Occupational therapy-led pulmonary rehabilitation: A practice analysis

BACKGROUND Background: Chronic respiratory diseases are highly prevalent and compromise an individual’s ability to perform activities of daily living (ADLs) and participate in meaningful life roles. Pulmonary rehabilitation (PR) is a well-established intervention aiming at restoring an individual’s exercise capacity and improving their ability to complete their ADLs. Occupational therapists help individuals engage in meaningful ‘occupations’, improving their health and well-being. Given the concordance in the aims of PR and the occupational therapy (OT) scope of practice, occupational therapists appear to be well-suited as key players in PR programs. However, the benefits of adding OT to PR programs have been sparsely reported in the literature and the role of OT in PR has never been synthesized or reported in national and international guidelines. OBJECTIVE Objective: To explore the role of OT in PR programs, the current guideline recommendations for the inclusion of OT in PR programs, the estimated prevalence of OT in PR programs and the reported or anticipated effects of OT interventions in PR programs. METHODS Methods: The review will be conducted following Joanna Briggs Institute (JBI) methodology for scoping reviews. A comprehensive search will be undertaken in the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE, and CINAHL to identify and retrieve relevant literature, published in English, French or Portuguese. Gray literature will also be searched from international OT association websites for position statements and guidelines relevant to PR programs. All literature published since the establishment of the effectiveness of PR for chronic respiratory disease in 1994, that explores OT in PR programs for these patients will be included. Search results will be exported to Covidence for title, abstract, and full text screening, by two independent reviewers. Data will be extracted by two independent reviewers using a pilot-tested template including: the number of PR programs including OT (specifically from surveys), the purpose of the study, the study design, patient characteristics, respiratory conditions included, PR components, OT role, outcomes, and results. Findings will be presented using a narrative summary, supplemented by figures and/or tables. Key themes will be displayed in an infographic or schematic. RESULTS Results: The study was initiated in January 2021 and registered with the Open Science Framework (OSF) in February 2021, prior to title and abstract screening. Data collection, analysis and drafting of the manuscript will occur throughout 2021, with expected publication in 2022. CONCLUSIONS Conclusion: The results of this scoping review will help healthcare professionals improve patient care by broadening their understanding and awareness of the role of OT in PR programs. This role clarification may help to inform program development, clinical decision making and will serve to optimize the delivery of multidisciplinary care for patients in PR programs, ultimately improving patient outcomes. CLINICALTRIAL International Registered Report Identifier (IRRID): OSF Registration Identifier: DOI: 10.17605/OSF.IO/ZH63W

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Occupational Therapy and Pulmonary Rehabilitation

Textbook of Pulmonary Rehabilitation ◽

10.1007/978-3-319-65888-9_12 ◽

2017 ◽

pp. 159-169

Author(s):

Louise Sewell

Keyword(s):

Occupational Therapy ◽

Pulmonary Rehabilitation

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Análise da prática de telessaúde em terapia ocupacional em um hospital universitário cardiológico/Analysis of the telehealth practice in occupational therapy in a university cardiological hospital

Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO ◽

10.47222/2526-3544.rbto36121 ◽

2021 ◽

Vol 5 (3) ◽

pp. 423-431

Author(s):

Casiana Tertuliano Chalegre ◽

Davy Leandro Leite Melo

Keyword(s):

Occupational Therapy ◽

Social Disadvantage ◽

Cardiac Patients ◽

Human Occupation ◽

Practice Analysis ◽

Intervention Process ◽

Model Of Human Occupation

Contextualização: Este relato tem como objetivo descrever o planejamento e os procedimentos adotados para a estruturação da prática da Terapia Ocupacional em Telessaúde com pacientes cardiopatas. Processo de intervenção: A atuação do terapeuta ocupacional na cardiologia busca planejar, prevenir e tratar as disfunções ocupacionais relacionadas às doenças cardiovasculares e que podem levar a deficiências, incapacidades e desvantagem social. Análise crítica da prática: O telemonitoramento em Terapia Ocupacional com estes pacientes está fundamentado no Modelo da Ocupação Humana e na abordagem centrada no cliente. Os objetivos chave foram traçados com base na avaliação terapêutica-ocupacional, que considerou interesses e ocupações desses indivíduos.Palavras-chave: Telemonitoramento. Terapia Ocupacional. Hospital Universitário. Cardiologia. AbstractContextualization: This report has the object to discribe the planning and the procedures adopted to structure the practice of Occupational Therapy in telehealth with cardiac patients. Intervention process: The occupational therapist’s performance in cardiology quests planning, preventing and treating the occupational disfunctions related to cardiovasvular diseases, which can lead to deficits, inability and social disadvantage. Practice analysis: The occupational therapy telehealth with these patients are based in the Model of Human Occupation with a client centered approach. The key objectives were planed through occupational therapy’s avaliation, which considered interests and occupations of the individuals.Keywords: Telemonitoring. Occupational Therapy. Universitary Hospital. Cardiology.ResumenContextualización: Este informe tiene como objetivo describir la planificación y los procedimientos adoptados para estructurar la práctica de la terapia ocupacional en telesalud con pacientes cardíacos. Proceso de intervención: El papel del terapeuta ocupacional en cardiología busca planificar, prevenir y tratar los trastornos ocupacionales relacionados con enfermedades cardiovasculares y que pueden conducir a discapacidades, discapacidades y desventajes sociales. Análisis crítico de la práctica: La telemonitorización en la terapia ocupacional con estos pacientes se basa en el modelo de ocupación humana y el enfoque centrado en el cliente. Los objetivos se elaboraron con base en la evaluación terapéutico-ocupacional, que consideró los intereses y ocupaciones de estos individuos.Palabras clave: Telemonitorización. Terapia ocupacional. Hospital Universitario. Cardiología.

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