scholarly journals Occupational therapy and psychosis: POINTER feasibility study for a pragmatic clinical trial

2021 ◽  
pp. 030802262110002
Author(s):  
Joanne Inman ◽  
Katrina Bannigan ◽  
Jacqueline Akhurst
Keyword(s):  
Clinical Trial ◽  
Occupational Therapy ◽  
Everyday Life ◽  
Short Form ◽  
Outcome Measurement ◽  
Performance Measure ◽  
Drop Out ◽  
Secondary Outcome ◽  
Occupational Performance ◽  
Pragmatic Clinical Trial

Introduction The dearth of clinical trials of individualised occupational therapy with people with a diagnosis of psychosis limits the evidence base globally for occupational therapy practice. This study evaluated the feasibility of conducting a pragmatic clinical trial. Method Mixed methods design using a pragmatic perspective; two-centre, one-group pretest-posttest study, at six months. POINTER Occupational Intervention Specification captured routine individualised occupational therapy. Process evaluation included recruitment, retention, intervention delivery, fidelity, adherence and outcome measurement. The primary outcome was participation in activities of everyday life, measured by Time Use Survey, Participation Scale and Utrecht Scale for Evaluation of Rehabilitation-Participation. The Canadian Occupational Performance Measure measured self-reported experience of and satisfaction with occupational performance. The Short Form-36v2 Health Survey measured health-related quality of life, a secondary outcome. Participants’ experiences were explored using a questionnaire. Intervention providers’ perspectives were investigated via the POINTER occupational intervention log and focus groups. Results Recruitment was (20/36) and drop-out 20% (4/20). Fidelity was 77%, and adherence was good; POINTER had validity and utility. Outcome measurement was acceptable to participants, indicating increased participation in activities of everyday life. Conclusion A larger clinical trial is merited; recruitment processes need further exploration, and outcome measurement needs refining.

scholarly journals Effectiveness of Home-Based Occupational Therapy on COPM Performance and Satisfaction Scores in Patients with COPD

2020 ◽  
pp. 000841742097112
Author(s):  
Eleonore H. Koolen ◽  
Martijn A. Spruit ◽  
Marianne de Man ◽  
Jeanine C. Antons ◽  
Elieke Nijhuis ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Integrated Management ◽  
Performance Measure ◽  
Occupational Performance ◽  
Post Intervention ◽  
Canadian Occupational Performance Measure ◽  
Home Based ◽  
Copd Patients ◽  
The Mean ◽  
Mean Differences

Background. Occupational therapy (OT) may be an important intervention in patients with COPD, but studies show conflicting results. Purpose. To evaluate the effectiveness of home-based monodisciplinary OT in COPD patients Method. We conducted an observational clinical study. Main outcomes were the mean differences in the Canadian Occupational Performance Measure (COPM) performance and satisfaction scores, pre and post intervention. Findings. Pre- and postintervention data were obtained from 41 patients. Statistically significant increases were observed in COPM performance (5.0 ± 1.1 versus 6.9 ± 0.9; P<0.001) and satisfaction (4.6 ± 1.3 versus 6.9 ± 1.0; P<0.001). The most frequently reported occupational performance problems were found in the domains of productivity (47%) and mobility (40%), fewer in self-care (10%) and the least in leisure (3%). Implications. Home-based monodisciplinary OT can contribute significantly to the improvement of daily functioning of patients with COPD. OT should therefore be considered more often as part of the integrated management of these patients.

scholarly journals Electroacupuncture for postoperative pain after nasal endoscopic surgery: study protocol for a pilot randomized controlled trial

2020 ◽  
Author(s):  
Shanshan Li ◽  
Qing Zhang ◽  
Xuan Yin ◽  
Hongyu Yue ◽  
Wei Zhang ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Controlled Trial ◽  
Postoperative Pain ◽  
Endoscopic Surgery ◽  
Short Form ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

Abstract Background: Postoperative pain is a common disorder that interferes with the quality of sleep after nasal endoscopic surgery and delays postoperative recovery. Acupuncture is an effective tool for pain management. However, electroacupuncture specifically for the relief of postoperative pain after nasal endoscopic surgery has not yet been studied through a randomized controlled trial. Method/Design: A pilotrandomized, sham-controlled, patient- and- assessor-blind trial is designed to evaluate the efficacy and safety of electroacupuncturein managing postoperative pain following nasal endoscopic surgery of sinusitis with nasal polyps. There will be 30participants randomly allocated to an electroacupuncture or non-invasive sham control in a 1:1 ratio. Treatment will be done within 2 hours before operation, immediately after the operation upon arrival to the recovery ward, and once daily for 3 days. The primary outcome of the Pain Numerical Rating Scale (NRS) will be analyzed using the area-under-the-curve (AUC) method. The secondary outcome measures include Heart Rate (HR) and Blood Pressure (BP) after operation, the sleep quality during the hospital stay (Actigragh),Quality of Recovery-15 (QoR-15), and the MOS item short form health survey (SF-36). ITT analysis will be used in this RCT. Discussion: This pilot randomized controlled trial will explore the feasibility of further clinical application for the management of postoperative pain using electroacupuncture treatment, and it will inform the design of a further full-scale trial. Trial Registration: Chinese Clinical Trial Registry, ChiCTR1900024183, Date: 2019-06-29. URL: http://www.chictr.org.cn/showproj.aspx?proj=40573 Keywords: Electroacupuncture; postoperative pain;nasal endoscopic surgery; RCT; randomized controlled trial; clinical trial

scholarly journals Effectiveness of sensor monitoring in a rehabilitation programme for older patients after hip fracture: a three-arm stepped wedge randomised trial

