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1.
J Cancer Surviv ; 15(6): 818-824, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33502722

RESUMO

PURPOSE: Esophagectomy for cancer is an extensive procedure often followed by severe complications. This study investigated whether patients with severe symptoms of reflux are more likely to have sleep disturbances and reduced health-related quality of life (HRQL) after esophagectomy. METHODS: This Swedish nationwide prospective cohort study encompassed all patients who had undergone esophagectomy for cancer between 2013 and 2018. One year after surgery, the patients responded to three questionnaires on reflux (EORTC QLQOG25), sleep disturbances (KSQ), and HRQL (EORTC QLQ-C30). Multivariable logistic regression provided odds ratios (OR) with 95% confidence intervals (CI) for sleep disturbance/reduced HRQL between patients with and without reflux, adjusted for potential confounders. RESULTS: Among 241 esophagectomy patients, 66 (27%) reported severe reflux. Patients with reflux had an increased risk of sleep disturbances (OR 2.3, 95% CI: 1.3-4.3) compared to patients without reflux. More specifically, these patients were more likely to suffer from poor sleep quality (OR 4.9, 95% CI: 1.9-12.4). Patients with reflux and sleep disturbances reported reductions in global quality of life, role function, emotional function, social function, and more symptoms in all scales, except for dyspnea. CONCLUSIONS: This study suggests that patients with severe symptoms of reflux after esophagectomy have an increased risk of sleep disturbances and poor sleep quality, which in turn are associated with reduced HRQL. IMPLICATIONS FOR CANCER SURVIVORS: Alleviating reflux after oesophageal cancer surgery is important, since this common symptom might reduce HRQL and well-being.

2.
Scand J Occup Ther ; 27(7): 536-549, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31282796

RESUMO

Background: Fatigue is common among people with multiple sclerosis (MS), and significantly influences engagement in occupations. The Managing Fatigue (MF) programme is an evidence-based occupational therapy group-based intervention, utilising self-management science that provides people with tools to manage fatigue. Although the national MS-guidelines in Sweden cite this as best practice, a Swedish version is not available.Aim: To translate and investigate the feasibility of a Swedish MF programme delivered by occupational therapists working with MS clients in Sweden.Material and methods: We used a mixed-methods design. Eight recruited occupational therapists, participated in a workshop prior to delivering the MF programme. Following programme delivery, they completed a questionnaire and participated in focus group interviews.Results: Each therapist conducted one programme with 5-9 MS clients. Overall, therapists were satisfied with programme content, and delivery was followed. Minor improvements were suggested, specifically in relation to how cognitive fatigue can be managed. Therapists acknowledged challenges moving from "expert" to supporting self-management.Conclusion: The MF programme is feasible in Sweden, and its client-centred and occupation focus is consistent with therapists' scope of practice. In the future, acceptability and satisfaction from the perspectives of MS participants should be examined. Larger, more robust intervention studies evaluating effectiveness are also warranted.


Assuntos
Pessoal Técnico de Saúde/psicologia , Atitude do Pessoal de Saúde , Fadiga/terapia , Esclerose Múltipla/terapia , Terapeutas Ocupacionais/psicologia , Terapia Ocupacional/métodos , Terapia Ocupacional/psicologia , Adulto , Estudos de Viabilidade , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Suécia
3.
Scand J Occup Ther ; 21 Suppl 1: 1-2, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25022666
4.
Nord J Psychiatry ; 68(3): 161-8, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24627961

