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Lancaster K, Kern ML, Harding K, Bayasgalan M, Janson A, Mahmic S, Bhopti A. Exploring long-term outcomes of a peer support programme for parents* of children with disability in Australia. Child Care Health Dev 2024; 50:e13236. [PMID: 38426583 DOI: 10.1111/cch.13236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 12/20/2023] [Accepted: 01/28/2024] [Indexed: 03/02/2024]
Abstract
Peer support groups can offer parents of children with disability, positive well-being outcomes. Peer support groups not only provide opportunities for connections with others with similar experiences but also provide resources and information, emotional support, a sense of belonging and may help reduce stress and isolation. Peer support groups are an established form of support existing within family centred practice. However, it is unclear whether peer support groups achieve the outcomes that they aim to deliver. Further, little is known about the longer-term outcomes for parents attending such groups. This study aimed to explore the medium- and long-term outcomes and experiences of parents who participated in a peer support programme (the Now and Next programme) for parents of children with disability. Well-being data were collected at three timepoints (Ts): prior to commencing the programme (T1), immediately after completion of the programme (T2) and 6-30 months after completion of the programme (T3). Results of the study showed empowerment and well-being improved from T1 to T2, with gains maintained at T3. Hope scores did not significantly change over time. Participants continued to set and achieve goals over time using resources from the programme. Improvements in parents' well-being and empowerment scores were maintained in the longer-term. Our study contributes to evidence confirming sustained long-term outcomes of peer support programmes and demonstrates that building parent capacity, empowerment and well-being has a lasting effect on the parents of children with disability.
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Affiliation(s)
- Katharine Lancaster
- Discipline of Occupational Therapy, Department of Community and Clinical Health, La Trobe University, Melbourne, Victoria, Australia
| | - Margaret L Kern
- Centre for Wellbeing Science, The University of Melbourne, Parkville, Victoria, Australia
| | - Katherine Harding
- Discipline of Occupational Therapy, Department of Community and Clinical Health, La Trobe University, Melbourne, Victoria, Australia
- Eastern Health, Box Hill, Victoria, Australia
| | - Mogi Bayasgalan
- Plumtree Children's Services, Marrickville, New South Wales, Australia
| | - Annick Janson
- Centre for Applied Cross-cultural Research, Victoria University of Wellington, Wellington, New Zealand
| | - Sylvana Mahmic
- Centre for Applied Cross-cultural Research, Victoria University of Wellington, Wellington, New Zealand
| | - Anoo Bhopti
- Discipline of Occupational Therapy, Department of Community and Clinical Health, La Trobe University, Melbourne, Victoria, Australia
- Department of Occupational TherapyMonash University, Monash University, Melbourne, Victoria, Australia
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Millar C, Chahda L, Carey LB, Ly A, McLaren PO, Drakopoulos E, Bhopti A. Global Citizenship: Cultural, Religious and Spiritual-An Exploratory Scoping Review. J Relig Health 2024; 63:63-88. [PMID: 38091204 DOI: 10.1007/s10943-023-01968-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/19/2023] [Indexed: 02/13/2024]
Abstract
This paper seeks to provide an exploration of the interplay between global citizenship, culture, religion and spirituality. Arksey and O'Malley's (Int J Soc Res Methodol 8(1):19-32, 2005) scoping literature review framework was utilised to qualify the research question, develop inclusion and exclusion criteria, select relevant studies, chart data and collate information. From the available peer-reviewed literature, a total of 44 articles were initially identified using the selection criteria, 19 of which were subsequently analysed. Eight main themes were identified within the literature; (1) development of global citizenship identity, (2) prosocial values and perspectives, (3) cultural competence and influence, (4) religion and religious teachings, (5) immersion experiences, (6) normative influence, (7) political compass and (8) spirituality. The literature suggests a clear link between global citizenship and spirituality. There were, however, some inconsistencies in the relationship between formalised religion and global citizenship across the studies, with evidence of religion both contributing to and detracting from prosocial values related to global citizenship. Additionally, cultural experiences, including immersion experiences, volunteering and study aboard were all positively linked to prosocial values related to global citizenship. Global citizenship provides individuals with an opportunity to develop intercultural skills, respect, sensitivity, empathy and concern for all of humanity. It is recommended that future global citizenship research should ensure adequate definitions of religion and spirituality, with caution to not generalise the two terms into one concept. Additional research into the relationship between spiritualty and global citizenship could provide a strong basis to increase understanding of the contributing factors to global citizenship identity.
