Activities and Evaluations for Technology-Based Upper Extremity Rehabilitation

2016 ◽  
pp. 307-338 ◽  
Author(s):  
Michelle Annett ◽  
Fraser Anderson ◽  
Walter F. Bischof
Keyword(s):  
Participatory Design ◽  
Occupational Therapists ◽  
Occupational Rehabilitation ◽  
Structured Interviews ◽  
Design Considerations ◽  
Rehabilitation Programs ◽  
Utilization Of Technology ◽  
Activity Types ◽  
Interactive Interfaces ◽  
Upper Extremity Rehabilitation

Recent advances in projection and sensing have resulted in an increased adoption of virtual reality, video games, and interactive interfaces to improve patient compliance with rehabilitation programs. In this chapter, we describe the application of multi-touch tabletop surfaces to physical and occupational rehabilitation programs that are focused on the upper extremities. First, we detail the participatory design processes undertaken with local physical and occupational therapists to design and integrate a ‘patient-friendly' multi-touch tabletop system in their workplace. We then explore the design considerations that informed the development of a suite of sixteen multi-touch interactive activities. The design considerations highlighted the need for customization and flexibility in the software, as well as the importance of supporting a variety of activity types. We then detail the laboratory-based methods that were used to evaluate the efficacy of the activity interventions as well as our deployment of the system in a local rehabilitation hospital. Our evaluation, which employed both qualitative and quantitative components (i.e., the Intrinsic Motivation Inventory, semi-structured interviews, kinetics and kinematics recorded from motion trackers and an electromyogram recorder), determined that it is the design of activities, rather than the utilization of technology itself, that impacts the success of technology-assisted rehabilitation. The chapter concludes with a discussion of the implications of our system and its deployment.

Activities and Evaluations for Technology-Based Upper Extremity Rehabilitation

2017 ◽  
pp. 791-822
Author(s):  
Michelle Annett ◽  
Fraser Anderson ◽  
Walter F. Bischof
Keyword(s):  
Participatory Design ◽  
Occupational Therapists ◽  
Occupational Rehabilitation ◽  
Structured Interviews ◽  
Design Considerations ◽  
Rehabilitation Programs ◽  
Utilization Of Technology ◽  
Activity Types ◽  
Interactive Interfaces ◽  
Upper Extremity Rehabilitation

Recent advances in projection and sensing have resulted in an increased adoption of virtual reality, video games, and interactive interfaces to improve patient compliance with rehabilitation programs. In this chapter, we describe the application of multi-touch tabletop surfaces to physical and occupational rehabilitation programs that are focused on the upper extremities. First, we detail the participatory design processes undertaken with local physical and occupational therapists to design and integrate a ‘patient-friendly' multi-touch tabletop system in their workplace. We then explore the design considerations that informed the development of a suite of sixteen multi-touch interactive activities. The design considerations highlighted the need for customization and flexibility in the software, as well as the importance of supporting a variety of activity types. We then detail the laboratory-based methods that were used to evaluate the efficacy of the activity interventions as well as our deployment of the system in a local rehabilitation hospital. Our evaluation, which employed both qualitative and quantitative components (i.e., the Intrinsic Motivation Inventory, semi-structured interviews, kinetics and kinematics recorded from motion trackers and an electromyogram recorder), determined that it is the design of activities, rather than the utilization of technology itself, that impacts the success of technology-assisted rehabilitation. The chapter concludes with a discussion of the implications of our system and its deployment.

scholarly journals Views about sensory modulation from people with schizophrenia and treating staff: A multisite qualitative study

2021 ◽  
pp. 030802262098847
Author(s):  
Tawanda Machingura ◽  
Chris Lloyd ◽  
Karen Murphy ◽  
Sarah Goulder ◽  
David Shum ◽  
...  
Keyword(s):  
Content Analysis ◽  
Treatment Option ◽  
Perceived Risk ◽  
Quantitative Methods ◽  
Qualitative Content Analysis ◽  
Treatment Options ◽  
Occupational Therapists ◽  
Sensory Modulation ◽  
Structured Interviews ◽  
Effective Training

Introduction Current non-pharmacological treatment options for people with schizophrenia are limited. There is, however, emerging evidence that sensory modulation can be beneficial for this population. This study aimed to gain insight into sensory modulation from the user’s and the treating staff’s perspectives. Method A qualitative content analysis design was used. Transcripts from occupational therapists ( n=11) and patients with schizophrenia ( n=13) derived from in-depth semi-structured interviews were analysed for themes using content analysis. Results Five themes emerged from this study: Service user education on the sensory approach is the key; A variety of tools should be tried; Sensory modulation provides a valued treatment option; There are challenges of managing perceived risk at an organisational level; and There is a shortage of accessible and effective training. Conclusion People with schizophrenia and treating staff had congruent perceptions regarding the use of sensory modulation as a treatment option. The findings suggest that sensory modulation can be a valued addition to treatment options for people with schizophrenia. We suggest further research on sensory modulation intervention effectiveness using quantitative methods so these results can be further explored.