RESUMO

BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) in adults is a phenomenon that attracts a lot of attention in society today. Advances in research have made it clear that many conditions that make people seek medical and psychiatric care may have pervasive deficits in attention, motor control and impulsivity at their roots. Since ADHD in adults is a relatively new and very versatile concept, there is a great need for systemized classification of the ramifications of the deficit that extends into every aspect of these patients' lives. AIMS: To develop a Swedish Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for adult patients with ADHD. METHODS: A national expert survey was conducted using the Delphi technique and a formal consensus conference. Forty-two experts from different professions and organizations, including psychiatrists and physicians, psychologists, occupational therapists, a counsellor, a specialist nurse, representatives from a patient organization and representatives from the Swedish Social Insurance Agency, participated in the Delphi process and 28 participants from the expert group attended the consensus conference. RESULTS: At the formal consensus conference, 66 categories from the ICF were identified and included in the national Comprehensive Core Set for ADHD: 21 categories from the component body functions, 26 categories from the component activities and participation, and 19 categories from the component environmental factors. CONCLUSION: The Comprehensive Core Set for ADHD should be regarded as national and preliminary, and should be further tested and evaluated by experts in ADHD in clinical settings in Sweden.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/classificação , Técnica Delfos , Classificação Internacional de Funcionalidade, Incapacidade e Saúde/organização & administração , Atividades Cotidianas/classificação , Adaptação Psicológica , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Pessoas com Deficiência/psicologia , Emprego/organização & administração , Humanos , Classificação Internacional de Funcionalidade, Incapacidade e Saúde/estatística & dados numéricos , Avaliação de Processos e Resultados em Cuidados de Saúde/métodos , Psiquiatria , Previdência Social/organização & administração , Estresse Psicológico , Inquéritos e Questionários , Suécia , Organização Mundial da Saúde
5.
Scand J Occup Ther ; 20(6): 412-9, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24074348

RESUMO

AIM: This paper reports the measurement properties of the Occupational Circumstances Assessment Interview and Rating Scale - Sweden (OCAIRS-S V2). The OCAIRS is a semi-structured interview and rating scale designed to capture, in detail, a person's occupational participation. The English version 4.0 has been translated into Swedish. The psychometric properties of the Swedish version are unknown. METHODS: Eleven Swedish occupational therapists working in mental health completed 38 OCAIRS-S (V2) assessments in addition to linking videotapes. A total of 60 clients were, therefore, entered into the analysis. Many-faceted Rasch analysis was used to analyse the data. RESULTS AND CONCLUSIONS: Results supported internal, construct, and person response validity of the OCAIRS-S (V2). Inter-rater reliability was established. The scale was shown to discriminate between people who were living in the community. In addition, the results indicate a need to explore the skill items.


Assuntos
Entrevistas como Assunto , Transtornos Mentais/psicologia , Terapia Ocupacional , Inquéritos e Questionários , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Terapia Ocupacional/métodos , Psicometria , Suécia
6.
Work ; 42(3): 447-57, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22523023

RESUMO

OBJECTIVE: To develop a self-report alternative to the Work Environment Impact Scale (WEIS). PARTICIPANTS: First the novel instrument was used and evaluated by ten occupational therapists and 45~clients in primary health care. Then the instrument was used by 26~clients who participated in a rehabilitation programme in another primary health care district. METHODS: The instrument was investigated in two steps. First content validity and utility were investigated through a questionnaire addressed to occupational therapists and their clients respectively. The response distribution was calculated by frequencies. Internal consistency was investigated. In the second step, a revised version of the instrument was investigated for test-retest reliability and internal consistency. The test-retest reliability was calculated by weighted kappa. The internal consistency of the WEIS-SR was calculated by means of Cronbach's alpha. RESULTS: In step one the content validity was good to moderately good, the utility was good, and the internal consistency was satisfactory (0.72). In step two the internal consistency was good (0.88/0.89) and the test-retest reliability was mostly good to moderate (0.35-0.78, median 0.61). CONCLUSIONS: The instrument will be further investigated in other populations and take into consideration additional psychometric properties such as sensitivity to change, predictive validity, and concurrent validity.


Assuntos
Terapia Ocupacional , Atenção Primária à Saúde , Psicometria/instrumentação , Autorrelato , Inquéritos e Questionários/normas , Local de Trabalho , Adulto , Atitude do Pessoal de Saúde , Interpretação Estatística de Dados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Centros de Reabilitação , Reprodutibilidade dos Testes , Licença Médica/estatística & dados numéricos , Suécia , Recursos Humanos , Local de Trabalho/psicologia
7.
Scand J Occup Ther ; 19(3): 274-81, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-21417680

