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.

Making meaning around experiences in interventions: identifying meaningfulness in a group-based occupational therapy intervention targeting older people

2017 ◽  
Vol 38 (9) ◽  
pp. 1887-1911
Author(s):  
INGEBORG NILSSON ◽  
ANNA SOFIA LUNDGREN
Keyword(s):  
Occupational Therapy ◽  
Controlled Trial ◽  
Positive Health ◽  
Self Reflection ◽  
Underlying Mechanisms ◽  
Therapy Interventions ◽  
Randomised Controlled ◽  
Occupational Therapy Interventions ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

ABSTRACTThere is a need to understand the underlying mechanisms at work within health promotion and occupational therapy interventions. The aim of this article was, therefore, to explore and describe how the participants of a group-based occupational therapy intervention with positive health outcomes created meaning of and around their experiences of the intervention. The studied intervention was part of the evaluation of a single-blinded, exploratory randomised controlled trial of three different interventions. A total of 19 participants between 77 and 82 years of age with experiences from the group-based intervention were interviewed, and the transcribed interviews were analysed from a constructivist approach. The results showed five different perspectives of meaning, including enjoyment, usefulness, togetherness, respect for individuality and self-reflection. Based on our findings, we argue that the possibility of getting information, sharing with others and having fun, and the ability to adjust the activities in the intervention so that they met the individual's needs, created meaning for the participants. Moreover, meeting with others supported the participants’ perspectives of themselves. The results are discussed in relation to the pervasive discourse of successful ageing, including how it was present but also challenged within the participants’ accounts of the intervention.

scholarly journals Content and acceptability of an Occupational Therapy intervention in HomEcare Re-ablement Services (OTHERS)

2018 ◽  
Vol 81 (9) ◽  
pp. 535-542 ◽  
Author(s):  
Phillip J Whitehead ◽  
Avril ER Drummond ◽  
Ruth H Parry ◽  
Marion F Walker
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Controlled Trial ◽  
Structured Interviews ◽  
Intervention Participant ◽  
Randomised Controlled ◽  
Occupational Therapy Intervention ◽  
Pro Forma ◽  
Therapy Intervention

Introduction Despite clear compatibilities between the tenets of occupational therapy and re-ablement, there is limited research on occupational therapy in homecare reablement services. This article describes an occupational therapy intervention that was delivered as part of a feasibility randomised controlled trial (Occupational Therapy intervention in HomEcare Re-ablement Services), and evaluates whether the intervention was acceptable to participants. Method There were three phases: (1) a bespoke pro forma was completed, recording the activities undertaken after each therapy visit; (2) an acceptability questionnaire was sent to every intervention participant and (3) semi-structured interviews were completed with key informants who received the intervention. Results The principal activities undertaken were assessment, case management, goal-setting, advice and support, and practising activities in relation to bathing/showering or kitchen activities. Participants particularly valued the advice and support provided. However, there were difficulties due to fluctuations in circumstances and with activities of daily living outside the home within the 6 week timescale. Conclusion An intervention focusing on activities of daily living within the home was acceptable for participants and consistent with their goals; however, they also had goals beyond personal activities of daily living and the timescale of the re-ablement episode. Further research should focus on extended activities of daily living, beyond this time-limited period.

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.

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