession capable of delivering a valued health care service to society. Six challenges are reviewed as they occurred in the history of the profession and as they continue to challenge the profession into the present era...
April 2018: Occupational Therapy in Health Care
Camila Caminha Caro, Jacqueline Denubila Costa, Daniel Marinho Cezar Da Cruz
The purpose of this study was to identify the level of burden and quality of life of family caregivers of stroke patients and to investigate the correlation between burden, quality of life (including physical, social, psychological, and environmental domains), age of caregivers, and the care period. A descriptive correlational cross-sectional study was performed, with a convenience sample of family caregivers (n = 30) of stroke patients in São Paulo, Brazil. Data were collected using a questionnaire on participants' characteristics, the Zarit Burden Interview Scale (ZBIS), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) instrument...
April 2018: Occupational Therapy in Health Care
Laura Thyer, Ted Brown, Debbie Roe
This study investigated the validity of the Canadian Occupational Performance Measure (COPM) when included as one of the scales used by therapists with older adults on an inpatient sub-acute rehabilitation setting. Quantitative data from 36 participants in a sub-acute rehabilitation setting was obtained via the COPM, the Functional Independence Measure (FIM) and the Short Form 36 Health Survey (SF-36) using a pre-post methodology. Pearson's r correlations and linear regression analyses were computed. The COPM Performance admission score was significantly correlated with the FIM Total and FIM Physical admission scores (p <...
April 2018: Occupational Therapy in Health Care
Christine Berg, Allison King, Dorothy Farrar Edwards
Using descriptive case studies, this paper describes a short-term mentoring program using goal attainment scaling for young adults with sickle cell disease (SCD). Two participants received three and seven visits, respectively, before dropping out of the program with no significant change in goal attainment scores. Although the program supported meaningful individualized goals, repeated and cumulative effects of hospitalizations, sickle cell pain episodes, family health issues, unsafe location of residence, and transportation appeared to remain significant barriers for to achieve stated goals...
April 2018: Occupational Therapy in Health Care
Mansha Mirza, Elizabeth Adare Harrison
Nearly one in ten US residents have difficulty speaking and understanding English and are deemed to have limited English proficiency (LEP). Despite federal mandates for provision of interpreters and other language access services, individuals with LEP experience notable health disparities. Occupational therapists must be prepared to equitably serve this population, however there is a dearth of research evidence and practical recommendations about our profession's readiness to serve this growing population. This paper maps the current healthcare policy environment and existing language access research relevant to occupational therapy...
April 2018: Occupational Therapy in Health Care
Young Joo Kim
No abstract text is available yet for this article.
January 2018: Occupational Therapy in Health Care
Janet L Poole, Donna Haygood, Cindy Mendelson
The purpose of this study was to describe the experiences of fathers with scleroderma. Ten fathers with scleroderma were interviewed by telephone. Interviews were tape-recorded and transcribed verbatim. Two key themes emerged related to the emotional impact of the illness and the day to day realities of the illness with the unpredictability and rareness of the illness leading to ongoing feelings of isolation and fear of mortality. The negative influences of being a father with scleroderma included the inability of the fathers to participate in physical activities with their children such as outdoor sports and throwing balls...
January 2018: Occupational Therapy in Health Care
Ata Farajzadeh, Malek Amini, Saman Maroufizadeh, Champa J Wijesinghe
The aim of this study was to investigate of psychometric properties of the Caregiver Difficulties Scale (CDS) for Iranian caregivers of children with cerebral palsy (CP). After a forward-backward translation, the Persian version of CDS (P-CDS) was administered to 151 Iranian mothers of CP children. The confirmatory factor analysis (CFA) was applied to measure the factor structure of P-CDS. The reliability was evaluated by examining internal consistency and test-retest method over a 2-week period using Cronbach's alpha and the intraclass correlation coefficient (ICC), respectively...
January 2018: Occupational Therapy in Health Care
Rebecca Ozelie, Piper Hansen, Julia Liguzinski, Amanda Saylor, Emily Woodcock
The aim of this preliminary study was to quantify the amount of time clinicians spend at work with and without a student and identify predictors of time spent at work with a student. A quasi-experimental design evaluated 22 occupational therapists that supervised a student. The occupational therapists completed a time log for 3 months without a student and 3 months while supervising a student. A statistically significant difference in overall time spent at work while supervising a student compared to when not supervising a student was found...
January 2018: Occupational Therapy in Health Care
Caitlin Hardy, Jessica Senese, Sandra Fucile
This study identifies the scope of occupational therapy practice for the rehabilitation of oral feeding difficulties in infants who are in the neonatal intensive care unit (NICU). A written survey was administered to 127 occupational therapists who work with infants in the NICU. All 68 (54%) respondents used a client-centered approach, taking into consideration the infant (intrinsic), caregiver, and environmental (extrinsic) factors. Family and health team education was the most commonly provided service with the majority of occupational therapists providing services only until feeding problems were resolved...
January 2018: Occupational Therapy in Health Care
Sarah E Wallace, Jeryl D Benson
Instructors are increasingly integrating interprofessional education (IPE) activities into academic programs to address curricular demands. IPE aims to increase the quality of collaborative services provided to patients. This article describes a case-based IPE activity designed for occupational therapy and speech-language pathology graduate students. This activity was designed as a small-scale integration of IPE to compliment large scale, multi-discipline learning activities. Students from two courses participated in an IPE activity that included one online and one in-class activity...
January 2018: Occupational Therapy in Health Care
Allison L Ellington
Academic programs are tasked with the responsibility of providing support for fieldwork educators who provide training for their students. This article describes a pilot program wherein nine fieldwork educators participated in a weekly online journal club to gain increased knowledge of evidence-based supervision strategies. Program assessment indicated that an online journal club was feasible and well accepted by the fieldwork educators and that the participants valued the opportunity to connect and discuss the role with other fieldwork educators...
January 2018: Occupational Therapy in Health Care
Pat Precin, Virginia E Koenig, Elizabeth Chiariello, Gabriela K Masotti, Bari N Diamond, Diana B Lashinsky, Olivia Tierno
This paper describes a model for the creation of sustainable, population-based, occupational therapy fieldwork sites (SPOTS). An example of a population-based fieldwork site was created with Appalachian Mountain People in Kentucky and its outcomes are presented. Outcomes were gathered using a wide variety of evaluation feedback forms. The results indicate that all staff, student, and college feedback were extremely favorable as detailed and suggest that others may use the SPOTS Model to develop population-based occupational therapy services that address public health issues for people with disabilities identified in Healthy People 2020 and create scholarly opportunities for students and faculty...
January 2018: Occupational Therapy in Health Care
Ellen L Kolodner
This article provides updates on the evolution of Instructional Insights as well as introductions to both Instructional Insights articles published in this issue.
October 2017: Occupational Therapy in Health Care
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