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Affiliation(s)
- CaraJane Millar
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Laura Chahda
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia.
| | - Lindsay B Carey
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Alexander Ly
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Phoebe O McLaren
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Eutichia Drakopoulos
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Anoo Bhopti
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
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Taghizadeh A, Webster KE, Bhopti A, Hoare B. Development and content validation of the Upper Limb-Motor Learning Strategy Tool for cerebral palsy. Disabil Rehabil 2024:1-9. [PMID: 38279790 DOI: 10.1080/09638288.2024.2307382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Accepted: 01/14/2024] [Indexed: 01/29/2024]
Abstract
PURPOSE To describe the development and content validation of the Upper Limb-Motor Learning Strategy Tool (UL-MLST) that aims to guide clinicians on how to implement and document the motor learning strategies used in the upper limb therapy approaches for children with cerebral palsy. METHODS The study consists of two main stages (1) item generation and development and (2) content validation and refinement. The UL-MLST Online Training Program, Manual and Checklist were developed by the authorship group in stage one. In stage 2, two experts evaluated the UL-MLST regarding the Relevance, Coherence, and Significance of the individual strategies and whether the tool is Relevant, Comprehensive, and Clinically useful. RESULTS Of sixty-two strategies included in the UL-MLST, 52 strategies were rated as being either "Moderately" or "Highly" Relevant, Coherent, and Significant. Ten strategies did not achieve mutual agreement; however, they did not meet the criteria for deletion and were revised according to expert feedback. Overall, the UL-MST was judged to be Relevant, Comprehensive, and Clinically useful. CONCLUSIONS The UL-MLST provides a valid tool to support clinicians in the implementation of the motor learning strategies for children with cerebral palsy.IMPLICATIONS FOR REHABILITATIONThe Upper Limb- Motor Learning Strategy Tool (UL-MLST) Online Training Program, Manual, and Checklist provide a comprehensive package of resources to support the application of motor learning strategies in upper limb therapy for children with cerebral palsy.The UL-MLST provides clinicians with a valid tool for self-appraising the implementation of motor learning-based therapies.The tool has the potential to improve fidelity, enhance the quality, and ensure consistency of evidence-based, task-focused approaches of therapy.
