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1.
Soins Psychiatr ; 40(323): 12-16, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31402033

RESUMO

The distinction between therapeutic activities and occupational activities seems obvious. On what is this difference based? How can we predict whether an activity will or will not be therapeutic? Using the question of the meaning of our activities as a basis, we can consider what care in psychiatry entails.


Assuntos
Transtornos Mentais/terapia , Humanos , Terapia Ocupacional
2.
Am J Occup Ther ; 73(4): 7304205010p1-7304205010p7, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318665

RESUMO

OBJECTIVE: Despite evidence showing that team-based learning (TBL) is accepted by students, a gap in evidence exists regarding how students' experiences with TBL may change over time. In this study, we explored changes in accountability, satisfaction, and preference for TBL or traditional lecture among occupational therapy students using TBL across 1 yr of occupational therapy education. METHOD: Forty-one pairs of data from first- and third-term occupational therapy students were analyzed to determine changes in students' experience with TBL over time. RESULTS: Data analysis of first- and third-term students showed significant changes in accountability with TBL (p = .027), satisfaction with TBL (p = .021), and preference for TBL over traditional lecture (p = .019). CONCLUSION: Considerable differences were found in individual cohorts regarding satisfaction, accountability, and the overall TBL experience; however, no notable differences were found between cohorts.


Assuntos
Terapia Ocupacional , Aprendizagem Baseada em Problemas , Avaliação Educacional/estatística & dados numéricos , Processos Grupais , Humanos , Estudos Longitudinais , Estudantes
3.
Am J Occup Ther ; 73(4): 7304205020p1-7304205020p21, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318666

RESUMO

OBJECTIVE: Our objective was to assess the efficacy of occupational therapy-related interventions for adults with systemic lupus erythematosus (SLE). METHOD: We reviewed intervention studies published from 2000 to 2017. The method used for conducting the review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PEDro scale was used to evaluate methodological quality. Risk of bias was appraised with methods described by the Cochrane Methods Group. RESULTS: The final analysis included 20 studies (10 physical activity and 10 psychoeducational). Moderate evidence supports physical activity to improve depression, fatigue, exercise tolerance, and function without exacerbation of disease symptoms. Strong evidence supports psychoeducational interventions using cognitive-behavioral approaches to improve pain, depression, anxiety, perceived stress, quality of life, and function. Moderate evidence supports patient education and self-management interventions for pain, depression, anxiety, perceived stress, quality of life, and function. CONCLUSION: Further research on occupation-based interventions for people with SLE is needed.


Assuntos
Lúpus Eritematoso Sistêmico , Terapia Ocupacional , Adulto , Ansiedade , Fadiga , Humanos , Lúpus Eritematoso Sistêmico/fisiopatologia , Qualidade de Vida
4.
Am J Occup Ther ; 73(4): 7304205070p1-7304205070p8, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318671

RESUMO

IMPORTANCE: Because multiple sclerosis (MS) affects many life areas, it is important to know how participation and autonomy are associated with the perceived impact of MS on everyday life. OBJECTIVE: To investigate how perceived quality of life, disease impact, gender, and disease severity predict participation and autonomy in people with MS. DESIGN: Cross-sectional study in which structural equation modeling was used to evaluate relationships between measured variables. SETTINGS: Outpatient clinics in three areas and one inpatient rehabilitation center in Finland. PARTICIPANTS: Convenience sample of 194 people with MS. OUTCOMES AND MEASURES: Participants completed the Impact on Participation and Autonomy (IPA), the World Health Organization Quality of Life-Brief measure (WHOQOL-BREF), and the Multiple Sclerosis Impact Scale (MSIS-29). The Expanded Disability Status Scale (EDSS) was administered by a neurologist. RESULTS: The final model showed good fit to the data. All the goodness-of-fit indexes except χ² supported the model, χ²(30, N = 194) = 46.729, p < .026; comparative fit index = .983; Tucker-Lewis index = .969; root mean square error of approximation = .054; standardized root mean square residual = .039. Quality of life (WHOQOL-BREF) and the impact of multiple sclerosis (MSIS-29) were the main predictors of participation and autonomy. Disease severity influenced only the IPA Autonomy Indoors domain. Gender was not associated with participation and autonomy. CONCLUSION AND RELEVANCE: Experiences of participation and autonomy appear to be closely associated with perceived quality of life and impact of the disease. Findings support the importance of assessing participation and autonomy and planning interventions using this information. WHAT THIS ARTICLE ADDS: The IPA appears to be an appropriate measure for assessing participation and autonomy and planning occupational therapy interventions for people with MS. In particular, environmental factors affecting participation and autonomy should be considered when planning interventions to promote participation and autonomy.


