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Occupational evaluation of community-based psychiatric rehabilitation outcomes in individuals with severe mental illnesses: A ten-year retrospective study. Asian J Psychiatr 2023; 81:103450. [PMID: 36630832 DOI: 10.1016/j.ajp.2023.103450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 11/20/2022] [Accepted: 01/05/2023] [Indexed: 01/07/2023]
Abstract
BACKGROUND There is a lack of research on the effect of community-based psychiatric rehabilitation programs (CBPRs) in individuals with severe mental illness. This research used data from a retrospective study to examine the effect of a CBPR in a community rehabilitation center. MATERIALS AND METHODS Clinical outcomes measures from a retrospective study were collected. Outcome measures were the Allen Cognitive Level Screen assessment, Purdue Pegboard Test, Chu's Attention Test, and Activities of Daily Living Rating Scale-III (ADLRS-III) before and immediately after 12 months of intervention. RESULTS The 141 participants with mental illness were an average age of 35.29 years (SD = 8.75). The retrospective review of medical records showed 46 people dropped out within 12 months, and 95 people continued to participate in the rehabilitation program for 1 year. After 1 year of community rehabilitation, there was a trend for the participants who completed the intervention to improve on the ADLRS-III, Purdue Pegboard Test, and Chu's Attention Test. Participants who performed better on the occupational assessment were more likely to transit to the employment status. CONCLUSION This study found the benefits of CBPR in work-related intervention for people with mental illness. Occupational assessments are relevant for studying changes in functional outcomes in people with mental illness receiving community-based rehabilitation.
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Spalding K, Gustafsson L, Di Tommaso A. Exploring Patient Outcomes After Participation in an Inpatient Occupation-Based Group: A Longitudinal Observational Cohort Study. Am J Occup Ther 2022; 76:23880. [PMID: 35943844 DOI: 10.5014/ajot.2022.049241] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Occupation-based interventions are used during inpatient rehabilitation, and group models may enhance intervention delivery. However, little is known about the impact of occupation-based groups on patient outcomes. OBJECTIVE To examine the effect of an occupation-based group on patient outcome measures of instrumental activities of daily living (IADL) skills over time and explore demographic differences among patients. DESIGN Longitudinal observational cohort study with four time points: preintervention, postintervention, 30-day follow-up, and 90-day follow-up. SETTING Tertiary hospital general rehabilitation ward. PARTICIPANTS Inpatient adults age 18 or older recruited using consecutive sampling from those referred to the group. INTERVENTION The LifeSkills group, which focused on repetitive practice of meaningful occupation-based activities. OUTCOMES AND MEASURES Demographic data were obtained, and the Canadian Occupational Performance Measure (COPM), Goal Attainment Scaling, Lawton IADL scale, and a self-efficacy scale were administered at each data point. RESULTS Thirty people (21 women, 9 men; ages 35-91 yr) participated, with 5 lost to follow-up. A statistically significant increase in scores postintervention occurred on all measures and was also seen at 90-day follow-up for COPM occupational performance, satisfaction, and self-efficacy scores. Lawton IADL scale scores at follow-up were lower than those at preintervention and statistically significant. No significant differences were found for age and diagnosis. CONCLUSIONS AND RELEVANCE Positive patient outcomes of goal achievement, occupational performance, satisfaction, and self-efficacy were seen at discharge, with evidence of sustainability over time. This could be a resource alternative for addressing skill retraining because people with different diagnoses and in different age groups benefited equally. What This Article Adds: Occupation-based group programs have encouraging application in general inpatient rehabilitation for addressing patient outcomes.