2019 ◽  
Vol 48 (5) ◽  
pp. 650-657 ◽  
Author(s):  
Margriet C Pol ◽  
Gerben ter Riet ◽  
Margo van Hartingsveldt ◽  
Ben Kröse ◽  
Bianca M Buurman
Keyword(s):  
Hip Fracture ◽  
Occupational Therapy ◽  
Older Patients ◽  
Performance Measure ◽  
Daily Functioning ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Patient Reported ◽  
The Mean ◽  
Sensor Monitoring

AbstractObjectivesto test the effects of an intervention involving sensor monitoring-informed occupational therapy on top of a cognitive behavioural treatment (CBT)-based coaching therapy on daily functioning in older patients after hip fracture.Design, setting and patientsthree-armed randomised stepped wedge trial in six skilled nursing facilities, with assessments at baseline (during admission) and after 1, 4 and 6 months (at home). Eligible participants were hip fracture patients ≥ 65 years old.Interventionspatients received care as usual, CBT-based occupational therapy or CBT-based occupational therapy with sensor monitoring. Interventions comprised a weekly session during institutionalisation, followed by four home visits and four telephone consultations over three months.Main outcomes and measuresthe primary outcome was patient-reported daily functioning at 6 months, assessed with the Canadian Occupational Performance Measure.Resultsa total of 240 patients (mean[SD] age, 83.8[6.9] years were enrolled. At baseline, the mean Canadian Occupational Performance Measure scores (range 1–10) were 2.92 (SE 0.20) and 3.09 (SE 0.21) for the care as usual and CBT-based occupational therapy with sensor monitoring groups, respectively. At six months, these values were 6.42 (SE 0.47) and 7.59 (SE 0.50). The mean patient-reported daily functioning in the CBT-based occupational therapy with sensor monitoring group was larger than that in the care as usual group (difference 1.17 [95% CI (0.47-1.87) P = 0.001]. We found no significant differences in daily functioning between CBT-based occupational therapy and care as usual.Conclusions and relevanceamong older patients recovering from hip fracture, a rehabilitation programme of sensor monitoring-informed occupational therapy was more effective in improving patient-reported daily functioning at six months than to care as usual.Trial registrationDutch National Trial Register, NTR 5716.

The Canadian Occupational Performance Measure: An Outcome Measure for Occupational Therapy

1990 ◽  
Vol 57 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Mary Law ◽  
Sue Baptiste ◽  
MaryAnn McColl ◽  
Anne Opzoomer ◽  
Helene Polatajko ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Outcome Measure ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure

Targeted Applications of the Canadian Occupational Performance Measure

2005 ◽  
Vol 72 (5) ◽  
pp. 298-300 ◽  
Author(s):  
Mary Ann McColl ◽  
Mary Law ◽  
Sue Baptiste ◽  
Nancy Pollock ◽  
Anne Carswell ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Outcome Measure ◽  
Occupational Therapists ◽  
Performance Measure ◽  
Occupational Performance ◽  
Quality Of Information ◽  
Canadian Occupational Performance Measure ◽  
The World

Background. The Canadian Occupational Performance Measure (COPM) is an outcome measure designed to assess performance and satisfaction with occupation. It was developed to coincide with the occupation-focused, client-centred Canadian Model of Occupational Performance. Purpose. The COPM has been a feature of the occupational therapy landscape for approximately 15 years and has pervaded the consciousness of occupational therapists around the world. In this paper, we examine issues associated with application of the COPM in targeted clinical and non-clinical situations. Results. The paper suggests considerations required to ensure that the highest quality of information is derived from the COPM in all situations. Practice Implications. Although the paper emphasizes the centrality of the client-centred approach, it also demonstrates the flexibility and adaptability of the COPM to different situations, clients, settings and purposes.

