Evaluation of an Intensive Occupational Therapy Intervention to Facilitate Independent Living and Improve Occupational Performance and Participation. Results of a Longitudinal Case Study Design

2020 ◽  
pp. 1-23
Author(s):  
Claire Kearns Murphy ◽  
Agnes Shiel
Keyword(s):  
Occupational Therapy ◽  
Study Design ◽  
Independent Living ◽  
Occupational Performance ◽  
Longitudinal Case Study ◽  
Case Study Design ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Unawareness and/or Denial of Disability: Implications for Occupational Therapy Intervention

2002 ◽  
Vol 69 (5) ◽  
pp. 281-292 ◽  
Author(s):  
Noomi Katz ◽  
Jennifer Fleming ◽  
Nava Keren ◽  
Sue Lightbody ◽  
Adina Hartman-Maeir
Keyword(s):  
Occupational Therapy ◽  
Neurological Disorders ◽  
Neurological Impairment ◽  
Self Awareness ◽  
Occupational Performance ◽  
Case Examples ◽  
Rehabilitation Outcomes ◽  
Current Thinking ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Occupational therapy focus on client-centred, occupational performance intervention may become complicated by the phenomena of self-awareness. The problem of awareness deficits in clients with neurological disorders may be attributed to neurological impairment of self-awareness and/or psychological denial of disability. These phenomena present themselves more commonly in combination than dichotomously and have implications for treatment outcomes. Individuals with impaired self-awareness or denial face difficulties with motivation and participation in therapy, and the adoption of compensatory strategies, which ultimately impacts on rehabilitation outcome. The extent of unawareness versus denial can be assessed by observation of a client's behavior and this information can be very useful in directing the treatment approach. The purpose of this paper is, therefore, to discuss the phenomenon of unawareness and/or denial of disability and its importance to successful rehabilitation outcomes, current thinking and research conducted in different countries. Also, detailed case examples of three clients representing three major populations of traumatic brain injury, stroke and schizophrenia who may exhibit unawareness and/or denial of disability will be presented, including intervention strategies for both phenomena.

An Occupational Performance Process Model: Fostering client and Therapist Alliances

1997 ◽  
Vol 64 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Virginia G. Fearing ◽  
Mary Law ◽  
Jo Clark
Keyword(s):  
Occupational Therapy ◽  
Process Model ◽  
Occupational Therapists ◽  
Occupational Performance ◽  
Therapy Assessment ◽  
Changing Environments ◽  
Theoretical Approaches ◽  
Core Concepts ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Occupational therapists, known for their ability to coach others through difficult changes, now find themselves in changing environments that include clients' desire for participation in service delivery, and the need for evidence of the outcome of occupational therapy intervention. This paper proposes a process model that is based on core concepts of occupation and client-centred practice, that incorporates theoretical approaches, and can be applied to all clients. The process model coaches the occupational therapist through a client-centred problemsolving process. It represents a description or plan for occupational therapy assessment and intervention that leads to a collaborative approach to client-identified occupational performance issues. Examples of the application of the process to occupational therapy practice are included. This model helps to articulate core concepts and values, and provides guidance for occupational therapy practice within changing environments and expectations.

Occupational Therapy Intervention with Children Survivors of War

2002 ◽  
Vol 69 (4) ◽  
pp. 205-217 ◽  
Author(s):  
Salvador Simó-Algado ◽  
Nina Mehta ◽  
Franciscus Kronenberg ◽  
Lynn Cockburn ◽  
Bonnie Kirsh
Keyword(s):  
Occupational Therapy ◽  
Emotional Expression ◽  
Process Model ◽  
Traumatic Experiences ◽  
Occupational Performance ◽  
Human Occupation ◽  
Therapy Program ◽  
Model Of Human Occupation ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

A preventive occupational therapy program with children surviving the Kosovo conflict is examined. The objective of the program was to facilitate the emotional expression of traumatic experiences in order to prevent the development of future psychological problems. The intervention was based on a community-centred approach with spirituality as a central focus of the intervention. The Model of Human Occupation and the Occupational Performance Process Model were utilized to guide the identification and intervention of occupational performance issues. The children's return from a land of war to a land of children demonstrates the potential of occupational therapy intervention in this field. With increasing awareness of populations facing social and political challenges, there is a growing importance of the concept of occupational justice and the need to work against occupational apartheid.