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Affiliation(s)
- Atefeh Taghizadeh
- Discipline of Occupational Therapy, La Trobe University, Melbourne, Australia
| | - Kate E Webster
- Department of Sport Exercise and Nutrition Sciences, La Trobe University, Melbourne, Australia
| | - Anoo Bhopti
- Discipline of Occupational Therapy, La Trobe University, Melbourne, Australia
- Department of Occupational Therapy, Monash University, Melbourne, Australia
| | - Brian Hoare
- Discipline of Occupational Therapy, La Trobe University, Melbourne, Australia
- Department of Paediatrics, Monash University, Clayton, Victoria, Australia
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Marshall JM, Schneider E, O'Mahony S, Lannin N, Westall GP, Bhopti A. Self-reported engagement in everyday activities following bilateral lung transplantation in paediatric cystic fibrosis: a single centre study. BMJ Paediatr Open 2023; 7:e002251. [PMID: 38128948 DOI: 10.1136/bmjpo-2023-002251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 12/05/2023] [Indexed: 12/23/2023] Open
Abstract
INTRODUCTION Following lung transplantation, it is unknown how children/adolescents self-assess their performance in everyday activities, importance of these activities, and whether resumption of everyday activities influences self-reported quality of life. The aim was to examine the effect of bilateral lung transplantation on children's/adolescent's perception of engagement in everyday activities over the first 18 months post-transplant. METHODS A multiple-single-case-study pre-post test design was conducted at a National Paediatric Lung Transplant Service. Participants were aged under 18 years and were 3 months post first bilateral lung transplant at the time of recruitment. Outcomes were self-reported quality of life (Paediatric Quality of Life Inventory (PedsQL), Transplant Module and engagement in meaningful life roles (Child Occupational Self-Assessment (COSA) Scale) measured at 3 months and 18 months post-transplant from participants, and their parent(s) (PedsQL). Analysis included paired between-time differences and descriptive analysis. RESULTS Seven participants were recruited to the trial with a mean age of 13 (SD 4) years and a diagnosis of cystic fibrosis. The total mean scores on PedsQL remained stable between 3 months and 18 months for both participants and parents. The PedsQL transplant module total mean scores of participants significantly increased from 3 months (M=66.58, SD=11.83) to 18 months (M=80.25, SD=11.56), t(5) = 2.91, p=0.03 whereas parents' scores remained stable. COSA responses reported 'big problems' with self-care tasks, family engagement and coping with worries at 3 months. At 18 months, the 'big problem' activities shifted to community engagement and independence. CONCLUSION Time influences self-reported quality of life and engagement in meaningful life roles for children/adolescents and their parents 3 months to 18 months post-lung transplant. Our findings highlight the importance of focusing on occupational roles and occupational performance of children and adolescents when designing post-transplant interventions, suggesting a key role for occupational therapy after transplantation.
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Affiliation(s)
| | - Emma Schneider
- Department of Neuroscience, Monash University, Clayton, Victoria, Australia
- Department of Nursing and Allied Health, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Shenae O'Mahony
- Occupational Therapy, Alfred Health, Melbourne, Victoria, Australia
| | - Natasha Lannin
- Occupational Therapy, Alfred Health, Melbourne, Victoria, Australia
- Department of Neuroscience, Central Clinical School, Monash University, Clayton, Victoria, Australia
| | | | - Anoo Bhopti
- Department of Occupational Therapy, Monash University Faculty of Medicine Nursing and Health Sciences, Clayton, Victoria, Australia
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Brown T, Almiento L, Yu ML, Bhopti A. The Sensory Processing Measure - Second Edition: A Critical Review and Appraisal. Occup Ther Health Care 2023:1-34. [PMID: 37975837 DOI: 10.1080/07380577.2023.2280216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 10/31/2023] [Indexed: 11/19/2023]
Abstract
This paper aims to provide an overview and critique of the newly updated Sensory Processing Measure - second edition (SPM-2) to assist clinicians in understanding its strengths and limitations and in selecting an appropriate sensory processing scale that best meets their clients' needs. Using four established research methodological quality critique tools, the SPM-2's family of age-related versions was evaluated by administering the tools separately and discussed their scoring and findings to reach a consensus on all ratings. The tools identified several strengths and weaknesses of the SPM-2. The SPM-2's items on its age-related versions scored well in the criteria of internal consistency, test-retest reliability, explanation of the instrument design, construct validity, content validity, criterion validity and ease of administration, and scoring. However, a lack of normative data for participant groups outside of the United States, methodological limitations, and a lack of investigation into some important psychometric properties, particularly responsiveness, were identified as notable weaknesses of the SPM-2's items on its age-related versions based on the critique criteria. Overall, despite the areas needing further development and investigation, the SPM-2 is considered a psychometrically sound tool that provides a reliable and valid approach to measuring aspects of the sensory processing construct across the lifespan.