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Affiliation(s)
- Kaitlyn Spalding
- Kaitlyn Spalding, MPhil, BOccThy, is Graduate Master of Philosophy Student, Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Brisbane, Queensland, Australia, and Advanced Occupational Therapist, Occupational Therapy Department, Surgical Treatment and Rehabilitation Service, Brisbane, Queensland, Australia;
| | - Louise Gustafsson
- Louise Gustafsson, PhD, BOccThy(Hons), FOTARA, is Professor, Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Brisbane, Queensland, Australia
| | - Amelia Di Tommaso
- Amelia Di Tommaso, PhD, BHlthSc(OT)(Hons), is Lecturer, Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Brisbane, Queensland, Australia
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Alfuth M, Kremer L, König K, Breil B. [Perception and mindfulness-based occupational therapy in people with mental disorders-A retrospective observational study on the SELWA-treatment]. NEUROPSYCHIATRIE : KLINIK, DIAGNOSTIK, THERAPIE UND REHABILITATION : ORGAN DER GESELLSCHAFT OSTERREICHISCHER NERVENARZTE UND PSYCHIATER 2022; 36:116-124. [PMID: 35674968 DOI: 10.1007/s40211-022-00421-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 05/14/2022] [Indexed: 06/15/2023]
Abstract
During occupational therapeutic treatment of clients with mental disorders, perception and mindfulness-based techniques are used. However, little is known regarding relevant outcomes. Aim of the present study is to describe the results of a perception and mindfulness-based occupational therapeutic intervention (self-control techniques using perception-based methods (SELWA®) by S. Thielen) regarding the outcomes occupational performance and satisfaction in self-care, productivity and leisure, as well as concentration. The data of 28 clients (22 ♀, 6 ♂; mean age = 42.8 (±SD 14.7) years) with mental disorders, that were collected before and after prescribed occupational therapeutic treatment, were analyzed. The outcomes were quantified using the Canadian Occupational Performance Measure (COPM) and the revision test, respectively. Significance of changes after the intervention was tested using the Wilcoxon-Signed Rank Test (p < 0.05). Effect sizes Cohen's dz and r were determined to evaluate the meaningfulness of changes. The occupational performance as well as the satisfaction in the COPM improved significantly after the therapeutic intervention (p < 0.001; dz = 2.37, r = 0.77 and dz = 2.24, r = 0.75). Moreover, the clients improved significantly in the revision test after the therapeutic intervention (p < 0.001; dz = 0.65, r = 0.31). Clients with mental disorders seem to benefit meaningfully from the SELWA®-treatment by S. Thielen regarding occupational performance and satisfaction in self-care, productivity and leisure. Furthermore, a moderate improvement of concentration seems to occur after the therapeutic intervention.
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Affiliation(s)
- Martin Alfuth
- Hochschule Niederrhein, Fachbereich Gesundheitswesen, Reinarzstr. 49, 47805, Krefeld, Deutschland.
| | - Lisanne Kremer
- Hochschule Niederrhein, Fachbereich Gesundheitswesen, Reinarzstr. 49, 47805, Krefeld, Deutschland
| | - Kim König
- Hochschule Niederrhein, Fachbereich Gesundheitswesen, Reinarzstr. 49, 47805, Krefeld, Deutschland
| | - Bernhard Breil
- Hochschule Niederrhein, Fachbereich Gesundheitswesen, Reinarzstr. 49, 47805, Krefeld, Deutschland
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YOON DAESEOK, LEE SEUNGBOK, CHO SANGHYUN, PARK HAEYEAN, KIM JONGBAE. A RANDOMIZED CONTROLLED TRIAL ON THE EFFECTS OF OCCUPATIONAL THERAPY INTERVENTIONS USING PATIENT-CENTERED ROBOT-ASSISTED REHABILITATION FOR FUNCTIONAL IMPROVEMENT IN SUBACUTE STROKE PATIENTS. J MECH MED BIOL 2021. [DOI: 10.1142/s0219519421400406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The objective of this research study was to investigate the effect of patient-centered robot-assisted intervention for upper limb function improvement in stroke patients. Design: A double-blind randomized controlled trial. Intervention: Subjectively preferred areas of need for performing daily activities were identified by pre-interviewing and applied as target goals in the experimental group using a robotic device. Control-1 underwent a program focused on the robot system involving movements of upper limb joints. Control-2 participated in a conventional rehabilitation program. Methods: Forty-five participants engaged in 60 min of daily therapy, five times weekly for 3 weeks. The experimental group used the Canadian occupational performance measure (COPM) to identify subjectively preferred “patient-centered” focus needed areas to perform robotic device aided daily activities. Control-1 used a robot device-focused rehabilitation involving upper limb joint movements. Control-2 participated in conventional rehabilitation. Pre-post intervention measurements of hand, grip, power, and upper limb ROM were acquired by FMA-UE, MFT, and K-MBI. Results: A significant increase of function in the experimental group was observed in each subclass of function and activities of daily living (ADL) performance. Control-1 showed an increase in function without ADL improvement. Control-2 showed an increase in ADL and proximal areas of upper limb function without an increase in other areas. Conclusion: The “patient-centered” approach significantly improved upper limb function and ADL performance compared to “robot-centered” rehabilitation. Further studies are warranted to confirm these results and for generalizability in clinical application.