Assuntos
Esclerose Múltipla , Terapia Ocupacional , Estudos Transversais , Humanos , Esclerose Múltipla/patologia , Qualidade de Vida
5.
Am J Occup Ther ; 73(4): 7304205110p1-7304205110p8, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318675

RESUMO

IMPORTANCE: To further the understanding of client centeredness in the context of creativity. OBJECTIVE: This study's objective was to explore the client's uniqueness as the key motivator of creativity in the occupational therapy process using a novel assessment tool, the Creativity in Occupational Therapy Questionnaire (COTQ). Our hypothesis was as follows: "Clients and their characteristics are more important to the creativity of an occupational therapist than the occupational therapist's personality." DESIGN: This study is part of a mixed-methods study. The COTQ, consisting of five clusters of items, was pretested for clarity and reliability in a pilot study (α = .90). It was then used in an online survey of Slovenian occupational therapists. To analyze data, factor and regression analyses were used. SETTING: The survey was completed online. PARTICIPANTS: The survey was sent to all electronic addresses obtained from the Association of Occupational Therapists of Slovenia and the Faculty of Health Sciences at the University of Ljubljana. It was completed by 250 occupational therapists, which represented more than 40% of all Slovenian occupational therapists. RESULTS: Occupational therapists included in the study reported that clients triggered and encouraged their creativity. Both the client's uniqueness, B = .574, t(197) = 12.24, p < .01, and the occupational therapist's personality, B = .388, t(197) = 6.51, p < .01, had a statistically significant influence on creativity in the occupational therapy process. CONCLUSIONS AND RELEVANCE: This study supports the importance of creativity in client-centered practice and provides a quantitative measure of this concept, which could be used in future longitudinal studies. WHAT THIS ARTICLE ADDS: This article suggests that the individual client is the most important factor in the creative process of an occupational therapist. It introduces a novel assessment tool and provides suggestions on how to facilitate a client-centered approach using creativity.


Assuntos
Terapeutas Ocupacionais , Terapia Ocupacional , Criatividade , Humanos , Projetos Piloto , Reprodutibilidade dos Testes , Inquéritos e Questionários
6.
Recurso na Internet em Inglês | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46641

RESUMO

Autism Speaks is dedicated to promoting solutions, across the spectrum and throughout the life span, for the needs of individuals with autism and their families through advocacy and support; increasing understanding and acceptance of people with autism spectrum disorder; and advancing research into causes and better interventions for autism spectrum disorder and related conditions.


Assuntos
Transtorno Autístico , Síndrome de Asperger , Transtorno de Comunicação Social , Hipersensibilidade , Comunicação não Verbal , Ansiedade , Depressão , Terapia Cognitivo-Comportamental , Habilidades Sociais , Fonoterapia , Terapia Ocupacional , Fisioterapia , Psicotrópicos , Transtorno do Deficit de Atenção com Hiperatividade , Transtorno do Espectro Autista
7.
Medicine (Baltimore) ; 98(25): e15983, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31232929

RESUMO

Knowledge of the patient's own perception of functioning and dependence, and of environmental factors, is of significant value. The main goals of this study are (1) to obtain a general profile of the occupational performance of persons with neuromuscular disorders (NMD) and their needs related to that performance and (2) to determine the support resources (assistive technologies [AT], adjustment, and/or caregiver) required to improve or maintain their level of independence.This cross-sectional study involved 24 persons with NMD. The functional independence measure (FIM), the checklist of a home's accessibility level, and a specific questionnaire were administered.The sample included 14 women (58.3%) and 10 men (41.7%). A mean of 61.7 (standard deviation = 17.2) was obtained for FIM motor, over 91, indicating a moderate level of dependence. The AT most frequently used was a wheelchair (70.8%). Architectural barriers were detected in the majority of users' homes (87.5%).Concise assessment of the independence needs of people with NMD, according to their occupational performance, and prescription of resources to meet those needs are required. This procedure should be implemented in healthcare programs, including care to a caregiver.


