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Beaudry-Bellefeuille I, Ramos-Polo E. Improving Participation in Toileting Routines in a Child with Functional Constipation: A Case Study Using the Integrated Sensory Toileting® Approach. Occup Ther Health Care 2024:1-12. [PMID: 39177311 DOI: 10.1080/07380577.2024.2394947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2024] [Accepted: 08/18/2024] [Indexed: 08/24/2024]
Abstract
This article presents a case report of a three and half year-old boy with functional constipation and sensory hyperreactivity. The Integrated Sensory Toileting® approach was used to guide clinical reasoning and identify the sensory underlying factors that were impacting the child's ability to acquire age-appropriate toileting habits and gastrointestinal health. The six months of treatment in occupational therapy and gastroenterology, as well as six months of follow-up are described. Improvements in sensory reactivity are documented using the Sensory Processing Measure-2 and the Toileting Habit Profile Questionnaire-Revised and corroborate with improvements in the child's ability to participate in toileting routines and improved gastrointestinal health.
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Choudhury I, Tarver T, Davis M, Reynolds S. Studying the Specificity of Research Reporting for Ayres Sensory Integration® Interventions in the Published Literature: A Scoping Review. Am J Occup Ther 2024; 78:7801205010. [PMID: 38272010 DOI: 10.5014/ajot.2024.050558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2024] Open
Abstract
IMPORTANCE A contributing factor to the gap between research publication and clinical implementation is the lack of specificity used when reporting findings. OBJECTIVE This scoping review used the Rehabilitation Treatment Specification System (RTSS) to determine which elements of specificity are most often present and omitted from research using Ayres Sensory Integration® (ASI). DATA SOURCES The following databases were searched: PubMed, CINAHL, PsycINFO, Cochrane Library, and ERIC. STUDY SELECTION AND DATA COLLECTION Eligible studies used ASI in an outpatient setting with children who had sensory integration or processing difficulties. Studies selected were quantitative (Level 1, 2, 3, or 4), available in full text, peer reviewed, and published in English within the past 20 yr. FINDINGS Of the 22 studies that met inclusion criteria, 100% included ingredients (actions of the therapist), 63% included mechanisms of action (reasoning behind these actions), 86% included targets, and 23% described client progression. We also found that 49% of all ingredients were listed in conjunction with a target, 15% were listed in conjunction with a mechanism of action, and 11% were listed in conjunction with both a target and a mechanism of action. CONCLUSIONS AND RELEVANCE Findings indicate that many studies list ingredients but often omit the mechanism of action. This omission makes replication of the intervention increasingly difficult and prevents a deeper understanding of the clinical reasoning process behind the intervention. Plain-Language Summary: Gaps identified in this scoping review highlight inconsistencies in the reporting of treatment specificity that may affect the replication and translation of Ayres Sensory Integration® (ASI) research into practice.
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Affiliation(s)
- Ishanie Choudhury
- Ishanie Choudhury, BS, is Student, Occupational Therapy Department, Virginia Commonwealth University, Richmond
| | - Talicia Tarver
- Talicia Tarver, MEd, MLIS, is Associate Professor and Research and Education Librarian, Health Sciences Library, Virginia Commonwealth University, Richmond
| | - Mary Davis
- Mary Davis, BS, is Student, Occupational Therapy Department, Virginia Commonwealth University, Richmond
| | - Stacey Reynolds
- Ishanie Choudhury, BS, is Student, Occupational Therapy Department, Virginia Commonwealth University, Richmond
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Berardi A, Galeoto G, Ruffini M, Simeon R, González-Bernal J, Seco-Calvo JA. Psychometric Properties of the Italian Version of the Toileting Habit Profile Questionnaire-Revised (THPQ-R) in Children with Autism Spectrum Disorder. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1528. [PMID: 37761489 PMCID: PMC10528262 DOI: 10.3390/children10091528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 09/01/2023] [Accepted: 09/07/2023] [Indexed: 09/29/2023]
Abstract
INTRODUCTION Children with autism spectrum disorder (ASD) often seem not to feel the need to go to the bathroom in whatever context they are in and may suffer from hypo-responsiveness. Recent studies show a correlation between sensory problems, constipation, and fecal incontinence in children. This requires an assessment tool to identify evacuation issues in children with sensory dysfunction. Therefore, the purpose of this study is to validate the Italian version of The Toileting Habit Profile Questionnaire-Revised (THPQ-R) in children with ASD. METHODS The inclusion criteria were a confirmed diagnosis of ASD and an age between 3 and 8 years old. The Toileting Habit Profile Questionnaire Revised (THPQ-R) was recently validated in the Italian language on a healthy population. The Italian version has 17 items with two alternative response options, frequently/always or never/rarely, based on how often the behavior occurs. The THPQ-R questionnaire is easy to administer, interpret, and manage. For concurrent validity, we used the Italian version of the Sensory Processing Measure and Sensory Processing Measure-Preschool. RESULTS For the THPQ-R validation, 43 participants were recruited. The internal consistency, reporting an α value of 0.763, showed that the THPQ-R was a very reliable scale. The THPQ-R appears to be correlated only with the domains "Social Participation T-point", "Hearing T-point", and "Planning and Ideas T-point". However, these correlations are not statistically significant. Conclusion: The THPQ-R highlights positive results regarding validity and reliability and shows a positive correlation between defecation disorders and social participation.