Administration of the Canadian Occupational Performance Measure: Effect on practice

2012 ◽  
Vol 79 (2) ◽  
pp. 120-128 ◽  
Author(s):  
Heather L. Colquhoun ◽  
Lori J. Letts ◽  
Mary C. Law ◽  
Joy C. MacDermid ◽  
Cheryl A. Missiuna
Keyword(s):  
Occupational Therapy ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Performance Measure ◽  
Occupational Performance ◽  
Chart Audit ◽  
Canadian Occupational Performance Measure ◽  
Before And After ◽  
Practice Methods ◽  
Client Progress

Background. The Canadian Occupational Performance Measure (COPM) is recommended as a systematic approach to identify issues and determine client progress in occupational therapy, yet little empirical evidence is available that supports this practice. Purpose. To determine if COPM administration was associated with changes in eight dimensions of occupational therapy practice. Methods. Twenty-four occupational therapists on eight geriatric rehabilitation sites completed a before-and-after study with a repeated baseline. The eight practice dimensions were assessed after three months of usual care (no COPM use) and after three months of intervention (COPM use) using chart stimulated recall (CSR) interviews and chart audit. Findings. Mean practice scores for CSR interviews indicated a statistically significant practice improvement (p < .0001) across the eight dimensions, including knowledge of client perspective, clinical decision making, clinician ability to articulate outcomes, and documentation. Chart audit indicated that COPM use resulted in identifying more occupation-focused issues. Implications. COPM administration could improve occupational therapy practice.

Validity and Community Utility of the Canadian Occupational Performance Measure

2000 ◽  
Vol 67 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Mary Ann McColl ◽  
Margo Paterson ◽  
Diane Davies ◽  
Lorna Doubt ◽  
Mary Law
Keyword(s):  
Life Satisfaction ◽  
Occupational Therapy ◽  
Daily Living ◽  
Multivariate Analyses ◽  
Performance Measure ◽  
National Standard ◽  
Occupational Performance ◽  
Project Coordinator ◽  
Canadian Occupational Performance Measure ◽  
Therapy Services

This study addressed the validity and community utility of the Canadian Occupational Performance Measure (COPM) (Law et al., 1991; 1994; 1998): a measure that now represents a national standard in clinical practice and research in occupational therapy in Canada. The study employed a crosssectional design. Participants for the study were former consumers of occupational therapy services, recruited from the Queen's University catchment area (Kingston, North Bay, Oshawa, Perth, Peterborough). A sample of 61 disabled individuals living in the community were recruited. Each individual was sent a package of self-administered measures including the Satisfaction with Performance Scaled Questionnaire, the Reintegration to Normal Living Index, the Life Satisfaction Questionnaire, and the Perceived Problems List. An interview was also arranged with the project coordinator, which was based on the COPM and the Consumer Utility Questionnaire. Multivariate analyses showed that construct validity was supported; scores on the COPM were significantly related to theoretically related constructs: satisfaction with performance, reintegration to normal living and life satisfaction. In addition, criterion validity was supported. A majority of participants (53%), when asked about problems of daily living, spontaneously reported at least one of the problems raised on the COPM. Community utility was evaluated highly by participants, 75% of whom found the COPM useful in identifying and rating their problems, and 100% of whom reported no problems in understanding the COPM.

Effectiveness of intra-articular hyaluronan (Synvisc, hylan G-F 20) for the treatment of first metatarsophalangeal joint osteoarthritis: a randomised placebo-controlled trial

2011 ◽  
Vol 70 (10) ◽  
pp. 1838-1841 ◽  
Author(s):  
Shannon E Munteanu ◽  
Gerard V Zammit ◽  
Hylton B Menz ◽  
Karl B Landorf ◽  
Christopher J Handley ◽  
...  
Keyword(s):  
Short Form ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Plantar Flexion ◽  
Metatarsophalangeal Joint ◽  
Secondary Outcome ◽  
Foot Pain ◽  
First Metatarsophalangeal Joint ◽  
Foot Health ◽  
Global Satisfaction

ObjectivesTo evaluate the effectiveness of a single intra-articular injection of hylan G-F 20 (Synvisc) for symptomatic first metatarsophalangeal joint (MTPJ) osteoarthritis (OA).MethodsParticipants (n = 151) with symptomatic first MTPJ OA were randomly allocated to receive up to 1 ml intra-articular injection of either hylan G-F 20 or placebo (saline). Participants and assessors were blinded. Outcomes were evaluated at 1, 3 and 6 months after injection. The primary outcome measurement was the foot pain domain of the Foot Health Status Questionnaire (FHSQ) at 3 months. Secondary outcome measurements were foot function assessed via the FHSQ, first MTPJ pain and stiffness, magnitude of symptom change, global satisfaction, health-related quality of life (assessed using the Short-Form-36 version two), first MTPJ dorsiflexion range of motion, hallux plantar flexion strength, use of pain-relieving medication or co-interventions and changes in plantar pressures.ResultsNo statistically significant differences in foot pain were found between the groups at 3 months. There were few statistically significant differences in the secondary outcome measures. Overall, the incidence of adverse effects was not significantly different between groups.ConclusionsAn intra-articular injection of hylan G-F 20 is no more effective than a placebo in reducing symptoms in people with symptomatic first MTPJ OA.Australian New Zealand Clinical Trials Registry: number ACTRN12607000654459.

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