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OTJR: Occupation, Participation and Health

Veronica T Rowe, Marsha Neville
Task-oriented training is a contemporary intervention based on behavioral neuroscience and recent models of motor learning. It can logically be guided by the theory of occupational adaptation. This report presents the perceptions of four participants who underwent task-oriented training at home (TOTE Home) for upper extremity hemiparesis following a stroke. Guided by principles of motor learning and the theory of occupational adaptation, a directed content analysis was used with field notes recorded during the TOTE Home...
March 1, 2018: OTJR: Occupation, Participation and Health
Stacey L Schepens Niemiec, Jeanine Blanchard, Cheryl L P Vigen, Jenny Martínez, Laura Guzmán, Michelle Fluke, Mike Carlson
Older, rural-dwelling Latinos face multiple health disparities. We describe the protocol of a pilot study of a community health worker-occupational therapist-led lifestyle program, ¡Vivir Mi Vida! ( ¡VMV!), designed for delivery in primary care and adapted for late-midlife, Latino rural-living patients. Using mixed methods, we collected feasibility, acceptability, and preliminary efficacy data on ¡VMV!. Forty 50- to 64-year-old Latinos participated in a 16-week lifestyle intervention led by a community health worker-occupational therapist team...
March 1, 2018: OTJR: Occupation, Participation and Health
Emily K Simpson, Narissa M Ramirez, Brittany Branstetter, Aileen Reed, Evan Lines
Following a stroke, depression and anxiety may negatively affect recovery and decrease quality of life. Occupational therapy (OT) practitioners are distinctly qualified to address both the physical and psychosocial sequelae of a stroke, including clients' mental and emotional health. This study explored the ways in which OT practitioners address the mental health needs of clients post stroke. A sequential explanatory mixed-methods design was used to collect both survey and focus group data. In all, 754 OT practitioners across the United States completed an online survey, and 10 practitioners participated in focus groups...
March 1, 2018: OTJR: Occupation, Participation and Health
Kimberly S Erler, Shannon B Juengst, Diane L Smith, Therese M O'Neil-Pirozzi, Thomas A Novack, Jennifer A Bogner, Jamie Kaminski, Joseph T Giacino, Gale G Whiteneck
Participation is often considered a primary goal of traumatic brain injury (TBI) rehabilitation, but little is known about the influence of driving on participation after TBI. The objective of this study was to examine the independent contribution of driving status to participation at 5 years post TBI, after controlling for demographic, psychosocial, and functional factors. Participants ( N = 2,456) were community-dwelling individuals with moderate to severe TBI, age 18 to 65 at time of injury, and enrolled in the TBI Model Systems (TBIMS) National Database (NDB)...
February 1, 2018: OTJR: Occupation, Participation and Health
Stephanie Rouch, Elizabeth R Skidmore
Therapist approach and feedback during rehabilitation may influence patient outcomes. It is unclear how much guided cueing, the approach used in strategy training, is present in usual rehabilitation care. We compared the frequency of guided and directed cueing in strategy training sessions with cueing in usual care occupational and physical therapy. We videotaped strategy training, occupational therapy, and physical therapy sessions among 20 patients admitted to inpatient rehabilitation after stroke. Using a standardized coding scheme, we coded and analyzed frequencies of therapists' cues (guided or directed)...
February 1, 2018: OTJR: Occupation, Participation and Health
Emily S Grattan, Craig A Velozo, Elizabeth R Skidmore, Stephen J Page, Michelle L Woodbury
Rasch keyforms can help interpret clinical assessment scores. The Action Research Arm Test (ARAT) is a commonly used assessment, yet no keyform currently exists. The aim is to provide a keyform for the ARAT and demonstrate how a clinician can use the keyform to design optimally challenging rehabilitation sessions. Secondary analysis of ARAT data ( n = 122) using confirmatory factor and Rasch analyses were used to examine the measurement properties and generate a keyform. The item standardized factor loadings were >0...
February 1, 2018: OTJR: Occupation, Participation and Health
Juleen Rodakowski, Amanda M Becker, Katlyn W Golias
Client-centered care is one promising rehabilitation model that may support the unique needs of older adults with mild cognitive impairment (MCI). This secondary analysis examined (a) whether older adults with MCI generated activity-based goals using a client-centered model and (b) the types of goals generated. Thirteen older adults with MCI addressed 55 goals. Using client-centered care, the participants generated goals despite subtle limitations in activities and participation. Participants generated the greatest number of goals related to instrumental activities of daily living...
January 1, 2018: OTJR: Occupation, Participation and Health
Amanda C Jozkowski, Echo A Presgraves, Krista L Hodges, Erica N Wirth, Nicole E Brandstetter, Molly T Thayer
Research has reported on traditional methods of assessing interrater reliability but, currently, no such standard protocol exists for selection of alternative methods of assessing interrater reliability, such as wearable video cameras. The professions of occupational therapy and occupational science take a unique ecological perspective when evaluating individuals, which focuses on the naturalistic perspective of an individual, ideally resulting in optimal performance. Given current advancements in technology, wearable, low-cost, unobtrusive, first-person view digital video cameras are readily available for use in research...
January 1, 2018: OTJR: Occupation, Participation and Health
Sherrilene Classen
No abstract text is available yet for this article.
January 2018: OTJR: Occupation, Participation and Health
Fiona Graham, Jenny Ziviani, Ann Kennedy-Behr, Dorothy Kessler, Caroline Hui
Establishing fidelity processes and measures is an important step in the development of interventions. Accurate referencing, naming of interventions and robust discussion of deviations from the theories, methods or terminology underpinning interventions support the fidelity of future applications of interventions in research and clinical settings. This commentary clarifies the establishment of fidelity for Occupational Performance Coaching (OPC) in relation to a recent article on this topic by Dunn and colleagues...