RESUMO

The International Classification of Functioning, Disability and Health (ICF) is intended to provide a framework for practitioners. A client-centred ICF-based assessment (ICF-A) was developed to be used by occupational therapists in problem identification. The aim was to evaluate the ICF-based assessment (ICF-A) focusing on the examination of its utility on the basis of occupational therapists' perspectives regarding clinical relevance and potential for implementation. Eleven occupational therapists, most of whom worked in hospitals, performed in total 99 ICF-A based assessments and completed three self-reported questionnaires related to the utility of the ICF-A, resulting in a total of 121 questionnaires. Data were analysed using descriptive statistics and directed content analysis. The results from this initial testing of ICF-A showed that its clinical relevance was considered low since ICF-A included too many categories. In addition, the time needed to perform the assessments decreased during the 10 assessment occasions. Furthermore, concerning its implementation potential, the client-centred approach in the ICF-A was rated as weak. The target group did not benefit from using ICF-A in a hospital context. Hence, an investigation of its utility among occupational therapists in community and primary care will be the next step in the development of the ICF-A.


Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/classificação , Terapia Ocupacional/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
8.
Scand J Occup Ther ; 19(5): 421-7, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22040319

RESUMO

Participation is often the comprehensive objective of treatment but also an indication of the extent to which the process of occupational therapy is client-centred. The purpose of this study was to explore levels of participation during occupational therapy among clients in the area of mental health from the occupational therapists' perspectives. Additionally the authors sought to identify factors that might hinder client participation. Postal questionnaires were sent out to 670 Swedish occupational therapists working with persons with mental illness and learning disabilities. The questionnaire required therapists to rate clients' levels of participation during occupational therapy. Findings indicated that the most common level of participation for the clients was interdependent, meaning that problems, goals, and plans were identified jointly and collaboratively with the occupational therapist. However, more than 20% of the clients were described as being dependent. Almost 90% of the occupational therapists rated client participation in therapy to be very important and nearly 70% claimed that client participation in general needed to be increased. Occupational therapists rated the primary barriers to participation as being clients' inability to participate and organizational and financial problems. Implications of these findings for education in client-centred practice approaches are discussed.


Assuntos
Deficiências da Aprendizagem/reabilitação , Transtornos Mentais/reabilitação , Terapia Ocupacional , Planejamento de Assistência ao Paciente , Participação do Paciente , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Suécia , Adulto Jovem
9.
Work ; 35(2): 125-36, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20164607

RESUMO

PURPOSE: The aims were to describe and analyze how people with experience of long term sick leave perceive that factors in their work environment support or interfere with work performance, satisfaction, and well-being. METHOD: The 53 participants were interviewed with the Work Environment Impact Scale (WEIS). The WEIS ratings and belonging notes were analyzed by descriptive statistics and qualitative analysis respectively. Differences in WEIS ratings between; women and men; participants with somatic and mental diseases; and participants working and on full-time sick leave were tested. RESULTS: The most supportive factors concerned social interactions at work, and the value and meaning of work. The factors perceived as most interfering concerned work demands and rewards. The social relations at work were perceived as more supportive by the working group than by those on full-time sick leave. The participants with somatic diseases perceived physical work factors as more interfering than did participants with mental diseases, who in turn perceived the value and meaning of work as more interfering. CONCLUSION: Knowledge about the interaction between the worker and the work environment could reveal useful information about the complex phenomenon of reducing sick leave. The WEIS seems useful in providing information about how alterations and accommodations in the work environment could support individual workers.


Assuntos
Adaptação Psicológica , Atitude , Licença Médica , Local de Trabalho , Adulto , Feminino , Humanos , Entrevista Psicológica , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Fatores Sexuais , Apoio Social , Transtornos Somatoformes/psicologia , Suécia
10.
Work ; 35(2): 163-72, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20164611

RESUMO

Worker Role Interview (WRI) is an assessment tool designed to identify psychosocial and environmental factors which influence a person's ability to return to work. The purpose of this study was to investigate if the Worker Role Interview (WRI) can predict return to work over a period of two years. Fifty three long-term sick-listed people were interviewed and rated with the WRI. Differences in ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann-Whitney test and logistic regression respectively. Eight of 17 items in WRI were rated differently between the groups at one or more of the follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96%. 'Expectation of job success' which concerns the person's belief in abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. The WRI assessment contains items that could predict return to work. This implies that the WRI could be a useful tool in vocational rehabilitation for identifying individual rehabilitation needs.