Assuntos
Atividades Cotidianas , Pessoas com Deficiência/reabilitação , Doenças Neuromusculares/reabilitação , Equipamentos de Autoajuda , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapia Ocupacional , Inquéritos e Questionários , Adulto Jovem
8.
Work ; 63(2): 191-197, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156200

RESUMO

Patients in the medical intensive care unit (MICU) face life-threatening conditions leading to physical and psychological stress, and decreased occupational engagement. Mind-body interventions include techniques based on connecting the mind, body, brain, and behavior to positively influence health. The purpose of this study was to explore the use of mind-body interventions as a tool for use by occupational therapists (OT) to improve health and occupational performance. This was an exploratory case study completed with the patient, "Ann" in a MICU. Ann was a 57-year-old female who was admitted to the MICU for abdominal pain and later diagnosed with septic shock. Two mind-body sessions were completed with Ann and her responses were assessed via multiple variables, including: respiratory rate; blood pressure; heart rate; oxygen saturation; and anxiety. Ann stayed within normal ranges for all variables. This study demonstrates it was feasible to elicit mind-body interventions in this setting, with this patient.


Assuntos
Terapias Mente-Corpo/normas , Terapia Ocupacional/normas , Estudos de Casos e Controles , Colorado , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Pessoa de Meia-Idade , Terapias Mente-Corpo/métodos , Terapeutas Ocupacionais/tendências , Terapia Ocupacional/métodos , Estresse Psicológico/psicologia , Estresse Psicológico/terapia
9.
Work ; 63(2): 309-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156204

RESUMO

As the population of individuals aged sixty-five and older continues to grow, the number of older individuals participating in the workforce rises alongside, with projections estimating as many as 72 million older workers by 2030. Due to this rapid increase in the number of older workers, new challenges to worker health and to health-related productivity will arise in the coming years. Occupational therapy practitioners are uniquely suited to address many of these challenges given their background in activity analysis, assessment and modification of job demands, health promotion and successful aging. However, there is need for continued research in this area to expand the role of the occupational therapy practitioner in prevention and return-to-work interventions focused on the older worker, and to advocate for the value occupational therapy practitioners can contribute to this field.


Assuntos
Promoção da Saúde/métodos , Terapeutas Ocupacionais/psicologia , Terapia Ocupacional/normas , Ferimentos e Lesões/prevenção & controle , Idoso , Feminino , Geriatria/métodos , Promoção da Saúde/normas , Humanos , Masculino , Saúde do Trabalhador/normas , Saúde do Trabalhador/estatística & dados numéricos , Terapeutas Ocupacionais/normas , Terapia Ocupacional/métodos , Papel Profissional/psicologia , Qualidade de Vida/psicologia , Retorno ao Trabalho/estatística & dados numéricos
10.
Health Qual Life Outcomes ; 17(1): 104, 2019 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-31208425

RESUMO

BACKGROUND: By identifying the occupations of women with breast cancer who have performance problems, to examine the impact of the application of occupation-based problem-solving strategies (OB-PSS) training on cancer-related fatigue, depression, and quality of life. METHODS: The study comprises 22 women outpatients in the clinic. Socio- demographic and Clinical Features Information Collection Form, Canadian Occupational Performance Measure (COPM), Cancer Fatigue Scale (CFS), Beck Depression Inventory (BDI), The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire C-30 and BR23 (EORTC QOL-C30 - EORT QOL-BR23) tests have been applied to survivors. OB-PSS training was conducted on a face-to-face basis once a week for 6 weeks. RESULTS: When activity distribution results in accordance with the performance areas are studied, women with breast cancer were seen to suffer problems mostly in their most productive areas (housework management). As a means of solving these performance problems, they developed adaptive strategies like including additional new steps to these activities. Statistically meaningful results have been obtained between measurements before and after the treatment process through all tests (p < 0.01). CONCLUSIONS: OB-PSS provides positive gains in women with breast cancer in terms of a reduction in the degree of cancer-related fatigue and depression, and a progress in performance and satisfaction levels particularly in activities where performance problems are experienced and an improvement in quality of life. OB-PSS training could be used as an appropriate rehabilitation approach for coping with problems in women' life with breast cancer.