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Affiliation(s)
- DAESEOK YOON
- Department of Occupational Therapy, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, Seoul KS013, Republic of Korea
| | - SEUNGBOK LEE
- Yonsei Enabling Science and Technology Research Center, Yonsei University, Wonju KS007, Republic of Korea
| | - SANG-HYUN CHO
- Department of Physical Therapy, Yonsei University, College of Health Sciences, Wonju KS007, Republic of Korea
| | - HAEYEAN PARK
- Department of Occupational Therapy, Yonsei University, College of Health Sciences, Wonju KS007, Republic of Korea
| | - JONGBAE KIM
- Department of Occupational Therapy, Yonsei University, College of Health Sciences, Wonju KS007, Republic of Korea
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YOON DAESEOK, LEE SEUNGBOK, CHO SANGHYUN, PARK HAEYEAN, KIM JONGBAE. A RANDOMIZED CONTROLLED TRIAL ON THE EFFECTS OF OCCUPATIONAL THERAPY INTERVENTIONS USING PATIENT-CENTERED ROBOT-ASSISTED REHABILITATION FOR FUNCTIONAL IMPROVEMENT IN SUBACUTE STROKE PATIENTS. J MECH MED BIOL 2021; 21. [DOI: https:/doi.org/10.1142/s0219519421400406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2023]
Abstract
The objective of this research study was to investigate the effect of patient-centered robot-assisted intervention for upper limb function improvement in stroke patients. Design: A double-blind randomized controlled trial. Intervention: Subjectively preferred areas of need for performing daily activities were identified by pre-interviewing and applied as target goals in the experimental group using a robotic device. Control-1 underwent a program focused on the robot system involving movements of upper limb joints. Control-2 participated in a conventional rehabilitation program. Methods: Forty-five participants engaged in 60 min of daily therapy, five times weekly for 3 weeks. The experimental group used the Canadian occupational performance measure (COPM) to identify subjectively preferred “patient-centered” focus needed areas to perform robotic device aided daily activities. Control-1 used a robot device-focused rehabilitation involving upper limb joint movements. Control-2 participated in conventional rehabilitation. Pre-post intervention measurements of hand, grip, power, and upper limb ROM were acquired by FMA-UE, MFT, and K-MBI. Results: A significant increase of function in the experimental group was observed in each subclass of function and activities of daily living (ADL) performance. Control-1 showed an increase in function without ADL improvement. Control-2 showed an increase in ADL and proximal areas of upper limb function without an increase in other areas. Conclusion: The “patient-centered” approach significantly improved upper limb function and ADL performance compared to “robot-centered” rehabilitation. Further studies are warranted to confirm these results and for generalizability in clinical application.
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Affiliation(s)
- DAESEOK YOON
- Department of Occupational Therapy, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, Seoul KS013, Republic of Korea
| | - SEUNGBOK LEE
- Yonsei Enabling Science and Technology Research Center, Yonsei University, Wonju KS007, Republic of Korea
| | - SANG-HYUN CHO
- Department of Physical Therapy, Yonsei University, College of Health Sciences, Wonju KS007, Republic of Korea
| | - HAEYEAN PARK
- Department of Occupational Therapy, Yonsei University, College of Health Sciences, Wonju KS007, Republic of Korea
| | - JONGBAE KIM
- Department of Occupational Therapy, Yonsei University, College of Health Sciences, Wonju KS007, Republic of Korea
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Ercan Doğu S, Kayıhan H, Kokurcan A, Örsel S. The effectiveness of a combination of Occupational Therapy and Social Skills Training in people with schizophrenia: A rater-blinded randomized controlled trial. Br J Occup Ther 2021. [DOI: 10.1177/03080226211022953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction This study aimed to assess the impact of a holistic combination of Occupational Therapy and Social Skills Training on occupational performance, social participation, and clinical symptoms in people with schizophrenia. Method 60 people with schizophrenia were randomly assigned to two groups. One group received standardized Social Skills Training once a week for a total of 10 sessions, while the other group received a combination of Occupational Therapy and Social Skills Training once a week for a total of 16 sessions. Results A greater increase was determined in the scores of COPM total performance/satisfaction and the Community Integration Questionnaire in the Occupational Therapy and Social Skills Training group. Furthermore, these achievements were sustained in the Occupational Therapy and Social Skills Training group compared to the Social Skills Training group at the 6-month follow-up. Conclusion The clients received the combination of Occupational Therapy and Social Skills Training showed a better improvement compared to the Social Skills Training group in terms of occupational performance, social participation, and severity of clinical symptoms. The use of Occupational Therapy in a holistic approach in psychosocial rehabilitation of people with schizophrenia can increase their functionality and social participation. Further studies are needed to assess long-term effects of Occupational Therapy in schizophrenia.
