Research in Occupational Therapy: Luxury or Necessity?

1989 ◽  
Vol 52 (9) ◽  
pp. 349-351 ◽  
Author(s):  
Rita E A Goble

Occupational therapists know that practical problems demand practical solutions which are a combination of the intuitive personal approach and planned observation. Observation must be systematic, consistent and deliberate if it is to be accurate and effective. This article recommends that all occupational therapists should have ready access to a university department or local occupational therapy school and that they should concentrate upon concise, appropriate and consistent measures of outcome. The author suggests that therapists start by looking at their own patients, and that, although researchers have traditionally sought large patient samples in the past, this approach may no longer be the most suitable, since newer and innovative approaches to research are now increasingly using single case analysis as an alternative method. Funding has always been difficult and one solution developed by St Loye's School of Occupational Therapy is put forward, that is, the establishment of a Foundation in order to promote research. With a little self-help, occupational therapists can become involved in planned observation and development of new methods. The Health Service review entitled ‘Working for Patients’ highlights the fact that the professional must withstand critical analysis from many sources, and that occupational therapists must clearly identify their product and define their focus. Occupational therapists now have the opportunity to present their observations and prove that they are not merely ‘a dying institution’ but ‘a living and influential force’.

1998 ◽  
Vol 18 (1) ◽  
pp. 44-62 ◽  
Author(s):  
Catana Brown ◽  
Robin E. Bowen

This study was designed to examine the extent to which occupational therapists include the consumer and the environment in treatment planning. Twenty-nine registered occupational therapists who subscribe to the Mental Health Specialty Interest Section or the Physical Disabilities Specialty Interest Section completed treatment plans based on a single case study. The treatment plans were analyzed based on goal setting and treatment activities. Data indicated therapists frequently identified goals not addressed by the consumer and demonstrated limited consideration of the context in the selection of treatment activities. Therapists identified as many short-term goals not related to the consumer's stated goal as they identified goals that were related to the consumer's goal. T-test comparisons indicated that therapists significantly more often selected simulated over real activities and activities aimed at changing the person over activities aimed at changing the environment. These preliminary results from a small, self-selected sample suggest that current occupational therapy treatment planning is not consistent with consumer-oriented practice models.


1986 ◽  
Vol 6 (5) ◽  
pp. 259-269 ◽  
Author(s):  
Ruth Ellen Levine

Present concerns about the state of theory and practice in occupational therapy can be explained in light of past developments, both successful and unsuccessful efforts. This article explains why occupational therapists still use arts-and-crafts modalities, the practice of which can be traced to early therapists influenced by the philosophy and practices of a social movement that swept across America from 1895 to 1920. This analysis is based on historical research, a methodology not common in occupational therapy literature.


1995 ◽  
Vol 62 (5) ◽  
pp. 250-257 ◽  
Author(s):  
Mary Law ◽  
Sue Baptiste ◽  
Jennifer Mills

During the past 15 years, occupational therapists in Canada, through the Canadian Association of Occupational Therapists, have worked to develop and implement guidelines for practice of a client-centred approach to occupational therapy. One of the difficulties with the current Guidelines for the Client-Centred Practice of Occupational Therapy is the lack of a definition and discussion of the concepts and issues fundamental to client-centred practice. In this paper, key concepts of client-centred practice: individual autonomy and choice, partnership, therapist and client responsibility, enablement, contextual congruence, accessibility and respect for diversity are discussed. Two practice examples are used to illustrate these ideas and raise issues about obstacles to the practice of client-centred occupational therapy. Research evidence about the effectiveness of client-centred concepts in enhancing client satisfaction, functional outcomes and adherence to health service programmes is reviewed.


1983 ◽  
Vol 46 (10) ◽  
pp. 282-283 ◽  
Author(s):  
Erica Candlish

The author divides her time between St Loye's and the Langdon Hospital for the mentally handicapped at Dawlish. This article was written as a result of an attendance at a study day on the subject of mental handicap, held in London. The author met with a number of occupational therapists who were working single-handed or with only part-time support. She asked herself the following question: if, each year, hundreds of enthusiastic graduates flow out through the occupational therapy college gates, why do so many jostle for vacancies in the psychiatric or physical field and why do so few turn towards mental handicap? She investigated the subject, listening to a wide variety of suggestions put forward by numerous occupational therapists throughout the past year. She has included those which were a recurring theme.


2020 ◽  
pp. 030802262091037
Author(s):  
Alexandra P Andrews ◽  
Karen E Atler ◽  
Jennifer Dickman Portz ◽  
Marieke VanPuymbroeck ◽  
Caroline M Rose ◽  
...  