Assuntos
Neoplasias da Mama , Terapia Ocupacional/métodos , Resolução de Problemas , Qualidade de Vida , Adulto , Neoplasias da Mama/psicologia , Neoplasias da Mama/terapia , Canadá , Depressão/psicologia , Depressão/terapia , Fadiga/psicologia , Fadiga/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Inquéritos e Questionários
11.
J Stroke Cerebrovasc Dis ; 28(9): 2537-2542, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31235378

RESUMO

AIM: To examine the association of the amount of rehabilitation with functional gains of elderly stroke patients at a convalescent rehabilitation ward using propensity score analysis methods and the Japan Rehabilitation Database. METHODS: This study was a retrospective cohort study. From the database, 6875 patients who were admitted to the convalescent rehabilitation wards with stroke were identified. After excluding 4586 patients, 2325 were eligible for the study. Intensive rehabilitation therapy (IRT) was defined as rehabilitation therapy of more than 15 hours per week by a physical therapist, an occupational therapist, and/or a speech therapist. Functional Independence Measure (FIM) gain, discharge rate to home, and FIM efficiency were examined using student's t test and the χ2 test after inverse probability weighting (IPW). RESULTS: IRT was provided to 862 patients (37.1%). The unadjusted data showed that patients in the IRT group had a longer hospital stay, more physical therapy, occupational therapy, and speech and language therapy. After adjustment for IPW, the baseline characteristics were found to be closely matched between the 2 groups. The IRT group showed significantly higher motor FIM gain, cognitive FIM gain, FIM gain, and discharge rate to home. CONCLUSIONS: The present study demonstrated that a longer rehabilitation time per week was associated with increased functional gain in elderly stroke patients at convalescent rehabilitation wards.


Assuntos
Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/terapia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Cognição , Terapia Combinada , Bases de Dados Factuais , Avaliação da Deficiência , Feminino , Nível de Saúde , Humanos , Japão , Terapia da Linguagem , Tempo de Internação , Masculino , Atividade Motora , Terapia Ocupacional , Alta do Paciente , Modalidades de Fisioterapia , Pontuação de Propensão , Recuperação de Função Fisiológica , Estudos Retrospectivos , Fonoterapia , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/fisiopatologia , Acidente Vascular Cerebral/psicologia , Fatores de Tempo , Resultado do Tratamento
12.
Am J Occup Ther ; 73(3): 7303420010p1, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120850
13.
Am J Occup Ther ; 73(3): 7303205020p1-7303205020p10, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120832

RESUMO

IMPORTANCE: The Occupational Self-Assessment, Version 2.2 (OSA 2.2), is a client-centered measure of clients' perceived occupational competence and value. The OSA 2.2 has previously demonstrated good structural validity and internal consistency; however, the administration length could deter therapists from using this assessment in acute care and acute inpatient rehabilitation. OBJECTIVE: To evaluate reliability and validity of the OSA 2.2 in acute care and acute inpatient rehabilitation and to develop and validate the OSA-Short Form (OSA-SF). DESIGN: We performed a descriptive psychometric analysis using the Rasch analytic approach. SETTING: The data were collected in acute care and acute inpatient rehabilitation. PARTICIPANTS: Our convenience sample consisted of 86 patients in acute care and acute inpatient rehabilitation. OUTCOMES AND MEASURES: Participants rated their perceived occupational competence and value by completing the OSA 2.2. RESULTS: We examined psychometric properties of the OSA 2.2 and OSA-SF using a partial credit Rasch model. The 21-item OSA 2.2 was reduced to a 12-item OSA-SF through iterative removal of items on the basis of item-misfit statistics. The OSA-SF demonstrated adequate rating scale functioning, dimensionality, item and person goodness of fit, item targeting, item hierarchies, and item and person separation. CONCLUSIONS AND RELEVANCE: Findings indicate that the OSA-SF is a valid and reliable measure that can guide client-centered goal setting and intervention planning for adults receiving acute care and acute inpatient rehabilitation. WHAT THIS ARTICLE ADDS: The OSA 2.2 and the OSA-SF offer a client-centered approach to evaluating patients' self-reported ability and ratings of the importance of performing everyday occupations. These assessments can guide client-centered goal setting in acute care and acute inpatient rehabilitation.


Assuntos
Terapia Ocupacional/métodos , Reabilitação , Autoavaliação , Inquéritos e Questionários/normas , Adulto , Humanos , Pacientes Internados , Terapeutas Ocupacionais , Prática Profissional , Psicometria , Reprodutibilidade dos Testes
14.
Am J Occup Ther ; 73(3): 7303205040p1-7303205040p9, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120834

RESUMO

OBJECTIVE: The purpose of this study was to identify the needs of military service members with chronic symptoms after mild traumatic brain injury (mTBI) that fall within the scope of occupational therapy practice. METHOD: In this qualitative descriptive study, service members with a history of mTBI (N = 12) participated in semistructured interviews about their injury history, symptoms, daily routines, challenges, and plans. RESULTS: Two main themes were identified: occupational changes and plans for the future. Occupational changes contains six subthemes: (1) rest and sleep, (2) activities of daily living and instrumental activities of daily living, (3) work, (4) social participation, (5) play and leisure, and (6) education. Plans for the future contains three subthemes: (1) supports, (2) barriers, and (3) fears. CONCLUSION: Occupational therapists who work with this population should consider all areas of occupation, especially sleep, during assessment and treatment planning. Some clients may require additional support for preparing for civilian life.


