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Radomski MV, Anheluk M, Carroll G, Zola J. Purpose in Life as an Explicit Outcome of Occupational Therapy. Am J Occup Ther 2024; 78:7803347010. [PMID: 38502315 DOI: 10.5014/ajot.2024.050428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2024] Open
Abstract
Purpose in life is increasingly understood to be important to health and well-being. Despite occupational therapy's long history of using occupations to advance health and the linkage between a subclass of occupations and purpose in life, the term is nearly absent from the American Occupational Therapy Association's documents and the profession's empirical literature. We propose that the profession explicitly name purpose in life as among our intervention outcomes and address disruptions of purpose in life in practice. This can be accomplished by first investing in purpose in our own lives, discussing the topic with colleagues and students, identifying possible purpose disruptions in our clients, and using direct or indirect intervention approaches to help clients reconnect to purpose in their lives. By explicitly naming purpose in life as part of the domain of occupational therapy, we become poised to leverage human occupation to address both a broad societal gap and our clients' needs for a renewal of purpose in life.
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Affiliation(s)
- Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, is Senior Scientific Adviser, Courage Kenny Research, Allina Health, Minneapolis, MN;
| | - Mattie Anheluk
- Mattie Anheluk, MOT, OTR/L, is Outpatient Occupational Therapist and Research Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN
| | - Ginger Carroll
- Ginger Carroll, MS, OT, is Project Manager, Juniper, a program of Trellis, Arden Hills, MN
| | - Joette Zola
- Joette Zola, BS, OTR/L, is Outpatient Occupational Therapist and Research Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN
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Radomski MV, Anheluk M, Carroll GL, Kath K, Kreiger R, Zola J. Feasibility of a Group-Based Purpose Renewal Intervention for Cancer Survivors Via Zoom. OTJR (Thorofare N J) 2023:15394492231156119. [PMID: 36802971 DOI: 10.1177/15394492231156119] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
The COVID-19 pandemic contributed to both existential distress and the rapid adoption of telehealth-based services. Little is known about the feasibility of delivering group occupational therapy intervention to address purpose-related existential distress via face-to-face synchronous videoconferencing. The objective of the study was to evaluate the feasibility of providing a purpose in life renewal intervention to breast cancer survivors via Zoom. Descriptive data were collected on acceptability and implementability of the intervention. Limited-efficacy testing involved a prospective pretest-posttest study where participants with breast cancer (n = 15) received an eight-session purpose renewal group intervention plus a Zoom tutorial. Participants completed standardized measures of meaning and purpose at pretest and posttest, and a forced-choice Purpose Status Question. The purpose renewal intervention was acceptable and implementable via Zoom. Pre-post changes in purpose in life were not statistically significant. Group-based purpose in life renewal intervention is acceptable and implementable when delivered via Zoom.
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Giles GM, Radomski MV, Carroll G, Anheluk M, Yunek J. Cognitive Interventions With Occupational Performance as a Primary Outcome for Adults With TBI (June 2013-October 2020). Am J Occup Ther 2022; 76:23923. [PMID: 36166671 DOI: 10.5014/ajot.2022/76s2018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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
Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on cognitive interventions to improve occupational performance for adults with traumatic brain injury.
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Affiliation(s)
- Gordon Muir Giles
- Gordon Muir Giles, PhD, OTR/L, is Professor, Samuel Merritt University
| | - Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, FAOTA, is Director, Courage Kenny Research, Courage Kenny Research Center/Allina Health
| | - Ginger Carroll
- Ginger Carroll, MS, OT/L, CPPM, Courage Kenny, Research Center/Allina Health
| | - Mattie Anheluk
- Mattie Anheluk, MOT, OTR/L, Courage Kenny, Rehabilitation Institute- Minneapolis/Allina Health
| | - Joe Yunek
- Joe Yunek, MS, OTR/L, Courage Kenny, Rehabilitation Institute- Minneapolis/Allina Health
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Radomski MV, Giles GM, Carroll G, Anheluk M, Yunek J. Cognitive Interventions to Improve a Specific Cognitive Impairment for Adults With TBI (June 2013-October 2020). Am J Occup Ther 2022; 76:23933. [PMID: 36166674 DOI: 10.5014/ajot.2022/76s2017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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
Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on cognitive interventions to improve a specific cognitive impairment for adults with TBI.