Case Study: Using a Novel Virtual Reality Computer Game for Occupational Therapy Intervention

2012 ◽  
Vol 21 (3) ◽  
pp. 359-371 ◽  
Author(s):  
Sarit Tresser
Keyword(s):  
Virtual Reality ◽  
Occupational Therapy ◽  
Computer Game ◽  
Occupational Therapists ◽  
Developmental Needs ◽  
Therapy Regimen ◽  
Therapeutic Setting ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

The past decade has seen the emergence of rehabilitation treatments using virtual reality environments. One of the main advantages of using this technology is that it creates positive motivation. Currently, most virtual-reality-based games for children are not suitable for use in a therapeutic setting. This case study reports on the use of Growing with Timocco, a specially devised virtual reality computer game, as part of an occupational therapy regimen that addressed the developmental needs of a five-year-old patient diagnosed with dyspraxia, impaired postural structure, weak shoulder, and insufficient bilateral integration, bilateral coordination, and proprioception regulation. Developed specifically for use by occupational therapists and caregivers working with children, Growing with Timocco is equipped to provide exercises for both cognitive and motor skills, but most importantly, it provides a positive setting for this practice, by harnessing the advantages of VR to promote play, pleasure, and motivation.

Recovering from a Depressive Episode Using the Canadian Occupational Performance Measure

1995 ◽  
Vol 62 (5) ◽  
pp. 278-282 ◽  
Author(s):  
Deborah Waters
Keyword(s):  
Occupational Therapy ◽  
Depressive Episode ◽  
Self Care ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

This paper describes the use of the Canadian Occupational Performance Measure (COPM) in the treatment of a person recovering from a depressive episode. Based on the Canadian Model of Occupational Performance, the COPM focuses occupational therapy intervention on the enhancement of performance in the areas of self-care, leisure and productivity. The COPM is client rated and client-centred; the client defines the specifics of treatment and measures the outcome. In the case presented the client's occupational performance and satisfaction with occupational performance increased as measured by the COPM. The therapist's role in the use of the COPM is discussed.

Adapting Interventions for Occupational Therapy Practice: Application of the FRAME Coding Structure

2021 ◽  
pp. 153944922110116
Author(s):  
Aimee Piller ◽  
Lisa A. Juckett ◽  
Elizabeth G. Hunter
Keyword(s):  
Occupational Therapy ◽  
Study Design ◽  
Outpatient Clinic ◽  
Treatment Approach ◽  
Multiple Case Study ◽  
Evidence Based ◽  
Intervention Effectiveness ◽  
Case Study Design ◽  
Multiple Case

Occupational therapy practitioners often adapt evidence-based interventions for implementation into practice, yet these adaptations are seldom captured systematically. The purpose of this study was to apply the Framework for Reporting Adaptations and Modifications–Expanded (FRAME) to describe adaptations to one intervention modified for teletherapy in the wake of COVID-19. An embedded multiple case study design was used to track adaptations made to a vestibular and bilateral integration (VBI) protocol—traditionally delivered in-person—that was implemented via teletherapy in a pediatric outpatient clinic. The “Modification and Adaptation Checklist” was used to track protocol adaptations. Data were examined through descriptive analyses; 63 adaptations were made to the VBI protocol. The most frequently noted adaptation was “Repeating protocol activities,” whereas the “Integrating another treatment approach with the VBI protocol” was the least common adaptation. The FRAME may be useful for tracking adaptations and evaluating how adaptations influence intervention effectiveness.

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