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Affiliation(s)
- Ted Brown
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University - Peninsula Campus, Frankston, Victoria, Australia
| | - Luca Almiento
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University - Peninsula Campus, Frankston, Victoria, Australia
| | - Mong-Lin Yu
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University - Peninsula Campus, Frankston, Victoria, Australia
| | - Anoo Bhopti
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University - Peninsula Campus, Frankston, Victoria, Australia
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Lancaster K, Bhopti A, Kern ML, Taylor R, Janson A, Harding K. Effectiveness of peer support programmes for improving well-being and quality of life in parents/carers of children with disability or chronic illness: A systematic review. Child Care Health Dev 2022; 49:485-496. [PMID: 36207781 DOI: 10.1111/cch.13063] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 09/01/2022] [Accepted: 09/30/2022] [Indexed: 11/30/2022]
Abstract
AIM This systematic review synthesized quantitative evidence from the past decade of the effectiveness of peer support programmes in improving the well-being and/or quality of life (QoL) for parents/carers of children with disability/chronic illnesses. BACKGROUND For children with disability or chronic illness, parents/carers are critical in enabling or limiting their child's development. The parent's/carer's ability to provide the necessary responsive and structured care is impacted by several factors, including their own personality, skills, resources and well-being. Peer support programmes often aim to build parent/carer and/or family capabilities. Although studies and reviews have found positive benefits arising from such programmes, the impact of such programmes, specifically on well-being and QoL, is unknown RESULTS: Quantitative studies published between 2011 and 2020 that examined the impact of programmes with a significant peer support component on parental/carer well-being, QoL and/or distress were identified from four databases and were searched and yielded 3605 articles, with 13 articles meeting the inclusion criteria. The results suggested that peer support is effective for reducing distress and improving the well-being and QoL among parents of children with disabilities; however, the evidence is limited by a high risk of bias in the included studies. CONCLUSIONS Although existing evidence suggests that programmes for parents/carers with a significant peer support component are beneficial for well-being and QoL, rigorous methodologies are needed in the future to gain a better understanding of the benefits of such programmes.
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Affiliation(s)
- Katharine Lancaster
- Department of Community and Clinical Health, La Trobe University, Melbourne, Australia
| | - Anoo Bhopti
- Department of Community and Clinical Health, La Trobe University, Melbourne, Australia.,Department of Occupational Therapy, Monash University, Melbourne, Australia
| | - Margaret L Kern
- Centre for Wellbeing Science, The University of Melbourne, Melbourne, Australia
| | - Rachel Taylor
- Centre for Social Impact, Swinburne University of Technology, Melbourne, Australia
| | - Annick Janson
- Victoria University of Wellington, Wellington, New Zealand
| | - Katherine Harding
- Department of Community and Clinical Health, La Trobe University, Melbourne, Australia.,Eastern Health, Melbourne, Australia
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Sheehan J, Lannin NA, Laver K, Reeder S, Bhopti A. Primary care practitioners' perspectives of discharge communication and continuity of care for stroke survivors in Australia: A qualitative descriptive study. Health Soc Care Community 2022; 30:e2530-e2539. [PMID: 34957626 DOI: 10.1111/hsc.13696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 10/06/2021] [Accepted: 12/13/2021] [Indexed: 06/14/2023]
Abstract
Discharge communication is an important component of care transition between hospitals and community care, particularly for the complex needs of stroke survivors. Despite international research and regulation, ineffective information exchange during care transitions continues to compromise patient outcomes. Primary care practitioners are increasingly responsible for the provision of stroke care in the community, yet it is not known how their role is supported by discharge communication. The aim of this qualitative study was to describe the primary care practitioner perspective of discharge communication, identifying the barriers and enablers relative to continuity of care for stroke survivors. Semi-structured telephone interviews were conducted with primary care practitioners across Australia, between April and September 2020. Data were analysed using thematic analysis with a constant-comparison approach. The findings suggest that discharge communication is often inadequate for the complex care and recovery needs of stroke survivors. The challenges in accessing care plans were noted barriers to continuity of care, while shared understandings of stroke survivors' needs were identified as enablers. As discharge communication processes were perceived to be disconnected, primary care practitioners suggested a team approach across care settings. It is concluded that initiatives are required to increase primary care collaboration with hospital teams (which include stroke survivors and their caregivers) to improve continuity of care after stroke.