Assuntos
Concussão Encefálica/reabilitação , Militares , Terapia Ocupacional , Atividades Cotidianas , Adulto , Necessidades e Demandas de Serviços de Saúde , Humanos , Pessoa de Meia-Idade , Síndrome Pós-Concussão/reabilitação
15.
Am J Occup Ther ; 73(3): 7303205100p1-7303205100p10, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120840

RESUMO

When designing international educational collaborations, occupational science and occupational therapy educators must consider how occupational justice can be a linchpin for students' learning. This article describes an international collaboration involving 52 undergraduate occupational science students in the United States and 41 undergraduate occupational therapy students in South Africa. The students participated in six synchronous video conferences in 2016, during which they gave group presentations about four occupational science constructs and engaged in general question-and-answer sessions. Forty percent of the students provided feedback about the interactions using a six-item open-ended electronic questionnaire, which we analyzed using directed content analysis. Our findings suggest that the collaboration helped the students develop more nuanced understandings of disciplinary constructs, international peers, and themselves, providing a platform from which to engage with the big idea of occupational justice. Refinements to this collaboration are aimed at drawing on students' increased critical consciousness to further develop their knowledge about occupational justice.


Assuntos
Terapia Ocupacional/educação , Justiça Social , Compreensão , Comportamento Cooperativo , Docentes , Humanos , Estudantes , Inquéritos e Questionários , Estados Unidos
16.
Am J Occup Ther ; 73(3): 7303205130p1-7303205130p12, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120843

RESUMO

IMPORTANCE: Frailty is common in later life and increases older adults' risk for early disability, institutionalization, and mortality. OBJECTIVE: To explore the research literature on occupational therapy interventions to improve outcomes among frail, community-dwelling older adults. DESIGN: Scoping review of the peer-reviewed literature about occupational therapy interventions and frailty published between January 1996 and January 2017. RESULTS: Ten studies met the inclusion criteria. The majority of the studies focused on adults age 65 yr or older, operationalized frailty as activities of daily living disability, and did not use validated frailty measures to identify frail older adults. Interventions were delivered both as a stand-alone intervention and as part of a multidisciplinary approach. Treatments focused on recommendations and training in use of adaptive devices or assistive technologies, performance of self-care, and recommendations for home modifications. CONCLUSION: Additional research is warranted to build the evidence base and better inform the design and selection of occupational therapy interventions to improve outcomes among frail older adults.


Assuntos
Atividades Cotidianas , Idoso Fragilizado , Terapia Ocupacional , Idoso , Humanos , Vida Independente
17.
Am J Occup Ther ; 73(3): 7303345010p1-7303345010p6, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120845

RESUMO

IMPORTANCE: Health care providers' knowledge of and comfort working with adults with developmental disabilities (DD) affect the quality of care this growing population receives. Previous research on this topic has not included occupational therapy practitioners. OBJECTIVE: To determine occupational therapy practitioners' views about working with older adults with DD in traditional health care settings. DESIGN: Quantitative survey over 4 mo. PARTICIPANTS: A random sample of 310 practitioners from the American Occupational Therapy Association's Gerontology and Physical Disabilities Special Interest Sections working in traditional health care settings. OUTCOMES AND MEASURES: A researcher-developed survey to assess occupational therapy practitioners' comfort, knowledge, challenge, and supports and barriers in regard to working with older adults with DD. RESULTS: In the 310 included surveys (31% response rate), most occupational therapy practitioners reported feeling comfortable (76.1%-80.0%) and knowledgeable (66.5%-68.4%) working with older adults with DD. Approximately 93% reported that work with older adults with DD was at least somewhat challenging. Key perceived barriers included clients' cognitive needs, lack of caregiver collaboration, and challenging behavior. CONCLUSION AND RELEVANCE: Most occupational therapy practitioners in traditional health care settings found working with older adults with DD challenging, and many did not feel sufficiently knowledgeable to meet the needs of this population. Similar to other health professionals, occupational therapy practitioners may benefit from additional resources to provide services to this population. WHAT THIS ARTICLE ADDS: Older adults with DD receive occupational therapy services in hospitals, rehabilitation centers, nursing homes, and other medical settings. Because clients such as these are not common in these settings, occupational therapy practitioners who work there would like more tools to help provide good care.