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Affiliation(s)
- Anna Berardi
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy;
- IRCSS Neuromed, Via Atinense, 18, 86077 Pozzilli, Italy
- Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain;
| | - Giovanni Galeoto
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy;
- IRCSS Neuromed, Via Atinense, 18, 86077 Pozzilli, Italy
- Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain;
| | | | - Rachele Simeon
- Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00161 Rome, Italy;
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Ruffini M, Berardi A, Benvenuti A, Beaudry-Bellefeuille I, Tofani M, Galeoto G, Valente D. Italian Translation, Cultural Adaptation, and Validation of the Toileting Habit Profile Questionnaire Revised (THPQ-R) in Typically Developing Children: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9071052. [PMID: 35884036 PMCID: PMC9315688 DOI: 10.3390/children9071052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/21/2022] [Accepted: 07/11/2022] [Indexed: 11/30/2022]
Abstract
The Toileting Habit Profile Questionnaire Revised (THPQ-R) identifies sensory integration issues in children with defecation problems. Sensory integration issues are recognized as a factor linked to some defecation disorders and identifying such issues is needed to guide the development of an appropriate intervention. The aim of this cross-sectional study was to translate, culturally adapt, and validate the THPQ-R in a population of typically developing (TD) Italian children by measuring its internal consistency and cross-cultural validity. The translation and cultural adaptation were performed according to international guidelines. The questionnaire was administered to the caregivers of TD children, and the analysis was performed on data obtained from 118 TD children. The construct validity of the scale was calculated through the exploratory factor analysis that indicated two factors; Cronbach’s alpha was calculated for internal consistency and showed a value >0.7, demonstrating good internal consistency. Cross-cultural validity was also analyzed and showed higher levels of defecation problems at age 5 years. Italian occupational therapists now have a tool to assess possible sensory issues linked to defecation disorders in children aged 3 to 6 years, which may promote more effective clinical practice in this area. Moreover, it will be possible to compare the results obtained from studies conducted in Italy with those conducted in other countries.
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Affiliation(s)
- Martina Ruffini
- Department of Human Neurosciences, School of Occupational Therapy, Sapienza University of Rome, 00185 Rome, Italy; (M.R.); (A.B.)
| | - Anna Berardi
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy; (M.T.); (G.G.); (D.V.)
- Correspondence:
| | - Anna Benvenuti
- Department of Human Neurosciences, School of Occupational Therapy, Sapienza University of Rome, 00185 Rome, Italy; (M.R.); (A.B.)
| | | | - Marco Tofani
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy; (M.T.); (G.G.); (D.V.)
| | - Giovanni Galeoto
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy; (M.T.); (G.G.); (D.V.)
- IRCSS Neuromed, Via Atinense, 18, 86077 Pozzilli, Italy
| | - Donatella Valente
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy; (M.T.); (G.G.); (D.V.)
