scholarly journals A Strength-Based Intervention to Increase Participation in Leisure Activities in Children with Neuropsychiatric Disabilities: A Pilot Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Anna Ullenhag ◽  
Mats Granlund ◽  
Lena Almqvist ◽  
Lena Krumlinde-Sundholm
Keyword(s):  
Self Efficacy ◽  
Goal Attainment ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Performance Measure ◽  
Single Subject ◽  
Intervention Model ◽  
Canadian Occupational Performance Measure ◽  
Activity Performance ◽  
Performance Ability

The aim is to evaluate the feasibility of an intervention model with a client-centered goal-directed approach with the aim to enhance the child’s participation in leisure activities, self-efficacy, and activity performance. A pilot intervention using a client-centered goal-directed approach and a single-subject design was performed. Two Swedish boys with neuropsychiatric diagnosis aged 12 and 14 years old were included, and 3 leisure activity goals were identified. The intervention was carried out over 8 weeks and took place in the adolescent’s everyday environment and at the pediatric rehabilitation center. The goal attainment of participation goals (GAS), the perceived performance ability according to the Canadian Occupational Performance Measure (COPM), the self-efficacy, and the participants’ satisfaction were used to study the effect. The participants succeeded in attaining their leisure goals as specified by the GAS by achieving +2 on one goal and +1 on the other two goals. They estimated higher performance ability and self-efficacy in their goal performance. Participants, parents, and therapists were overall satisfied and found the intervention to be applicable and helpful in optimizing leisure participation. The intervention model with a client-centered goal-directed approach in which participants define their own leisure activity goals appears to be effective in increasing participation in leisure activities.

scholarly journals Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis

2010 ◽  
Vol 68 (3) ◽  
pp. 385-389 ◽  
Author(s):  
Danielle dos Santos Cutrim Garros ◽  
Rubens José Gagliardi ◽  
Regina Aparecida Rossetto Guzzo
Keyword(s):  
Patient Satisfaction ◽  
Functional Performance ◽  
Leisure Activities ◽  
Performance Measure ◽  
Personal Satisfaction ◽  
Occupational Performance ◽  
Daily Life Activities ◽  
Evaluation Of Performance ◽  
Productive Activities ◽  
Canadian Occupational Performance Measure

The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities) by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4±0.5 to 6.3±0.8 (p<0.01). Patient satisfaction average after wearing the orthosis was of 1.7±0.4 to 6.3±0.6 (p<0.01). In this casuistic, the use of orthosis for wrist and finger spasticity has shown an improvement in the functional performance and patient satisfaction.

Novel occupational therapy intervention in the early rehabilitation of patients with brain tumours

2017 ◽  
Vol 80 (10) ◽  
pp. 603-607 ◽  
Author(s):  
Anders Hansen ◽  
Mette Boll ◽  
Lisbeth Minet ◽  
Karen Søgaard ◽  
Hanne Kristensen
Keyword(s):  
Occupational Therapy ◽  
Brain Tumours ◽  
Controlled Trial ◽  
Performance Measure ◽  
Canadian Occupational Performance Measure ◽  
Performance Ability ◽  
Randomised Controlled ◽  
Rehabilitation Needs ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Statement of context The Danish Health Authority recommends that patients with brain tumours should have their rehabilitation needs evaluated prior to hospital discharge. Critical reflection on practice To our knowledge, no specific recommendations for specialised occupational therapy intervention in patients with glioma have been published. We rationalise how occupational therapy practices founded on shared decision-making and common goal-setting are implicated to patients with brain tumours and elaborate on how an occupation-centred approach with occupation-focused and based intervention has the potential to impact a patient’s performance ability and satisfaction in performing occupations established by the Canadian Occupational Performance Measure. This practice was embedded in a randomised controlled trial investigating the effectiveness of intensive rehabilitation efforts and involving occupational therapy compared with standard care in patients with glioma (ClinicalTrials.gov Identifier NCT02221986). Implications for practice Occupational therapy makes an important contribution in neurorehabilitation, which may also apply to patients with brain tumours.

scholarly journals Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke: a randomized controlled trial

2020 ◽  
Author(s):  
Yi Long ◽  
Rangge Ouyang ◽  
Jiaqi Zhang
Keyword(s):  
Virtual Reality ◽  
Upper Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Performance Measure ◽  
Group Differences ◽  
Occupational Performance ◽  
Randomized Controlled ◽  
Canadian Occupational Performance Measure ◽  
Vr Training

