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Australian Occupational Therapy Journal

Haley Baron, Natalie Hawrylyshyn, Samantha S Hunt, Janette McDougall
INTRODUCTION: There is little consensus regarding the meaning of quality of life (QOL) within occupational therapy literature. Measurement of QOL has varied in both research and practice. This scoping review explored the definitions and measures used within occupational therapy quantitative intervention research to evaluate QOL as an outcome. METHODS: The review was completed by searching six databases using occupational therapy-related and QOL-related terms. Data were extracted from each article and authors performed descriptive statistics to establish trends for both definitions and measures...
February 12, 2019: Australian Occupational Therapy Journal
Kendra Liljenquist, Jessica Kramer, Zachary Rossetti, Wendy Coster
INTRODUCTION: Participation in community-based recreation and leisure activities may afford valuable opportunities to young people with cognitive disabilities (CD) to develop important self-determination skills needed for success in adulthood. To evaluate whether these programmes are achieving their intended impact, it is important to have a tool that captures the perspective of the participants using an accessible method. This article describes the content development and evaluation of accessibility and feasibility of the Participatory Experience Survey (PES)...
February 11, 2019: Australian Occupational Therapy Journal
Maureen Godfrey, Petrea Cornwell, Sally Eames, Tenelle Hodson, Tara Thomas, Ailsa Gillen
INTRODUCTION: The evidence base surrounding occupational therapy pre-discharge home visits discusses current practices, potential beneficial outcomes and limitations. However, research is limited, regarding how clinical teams determine which patients receive this service. This study aims to explore perceptions of occupational therapists and multidisciplinary stakeholders concerning pre-discharge home visits through their experiences and current practice in the Australian context. METHOD: A qualitative descriptive approach, using thematic analysis, was employed...
February 10, 2019: Australian Occupational Therapy Journal
Lauren J Christie, Annie McCluskey, Meryl Lovarini
INTRODUCTION: Constraint-induced movement therapy (CIMT) is an effective intervention for upper limb recovery following stroke and traumatic brain injury. Despite strong evidence, the use of CIMT in practice is limited. The aim of this study was to investigate clinician knowledge and experience of delivering CIMT protocols internationally in neurorehabilitation. METHODS: A cross-sectional survey was conducted online. The survey was distributed through occupational therapy and physiotherapy associations, neurological interest groups and list serves in 11 countries...
February 4, 2019: Australian Occupational Therapy Journal
Sarah Prescott, Jennifer Fleming, Emmah Doig
BACKGROUND/AIM: Client-centred goal setting is fundamental to occupational therapy practice and has been increasingly embraced by all rehabilitation practioners. Goal setting in clinical practice is a highly individualised process and may be more challenging with people with acquired brain injury. However, research examining practice is limited. We developed the Client-Centred Goal Setting Practice Framework to explain how client-centred goals are developed in brain injury rehabilitation...
January 30, 2019: Australian Occupational Therapy Journal
Kirsty van Stormbroek, Helen Buchanan
BACKGROUND/AIM: The transition from student to occupational therapy practitioner is challenging. In South Africa, this transition is undertaken in rural and underserved areas, as graduate health professionals are deployed by the government for a year of compulsory Community Service. This study set out to establish the characteristics of these practice settings, the resources available for occupational therapy services, the availability and quality of supervision, and participants' perceived ability to communicate with their patients and negotiate cultural differences...
January 30, 2019: Australian Occupational Therapy Journal
Malek Amini, Afsoon Hassani Mehraban, Marzieh Pashmdarfard, Moslem Cheraghifard
INTRODUCTION: Occupational therapy supports individuals to participate in meaningful activities. Participation in activities should be assessed with appropriate tools. The aim of the present study was to establish the reliability and validity of the Children Participation Assessment Scale in Activities Outside of School-Parent version (CPAS-P) for children with physical disabilities. METHODS: The participants were 304 parents of 6- to 12-year-old children with physical disabilities...