Assuntos
Entrevista Psicológica , Licença Médica , Avaliação da Capacidade de Trabalho , Adulto , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Motivação , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Suécia
11.
Scand J Occup Ther ; 16(4): 238-46, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19173130

RESUMO

The aim was to determine the psychometric properties of the new Worker Role Self-assessment (WRS) instrument. The content validity, utility, test-retest reliability, sensitivity to change, and predictive validity of the WRS were investigated in two subject samples, which were selected at work and pain rehabilitation clinics, respectively. One of these groups consisted of 23 clients and four occupational therapists, and the other comprised 83 clients. All clients in both samples were unemployed. The results showed that both the clients and the occupational therapists perceived the content validity and the utility of the WRS as good. The test-retest reliability showed mostly good to moderate agreement, and the internal consistency was satisfactory. One of the items showed predictive validity for work capacity, and the same item was sensitive to change. However, a ceiling effect reduced the utility and the sensitivity to change. Our findings indicate that the WRS is promising as a tool that clinicians can use to evaluate the capacity for return to work and for planning interventions, although some revisions are needed to counteract the ceiling effect.


Assuntos
Avaliação da Deficiência , Autoavaliação (Psicologia) , Desemprego , Adulto , Doença Crônica/psicologia , Doença Crônica/reabilitação , Feminino , Humanos , Masculino , Dor/reabilitação , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Transtornos de Estresse Traumático/reabilitação
12.
Scand J Occup Ther ; 16(2): 99-109, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-18821446

RESUMO

The purpose of this article is to explore how a group of elderly people, living and managing on their own, describe and experience their everyday doings. Interviews and observations were conducted with 18 community-living people aged 85 and above. The experiences of 'Doing everyday life' are described in five overarching themes: 'Experiencing being old', 'Doings in everyday life', 'Patterns of the day', 'Altered doings', and 'The importance of time'. What is done during an ordinary day does not differ much from earlier in life, but how the doings are performed has changed. Being occupied and staying healthy and sound in mind was stressed as important in old age and even if reduced energy and functional constraints limited the doings, a strong volition to manage independently was expressed. The participants perceived society as regarding the elderly as useless and worthless. Knowledge emanating from the very old themselves is vital to diversify the image of elderly people and to offer interventions and support adapted to their needs and desires.


Assuntos
Atividades Cotidianas , Adaptação Psicológica , Envelhecimento , Estilo de Vida , Apoio Social , Estresse Psicológico , Fatores Etários , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Envelhecimento/psicologia , Feminino , Humanos , Masculino , Percepção Social
13.
Scand J Occup Ther ; 15(2): 116-26, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18570000

RESUMO

The aim of this article is to review research presented in occupational therapy journals with the elderly as respondents. With an increasing number of elderly people in society research including the elderly should play a vital role within occupational therapy especially since emphasis on subjective experience is an important factor in the core constructs of occupation. Through a review of six occupational therapy journals, covering the period 2001--2006, it was discovered that 15% of the total number of articles included the elderly as respondents. The published articles with the elderly as respondents were mainly quantitative with the most frequent subject being instrument developing and testing. Most studies had a population group of mixed ages, making it hard to draw conclusions concerning the elderly population. The conclusion is that more research of a qualitative nature reflecting the subjective perspectives of the elderly is needed, especially regarding the oldest age group since this is the fastest growing and there is still limited knowledge regarding their perspective on matters concerning their everyday lives and their doings. Technological developments are implied to benefit elderly people but more research and discussion is needed on how this will affect both the elderly and occupational therapy theory and practice.


Assuntos
Idoso , Bibliometria , Terapia Ocupacional , Seleção de Pacientes , Sujeitos da Pesquisa , Idoso de 80 Anos ou mais , Humanos
14.
Scand J Occup Ther ; 15(3): 131-42, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19180719

RESUMO

National action plans emphasize the importance of strengthening the role of patients in health and medical care. Patients should feel that they can participate and that they are seen as a resource. In occupational therapy, the client-centred approach has developed, whereby it is key to enable patients to participate in their treatment. The International Classification of Functioning Disability and Health (ICF) has inspired this study, in which concepts such as activity and participation are central. The purpose of the study was to describe how patients in psychiatric institutional care conceive their opportunities to be active, and how they participate in their own treatment. Questionnaires were sent to patients who had received care during a six-month period. Ten patients were then selected for interview. The study shows that younger patients and patients who were treated involuntarily were generally more dissatisfied than other patients. The patients' perceptions of their environment were influenced by the values in the ward. Topics such as atmosphere in the ward, reception, continuity, and support were presented. Important factors related to activity and participation were: agreement concerning the treatment plan, discussions about expectations, creating conditions for engagement in activities, and providing the patients with opportunities to take responsibility for themselves.