Abstract Background—Virtual reality (VR) has been broadly applied in post-stroke rehabilitation. However, studies on occupational performance and self-efficacy as primary outcomes of stroke rehabilitation using VR are lacking. Thus, this study aims to investigate the effects of VR training on occupational performance and self-efficacy in patients with stroke.Methods—This was an assessor-blinded, randomized controlled trial. Sixty participants with first-ever stroke (< 1-year onset) underwent rehabilitation in a single acute hospital. Participants were randomly assigned to either the VR group (n = 30) or control group (n = 30). Both groups received dose-matched conventional rehabilitation (i.e., 45 min, five times per week over 3 weeks). The VR group received additional 45-min VR training for five weekdays over 3 weeks. The primary outcome measures were the Canadian Occupational Performance Measure and Stroke Self-Efficacy Questionnaire. Secondary outcome measures included Modified Barthel Index, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity. The assessment was conducted at baseline and after the 3-week intervention.Results—A total of 52 participants (86.7%) completed the trial. Significant between-group differences in Stroke Self-Efficacy Questionnaire (Median Difference = 8, P = 0.043) and Modified Barthel Index (Median Difference = 10, P = 0.030) were found; however, no significant between-group differences in Canadian Occupational Performance Measure, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity were noted. No serious adverse reactions related to the program were reported.Conclusions—Additional VR training could help improve the self-efficacy and activities of daily living of patients with stroke; however, it was not superior to conventional training in the improvement of upper limb functions, occupational performance, and satisfaction. Nevertheless, VR could be integrated into conventional rehabilitation programs to enhance self-efficacy of patients after stroke.Trial Registration—This study was successfully registered under the title “Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke” on October 13 2019 and could be located in http://www.chictr.org with the study identifier ChiCTR1900026550.

‘Switch’ technique to restore pronation and radial deviation in 17 patients with brachial plexus birth palsy

2019 ◽  
Vol 44 (9) ◽  
pp. 905-912
Author(s):  
Türker Özkan ◽  
Hasan Utkan Aydin ◽  
Ömer Berköz ◽  
Safiye Özkan ◽  
Erol Kozanoğlu
Keyword(s):  
Brachial Plexus ◽  
Performance Measure ◽  
Occupational Performance ◽  
Level Of Evidence ◽  
Ulnar Deviation ◽  
Canadian Occupational Performance Measure ◽  
Brachial Plexus Birth Palsy ◽  
Activity Performance ◽  
Birth Palsy

We report outcomes of 17 children with brachial plexus birth palsy that underwent extensor carpi ulnaris to brachioradialis and brachioradialis to abductor pollicis longus transfers to correct supination and ulnar deviation deformity. Mean age at the time of surgery was 8.7 years and mean follow-up time was 21 months (8–44). These patients had marked increases in active forearm rotation and Canadian Occupational Performance Measure scores. Activity performance score on the measure increased from 1.1 to 6.7 and satisfaction score increased from 0.8 to 8.7 at final follow-up. We conclude from our patient series that these tendon transfers are effective in correction of the supination and ulnar deviation deformities in brachial plexus birth palsy. Level of evidence: IV

scholarly journals The Effects of Leisure Activities on Self-Efficacy and Social Adjustment: A Study of Immigrants in South Korea

2021 ◽  
Vol 18 (16) ◽  
pp. 8311
Author(s):  
Chul-Ho Bum ◽  
Joon-Hee Lee ◽  
Chul-Hwan Choi
Keyword(s):  
South Korea ◽  
Social Adjustment ◽  
Self Efficacy ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Activity Type ◽  
Social Leisure ◽  
Activity Types ◽  
Post Hoc

This study classified leisure activity types into active, passive, and social leisure activities based on theory, and focused on determining the type that has a significant influence on the self-efficacy and social adjustment of immigrants staying in South Korea. The results of multivariate analysis of variance (MANOVA), including post-hoc analysis using SPSS 23.0, were as follows: in principle, immigrants who participate in active or social leisure activities perceive their self-efficacy and social adjustment to be high. Differing slightly from this, the passive leisure activity type, which includes activities such as reading alone, listening to music, and surfing the web, may relieve their stress or provide them with psychological stability, but it was not found to be helpful in their adjustment to the new culture. The significance of this study lies in the finding that leisure activities help immigrants with social adjustment, in addition to physical and psychological aids that are already well known. We hope that the findings of the present study can be used as basic data for helping immigrants with smooth social adjustment and increasing their quality of life.

scholarly journals Effects of Virtual Reality Training on Occupational Performance and Self-efficacy of Patients With Stroke: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Yi Long ◽  
Rangge Ouyang ◽  
Jiaqi Zhang
Keyword(s):  
Virtual Reality ◽  
Upper Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Performance Measure ◽  
Group Differences ◽  
Occupational Performance ◽  
Randomized Controlled ◽  
Canadian Occupational Performance Measure ◽  
Vr Training

