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Occupational Therapy in Health Care

Samantha A Oostlander, Jillian A Falla, Kimberly Dow, Sandra Fucile
With opioid use in North America rising, there is a growing incidence of neonatal abstinence syndrome (NAS). Infants with NAS experience withdrawal signs that interfere with their occupational performance in activities of daily living. This scoping review aims to identify the non-pharmacologic interventions currently used in the treatment of infants with NAS that fall within the scope of the occupational therapy profession. Searching three databases, articles were independently reviewed by two authors to meet defined inclusion criteria...
April 16, 2019: Occupational Therapy in Health Care
Ella Hanna, Heidi Janssen, Gary Crowfoot, Gillian Mason, Glade Vyslysel, Anne Sweetapple, Robin Callister, Coralie English
The purpose of this cross-sectional, exploratory study was to explore associations between sitting time and (1) participation, (2) fear of falling, and (3) upper limb impairment after stroke. High sitting time was associated with less participation in meaningful activities involving standing or walking (ρ = -0.519, p = 0.023). A greater fear of falling (ρ = 0.579, p = 0.012) and having an impaired upper limb (mean difference 18.7%, 95% CI: 5.3-32.1, p = 0.012) were associated with greater sitting time...
March 19, 2019: Occupational Therapy in Health Care
Young Joo Kim
No abstract text is available yet for this article.
March 11, 2019: Occupational Therapy in Health Care
Nicole Zanier, Lisa J Molnar, David W Eby, Lidia P Kostyniuk, Jennifer S Zakrajsek, Lindsay H Ryan, Renée M St Louis, Sergiu C Stanciu, David J LeBlanc, Jacqui Smith, Raymond Yung, Linda V Nyquist, Carolyn DiGuiseppi, Guohua Li, Thelma J Mielenz, David Strogatz
Evidence suggests that older driver safety may be improved by good vehicle maintenance, in-vehicle advanced technologies, and proper vehicle adaptations. This study explored the prevalence of several measures of vehicle maintenance and damage among older drivers through inspection of their vehicles. We also investigated the prevalence of in-vehicle technologies and aftermarket adaptations. Vehicle inspections were conducted by trained research staff using an objective, standardized procedure. This procedure, developed by a multidisciplinary team of researchers, was based on a review of inspection checklists used by automobile dealerships and the project team's expertise...
February 6, 2019: Occupational Therapy in Health Care
Ryan R Bailey
Interventions are needed to increase physical activity throughout the day in adults with chronic stroke, but mechanisms of action for doing so have not been identified. In this descriptive, exploratory study of 36 ambulatory, community-dwelling adults with chronic stroke, participants completed questionnaires investigating self-efficacy, self-regulation, social support, and outcomes expectations for daily physical activity. In the absence of any intervention, participants consistently reported high self-efficacy and outcomes expectations but low use of self-regulation and social support strategies...
January 16, 2019: Occupational Therapy in Health Care
Vicki C Mason, Mary L Hennigan
While there is a body of knowledge regarding job satisfaction in occupational therapy, less is known about job satisfaction in occupational therapy through a lens of social capital. The purpose of this research was to investigate practitioners' rankings of 14 aspects of job satisfaction by gender, generation, therapist vs. manager, therapist vs. assistant, and experience. Participants (n = 112) recruited from attendees of a state association annual conference completed a short questionnaire. Relationships with other therapists on the rehab team, relationship with immediate supervisor or manager, and interprofessional teamwork, all reflective of social capital were highly ranked...
January 12, 2019: Occupational Therapy in Health Care
Áine Coe, Mary Martin, Tadhg Stapleton
An occupational therapy memory strategy education group (MSEG) was developed to assist clients with varying levels of memory impairment to adopt strategies to manage memory impairment in their daily lives. Participants were healthy older adults presenting with subjective memory complaints (SMC, n = 14), mild cognitive impairment (MCI, n = 33), or early stages of dementia (n = 13). Clients and their caregivers attended a one-hour session each week for six weeks. Outcome measures were taken at baseline, two weeks post completion of the group, and at a 3-month follow-up for 47 participants...
January 8, 2019: Occupational Therapy in Health Care
Hsin-Hsiu Essential Yeh, Mary Ann McColl
This article presents a scoping review of 74 papers from the peer reviewed literature dealing with occupational therapy in palliative care. Five themes emerged regarding the parameters of occupational therapy in palliative care. The themes include: the importance of valued occupations even at the end of life, an exploration of how occupations change over the trajectory of a terminal illness, the balance between affirming life and preparing for death, valued occupations might be doing, being, becoming, or belonging occupations and the emphasis of a safe and supportive environment as an essential dimension for effective palliative care...
January 7, 2019: Occupational Therapy in Health Care
Rod Morgan, Rosanne DiZazzo-Miller
Although bathing skills can be an indicator of long term placement, documentation of occupational therapists doing bathing as an occupation-based intervention is limited. Five clients were referred to a hospital-based home health agency with various diagnoses and at different levels of functioning. Each client was assessed at admission and discharge using the Outcomes and Assessment Information Set and the occupational therapists used the Activities of daily living (ADL) of bathing as the intervention based on client centered expressed needs...
January 7, 2019: Occupational Therapy in Health Care
Andrew Freeman, Nathalie Jauvin
In the face of increased external controls on their practice and increased accountability obligations, health professionals such as occupational therapists must be able to act strategically with other stakeholders to reach consensus about service quality and the accompanying level of professional autonomy. Such strategic action requires certain competencies, including that of analyzing the context in which one's practice take place. In this article, we argue that the following three approaches, or lenses, should be used in this analysis: (1) accountability, (2) ethics, and (3) professional-as-worker...