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Affiliation(s)
| | - Natasha A Lannin
- La Trobe University, Melbourne, Victoria, Australia
- Monash University, Melbourne, Victoria, Australia
| | - Kate Laver
- Flinders University, Adelaide, South Australia, Australia
| | | | - Anoo Bhopti
- La Trobe University, Melbourne, Victoria, Australia
- Monash University, Melbourne, Victoria, Australia
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Bhopti A, Brown T, Lentin P. Does family quality of life get better as the years go by? A comparative mixed‐methods study between early years and school‐aged children with disability in Australia. Policy Practice Intel Disabi 2022. [DOI: 10.1111/jppi.12433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Anoo Bhopti
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Peninsula Campus Monash University Australia
- Discipline of Occupational Therapy, School of Allied Health, Human Services and Sport, Melbourne Campus La Trobe University Australia
| | - Ted Brown
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Peninsula Campus Monash University Australia
| | - Primrose Lentin
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Peninsula Campus Monash University Australia
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Taghizadeh A, Webster KE, Bhopti A, Carey L, Hoare B. Are they really motor learning therapies? A scoping review of evidence-based, task-focused models of upper limb therapy for children with unilateral cerebral palsy. Disabil Rehabil 2022; 45:1536-1548. [PMID: 35468016 DOI: 10.1080/09638288.2022.2063414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
PURPOSE To identify the specific motor learning (ML) theories underpinning evidence-based, task-focused upper limb models of therapy for children with unilateral cerebral palsy; and to document the strategies used in the operationalisation of these theories. MATERIAL AND METHOD This scoping review searched for relevant studies using eight electronic databases. A list of 68 ML strategies and accompanying definitions was developed for data extraction. Three classifications; adequate, inadequate or not described were used to rate the description of ML strategies. A corresponding colour-coding system was used to provide a visual summary. RESULTS There is a limited description of the ML theories and strategies used to operationalise these theories in existing models of evidence-based upper limb therapy. Of 103 therapy protocols included, only 24 explicitly described the guiding ML theory. When described, there was significant variation in the underlying theories, leading to significantly different focus and content of therapy. Of the 68 ML strategies, only three were adequately described. CONCLUSIONS To support treatment fidelity and the implementation of evidence-based, task-focused models of upper limb therapy in clinical practice, future research needs to provide explicit details about the underlying theories and strategies used in the operationalisation of these theories.Implications for rehabilitationEvidence-based models of upper limb therapy purport to be based on motor learning theory, however, most provide a very limited description of the theories and strategies used.Dosage of practice is only one element that is specific to a therapy approach and other elements guided by the principles of type of task and type of feedback should be considered.To support the implementation of evidence-based approaches in clinical practice, and improve treatment fidelity, it is important for researchers to define the theories that guide therapy approaches and explicitly describe the strategies used to operationalise these theories.