Abstract Background —Virtual reality (VR) has been broadly applied in post-stroke rehabilitation. However, studies on occupational performance and self-efficacy as primary outcomes of stroke rehabilitation using VR are lacking. Thus, this study aims to investigate the effects of VR training on occupational performance and self-efficacy in patients with stroke. Methods —This was an assessor-blinded, randomized controlled trial. Sixty participants with first-ever stroke (< 1-year onset) underwent rehabilitation in a single acute hospital. Participants were randomly assigned to either the VR group (n = 30) or control group (n = 30). Both groups received dose-matched conventional rehabilitation (i.e., 45 min, five times per week over 3 weeks). The VR group received additional 45-min VR training for five weekdays over 3 weeks. The primary outcome measures were the Canadian Occupational Performance Measure and Stroke Self-Efficacy Questionnaire. Secondary outcome measures included Modified Barthel Index, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity. The assessment was conducted at baseline and after the 3-week intervention. Results —A total of 52 participants (86.7%) completed the trial. Significant between-group differences in Stroke Self-Efficacy Questionnaire (P = 0.043) and Modified Barthel Index (P = 0.030) were found; however, no significant between-group differences in Canadian Occupational Performance Measure, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity were noted. No serious adverse reactions related to the program were reported. Conclusions —Additional VR training could help improve the self-efficacy and activities of daily living of patients with stroke; however, it was not superior to conventional training in the improvement of upper limb functions, occupational performance, and satisfaction. Nevertheless, VR could be integrated into conventional rehabilitation programs to enhance self-efficacy of patients after stroke. Trial Registration - This study was successfully registered under the title “Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke” on October 13 2019 and could be located in http://www.chictr.org with the study identifier ChiCTR1900026550.

scholarly journals Early Intervention Service Delivery via Telehealth During COVID-19: A Research-Practice Partnership

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Jessica Kronberg ◽  
Elaine Tierney ◽  
Anna Wallisch ◽  
Lauren M. Little
Keyword(s):  
Early Intervention ◽  
Best Practice ◽  
Goal Attainment ◽  
Parent Satisfaction ◽  
Performance Measure ◽  
Post Intervention ◽  
Community Based ◽  
Canadian Occupational Performance Measure ◽  
Idea Part C ◽  
Education Act

Coaching has been identified as a best practice for early intervention (EI) services provided through the Individuals with Disabilities Education Act (IDEA) Part C. The current study describes the establishment and progress of a research-relationship partnership to deliver coaching via telehealth during the COVID-19 pandemic. Community-based EI providers implemented 9-weeks of telehealth coaching and evaluated the extent to which child and caregiver outcomes differed between families that had previously received in-person services versus telehealth only. Four EI providers completed the intervention with n=17 families of children aged 6-34 months during the pandemic (April-August 2020). We used the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) to collect outcomes on caregiver identified goals; we used Wilcoxon Signed Rank Tests to examine pre- to post-intervention data. Results showed significant improvements in parent satisfaction, child performance, and goal attainment (all p<.01). Findings suggest that telehealth coaching procedures implemented by community-based EI providers resulted in improvements in caregiver identified goals for young children.

scholarly journals Self-reported Reasons for Changes in Performance of Everyday Activities During a 2-Year Multidisciplinary Multiple Sclerosis Rehabilitation

2021 ◽  
Author(s):  
Maarit E. Karhula ◽  
Katja Kanelisto ◽  
Päivi Hämäläinen ◽  
Juhani Ruutiainen ◽  
Pertti Era ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Environmental Factors ◽  
Severe Disabilities ◽  
Rehabilitation Program ◽  
Performance Measure ◽  
The Self ◽  
Outpatient Rehabilitation ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Activity Performance

Abstract Background: Few multidisciplinary rehabilitation studies with a heterogeneous design have focused on people with multiple sclerosis (MS). This study compared subjective-reported changes in performance and satisfaction with daily activities among moderately and severely disabled people with MS during a 2-year, multidisciplinary, group-based, outpatient rehabilitation program comprising education in self-management and compensatory techniques, exercise, and guided peer support. Methods: Thirty-eight adults with moderate disability (Expanded Disability Status Scale [EDSS] score of 4.0–5.5, 74% women, mean age of 48 years) and 41 persons with severe disability (EDSS 6.0–8.5, 63% women, mean age of 48 years) were assessed at baseline and after 12 and 21 months of outpatient rehabilitation using the Canadian Occupational Performance Measure. Group × time interactions were analyzed using mixed analysis of variance. Participants’ explanations of reasons for changes in activity performance were collected via semistructured interviews and content analyzed. Results: Statistically significant improvements in Canadian Occupational Performance Measure performance and satisfaction scores were reported in both groups from baseline to 21 months of rehabilitation. No significant between-group differences in improvement were observed. The self-reported reasons for improvement were mainly linked to environmental factors. Conclusions: The outpatient rehabilitation program, including four themes—cognition, mood, energy conservation, and body control—improved the self-reported performance of patients with MS with moderate and severe disabilities. Environmental factors warrant consideration during rehabilitation.

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