- IRCSS Neuromed, Via Atinense, 18, 86077 Pozzilli, Italy
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Lane AE. Practitioner Review: Effective management of functional difficulties associated with sensory symptoms in children and adolescents. J Child Psychol Psychiatry 2020; 61:943-958. [PMID: 32166796 DOI: 10.1111/jcpp.13230] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/13/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Sensory symptoms are defined as atypical behavioral responses to daily sensory stimuli that impact on the performance of everyday routines. Sensory symptoms have been observed in young people with and without developmental concerns. There is uncertainty, however, regarding the best way to identify and manage sensory symptoms. The aim of this paper is to provide a review of current best evidence regarding measurement of and interventions for sensory symptoms. METHODS A narrative review methodology is adopted to address the aims of this paper. First, sensory symptoms are defined, and then, an overview of the evidence for the relationship between sensory symptoms and childhood function is provided. Second, commonly used sensory assessment tools are summarized and evaluated. Finally, an overview and critique of the evidence for sensory and nonsensory-based interventions addressing sensory symptoms are given. RESULTS The terminology used to describe sensory symptoms varies by discipline, and several conceptual taxonomies including sensory subtypes have been proposed. There is ample evidence to support the association of sensory symptoms with childhood function including social engagement, repetitive behaviors, anxiety, and participation in self-care routines. Measurement of sensory symptoms is dominated by proxy-report instruments, and few single instruments assess the entire domain of sensory symptomatology. The evidence for interventions for sensory symptoms is emerging but still limited by low quantity and methodological concerns. CONCLUSIONS Effective management of sensory symptoms may mitigate the burden of neurodevelopmental disability and mental illness in young people. Identification of sensory symptoms should be conducted by a skilled practitioner utilizing multiple measurement methods. Intervention protocols for sensory symptoms should be informed by current best evidence which is strongest for Ayres Sensory Integration® , Qigong massage, the Alert Program® , and Social Stories. To make significant progress in this field, however, new intervention studies must address the question of 'what intervention works for whom?'.
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Affiliation(s)
- Alison E Lane
- School of Health Sciences, University of Newcastle, Callaghan, NSW, Australia
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Beaudry-Bellefeuille I, Lane SJ, Lane AE. Sensory Integration Concerns in Children With Functional Defecation Disorders: A Scoping Review. Am J Occup Ther 2019; 73:7303205050p1-7303205050p13. [PMID: 31120835 DOI: 10.5014/ajot.2019.030387] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We examined the literature to identify reports of sensory integration concerns in children with functional defecation issues and to explore whether difficulty processing sensation may be related to their challenging bowel management behaviors. METHOD A scoping review was used to address the research question. We sourced articles from six databases in three languages, searched reference lists of all included articles, and identified additional articles through discussion with experts in the field. RESULTS Twelve articles were included in the final synthesis, identifying 15 challenging behaviors potentially related to sensory integration concerns. CONCLUSION We summarize research documenting sensory integration concerns in children with functional defecation issues, providing researchers and clinicians with an overview of the current state of understanding.
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Affiliation(s)
- Isabelle Beaudry-Bellefeuille
- Isabelle Beaudry-Bellefeuille, MSc, is PhD Candidate, Occupational Therapy, School of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia, and Private Practitioner, Oviedo, Spain;
| | - Shelly J Lane
- Shelly J. Lane, PhD, OTR/L, FAOTA, is Professor and Discipline Lead, Occupational Therapy, School of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia
| | - Alison E Lane
- Alison E. Lane, PhD, is Associate Professor, School of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia
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Beaudry-Bellefeuille I, Bundy A, Lane A, Ramos Polo E, Lane SJ. The toileting habit profile questionnaire: Examining construct validity using the Rasch model. Br J Occup Ther 2018. [DOI: 10.1177/0308022618813266] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Introduction Preliminary reports support the hypothesis that sensory issues may be related to atypical defecation habits in children. Clinical practice in this area is limited by the lack of validated measures. The toileting habit profile questionnaire was designed to address this gap. Methods This study included two phases of validity testing. In phase 1, we used Rasch analysis of existing data to assess item structural validity, directed content analysis of recent literature to determine the extent to which items capture clinical concerns, and expert review to validate the toileting habit profile questionnaire. Based on phase 1 outcomes, we made adjustments to toileting habit profile questionnaire items. In phase 2, we examined the item structural validity of the revised toileting habit profile questionnaire. Results Phase 1 resulted in a 17-item questionnaire: 15 items designed to identify habits linked to sensory over-reactivity and two designed to identify sensory under-reactivity and/or poor perception items. The analysis carried out in phase 2 supported the use of the sensory over-reactivity items. Remaining items can be used as clinical observations. Conclusion Caregiver report of behaviour using the revised toileting habit profile questionnaire appears to adequately capture challenging defecation behaviours related to sensory over-reactivity. Identifying challenging behaviours related to sensory under-reactivity and/or perception issues using exclusively the revised toileting habit profile questionnaire is not recommended.