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Affiliation(s)
- Atefeh Taghizadeh
- Department of Occupational Therapy, La Trobe University, Melbourne, Australia
| | - Kate E Webster
- Department of Occupational Therapy, La Trobe University, Melbourne, Australia
| | - Anoo Bhopti
- Department of Occupational Therapy, La Trobe University, Melbourne, Australia.,Department of Paediatrics, Monash University, Melbourne, Australia
| | - Leeanne Carey
- Department of Occupational Therapy, La Trobe University, Melbourne, Australia.,Neurorehabilitation and Recovery, Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
| | - Brian Hoare
- Department of Occupational Therapy, La Trobe University, Melbourne, Australia.,Department of Paediatrics, Monash University, Melbourne, Australia
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Sheehan J, Laver K, Bhopti A, Rahja M, Usherwood T, Clemson L, Lannin NA. Methods and Effectiveness of Communication Between Hospital Allied Health and Primary Care Practitioners: A Systematic Narrative Review. J Multidiscip Healthc 2021; 14:493-511. [PMID: 33654406 PMCID: PMC7910528 DOI: 10.2147/jmdh.s295549] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Accepted: 01/14/2021] [Indexed: 12/22/2022] Open
Abstract
Background There is a compelling rationale that effective communication between hospital allied health and primary care practitioners may improve the quality and continuity of patient care. It is not known which methods of communication to use, nor how effectively they facilitate the transition of care when a patient is discharged home from hospital. Our systematic review aims to investigate the methods and effectiveness of communication between hospital allied health and primary care practitioners. Methods Systematic review of quantitative and qualitative studies with narrative synthesis. Medline, CINAHL, EMBASE, PsycInfo and Proquest Nursing and Allied Health Sources were searched from January 2003 until January 2020 for studies that examined hospital-based allied health professionals communicating with community-based primary care practitioners. Risk of bias in the different study designs was appraised using recognized tools and a content analysis conducted of the methodologies used. Results From the located 12,281 papers (duplicates removed), 24 studies met the inclusion criteria with hospital allied health communicating in some form with primary care practitioners. While none of the included studies specifically investigated the methods or effectiveness of communication between hospital allied health and primary care practitioners, 12 of the 24 studies described processes that addressed components of their discharge communication. Four enablers to effective communication between hospital allied health and primary care practitioners were identified: multidisciplinary care plans, patient and caregiver involvement, health information technology and a designated person for follow up/care management. Conclusion There is currently no “gold standard” method or measure of communication between hospital allied health and primary care practitioners. There is an urgent need to develop and evaluate multidisciplinary communication with enhanced information technologies to improve collaboration across care settings and facilitate the continuity of integrated people-centered care.
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Affiliation(s)
- Jacinta Sheehan
- Department of Occupational Therapy, Social Work and Social Policy, School of Allied Health, La Trobe University, Melbourne, Australia
| | - Kate Laver
- Department of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, Australia
| | - Anoo Bhopti
- Department of Occupational Therapy, Social Work and Social Policy, School of Allied Health, La Trobe University, Melbourne, Australia
| | - Miia Rahja
- Department of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, Australia
| | - Tim Usherwood
- Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.,The George Institute for Global Health, Sydney, Australia
| | - Lindy Clemson
- School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Sydney, Australia
| | - Natasha A Lannin
- Department of Occupational Therapy, Social Work and Social Policy, School of Allied Health, La Trobe University, Melbourne, Australia.,Department of Neurosciences, Central Clinical School, Monash University, Melbourne, Australia.,Alfred Health (Allied Health), Melbourne, Australia
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11
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Bhopti A, Lentin P, Brown T. Relationships between early childhood intervention services, family quality of life and parent occupations: A mixed-methods Australian study. Journal of Occupational Therapy, Schools, & Early Intervention 2019. [DOI: 10.1080/19411243.2019.1700471] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Anoo Bhopti
- Occupational Therapy, Latrobe University, Melbourne, Australia
| | - Primrose Lentin
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University - Peninsula Campus, Frankston, Australia
| | - Ted Brown
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University - Peninsula Campus, Frankston, Australia
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12
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Bhopti A, Brown T, Lentin P. Opportunities for participation, inclusion and recreation in school-aged children with disability influences parent occupations and family quality of life: A mixed-methods study. Br J Occup Ther 2019. [DOI: 10.1177/0308022619883480] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Parents of children with disabilities experience long-term loss of occupations and increased caregiving responsibilities, which affect their individual and family quality of life. There is limited knowledge about the factors that influence the family quality of life of families when their child with disability is at school. This study examined the relationships between family quality of life, disability-related supports provided and parental occupations, and identified factors influencing family quality of life. Method A mixed-methods approach was utilised using the Beach Center Family Quality of Life Survey, a demographic questionnaire ( n = 50) and 12 qualitative interviews. Descriptive analyses and Spearman’s Rho correlations were conducted. Both sets of data were analysed and triangulated. Findings Participants reported high satisfaction with their family quality of life, with strong associations between parental occupations and family quality of life. Four qualitative themes highlighted that their family quality of life was hard, challenging and fluctuating; however, there were positives about having a child with disability, and receiving services and supports (formal and informal) for their child with disability helped family quality of life. In spite of this, caregiving was long-term and impacted their everyday occupations, challenging their family quality of life. Conclusion This study concludes that even though parents of a school-aged child with disability are happy to adopt the caregiver role and appreciate the positives of having a child with disability, lack of support within the mainstream schooling system and prolonged caregiving has a detrimental impact on the parents’ occupations, their health and wellbeing, and consequently on their family quality of life. Inadequate opportunities for recreation and lack of resources to manage persistent behaviours of concern highlight unequal participation opportunities for school-aged children with disabilities.