Assuntos
Deficiências do Desenvolvimento , Terapeutas Ocupacionais/psicologia , Terapia Ocupacional , Idoso , Criança , Assistência à Saúde , Humanos , Percepção , Inquéritos e Questionários
18.
Am J Occup Ther ; 73(3): 7303347010p1-7303347010p6, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120848

RESUMO

In this article, I advocate the expansion of self-management support from chronic to acute care as a means of increasing the value of services and highlighting the value of occupational therapy. Like people with chronic conditions, clients with acute conditions (1) need to participate in their own care, (2) require support for participation, (3) engage in care outside of traditional medical behaviors, and (4) benefit from a focus of care that extends beyond discrete episodes. Self-management support can facilitate adherence, promote holistic conceptualizations of health, and address long-term outcomes and costs. Given that self-management support aligns with occupational therapy's philosophical roots, expansion of self-management support to acute care highlights the profession's contribution to health promotion in this practice area.


Assuntos
Doença Crônica/reabilitação , Terapia Ocupacional , Autogestão , Promoção da Saúde , Humanos
19.
Am J Occup Ther ; 73(3): 7303390010p1-7303390010p8, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31120849

RESUMO

Evidence Connection articles provide case examples of how practice decisions may be informed by findings of systematic reviews sponsored by the American Occupational Therapy Association Evidence-Based Practice Project. This Evidence Connection article is the second article in a two-part series. The first article described a case report of occupational therapy provided to a child with a diagnosis of autism spectrum disorder and challenges in sensory integration in a clinic setting (Parham et al., 2019). This article describes the same child's occupational therapy service delivery by the occupational therapist working in the school setting.


Assuntos
Transtorno do Espectro Autista/terapia , Cognição/fisiologia , Terapia Ocupacional , Sensação/fisiologia , Adolescente , Criança , Prática Clínica Baseada em Evidências , Humanos
20.
Occup Ther Int ; 2019: 9030897, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31049046

RESUMO

Introduction: Personality disorders are common mental health disorders, with an estimated lifetime prevalence of 4 to 15%. People living with personality disorders are extensively seeking mental health services, yet few papers focus on their unique occupational needs or effective rehabilitation interventions that may alleviate the occupational issues they face. Occupational therapists are encouraged to support engagement in socially valued occupations, while preventing engagement in damaging ones, despite a lack of evidence on the meaning and the lived experiences of people. Objectives: This paper describes the meaning attributed by people living with personality disorders to their main occupations and the underlying needs they strive to fulfill through occupational engagement, whether or not these occupations are sanctioned. Methods: This exploratory study rests on a descriptive interpretative methodology. The participants were ten men and women, aged between 18 and 35 years old and living with a Cluster B personality disorder. A semistructured interview guide allowed participants to build narratives on occupations that are important to them and discuss how these occupations shape their identity. A thematic content analysis fostered the development of a coding structure that reflected a first-account perspective. Results: The narratives provided by the participants depict a variety of meaningful occupations, many of which are socially disapproved. Many of these occupations serve as a coping strategy to deal with distressing situations, to connect with others who share similar life experiences, or to reestablish a fragile sense of control. Other occupations are socially disapproved due to the overinvestment of the participants' commitment. While participants described how this overinvestment allowed them to control destructive impulses, significant others perceived it as counterproductive and unnecessary. Participants perceived self-care occupations as painful and tedious chores or meaningless occupations. Engaging in productive occupations allowed some participants to gain recognition or to identify their competencies, but also confirmed their differences, creating some form of alienation or marginalisation. Conclusion: This exploratory study invites clinicians and researchers to develop a more responsive understanding of occupational engagement for this population. The results highlight the importance of situating occupations in their context, while endorsing a first-account perspective, to better understand the forces that shape occupational engagement. Ultimately, occupational therapists should critically appraise their assumptions around healthy and unsanctioned occupations, in order to respond with sensitivity to the needs and experience of their clients, without perpetuating the marginalisation and discrimination they face.


Assuntos
Ocupações , Transtornos da Personalidade/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Narração , Terapia Ocupacional , Pesquisa Qualitativa , Adulto Jovem
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