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Affiliation(s)
| | - Anita Bundy
- Professor and Department Head (Occupational Therapy), Colorado State University, Fort Collins, USA
| | - Alison Lane
- Associate Professor (Occupational Therapy, School of Health Sciences), University of Newcastle, Callaghan, Australia
| | | | - Shelly J Lane
- Professor and Discipline Lead (Occupational Therapy, School of Health Sciences), University of Newcastle, Callaghan, Australia
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Lin CL, Lin CK, Yu JJ. The effectiveness of parent participation in occupational therapy for children with developmental delay. Neuropsychiatr Dis Treat 2018; 14:623-630. [PMID: 29503546 PMCID: PMC5827679 DOI: 10.2147/ndt.s158688] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION This study aims to explore the impact of Parent Participation Program on the development of developmental delay children. METHODS Pretest-posttest equivalent-group experimental design study was used in this paper. A total of 30 pairs of developmental delay children aged 0-72 months and their parents participated into this study. They were divided into two groups, namely control group and experimental group, according to parents' wishes. The objects of study in control group received 16 courses of direct rehabilitation therapy; those in experimental group received 8 courses of direct rehabilitation therapy and 8 courses of instruction and tracking of Parent Participation Program. The duration of the intervention was 8 weeks. All cases should be evaluated before and after the intervention, to analyze the difference before and after intervention and among groups. The statistical methods in this paper included descriptive analysis, Chi-square test, independent sample t-test, pair-sample t-test. RESULTS AND CONCLUSION The intervention of Parent Participation Occupational Program has positive impact on the development of developmental delay children in various fields. Among all the intervention results, the progress of the experimental group is 1.895 times more than that of the control group. With parent involvement, Parent Participation Occupational Therapy can promote the cognitive ability, language ability, action ability (gross and fine movement), social competence and self-care ability of children with developmental delay. Finally, the researcher presents suggestions and directions for future research in accordance with the results.
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Affiliation(s)
- Chien-Lin Lin
- Department of Physical Medicine and Rehabilitation, China Medical University Hospital.,School of Chinese Medicine, College of Chinese Medicine, China Medical University
| | - Chin-Kai Lin
- Program of Early Intervention, Department of Early Childhood Education, National Taichung University of Education
| | - Jia-Jhen Yu
- Occupation Therapy Unit of Rehabilitation Techniques Section, Lin Shin Medical Corporation Wuri Lin Shin Hospital, Taichung, Taiwan
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Dunn W, Little L, Dean E, Robertson S, Evans B. The State of the Science on Sensory Factors and Their Impact on Daily Life for Children: A Scoping Review. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2017; 36:3S-26S. [PMID: 27504990 DOI: 10.1177/1539449215617923] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The objective of this study was to identify and synthesize research about how sensory factors affect daily life of children. We designed a conceptual model to guide a scoping review of research published from 2005 to October 2014 (10 years). We searched MEDLINE, CINAHL, and PsycINFO and included studies about sensory perception/processing; children, adolescents/young adults; and participation. We excluded studies about animals, adults, and review articles. Our process resulted in 261 articles meeting criteria. Research shows that children with conditions process sensory input differently than peers. Neuroscience evidence supports the relationship between sensory-related behaviors and brain activity. Studies suggest that sensory processing is linked to social participation, cognition, temperament, and participation. Intervention research illustrates the importance of contextually relevant practices. Future work can examine the developmental course of sensory processing aspects of behavior across the general population and focus on interventions that support children's sensory processing as they participate in their daily lives.
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Affiliation(s)
- Winnie Dunn
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Lauren Little
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Evan Dean
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Sara Robertson
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Benjamin Evans
- University of Kansas Medical Center, Kansas City, KS, USA
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Beaudry-Bellefeuille I, Lane SJ. Examining Sensory Overresponsiveness in Preschool Children With Retentive Fecal Incontinence. Am J Occup Ther 2017; 71:7105220020p1-7105220020p8. [DOI: 10.5014/ajot.2017.022707] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
The development of bowel control is an important activity of daily living in early childhood, and challenges in this area can limit participation in key occupations. Retentive fecal incontinence (RFI) is a common disorder in children. Up to 50% of children do not respond adequately to initial medical intervention, and behaviors around toileting, some related to sensory overresponsivity (SOR), may be partly responsible. Therefore, this study investigated the relationship between RFI and SOR and also examined the discriminative validity of the Toileting Habit Profile Questionnaire (THPQ). Per parent report, children with RFI (n = 16) showed significantly more behaviors related to SOR compared with typically developing children (n = 27). In addition, results indicated that the THPQ effectively discriminates between children with RFI and typically developing children. Results are discussed regarding RFI and SOR, the impact of RFI on childhood occupational engagement, and the role of occupational therapy with this population.