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Affiliation(s)
- Selma Ercan Doğu
- Psychiatry Department, Health Sciences University Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Hülya Kayıhan
- Faculty of Health Sciences, Occupational Therapy Department, Biruni University, İstanbul, Turkey
| | - Ahmet Kokurcan
- Psychiatry Department, Health Sciences University Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Sibel Örsel
- Psychiatry Department, Health Sciences University Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
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Kirsh B, Martin L, Hultqvist J, Eklund M. Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence. ACTA ACUST UNITED AC 2019. [DOI: 10.1080/0164212x.2019.1588832] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | - Lori Martin
- University of Toronto, Toronto, Ontario, Canada
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Poulsen HS, Hansen AØ. Occupational performance problems identified by 507 patients: An insight that can guide occupation-based hand therapy. HAND THERAPY 2018. [DOI: 10.1177/1758998318784316] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction Several barriers challenge the use of occupation-based interventions in hand therapy. An outpatient clinical setting can be prepared in such a way as to address the most common occupational performance problems which might promote an occupation-based intervention. To this end, more knowledge is needed about which problems patients with hand-related disorders consider most important. Methods Interviews using the Canadian Occupational Performance Measure (COPM)were conducted with 507 patients. Data were entered into Microsoft Excel in the COPM categories: Self-care, productivity and leisure and analysed using descriptive statistics. Data concerning main problem areas were categorized according to the Taxonomic Code of Occupational Performance (TCOP). The analysis included the number of prioritized occupational performance problems (NPOPP) in each COPM category/subcategory; the NPOPP in each category is relative to gender and age and the most frequent problems. Results The total NPOPP was 2384. Problems within productivity and self-care constituted the largest proportion, respectively, 46% and 40%. Gender or age affected the NPOPP in each category to a limited extend. Problems were expressed at all levels in the TCOP, except the lowest level. The most frequently expressed problem was use of utensils when eating. Conclusion The problems mostly concern productivity and self-care, regardless of gender or age. Patients consider problems at the levels of occupation, activities, tasks and actions to be important and meaningful to address in their intervention. This study provides useful knowledge that can be applied when preparing a setting to address the most common problems, which could lead to the promotion of occupation-based interventions.
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Affiliation(s)
- Helle S Poulsen
- Department of Rehabilitation, Odense University Hospital, Odense, Denmark
| | - Alice Ø Hansen
- Department of Rehabilitation, Odense University Hospital, Odense, Denmark
- Department of Clinical Research, Research Unit for Rehabilitation, University of Southern Denmark, Odense, Denmark
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Gutman SA, Brown T. A Bibliometric Analysis of the Quantitative Mental Health Literature in Occupational Therapy. ACTA ACUST UNITED AC 2018. [DOI: 10.1080/0164212x.2017.1413479] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Sharon A. Gutman
- Professor, Rehabilitation and Regenerative Medicine, Columbia University Medical Center, Programs in Occupational Therapy, New York, NY
| | - Ted Brown
- Associate Professor, Faculty of Medicine, Nursing, and Health Sciences, Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University – Peninsula Campus, Frankston, VIC, Australia
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Óladóttir S, Pálmadóttir G. The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions. Br J Occup Ther 2016. [DOI: 10.1177/0308022616664909] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Sólrún Óladóttir
- Assistant Professor, Occupational Therapy Studies, School of Health Sciences, University of Akureyri, Iceland
| | - Guðrún Pálmadóttir
- Associate Professor, Occupational Therapy Studies, School of Health Sciences, University of Akureyri, Iceland
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Chen YL, Pan AW, Hsiung PC, Chung L, Lai JS, Shur-Fen Gau S, Chen TJ. Life Adaptation Skills Training (LAST) for persons with depression: A randomized controlled study. J Affect Disord 2015; 185:108-14. [PMID: 26162281 DOI: 10.1016/j.jad.2015.06.022] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2015] [Revised: 06/15/2015] [Accepted: 06/15/2015] [Indexed: 11/16/2022]
