Development and preliminary feasibility evaluation of occupation-centered diabetes self-management intervention

2021 ◽  
pp. 030802262110301
Author(s):  
Maryam Binesh ◽  
Afsoon H Mehraban ◽  
Farahnaz M Shahboulaghi ◽  
Rokhsareh Aghili ◽  
Narges Shafaroodi
Keyword(s):  
Clinical Practice ◽  
Occupational Therapy ◽  
Research Team ◽  
Relevant Literature ◽  
Self Management ◽  
Future Research ◽  
Second Phase ◽  
Management Intervention ◽  
Occupational Therapy Practice Framework ◽  
Practice Framework

Introduction Occupational therapy practice framework provides a valuable structure for guiding clinical practice in occupational therapy based on the profession’s philosophical assumptions and areas of concern. This study aims to address the development and preliminary feasibility and acceptability evaluation of diabetes self-management intervention based on the framework and available literature. Method The research consisted of two phases. During the first phase, the research team conducted the relevant literature review, analyzed it deductively, and classified it in accordance with the concepts of the occupational therapy practice framework. Then, they modeled the intervention and formulated its components. In the second phase, they undertook the developed intervention on seven people with type-2 diabetes. The participants' attendance and their satisfaction with the program were evaluated to investigate its feasibility and acceptability. Results The research team developed an intervention named Occupational Therapy Diabetes Self-Management which focuses on the occupational nature of self-management and addresses various factors of its integrations with individuals’ daily lives. Feasibility and acceptability evaluation of the Occupational Therapy Diabetes Self-Management indicated that the participants' attendance and satisfaction with the program were 92.86% and 9.43 out of 10, respectively. Conclusion The Occupational Therapy Diabetes Self-Management is evidence-based, feasible, and an acceptable intervention to guide future research and clinical practice on occupational therapy.

Occupational Therapists’ Perceptions of Robotics Use for Patients With Chronic Stroke

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Yuki Mashizume ◽  
Yosuke Zenba ◽  
Kayoko Takahashi
Keyword(s):  
Clinical Practice ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Chronic Stroke ◽  
Occupational Performance ◽  
Stroke Patients ◽  
Body Function ◽  
Robotic Therapy ◽  
Occupational Therapy Practice Framework ◽  
Practice Framework

Importance: The effectiveness of robotic therapy in stroke rehabilitation has been established by many studies, and occupational therapists should consider using robotics in their clinical practice. However, little is known about occupational therapy practitioners’ experience using robotics. Objective: To explore occupational therapists’ perceptions of the mechanisms and outcomes of occupational therapy using robotics with chronic stroke patients. Design: Qualitative study with semistructured focus group interviews. Data were analyzed using thematic analysis. Setting: Hospitals and institutions in Japan in which occupational therapists used robotics in their clinical practice. Participants: Twenty-seven occupational therapists with experience in using robotics with chronic stroke patients as a self-training method that involved repetitive movements of a paralyzed upper extremity. Participants were interviewed in nine focus groups. Results: Five themes—(1) body function, (2) values, (3) performance skills, (4) occupational performance, and (5) participation—and 12 subthemes were identified on the basis of the Occupational Therapy Practice Framework: Domain and Process (3rd ed.). Participants indicated that robotics improved patients’ body function and promoted a desire for independence, which resulted in improved occupational performance and participation in their desired occupations. Conclusions and Relevance: Occupational therapists regarded robotics as an adjunct to other therapy, which improved patients’ body function and promoted their desire for independence. What This Article Adds: Findings from this research provide insights into using robotics to enhance occupational therapy practice.

scholarly journals Developing an Indigenous goal-setting tool: Counting Coup

2020 ◽  
Vol 1 (1) ◽  
pp. 49-57
Author(s):  
Iitáa Dáakuash ◽  
Alma McCormick ◽  
Shannen Keene ◽  
John Hallett ◽  
Suzanne Held
Keyword(s):  
Chronic Illness ◽  
Goal Setting ◽  
Indigenous Communities ◽  
Self Management ◽  
Future Research ◽  
Goal Theory ◽  
Management Intervention ◽  
Management Interventions ◽  
Indigenous Paradigm ◽  
Relational Accountability

Chronic illness self-management best practices include goal-setting as an important tool for developing better self-management habits and are often included as elements of chronic disease self-management interventions. However, the goal theory that many of these tools employ relies on individualistic principles of self-efficacy that are not culturally consonant within many Indigenous communities. During the creation of the [blinded] program, a chronic illness management intervention, we developed a goal-setting tool specific to the [blinded] Nation. Emerging from an Indigenous paradigm and methodology, Counting Coup serves as a goal-setting tool that promotes the [blinded] culture, connects individuals with their ancestors, and focuses on achievement of goals within relationships. Future research and practice should be grounded in the historical and cultural contexts of their communities when designing and implementing goal-setting tools. Limitations to Counting Coup as a goal-setting tool include the need for program facilitators to have a relationship with participants due to Counting Coup’s foundation in relational accountability and that the environmental context may pose difficulties for participants in moving towards behavior change.