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Affiliation(s)
- Isabelle Beaudry-Bellefeuille
- Isabelle Beaudry-Bellefeuille, MScOT, is PhD Candidate, University of Newcastle, School of Health Sciences, Callaghan, New South Wales, Australia, and Occupational Therapist, private practice, Oviedo, Spain. At the time of the study, she was MOT Student, Virginia Commonwealth University, Richmond;
| | - Shelly J. Lane
- Shelly J. Lane, PhD, OTR/L, FAOTA, is Professor, University of Newcastle, School of Health Sciences, Faculty of Health and Medicine, Callaghan, New South Wales, Australia. At the time of the study, she was Professor, Department of Occupational Therapy, School of Allied Health Professions, Virginia Commonwealth University, Richmond
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Beaudry-Bellefeuille I, Booth D, Lane SJ. Defecation-Specific Behavior in Children with Functional Defecation Issues: A Systematic Review. Perm J 2017; 21:17-047. [PMID: 29035187 PMCID: PMC5638627 DOI: 10.7812/tpp/17-047] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
CONTEXT Atypical defecation habits are common and distressing for children and families and can have a major impact on quality of life. Often, no underlying factor can be identified, and the defecation disorder is considered functional. Current interventions are not successful for up to 50% of children. We suggest this high failure rate may be caused by lack of consistency in descriptors of behavioral indicators for functional defecation problems. Most investigations and descriptors focus on general behavior. There are fewer reports concerning defecation-specific behaviors. OBJECTIVE To develop a thorough inventory of defecation-specific behaviors, providing a more informed foundation for assessment and intervention. DESIGN A systematic review of six common databases was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations. Reference lists of retained articles were screened for additional studies. MAIN OUTCOME MEASURES Content analysis was used to classify defecation-specific behaviors into 17 categories. RESULTS Our search yielded 2677 articles; 98 peer-reviewed publications were retained for full-text review, and 67 articles were included in the final qualitative synthesis. Although there is inconsistency in reported diagnostic criteria, stool withholding and manifesting pain on defecation are the most commonly reported defecation-specific behaviors. In the studies that included children with autism or attention-deficit/hyperactivity disorder, the defecation-specific behaviors were not unique to the diagnostic group. CONCLUSION Consistent use of established diagnostic criteria, along with use of behaviors identified through this review, lay a foundation for more effective interventions.
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Affiliation(s)
| | - Debbie Booth
- Senior Librarian at the University of Newcastle in Callaghan, New South Wales, Australia.
| | - Shelly J Lane
- Professor of Occupational Therapy at the University of Newcastle School of Health Sciences in Callaghan, New South Wales, Australia.
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Beaudry-Bellefeuille I, Lane SJ, Ramos-Polo E. The Toileting Habit Profile Questionnaire: Screening for sensory-based toileting difficulties in young children with constipation and retentive fecal incontinence. JOURNAL OF OCCUPATIONAL THERAPY, SCHOOLS, & EARLY INTERVENTION 2016. [DOI: 10.1080/19411243.2016.1141081] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schaaf RC. Creating Evidence for Practice Using Data-Driven Decision Making. Am J Occup Ther 2015; 69:6902360010p1-6. [PMID: 26122693 DOI: 10.5014/ajot.2015.010561] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
To realize the American Occupational Therapy Association's Centennial Vision, occupational therapy practitioners must embrace practices that are not only evidence based but also systematic, theoretically grounded, and driven by data related to outcomes. This article presents a framework, the Data-Driven Decision Making (DDDM) process, to guide clinicians' occupational therapy practice using systematic clinical reasoning with a focus on data. Examples are provided of DDDM in pediatrics and adult rehabilitation to guide practitioners in using data-driven practices to create evidence for occupational therapy.