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Affiliation(s)
- Anoo Bhopti
- School of Allied Health, La Trobe University, Melbourne, Victoria, Australia
| | - Ted Brown
- Department of Occupational Therapy, Monash University, Melbourne, Victoria, Australia
| | - Primrose Lentin
- Department of Occupational Therapy, Monash University, Melbourne, Victoria, Australia
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13
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Roberts T, Stagnitti K, Brown T, Bhopti A. Relationship Between Sensory Processing and Pretend Play in Typically Developing Children. Am J Occup Ther 2018; 72:7201195050p1-7201195050p8. [PMID: 29280719 DOI: 10.5014/ajot.2018.027623] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We sought to investigate the relationship between sensory processing and pretend play in typically developing children. METHOD Forty-two typically developing children ages 5-7 yr were assessed with the Child Initiated Pretend Play Assessment and the Home and Main Classroom forms of the Sensory Processing Measure (SPM). RESULTS There were significant relationships between elaborate pretend play and body awareness (r = .62, p < .01), balance (r = .42, p < .01), and touch (r = .47, p < .01). Object substitution was associated with social participation (r = .42, p < .05). CONCLUSIONS The sensory processing factors (from the SPM)-namely, Body Awareness, Balance, Touch, and Social Participation-were predictive of the quality of children's engagement in pretend play in the home environment. The results indicated that, to engage and participate in play, children are involving sensory processing abilities, especially body awareness, balance, and touch.
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Affiliation(s)
- Tara Roberts
- Tara Roberts, BAppSci(OccTher), GCHE, is Lecturer, Department of Occupational Therapy, School of Health and Social Development, Deakin University, Waterfront Campus, Geelong, Victoria, Australia;
| | - Karen Stagnitti
- Karen Stagnitti, PhD, GCHE, BOT, is Professor and Chair, Department of Occupational Therapy, School of Health and Social Development, Deakin University, Waterfront Campus, Geelong, Victoria, Australia
| | - Ted Brown
- Ted Brown, PhD, MSc, MPA, BScOT(Hons), GCHPE, OT(C), OTR, is Associate Professor and Undergraduate Course Convener, Department of Occupational Therapy, School of Primary Health Care, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Peninsula Campus, Frankston, Victoria, Australia
| | - Anoo Bhopti
- Anoo Bhopti is PhD candidate, Monash University, and Lecturer, First Year Occupational Therapy Coordinator, Department of Community and Clinical Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia
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Bhopti A. Promoting the occupations of parents of children with disability in early childhood intervention services - Building stronger families and communities. Aust Occup Ther J 2016; 64:419-422. [DOI: 10.1111/1440-1630.12297] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Anoo Bhopti
- Department of Occupational Therapy; Monash University; Victoria Australia
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