January 30, 2019: Australian Occupational Therapy Journal
Kathryn Townsend, Carolyn A Unsworth
INTRODUCTION: The prescription of powered mobility devices for clients is an important role for occupational therapists. However, the skill of may powered mobility device users to drive their devices remains unknown and clients are provided with only brief education on their use. Few assessments exist to guide mobility device use assessment, and none of these incorporate the training clients need. The aim of this paper was to investigate the inter-rater reliability of a new assessment and training tool called the Powered Mobility Device Assessment Training Tool (PoMoDATT)...
January 25, 2019: Australian Occupational Therapy Journal
Elena Gospodarevskaya, Rob Carter, Christine Imms, Eli Mang Yee Chu, Kelli Nicola-Richmond, Nigel Gribble, Elspeth Froude, Stephen Guinea, Loretta Sheppard, Angelo Iezzi, Gang Chen
INTRODUCTION: This economic evaluation complements results of the randomised controlled trial that established non-inferiority of the learning outcomes of a one-week simulated clinical placement (SCP) in occupational therapy qualifying degrees in comparison to an equivalent traditional clinical placement (TCP). This companion study presents detailed cost analyses of two placement alternatives and a cost-benefit study to assess the value for money of SCP. An economic evaluation of simulated versus traditional placements has not previously been conducted in Australia...
January 25, 2019: Australian Occupational Therapy Journal
Lisa Knightbridge
INTRODUCTION: The ability to reflect on practice and context is an essential professional behaviour required by occupational therapists and included within practice guidelines and standards. Research has demonstrated the benefits of reflection within specialist areas of practice. However, there is a lack of research into reflection within, and across, work place practice. The aim of this study was to understand how occupational therapists define, conceptualise and engage in reflection in practice...
January 25, 2019: Australian Occupational Therapy Journal
Carole James, Lynette MacKenzie, Mike Capra
INTRODUCTION: Validity is a dynamic process and as part of a continual process of evaluation of tools, this study aimed to evaluate content validity of the WorkHab functional capacity evaluation, a tool used in occupational rehabilitation. METHODS: A cross sectional survey of health professionals who conduct FCEs investigated their ratings of item relevance and item difficulty across different categories of work and injuries. The survey also explored the relationship of the WorkHab FCE items with the physical demand items of the Dictionary of Occupational Titles (DOT)...
January 22, 2019: Australian Occupational Therapy Journal
Alison Pighills, Anna Tynan, Linda Furness, Marnie Rawle
INTRODUCTION: Environmental assessment and modification is an effective approach to reducing falls, particularly when provided by occupational therapists to high risk populations. Environmental assessment and modification has been incorporated into many national and international falls prevention guidelines, however, evidence suggests that it is not being implemented in practice. The aim of this study is to identify factors that support the local adoption of best practice environmental assessment for falls prevention within a rural health service...
January 22, 2019: Australian Occupational Therapy Journal
Emma J Schneider, Natasha A Lannin, Louise Ada
BACKGROUND/AIM: Increasing the intensity of practice is associated with improved upper limb outcomes, yet observed intensity levels during rehabilitation are low. The purpose of this study was to investigate: whether a professional development program would increase the intensity of practice undertaken in an inpatient, upper limb rehabilitation class; and whether any increase would be maintained six months after the cessation of the program. METHOD: A pre-post study was conducted within an existing inpatient, upper limb rehabilitation class in a metropolitan hospital...
January 21, 2019: Australian Occupational Therapy Journal
Beth Cheal, Anita Bundy, Ann-Helen Patomella, Justin Newton Scanlan, Christopher Wilson
BACKGROUND: DriveSafe measures awareness of the driving environment. It is one subtest of DriveSafe DriveAware, a cognitive fitness-to-drive screening instrument. We converted DriveSafe to a touchscreen format for ease of administration; this necessitated the development of an automatic data collection and scoring system to reflect the decision that would otherwise have been made by an expert rater. We applied a structured process to determine what constituted 'correct' scores. We then examined the resulting scoring parameters to determine if these discriminated at-risk drivers from a comparison sample...