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Affiliation(s)
- Roseann C Schaaf
- Roseann C. Schaaf, PhD, OTR/L, FAOTA, is Professor and Chair, Department of Occupational Therapy, Jefferson School of Health Professions, and Faculty, Farber Institute for Neurosciences, Thomas Jefferson University, Philadelphia, PA;
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Pollock MR, Metz AE, Barabash T. Association Between Dysfunctional Elimination Syndrome and Sensory Processing Disorder. Am J Occup Ther 2014; 68:472-7. [DOI: 10.5014/ajot.2014.011411] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Abstract
OBJECTIVE. We explored whether sensory processing disorder (SPD) is related to dysfunctional elimination syndrome (DES).
METHOD. We used the Vancouver Nonneurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire and the Short Sensory Profile with participants who sought treatment of DES (n = 19) and healthy control participants (n = 55).
RESULTS. Significantly more children with DES (53%) had SPD than was reported for the general population (p < .001; Ahn, Miller, Milberger, & McIntosh, 2004). Control participants did not have a greater rate of SPD (p = .333). We found a significant association between the occurrence of DES and SPD, χ2(1) = 20.869, p < .001, and a significant correlation between test scores (Spearman’s ρ = −.493, Rs2 = .243, p < .001).
CONCLUSION. Many children with DES may also have SPD, suggesting that a child’s sensory processing pattern would be an important aspect that could influence the plan of care.
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Affiliation(s)
- Mary R. Pollock
- Mary R. Pollock, OTD, CLT, OTR/L, is Pediatric Therapist, Wood County Hospital, Toledo, OH
| | - Alexia E. Metz
- Alexia E. Metz, PhD, OTR/L, is Associate Professor, Department of Rehabilitation Sciences, The University of Toledo, 2801 West Bancroft, MS 119, Toledo, OH 43606;
| | - Theresa Barabash
- Theresa Barabash, MSN, APRN–BC, was Nurse Practitioner, Pediatric Urology, Mercy St. Vincent Medical Center, Toledo, OH, at the time of the study
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Kreider CM, Bendixen RM, Huang YY, Lim Y. Review of occupational therapy intervention research in the practice area of children and youth 2009-2013. Am J Occup Ther 2014; 68:e61-73. [PMID: 24581415 PMCID: PMC5362028 DOI: 10.5014/ajot.2014.011114] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PURPOSE. We conducted a systematic review examining the extent to which pediatric intervention research recently published in the American Journal of Occupational Therapy reflects occupational therapy's holistic occupation-based tenets. METHOD. We surveyed 10 systematic reviews and analyzed 38 single effectiveness studies for intervention approach, type, level of environmental targeting, level of occupational task and participation practice, and measures used. RESULTS. Of the 38 single effectiveness studies, 12 (32%) explicitly incorporated both environmental targets of intervention and practice of complex or in vivo occupational tasks, with steady increases during the 2009-2013 time frame. CONCLUSION. In the area of children and youth, occupational therapy is making steady gains in reflecting and demonstrating the effectiveness of the profession's holistic, occupation-based tenets. Occupational therapy researchers must be mindful to ensure that despite the reductionist nature of intervention research, interventions reflect the profession's holistic understanding of the interplay between the child, environment, and occupations.
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Affiliation(s)
- Consuelo M Kreider
- Consuelo M. Kreider, PhD, OTR/L, is Research Assistant Professor, Department of Occupational Therapy, University of Florida, PO Box 100164, Gainesville, FL 32610-0164;
| | - Roxanna M Bendixen
- Roxanna M. Bendixen, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA. At the time of the study, she was Research Assistant Professor, Department of Occupational Therapy, University of Florida, Gainesville
| | - Yu Yun Huang
- Yu Yun Huang, MS, OTR, is Doctoral Student, Department of Occupational Therapy, University of Florida, Gainesville
| | - Yoonjeong Lim
- Yoonjeong Lim, MS, OT, is Doctoral Student, Department of Occupational Therapy, University of Florida, Gainesville
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Gutman SA. State of the Journal, 2013. Am J Occup Ther 2013; 67:616-23. [DOI: 10.5014/ajot.2013.009548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The American Journal of Occupational Therapy (AJOT) has developed into a solid research journal, increasingly disseminating evidence-based research able to inform practice.
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Affiliation(s)
- Sharon A. Gutman
- Sharon A. Gutman, PhD, OTR, FAOTA, is Editor-in-Chief, American Journal of Occupational Therapy, and Associate Professor, Columbia University, Programs in Occupational Therapy, New York;
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