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Affiliation(s)
- Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, FAOTA, is Director, Courage Kenny Research, Courage Kenny Research Center/Allina Health
| | - Gordon Muir Giles
- Gordon Muir Giles, PhD, OTR/L, is Professor, Samuel Merritt University
| | - Ginger Carroll
- Ginger Carroll, MS, OT/L, CPPM, Courage Kenny Research Center/Allina Health
| | - Mattie Anheluk
- Mattie Anheluk, MOT, OTR/L, Courage Kenny Rehabilitation Institute- Minneapolis/Allina Health
| | - Joe Yunek
- Joe Yunek, MS, OTR/L, Courage Kenny Rehabilitation Institute- Minneapolis/Allina Health
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Radomski MV, Anheluk M, Carroll GL, Grabe K, Halsten JW, Kath K, Kreiger RA, Lunos ME, Rabusch S, Swenson KK, Zola J. Preliminary Efficacy of an Occupation-Oriented Purpose in Life Intervention After Breast Cancer. Can J Occup Ther 2022; 89:115-126. [PMID: 35040344 DOI: 10.1177/00084174211073264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background. Purpose in life is important to health and well-being; purpose disruption often goes unidentified after breast cancer. Purpose. To evaluate the efficacy of a purpose renewal intervention and utility of a screening question for identifying people with purpose-related distress. Method. In this prospective pretest-posttest study, participants with breast cancer received an 8-session purpose renewal group intervention (n = 35). Participants completed standardized measures of meaning and purpose at pretest, posttest, and two-month follow-up and a forced-choice Purpose Status Question (PSQ) at pretest. Findings. Participants made statistically significant pretest-to-posttest and pretest-to-follow-up improvements. The PSQ demonstrated construct validity: 40% of participants lacked purpose direction at pretest and this subgroup made significantly greater improvements than participants who reported purpose direction at pretest. Implications. The PSQ warrants further study as a screener to identify people with purpose-related distress. Many breast cancer survivors may benefit from a purpose in life intervention; a subgroup may benefit more.
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Radomski M, Kreiger R, Anheluk M, Berling K, Darger M, Garcia H, Grabe K, Hopkins S, Morrison M, Zola J, Swenson KK. Cognitive Dysfunction: Feasibility of a Brief Intervention to Help Breast Cancer Survivors. Clin J Oncol Nurs 2021; 25:E69-E76. [PMID: 34800105 DOI: 10.1188/21.cjon.e69-e76] [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: 11/17/2022]
Abstract
BACKGROUND Many cancer survivors experience cancer-related cognitive dysfunction (CRCD), which is believed to be the result of multiple contributing biologic, situational, and personal factors. Efficacious, clinically implementable interventions addressing the multifactorial nature of CRCD are needed. OBJECTIVES This study evaluated the feasibility of an intervention to help breast cancer survivors mitigate the effects of modifiable factors that contribute to CRCD and improve cognitive functioning. METHODS A single-group pre-/post-test design was used. Treatment fidelity was tracked to evaluate implementability; attendance rates, experience surveys, and homework engagement were used to characterize acceptability. Pre- and post-test cognitive functioning, stress, fatigue, and mood were measured to evaluate preliminary efficacy. FINDINGS The intervention was implementable and acceptable to participants. Participants made statistically significant improvements.