scholarly journals ESTRUTURA DA PRÁTICA DA TERAPIA OCUPACIONAL: DOMÍNIO E PROCESSO – 2.ª EDIÇÃO. OCCUPATIONAL THERAPY PRACTICE FRAMEWORK: DOMAIN & PROCESS. 2ND

2011 ◽  
Vol 3 (2) ◽  
Author(s):  
Daniel Gustavo De Sousa Carleto ◽  
Alessandra Cavalcanti A. Souza ◽  
Marcelo Silva ◽  
Daniel Marinho Cezar da Cruz ◽  
Valéria Sousa De Andrade
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapy Practice Framework ◽  
Practice Framework

A  Estrutura da Prática da Terapia Ocupacional: Domínio e Processo  é um documento oficial da Associação Americana de Terapia Ocupacional (AOTA). Com a intenção de consultas internas e externas, este documento apresenta um sumário de idéias inter-relacionadas que definem e guiam a prática da terapia ocupacional6. A Estrutura  foi desenvolvida para articular a contribuição da terapia ocupacional na promoção de saúde e participação de pessoas, organizações e populações através do  envolvimento7  na  ocupação.

scholarly journals Development and Testing of a Clinical Practice Framework for Pharmacists to Assess Patients’ Travel-Related Risks: The 5W Approach to Travel Risk Identification

Pharmacy ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 159 ◽  
Author(s):  
Heidi V.J. Fernandes ◽  
Sherilyn K.D. Houle
Keyword(s):  
Clinical Practice ◽  
Content Validity ◽  
Travel Medicine ◽  
Pharmacy Practice ◽  
Risk Identification ◽  
Future Research ◽  
Average Content ◽  
Validity Index ◽  
Content Validity Index ◽  
Practice Framework

Objective: To assist with identifying patients who may be managed by pharmacists without additional travel medicine training, versus those who may benefit from referral, we developed and validated a clinical practice framework. This framework was then piloted in eight pharmacies in Ontario, Canada, from March to August 2019. Methods: A panel of experts, comprised of physicians and pharmacists from Ontario, Canada, holding a Certificate in Travel HealthTM from the International Society of Travel Medicine was recruited. This panel participated electronically in the development of the framework in three stages: (1) Sharing their current approach when performing information gathering and assessing risk in a traveling patient; (2) judging of items collated from all panellists on the basis of how essential they are to a risk assessment; and (3) validation of items deemed essential by the panel using the Item and Average Content Validity Index. The framework was then released to community pharmacies, where pharmacists that self-identified as beginners to travel medicine completed pre- and post-test phase surveys to determine the utility of the framework. Key Findings: A total of 64 items for consideration were deemed essential enough to proceed to content validation, organized into 5 ‘W’ domains: Who, What, Where, When, and Why. Each item was ranked by the experts according to its relevancy, resulting in an Average-Content Validity Index of 0.91. The resulting framework was titled “The 5W Approach to Travel Risk Identification.” This clinical practice framework is the first published assessment tool for travel medicine tailored for pharmacy’s scope of practice that has been content validated. Pharmacists reported that the framework is simple to use and provides structure for interactions with travelling patients. However, it may not be as beneficial for those with a higher level of travel medicine expertise than the average pharmacist. Conclusion: The 5W Approach tool allows pharmacists inexperienced in travel medicine to collect information when required to use their professional judgement when assessing traveling patients as either high-risk (requiring a referral to a travel medicine specialist) or low-risk. With the aim of supporting pharmacists to be more confident in caring for traveling patients and increasing their involvement in travel medicine, future research will test this framework for feasibility in Canadian community pharmacy practice.

Revision of the Occupational Therapy Practice Framework

2007 ◽  
Vol 61 (1) ◽  
pp. 119-126 ◽  
Author(s):  
S. A. Gutman ◽  
M. H. Mortera ◽  
J. Hinojosa ◽  
P. Kramer
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapy Practice Framework ◽  
Practice Framework

Occupational Therapy Theory and School-Based Filial Therapy: Intervention Rationale and Formulation

2021 ◽  
pp. 000841742110565
Author(s):  
Jane Cooper ◽  
Mong-lin Yu ◽  
Ted Brown
Keyword(s):  
Occupational Therapy ◽  
Practice Theory ◽  
Filial Therapy ◽  
Family Systems Theory ◽  
Behavioural Problems ◽  
Occupational Performance ◽  
School Based ◽  
Occupational Therapy Practice Framework ◽  
Practice Framework ◽  
The Impact

Background: Emotional-behavioural problems in children present a barrier to engagement and participation in school occupations. Applying practice theory is an essential process to explore the impact of clinical problems and to orient clinical thinking to the domain of occupation. Purpose: Occupational therapy practice theory and frameworks are applied to the formulation of School-Based Filial Therapy, a viable treatment response to emotional-behavioural problems in children. Key issues: Bowen family systems theory, the Occupational Therapy Practice Framework IV and the Canadian Model of Occupational Performance and Engagement are applied to intervention formulation. Implications: School-Based Filial Therapy engages the dynamic interaction of the person, the occupations he/she engages in and the environment via therapeutic medium of play. It is consistent with the Occupational Therapy Practice Framework IV and the Canadian Model of Occupational Performance and Engagement and provides new possibilities as an intervention for occupational therapists working in children's mental health.

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