Abstract
BAKGROUND To investigate the efficacy of the "Life Adaptation Skills Training (LAST)" program for persons with depression. METHODS Sixty-eight subjects with depressive disorder were recruited from psychiatric outpatient clinics in Taipei city and were randomly assigned to either an intervention group (N=33), or a control group (N=35). The intervention group received 24-sessions of the LAST program, as well as phone contact mainly related to support for a total of 24 times. The control group only received phone contact 24 times. The primary outcome measure utilized was the World Health Organization Quality of Life-BREF-Taiwan version. Secondary outcome measures included the Occupational self-assessment, the Mastery scale, the Social support questionnaire, the Beck anxiety inventory, the Beck depression inventory-II, and the Beck scale for suicide ideation. The mixed-effects linear model was applied to analyze the incremental efficacy of the LAST program, and the partial eta squared (ηp(2)) was used to examine the within- and between- group effect size. RESULTS The subjects who participated in the LAST program showed significant incremental improvements with moderate to large between-group effect sizes on their level of anxiety (-5.45±2.34, p<0.05; ηp(2)=0.083) and level of suicidal ideation (-3.09±1.11, p<0.01; ηp(2)=0.157) when compared to the control group. The reduction of suicidal ideations had a maintenance effect for three months after the end of intervention (-3.44±1.09, p<0.01), with moderate between-group effect sizes (ηp(2)=0.101). Both groups showed significant improvement on overall QOL, overall health, physical QOL, psychological QOL, level of anxiety, and level of depression. The within-group effect sizes achieved large effects in the intervention group (ηp(2)=0.328-0.544), and were larger than that of the control group. LIMITATIONS A small sample size in the study, a high dropout rate, lower compliance rates for the intervention group, and lacking of true control group. CONCLUSIONS The occupation-based LAST program, which focuses on lifestyle rearrangement and coping skills enhancement, could significantly improve the level of anxiety and suicidal ideations for persons with depression.
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Affiliation(s)
- Yun-Ling Chen
- School of Occupational Therapy, National Taiwan University, Taipei, Taiwan
| | - Ay-Woan Pan
- School of Occupational Therapy, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, National Taiwan Uniersity Hospital, Taipei, Taiwan.
| | - Ping-Chuan Hsiung
- Department of Social Worker, National Taiwan University, Taipei, Taiwan
| | - Lyinn Chung
- Department of Statistics, National Taipei University, New Taipei City, Taiwan
| | - Jin-Shei Lai
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, USA
| | - Susan Shur-Fen Gau
- Department of Psychiatry, National Taiwan Uniersity Hospital, Taipei, Taiwan
| | - Tsyr-Jang Chen
- Department of Mechanical Engineering, Lung-Hwa University of Science and Technology, Tao-Yuan, Taiwan
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Che Daud AZ, Yau MK, Barnett F, Judd J. Occupation-based intervention in hand injury rehabilitation: Experiences of occupational therapists in Malaysia. Scand J Occup Ther 2015; 23:57-66. [PMID: 26153367 DOI: 10.3109/11038128.2015.1062047] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
INTRODUCTION In a previous study consensus was sought from Malaysian occupational therapists of occupation-based intervention (OBI) that was perceived as a means and an end. Occupation as a means refers to occupational and purposeful tasks as a therapeutic agent while occupation as an end refers to occupation as an outcome of intervention. The purpose of this follow-up study was to describe the occupational therapists' experiences of providing OBI in hand injury rehabilitation in Malaysia. METHODS Sixteen occupational therapists with more than five years of experience in hand rehabilitation were individually interviewed on their experiences of using OBI in practice. Data were thematically analysed using interpretative phenomenological analysis. RESULTS Definition of "Occupation as a means", and "Occupation as an end" was broadened after data analysis of interviews to include two new themes: "Rewarding yet challenging" and "Making OBI a reality". Occupational therapists had positive experiences with OBI and perceived that occupation as a means and an end can be merged into a single therapy session when the occupational therapists use an occupation that is therapeutic. CONCLUSION Although occupation as a means and as an end have different purposes, when the ultimate goal is to enhance the clients' maximum level of functioning both can be used for successful rehabilitation of hand injuries.