December 31, 2018: Occupational Therapy in Health Care
Christine T Myers
Research utilization of occupational therapists may positively influence the quality and cost-effectiveness of service delivery; however, previous studies suggest that therapists' overall use of research in clinical practice is limited. This cross-sectional study used survey methodology to investigate the research utilization behaviors of occupational therapists and examine the differences in behaviors between those who had and had not used the Navigator® . The Navigator® online competence assessment platform supports research utilization through recommended readings and access to online databases with full-text articles...
December 31, 2018: Occupational Therapy in Health Care
Tore Bonsaksen, Anne-Stine Dolva, Cathrine Hagby, Unni Sveen, Sissel Horghagen, Else Merete Thyness, Cathrine Arntzen
A cross-sectional descriptive survey was conducted (n = 561). Almost half of the participants took part in research and development projects. Being involved in research and development was associated with lower age, having further education, and higher levels of work experience. The current and prioritized research topics were reablement and assistive technology. The study implies that community-working occupational therapists are largely involved in research and development, or eager to become involved...
December 31, 2018: Occupational Therapy in Health Care
Jaclyn K Schwartz, Lynne Richard
A computer-assisted survey was developed and administered to 66 occupational therapists working in adult physical rehabilitation to explore how and to what extent occupational therapists evaluate and treat medication management impairments. Approximately 90% of the sample evaluate and treat medication management, but only about 25% addressed medication management on a consistent basis. This suggests that current medication management service provision levels may be insufficient to meet clients' needs. Research is warranted to understand and improve occupational therapists' abilities to address medication management in practice...
December 31, 2018: Occupational Therapy in Health Care
Giovanni Galeoto, Mariele Colucci, Domenico Guarino, Giuseppina Esposito, Elisabetta Cosma, Rita De Santis, Gianluca Grifoni, Donatella Valente, Marco Tofani
This study explores validity, reliability, and factor analysis of the Quebec User Evaluation of Satisfaction with Assistive Technology (IT-QUEST) for users of assistive technology devices in an Italian population. It was administered to 75 people to determine which of the 24 original items were relevant to the Italian context using exploratory and confirmatory factor analyses (EFAs and CFAs) were conducted with internal consistency and test-retest reproducibility also evaluated. The EFA and CFA showed that the 24-item survey may have limited relevance to the Italian context...
December 31, 2018: Occupational Therapy in Health Care
Kathlyn L Reed
The Henry B. Favill School of Occupations, a pioneer program in the history of occupational therapy, was named for the visionary physician Henry Baird Favill, M.D. who practiced in Chicago, Illinois. The School had two types of classes or programs. One was a curative workshop for disabled clients in need of occupational training and the other was a teaching program designed to train people to work with clients. The curative workshop, called the Occupational Center, began in 1915 at the Illinois Society for Mental Hygiene under the guidance of Dr...
December 31, 2018: Occupational Therapy in Health Care
Ganesh M Babulal, Arun Selvaratnam, Steven D Taff
As the profession of occupational therapy enters a second century, its growth in an increasingly complex and globalized world requires an adaptive and diverse philosophical foundation. The existentialist school of thought offers a complementary focus, which enhances existing philosophical foundations of the profession and supports two major tenets: (1) humans as self-making beings always in the process of becoming and (2) emotions and feelings as foundations for being-in-the-world. This article explores these two themes both in the context of existentialism and occupational therapy, and then provides an examination of existentialist utility in occupational therapy practice, research, and education...
December 24, 2018: Occupational Therapy in Health Care
Young Joo Kim
No abstract text is available yet for this article.
November 24, 2018: Occupational Therapy in Health Care
Ann Johansson, Sofi Fristedt, Martina Boström, Anita Björklund
The aim of this scoping review was to identify and describe how occupational adaptation has been used in different research studies published from 1992 to 2015 and to identify possible gaps in study design. Four categories of studies were identified: those focused on understanding how occupational adaptation occurs in different life situations and different health conditions, those focused on the use of occupational adaptation as a guide or model in organizing the occupational therapy process, and those using occupational adaptation as a part of instrument development...
November 22, 2018: Occupational Therapy in Health Care
Rachel Diamant, Jennifer S Pitonyak, Cecille Corsilles-Sy, Anne Birge James
This study examined competencies perceived by occupational therapists and occupational therapy assistants as important for intraprofessional collaboration. While interprofessional practice is well defined, less is known about collaboration within professions with varied levels of practice credentials. Occupational therapy practitioners (N = 351) rated 20 competencies in four domains (Intraprofessional Teamwork, Roles/Responsibilities, Communication, and Values/Ethics) through an online survey. A high percentage of respondents perceived all competencies as important or very important...
October 31, 2018: Occupational Therapy in Health Care
Karen E Atler, Arlene A Schmid, Tara C Klinedinst, Laura A Grimm, Tasha P Marchant, David R Marchant, Matt P Malcolm
The cross-sectional study investigated the relationship between quality of life, activity, and participation in 93 adults with type 2 diabetes mellitus at a primary care center. Moderately strong correlations were found between quality of life and leisure/work, outdoor and social activities, but not with domestic activities. Leisure/work, outdoor, and social activities accounted for 18% of the variance in the quality of life variables. In a follow-up model, age, depression, and falls efficacy accounted for another 51% of the variance in total quality of life...
October 31, 2018: Occupational Therapy in Health Care
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