Assuntos
Adaptação Psicológica , Hospitais Psiquiátricos/estatística & dados numéricos , Transtornos Mentais/terapia , Serviços de Saúde Mental/estatística & dados numéricos , Terapia Ocupacional/métodos , Assistência Centrada no Paciente/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação , Pessoa de Meia-Idade , Terapia Ocupacional/psicologia , Psicometria , Pesquisa Qualitativa , Percepção Social , Inquéritos e Questionários , Adulto Jovem
15.
Work ; 27(3): 313-8, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17006008

RESUMO

OBJECTIVES: This study examined the psychometric properties of the rating scale of the Worker Role Interview (WRI). The study also asked whether the scale's items formed a valid measure of the construct, psychosocial capacity for work, and whether they were targeted to and could effectively discriminate between persons at different levels of psychosocial ability for work. METHOD OF STUDY: Data were collected from 21 raters on 440 participants from the United States, Sweden and Iceland. A many-faceted Rasch model was used to analyze the data. RESULTS: Most items of the scale worked effectively to measure the underlying construct for which the WRI was designed. In addition, the items were ordered from least to more of the underlying construct as expected. The scale validly measured 90.23% of the participants, who varied by nationality, culture, age and diagnostic status. The scale's items distinguished participants into approximately three different strata and were appropriately targeted to the participants. Seventeen of the 21 raters used scale in a valid manner. CONCLUSIONS: The WRI scale and items are valid across ages, diagnoses, and culture and effectively measure a wide range of persons.


Assuntos
Emprego , Entrevistas como Assunto , Psicometria , Papel (figurativo) , Adulto , Países Desenvolvidos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
16.
Scand J Caring Sci ; 18(4): 417-23, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15598250

RESUMO

The purpose of the present study was to investigate whether ratings according to the Assessment of Communication and Interaction Skills, Swedish version (ACIS-S) are related to the settings in which the skills are assessed, and whether the client's comprehension of the setting is related to the ACIS-S rating scores. The ACIS-S is an observation rating scale applied immediately after each of two to six different social sessions that the client takes part in. The selection of settings relies on the client's judgement of them as being meaningful. In total, nine occupational therapists and 16 clients participated in the study. A total of 71 ratings were made in a mean of 4.4 settings per client. The results indicate that the client's rated comprehension of the settings is not significantly related, in general, to the ACIS-S rating scores given by the occupational therapist. However, the clients ACIS-S scores may vary a lot over settings. In the present study, 13- of the 20-items showed ratings of both the existence and the absence of problems in the same skill -- but in different settings -- in half or more of the client group. This may rise questions for the practitioners how to implement the ACIS-S in clinical practice, for example, how many and which kind of settings and how many times? Further research in the field is recommended.


Assuntos
Comunicação , Relações Interpessoais , Transtornos Mentais/diagnóstico , Terapia Ocupacional/métodos , Testes Psicológicos , Adulto , Feminino , Humanos , Masculino , Transtornos Mentais/reabilitação , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Suécia
17.
Nord J Psychiatry ; 58(5): 403-7, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15513618

RESUMO

During the last few decades, quality assurance has been a central issue in the societies, both in, for example the industrial area and in healthcare. It is a tool to measure the outcomes of product or service provided. A review of the literature during the last 17 years with respect to quality assurance work in psychiatric occupational therapy indicates that few articles have been published in the area and that their scientific quality is questionable. The studies show many methodological shortcomings, which result in difficulty drawing any conclusion from the studies. The number of publications is also decreasing. Furthermore, a survey to investigate quality assurance work in psychiatric occupational therapy service shows that the occupational therapists do not work with quality assurance methods to a great extent. The methods they use most are interviews with patients and patient questionnaire. Both these methods require documentation in order to offer the patient a suitable service. Quality assurance work will be difficult to implement if no documentation is available. Documentation is central to communicating with other professions and with the client. This study points out that occupational therapists need to improve practice as well as research concerning quality assurance in order to ensure that they offer the patient a high-quality service.