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Radomski MV, Swenson KK, Anheluk M, Zola J, Kreiger R, Rabusch S, Halsten J, Kath K, Carroll G, Zust BL. The feasibility of a purpose-renewal intervention after treatment for early stage breast cancer: A brief report. J Psychosoc Oncol 2019; 38:501-509. [DOI: 10.1080/07347332.2019.1692990] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
| | | | - Mattie Anheluk
- Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota, USA
| | - Joette Zola
- Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota, USA
| | - Rob Kreiger
- Courage Kenny Research Center, Minneapolis, Minnesota, USA
| | - Stacey Rabusch
- Courage Kenny Research Center, Minneapolis, Minnesota, USA
| | - Jerry Halsten
- Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota, USA
| | - Kristina Kath
- Courage Kenny Research Center, Minneapolis, Minnesota, USA
| | - Ginger Carroll
- Courage Kenny Research Center, Minneapolis, Minnesota, USA
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Radomski MV, Anheluk M, Arulanantham C, Finkelstein M, Flinn N. Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation. Br J Occup Ther 2018. [DOI: 10.1177/0308022617752068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Statement of contextMany occupational therapists experience challenges in implementing evidence-based practice, which may be best approached as a context-specific enterprise.Critical reflection on practiceThis practice analysis article reports the results of analyzing 24 home programs that occupational therapists issued to rehabilitation inpatients with stroke upon their discharge home. Home programs did not reflect a task-based approach to upper-limb recovery, even though this is supported by established evidence. Examination of contextual factors provides a framework to facilitate evidence implementation.Implications for practiceOccupational therapists may optimize evidence-based practice implementation by first evaluating and addressing practice-specific contextual factors.
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Affiliation(s)
| | - Mattie Anheluk
- Occupational Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, USA
| | | | - Marsha Finkelstein
- Senior Scientific Advisor, Courage Kenny Research Center, Minneapolis, USA
| | - Nancy Flinn
- Senior Scientific Advisor, Courage Kenny Research Center, Minneapolis, USA
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Hopkins S, Radomski MV, Finkelstein M, Anheluk M, Berling K, Darger M, Grabe K, Morrison MT, Zola J, Hutchison N. Focus Forward: Outcomes of a Brief Occupational Therapy Intervention for Cancer-Related Cognitive Dysfunction. Am J Occup Ther 2017. [DOI: 10.5014/ajot.2017.71s1-po1053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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
Abstract
Date Presented 3/30/2017
Results of this pilot and feasibility study indicate that women with breast cancer who received a brief occupational therapy intervention for cancer-related cognitive dysfunction experienced pre–post improvements in self-reported cognition and occupational functioning.
Primary Author and Speaker: Shayne Hopkins
Contributing Authors: Mary Vining Radomski, Marsha Finkelstein, Mattie Anheluk, Kristin Berling, Michele Darger, Kim Grabe, M. Tracy Morrison, Joette Zola, Nancy Hutchison
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Radomski MV, Anheluk M, Bartzen MP, Zola J. Effectiveness of Interventions to Address Cognitive Impairments and Improve Occupational Performance After Traumatic Brain Injury: A Systematic Review. Am J Occup Ther 2016; 70:7003180050p1-9. [DOI: 10.5014/ajot.2016.020776] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [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
Abstract
OBJECTIVE. To determine the effectiveness of interventions addressing cognitive impairments to improve occupational performance for people with traumatic brain injury.
METHOD. A total of 37 studies met inclusion criteria: 9 Level I systematic reviews, 14 Level I studies, 5 Level II studies, and 9 Level III studies.
RESULTS. Strong evidence supports use of direct attention training, dual-task training, and strategy training to optimize executive functioning, encoding, and use of memory compensations, including assistive technology. However, in most studies, occupational performance was a secondary outcome, if it was evaluated at all.
CONCLUSION. Although evidence supports many intervention approaches used by occupational therapy practitioners to address cognitive impairments of adults with traumatic brain injury, more studies are needed in which occupational performance is the primary outcome of cognitive intervention.
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Affiliation(s)
- Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, FAOTA, is Senior Scientific Adviser, Courage Kenny Research Center, Minneapolis, MN;
| | - Mattie Anheluk
- Mattie Anheluk, MAOT, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute–Abbott Northwestern Hospital, Minneapolis, MN
| | - M. Penny Bartzen
- M. Penny Bartzen, OTD, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute–Buffalo Hospital, Buffalo, MN
| | - Joette Zola
- Joette Zola, BS, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute–Abbott Northwestern Hospital, Minneapolis, MN
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