January 21, 2019: Australian Occupational Therapy Journal
Kathrine Hammill, Rosalind Bye, Catherine Cook
BACKGROUND/AIM: Occupational therapists working in palliative care aim to enable clients living with a life-limiting illness to continue participating in meaningful activities for as long as possible. However, little is published about the occupations people living with a life-limiting illness wish to engage in, and how occupational therapists can best enable occupational engagement. Therefore, this study aimed to gain an in-depth understanding of occupational therapists' perceptions on clients' occupational engagement post-diagnosis of a life-limiting condition...
January 21, 2019: Australian Occupational Therapy Journal
Reinie Cordier, Yu-Wei Chen, Lindy Clemson, Julie Byles, Natasha Mahoney
BACKGROUND/AIM: Increased age and cognitive decline have been linked to difficulties with activities of daily living (ADL) and instrumental activities of daily living (IADL). Cognitive decline can often be signalled by complaints about one's cognition, such as memory. With older Australians living longer, there is an increasing proportion of the population at risk of declined performance in daily tasks. The aim of this study was to identify if subjective memory complaints in later life among older women predict changes in independence in performing ADL and IADL...
December 21, 2018: Australian Occupational Therapy Journal
Carlos Sánchez-Camarero, Ricardo Ortega-Santiago, Francisco Arias-Horcajadas, Agustín Madoz-Gúrpide, Juan Carlos Miangolarra-Page, Domingo Palacios-Ceña
BACKGROUND/AIM: Cocaine consumption may result in irreversible structural changes in the brain. The long-term effects of cocaine are related to a wide range of deteriorated cognitive functions. This study aimed to examine the fine motor control and hand-function in cocaine users compared to healthy controls. METHODS: An observational study was conducted. Sociodemographic variables, substance consumption, the Purdue Pegboard and the Jebsen-Taylor Hand-function Test were evaluated bilaterally in 35 participants who were cocaine users and in 35 healthy participants...
December 21, 2018: Australian Occupational Therapy Journal
Linda F L Tse, Andrew M H Siu, Cecilia W P Li-Tsang
AIM: This study aimed to examine the differences in developmental skills between children with and without handwriting difficulties in their last year of kindergarten education. METHODS: Standardised tests on handwriting performance and developmental skills were administered to 20 typically developing children, 21 children with handwriting difficulties in Chinese and 23 children with handwriting difficulties in both Chinese and English. We used one-way MANOVA, univariate ANOVA and post hoc comparisons, to compare the developmental skills between children with and without handwriting difficulties...
December 18, 2018: Australian Occupational Therapy Journal
Susan Arnold, Lynette Mackenzie, Michael Millington, Carole James
BACKGROUND/AIM: Estimating domestic assistance requirements within the medicolegal field is a role for occupational therapists. It is a complex multidimensional process of clinical reasoning with no published research outlining how an occupational therapist translates assessment data into the number of hours of domestic assistance required. This study describes the current occupational therapy practice of estimating domestic assistance hours within the medicolegal context. METHOD: Three focus groups, totalling 14 occupational therapists providing medicolegal reports in New South Wales, were conducted...
December 18, 2018: Australian Occupational Therapy Journal
Cecilia W P Li-Tsang, Tim M H Li, Mandy S W Lau, Amy G W Lo, Choco H Y Ho, Howard W H Leung
BACKGROUND/AIM: Handwriting difficulties can be detrimental to students' performance in school tests and even in public examinations. It is crucial for school-based occupational therapists to identify students with handwriting difficulties and support them with appropriate adaptive strategies. The purpose of this study is to validate a computerised assessment - the Computerised Handwriting Speed Test System (CHSTS) of both Chinese and English handwriting for Chinese secondary students and provide an objective reference for extra time allowance in paper-based examinations...
December 11, 2018: Australian Occupational Therapy Journal
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