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Affiliation(s)
- Ahmad Zamir Che Daud
- a Discipline of Occupational Therapy, College of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University , Townsville, Queensland, Australia ;,b Department of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi MARA (UiTM) , Selangor, Malaysia
| | - Matthew K Yau
- a Discipline of Occupational Therapy, College of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University , Townsville, Queensland, Australia
| | - Fiona Barnett
- c Institute of Sport and Exercise Science, College of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University , Townsville, Queensland, Australia
| | - Jenni Judd
- d Division of Tropical Health and Medicine, James Cook University , Townsville, Queensland, Australia ;,e Anton Breinl Centre for Health Systems Strengthening, James Cook University , Townsville, Queensland, Australia
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Rouleau S, Dion K, Korner-Bitensky N. Assessment practices of Canadian occupational therapists working with adults with mental disorders. The Canadian Journal of Occupational Therapy 2015; 82:181-93. [DOI: 10.1177/0008417414561857] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. Little is known about assessment practices of occupational therapists working with adults with mental disorders. Purpose. This study investigates the assessment practices of occupational therapists working with clients experiencing symptoms of schizophrenia or major depressive disorder. Method. We conducted a national survey of assessment practices using case vignettes of hypothetical clients. Findings. From 343 vignettes completed by 286 respondents, 68.4% included the use of one or more standardized measures during treatment. Measures were rarely repeated. Results showed that the Canadian Occupational Performance Measure was the most frequently used, suggesting a focus on assessing global functioning, while the Assessment of Motor and Process Skills was listed as the most desired assessment tool. Implementing nonstandardized assessments was common. Implications. Despite wide variations in occupational therapists’ assessment practices, the use of standardized assessments is prevalent. The low rate of repeated measures (0% to 25.9%) suggests a need to better monitor changes and treatment outcomes.
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Shea CK, Jackson N. Client perception of a client-centered and occupation-based intervention for at-risk youth. Scand J Occup Ther 2014; 22:173-80. [PMID: 25328060 DOI: 10.3109/11038128.2014.958873] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND A community-based occupational therapy program aims to provide client-centered and occupation-based interventions to at-risk youth. OBJECTIVE This pilot study explores how at-risk youth experiencing psychosocial and environmental barriers to occupation respond to client-centered and occupation-based occupational therapy in the community. METHOD One-on-one semi-structured interviews were conducted with five youth participants receiving individual therapy interventions through a community-based occupational therapy program. The transcript data were analyzed qualitatively. RESULTS Three themes emerged: (i) client-centered and occupation-based OT interventions, (ii) the youths' increased self-advocacy, and (iii) the enhancement of youths' perception of their future. CONCLUSION AND SIGNIFICANCE The youth in this study described OT interventions exemplifying client-centered and occupation-based therapy, a non-prescriptive approach that validates the individual and may prove especially effective in serving the at-risk youth population.
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Affiliation(s)
- Chi-Kwan Shea
- Occupational Therapy Department, Samuel Merritt University , Oakland, CA , USA
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Schindler VP. Community engagement: outcomes for occupational therapy students, faculty and clients. Occup Ther Int 2014; 21:71-80. [PMID: 24477943 DOI: 10.1002/oti.1364] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2013] [Revised: 11/12/2013] [Accepted: 01/02/2014] [Indexed: 11/12/2022] Open
Abstract
Students in health care professions, including occupational therapy, are required to develop knowledge, skills and attitudes in mental health and research. Persons diagnosed with a mental illness, a learning disability or an autism-spectrum disorder desire to achieve goals in higher education and employment. Faculty in health care programmes strives to meet professional goals and accreditation and institution requirements for teaching, service and scholarship. The Bridge Program, a programme based on principles of community engagement, was developed to meet the needs of these three stakeholders. The objective of this paper is to provide programme description and outcomes of the effectiveness of the Bridge Program for all three stakeholders. This uses mixed methods research design including descriptive and quantitative and qualitative one-group pre-test-post-test designs. Instruments consisted of the Occupational Therapy Student and Mental Health Population Scale and the Canadian Occupational Performance Measure. Quantitative results support that graduate occupational therapy students gained research and clinical skills (n = 100; p = .000); clients increased performance and satisfaction toward goals (n = 113; p = .000) and faculty (n = 1) achieved goals related to teaching, service and scholarship. Programmes based on principles of community engagement can address the needs of the community, can provide outcomes that advance knowledge about community practice and can result in benefits for all stakeholders. This paper is limited to generalization and instrumentation and recommends an ongoing evaluation of other community engagement programmes involving all stakeholders in the future research.