Introduction Over the past decade, yoga has gained popularity in health care. The benefits of yoga can go beyond the physical to address the psychosocial and emotional. Such gains can be beneficial for people who have had a stroke. As a leading cause of disability, stroke can lead to challenges returning to daily activities. Occupational therapists may use yoga to promote engagement in daily activities after stroke. This study aimed to understand how and why occupational therapists integrate yoga into stroke rehabilitation. Methods This study involved occupational therapists practicing in the United States. Ten occupational therapists using yoga in practice participated in a semi-structured interview. Interview data were transcribed and analyzed using deductive and inductive coding. Themes emerged from the data related to the benefits of using yoga in stroke rehabilitation. Results According to this study, yoga is currently being used as a treatment technique and merged with occupational therapy. Yoga may promote client-centered recovery; bring “context” to therapy; and address physical, emotional, and psychosocial needs following stroke. Conclusion Individuals who have had a stroke may face challenges related to both physical and psychosocial engagement. The use of yoga in occupational therapy may be beneficial after stroke for both physical and psychosocial rehabilitation.


1992 ◽  
Vol 55 (11) ◽  
pp. 419-422 ◽  
Author(s):  
Lorraine Pinnington ◽  
Avril Bagshaw

This first article outlines how student research projects have developed over the past 10 years, resulting in the subsequent need to expand the subject of ethical reasoning in the education of occupational therapists. The literature is examined in respect of providing learning opportunities on ethical matters for the student, particularly in the preparation of an investigative study, the formation and administration of ethical screening procedures with in a school of occupational therapy are described as a means of providing an experiential understanding of ethical issues for students. In a second article, the implications and outcome of this initiative are discussed.


1997 ◽  
Vol 60 (2) ◽  
pp. 50-52 ◽  
Author(s):  
Jennifer Creek

Western scientific endeavour, for the past 200 years, has been directed towards uncovering the laws that govern the physical universe. Truth has been seen as existing independently of human activity, and all that is required to discover it is to make accurate and objective observations which lead to rational conclusions. The second half of the 20th century has been characterised by an increasing awareness that knowledge can never be truly objective. With this realisation, the pursuit of truth has given way to a greater acceptance of diversity, complexity and uncertainty in a shift of perspective called postmodernism. Occupational therapists have been traditionally concerned with the details of everyday life as lived by ordinary people. The goals of intervention are individual, contextual, discrete and diverse. Practice is based on pragmatism rather than on abstract principles. This article provides an introduction to a complex topic and argues that occupational therapy can best be understood and valued from a postmodernist perspective.


1997 ◽  
Vol 60 (10) ◽  
pp. 456-460 ◽  
Author(s):  
Marcia Finlayson ◽  
Jeanette Edwards

Over the past 20 years, the world has seen a slow but steady shift in thinking about illness and wellness and about what constitutes health and health care. Concepts such as primary health care, disease and injury prevention, disability postponement, health promotion and population health are the focal points of this shift. In order to contribute in this evolving health environment, occupational therapists need to understand this terminology and make the link between these concepts and their philosophy and skills in enabling health through occupation. To contribute to this understanding, the objectives of this paper are to review the history of occupational therapy as it relates to recent shifts in thinking about health and health care, to define and describe briefly the relevant health and health care terms and concepts, and to illustrate the existing and potential links between the practice of occupational therapy and these health and health care concepts.


1997 ◽  
Vol 64 (5) ◽  
pp. 259-269 ◽  
Author(s):  
Sheila Banks ◽  
Doug Crossman ◽  
Dale Poel ◽  
Miriam Stewart

Occupational therapy practice in partnership with self-help groups is consistent with the principles of client-centred practice and health promotion. This qualitative research study examined the meanings and interactional mechanisms of effective partnerships with a theoretical sample of 47 health professionals, including seven occupational therapists, and 49 self-help group members. Inductive analysis of semi-structured interview transcripts resulted in a number of themes: roles of health professionals and self-help group members, relationships between them, characteristics of effective partnerships, tensions/barriers to effective partnerships, and strategies to promote partnerships. Themes with particular implications for occupational therapy practice include trust and trust building; knowledge, empathy and understanding; and the balance of power between health professionals and self-help group members. Effective partnership relationships require a continued commitment by occupational therapists, other health professionals and self-help group members to understand the experiences and perceptions of each other.


1989 ◽  
Vol 52 (12) ◽  
pp. 469-472 ◽  
Author(s):  
Julia F Gallop ◽  
M Anne Chamberlain

Disabled Living Centres are generally accepted as performing a useful service yet there are few data in the literature as to how they do this. The present study used an independent researcher who gained information about 75 consecutive non-professional visitors to one DLC. Visitors were questioned at the end of their visit to the centre and up to 6 months later. Most were significantly disabled with considerable locomotor difficulties. Most came to resolve specific problems and occupational therapists were the most important source of referral. A total of 95 items of equipment was suggested for 48 visitors. By the end of the study, 22 visitors had received all suggested items and most were highly satisfied. The situation was similar for adaptations but the time to deliver these was longer. DLCs were shown to be a most useful and effective resource for those seeking solutions to practical problems arising from disability. This self-help approach in which the disabled person takes the initiative in the rehabilitation process is to be encouraged and makes good use of occupational therapy expertise.


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