Assuntos
Transtornos Mentais/reabilitação , Terapia Ocupacional/normas , Garantia da Qualidade dos Cuidados de Saúde/normas , Documentação/normas , Implementação de Plano de Saúde , Humanos , Entrevista Psicológica , Satisfação do Paciente , Inquéritos e Questionários , Suécia
18.
J Occup Rehabil ; 14(2): 131-41, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15074365

RESUMO

The aim was to investigate the predictive validity of the Worker Role Interview (WRI) for return to work at a 2-year follow-up of clients who attended an insurance medicine investigation center. The WRI identifies psychosocial and environmental factors that influence a person's abilities to return to work. Forty-eight of 202 consecutively selected clients constituted the study group. The Mann-Whitney U test was used to test the statistically significant differences in WRI ratings between those who were working (n = 6) and those who were not (n = 42) 2 years after their investigations. Five of the 17 items in WRI had a tentative predictive validity of return to work. The content area "personal causation" in WRI, had the best predictive validity. The results emphasize the importance of considering the unique individual's beliefs and expectations of his/her effectiveness at work when assessing clients' work ability and planning for further rehabilitation.


Assuntos
Entrevistas como Assunto , Licença Médica , Avaliação da Capacidade de Trabalho , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde , Valor Preditivo dos Testes , Inquéritos e Questionários
19.
Occup Ther Int ; 10(4): 253-68, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-14647539

RESUMO

Occupational therapists need an acceptable terminology to describe a client's clinical performance. The language or terminology must be in harmony with common language in the health care system but also reflect occupational therapists' professional responsibility. The aim of this paper is to help clarify similarities and differences between concepts in occupational therapy and the International Classification of Functioning, Disability and Health (ICF). Two studies were completed in which items in the International Classification of Impairments, Disabilities and Handicaps (ICIDH-2) were compared with concepts from the Swedish version of the assessment of Motor and Process Skills (AMPS) and the Assessment of Communication and Interaction Skills (ACIS-S). An expert panel of occupational therapists served as raters and 33 clients with learning disabilities and mental health problems were assessed. The result showed that 12 (60%) of the skills items from the ACIS-S were found to be equivalent to items in then ICIDH-2. In total, 41% (n = 23) of the items in the AMPS or ACIS-S have a correlation higher then 0.60 with the ICIDH-2. The classification can serve as a useful tool for occupational therapists and supports communication between professions, but is not sufficient as a professional language for occupational therapists. Further research is indicated to examine how the ICF can be applied in occupational therapy and its implications on clinical practice.


Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/classificação , Terapia Ocupacional , Terminologia como Assunto , Humanos
20.
Scand J Caring Sci ; 17(3): 271-7, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12919462

RESUMO

The purpose of this study was to validate the Swedish translation of the Assessment of Communication and Interaction Skills (ACIS-S) and its applicability in Sweden. The ACIS is an observational rating scale designed to capture, in detail, a person's social interactional ability, while he/she is participating in meaningful occupations. Eighteen occupational therapists trained in administering the ACIS-S, completed 157 ACIS-S assessments of 67 subjects with psychosocial and learning disabilities. Many-faceted Rasch analysis was used to analyse the data. The results supported internal, construct and person response validity of the ACIS-S, and rater validity and reliability. The scale effectively categorized subjects according to the levels of communication and interaction ability.


Assuntos
Transtornos da Comunicação/diagnóstico , Pessoas com Deficiência/psicologia , Relações Interpessoais , Exame Físico/métodos , Tradução , Adolescente , Adulto , Idoso , Transtornos da Comunicação/etiologia , Transtornos da Comunicação/psicologia , Feminino , Humanos , Deficiência Intelectual/complicações , Masculino , Transtornos Mentais/complicações , Pessoa de Meia-Idade , Observação/métodos , Variações Dependentes do Observador , Terapia Ocupacional/métodos , Terapia Ocupacional/normas , Ocupações , Exame Físico/normas , Psicometria , Desempenho Psicomotor , Suécia
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