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Hoshii J, Yotsumoto K, Tatsumi E, Tanaka C, Mori T, Hashimoto T. Subject-chosen activities in occupational therapy for the improvement of psychiatric symptoms of inpatients with chronic schizophrenia: a controlled trial. Clin Rehabil 2013; 27:638-45. [DOI: 10.1177/0269215512473136] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Objective: To compare the therapeutic effects of subject-chosen and therapist-chosen activities in occupational therapy for inpatients with chronic schizophrenia. Design: Prospective comparative study. Setting: A psychiatric hospital in Japan. Subjects: Fifty-nine patients with chronic schizophrenia who had been hospitalized for many years. Interventions: The subjects received six-months occupational therapy, participating in either activities of their choice (subject-chosen activity group, n = 30) or activities chosen by occupational therapists based on treatment recommendations and patient consent (therapist-chosen activity group, n = 29). Main measures: The Positive and Negative Syndrome Scale and the Global Assessment of Functioning (GAF) Scale were used to evaluate psychiatric symptoms and psychosocial function, respectively. Results: After six-months occupational therapy, suspiciousness and hostility scores of the positive scale and preoccupation scores of the general psychopathology scale significantly improved in the subject-chosen activity group compared with the therapist-chosen activity group, with 2(2) (median (interquartile range)) and 3(1.25), 2(1) and 2.5(1), and 2(1) and 3(1), respectively. There were no significant differences in psychosocial functions between the two groups. In within-group comparisons before and after occupational therapy, suspiciousness scores of the positive scale, preoccupation scores of the general psychopathology scale, and psychosocial function significantly improved only in the subject-chosen activity group, with 3(1) to 2(2), 3(1) to 2(1), and 40(9) to 40(16) respectively, but not in the therapist-chosen activity group. Conclusions: The results suggested that the subject-chosen activities in occupational therapy could improve the psychiatric symptoms, suspiciousness, and preoccupation of the inpatients with chronic schizophrenia.
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Affiliation(s)
- Junko Hoshii
- Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan
| | - Kayano Yotsumoto
- Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan
| | - Eri Tatsumi
- Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan
| | - Chito Tanaka
- Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan
| | | | - Takeshi Hashimoto
- Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan
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Ammeraal MA, Coppers J. Understanding living skills: first steps to evidence-based practice. Lessons learned from a practice-based journey in the Netherlands. Occup Ther Int 2012; 19:45-53. [PMID: 22314611 DOI: 10.1002/oti.1323] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2011] [Revised: 01/05/2012] [Accepted: 01/05/2012] [Indexed: 11/08/2022] Open
Abstract
Living skills training is a commonly used but sparsely described and researched - occupational therapy - intervention for people with severe mental health problems. A service improvement project was established in a mental health organization in the Netherlands starting in 2006 to design more effective living skills training courses for individuals and groups. The steps of the evidence-based practice process underpinned the project. Theoretical and empirical evidence was derived from an extensive literature review. This was supplemented by the preferences of clients and their families as an equally valued source of evidence as is the experience and knowledge of a range of mental health professionals. Information from these three sources provided building blocks for the development of living skills training, resulting in an individual process guideline and two group courses. Implications for practice is that living skills training needs to be part of multidisciplinary treatment and can be best provided in the client's natural context. Limitations of this study are the lack of an evaluation of both the group courses and of the individual process guideline, also due to the continuous implementation in an ever-changing context. There is further need for research into the clinical and cost effectiveness of living skills training, both for individuals and groups, to support evidence-based decision making and service planning.
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Affiliation(s)
- Marion A Ammeraal
- Actenz, GGZ inGeest, Valeriusplein 9, 1075 BG, Amsterdam, The Netherlands.
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