January 2018: OTJR: Occupation, Participation and Health
Babak Kashefimehr, Hülya Kayihan, Meral Huri
Sensory processing problems and related dysfunctions are among the most common conditions in children with autism spectrum disorder (ASD). This study examined the effect of sensory integration therapy (SIT) on different aspects of occupational performance in children with ASD. The study was conducted on an intervention group ( n = 16) receiving SIT and a control group ( n = 15) with 3- to 8-year-old children with ASD. The Short Child Occupational Profile (SCOPE) was used to compare the two groups in terms of the changes in their occupational performance and the Sensory Profile (SP) was used to assess sensory problems...
December 1, 2017: OTJR: Occupation, Participation and Health
Serkan Pekçetin, Sinem Salar, Özgü İnal, Hülya Kayıhan
Occupational therapy practices in Turkey are increasing each year, but rehabilitation practitioners working in the occupational therapy field have limited instruments. The aim of this study was to analyze the validity of the Turkish version of the Occupational Self Assessment (OSA), which is based on the Model of Human Occupation. The data were analyzed using exploratory and confirmatory factor analyses to determine construct validity. The Turkish OSA was administered with the World Health Organization Quality of Life-Old (WHOQOL-OLD) and the Functional Autonomy Measurement System (SMAF) to 117 elderly individuals to determine convergent validity...
December 1, 2017: OTJR: Occupation, Participation and Health
Emily S Grattan, Elizabeth R Skidmore, Michelle L Woodbury
Unilateral neglect (neglect) and anosognosia often co-occur post stroke. It is unknown whether anosognosia of neglect varies for different types of daily activities. The objective is to examine the frequency of anosognosia of neglect for items on the Catherine Bergego Scale (CBS) and to determine the level of agreement between participant/assessor item ratings and total scores. Secondary analysis of data was carried out. We conducted descriptive analyses and interrater reliability analyses (Cohen's kappa) to determine the level of agreement between assessor and participant item ratings...
December 1, 2017: OTJR: Occupation, Participation and Health
Shabnam Medhizadah, Sherrilene Classen, Andrew M Johnson
The Fitness-to-Drive Screening Measure(©) (FTDS) enables proxies to identify at-risk older drivers via 54 driving-related items, but may be too lengthy for widespread uptake. We reduced the number of items in the FTDS and validated the shorter measure, using 200 caregiver responses. Exploratory factor analysis and classical test theory techniques were used to determine the most interpretable factor model and the minimum number of items to be used for predicting fitness to drive. The extent to which the shorter FTDS predicted the results of the 54-item FTDS was evaluated through correlational analysis...
November 1, 2017: OTJR: Occupation, Participation and Health
Adina Houldin, Sara E McEwen, Mackenzie W Howell, Helene J Polatajko
Transferring learning from therapy to everyday life skills is a necessary step for successful therapy outcomes, yet rarely addressed and achieved. However, a cognitive approach to skill acquisition, and the Cognitive Orientation to daily Occupational Performance (CO-OP), explicitly identifies transfer as an objective and incorporates elements into the intervention to support transfer. A scoping review was undertaken to explore the nature and extent of the research regarding CO-OP and transfer. An online search of 10 databases was conducted to identify and examine research studies reporting on CO-OP and transfer...
October 1, 2017: OTJR: Occupation, Participation and Health
(no author information available yet)
Eglseder, K., & Demchick, B. (2017). Sexuality and Spinal Cord Injury: The Lived Experiences of Intimate Partners. Occupation, Participation and Health, 37, 5-16. doi: 10.1177/1539449217701394 This article that appeared in Issue 37:3 of Occupation, Participation and Health has the following corrected information: On p. 126, in the first sentence of the last paragraph under Procedures, the text "The current study was approved by the BLIND University" should instead read, "The current study was approved by the Towson University" On p...
October 1, 2017: OTJR: Occupation, Participation and Health
Julie D Bass, Nancy A Baker
No abstract text is available yet for this article.
October 2017: OTJR: Occupation, Participation and Health
Nerida Hyett, Amanda Kenny, Virginia Dickson-Swift
There is increasing opportunity and support for occupational therapists to expand their scope of practice in community settings. However, evidence is needed to increase occupational therapists' knowledge, confidence, and capacity with building community participation and adopting community-centered practice roles. The purpose of this study is to improve occupational therapists' understanding of an approach to building community participation, through case study of a network of Canadian food security programs...
October 2017: OTJR: Occupation, Participation and Health
Kathleen Doyle Lyons, Robin Newman, Anna M Adachi-Mejia, Jessica Whipple, Mark T Hegel
Many older adult cancer survivors reduce their activity level during and after cancer treatment. Occupational therapy interventions need to flexibly address various obstacles to occupational engagement that survivors may face. The aim of this analysis was to describe the content of a participant-directed occupational therapy intervention for older adults with cancer. Content analysis was used to describe the treatment session data from the experimental arm of a pilot randomized controlled trial in terms of activities addressed, obstacles reported, and treatment strategies utilized...
September 1, 2017: OTJR: Occupation, Participation and Health
Anna Wallisch, Lauren M Little, Evan Dean, Winnie Dunn
Children use executive function (EF) skills within everyday occupations; however, EF poses a difficult and complex construct to measure. Currently, many measures of EF lack applicability to daily life, or ecological validity. The aim of this scoping review was to examine two aspects of ecological validity across measures, assessments, and tasks of EF in children. A scoping review of 355 peer-reviewed articles published between 1996 and 2016 was performed. Searching revealed 43 articles addressing the ecological validity of EF measures for children and 40 measures addressing ecological validity...
September 1, 2017: OTJR: Occupation, Participation and Health
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