Exploring the meaning of value-based occupational therapy services from the perspectives of managers, therapists and clients

2021 ◽  
pp. 030802262110300
Author(s):  
Su Ren Wong ◽  
Bi Xia Ngooi ◽  
Fang Yin Kwa ◽  
Xiang Ting Koh ◽  
Rachel J J Chua ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Goal Setting ◽  
Management Strategies ◽  
Perceived Value ◽  
Occupational Therapists ◽  
Therapeutic Relationships ◽  
Structured Interviews ◽  
Therapeutic Communication ◽  
Main Concept ◽  
Therapy Services

Introduction There is a worldwide trend towards value-based health care, which strives to control healthcare costs while maximising value for clients. The main concept of value has been defined as health outcomes achieved per US dollar spent. This research explored how clients of occupational therapy services, managers and occupational therapists perceived value in occupational therapy services. Method A qualitative design was used to explore the perspectives of clients ( n = 11), occupational therapists ( n = 7) and occupational therapy managers ( n = 7). Appreciative inquiry guided the two phases of semi-structured interviews ( n = 5) and focus groups ( n = 6). Inductive and deductive coding were used to establish themes. Findings Three themes encompassed the participants’ perceived value of occupational therapy services: (1) outcomes which are meaningful to daily life, (2) a constructive client–therapist relationship and (3) affordable, coordinated and understandable therapy. Conclusion Participants attributed value to occupational therapy services when they encountered personalised goal setting, focused on meaningful outcomes, managed personal costs and experienced positive therapeutic relationships. Enhancing services could focus on (1) developing skills in collaborative goal setting, (2) determining suitable outcome measures which are meaningful at personal- and service-level reporting, (3) encouraging self-management strategies, and (4) emphasising therapeutic relationships and supporting therapeutic communication skill development.

scholarly journals The central role of the occupational therapist in facilitating housing adaptations/home modifications for disabled children

2017 ◽  
Vol 80 (6) ◽  
pp. 375-383
Author(s):  
Gail Boniface ◽  
Deborah Morgan
Keyword(s):  
Positive Impact ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Specific Information ◽  
Structured Interviews ◽  
Online Questionnaire ◽  
Negative Experience ◽  
Home Modifications ◽  
Information And Communication

Introduction Six reviews/inquiries into housing adaptations/home modifications processes occurred in Wales between 2004 and 2015. One resulted in the removal of the means test for children's Disabled Facilities Grants. This research investigated families' and professionals' experiences of the adaptations/home modification process to gain an understanding of their views and experiences. Method Mixed methods of an online questionnaire for professionals, and semi-structured interviews or an online questionnaire for families (depending on their preference), were employed. Forty-eight families participated and an additional 16 families responded to an online questionnaire. Analysis of qualitative data identified emergent themes, which are discussed in this article. Findings The themes were: poor information and communication mainly aimed at older adults; negative experience of the process; and the positive impact of the completed adaptation. Additionally, whilst undergoing the process, families felt that they needed a contact to guide them through the process. This contact was often by default the community occupational therapist. Conclusion A single contact person should be made available for families; occupational therapists should consider their part in that role; more specific information on children's needs should be provided; families need to recognize the part they can play in adding to delays in the delivery of adaptations.

The Effects of Overcrowding on the Rehabilitation of Offenders: A Case Study of a Correctional Center, Durban (Westville), KwaZulu Natal

2020 ◽  
Vol 20 (2) ◽  
pp. 332-346
Author(s):  
Nozibusiso Nkosi ◽  
Vuyelwa Maweni
Keyword(s):  
Violent Behavior ◽  
Well Being ◽  
Structured Interviews ◽  
Negative Effects ◽  
Rehabilitation Process ◽  
Correctional Services ◽  
Rehabilitation Programs ◽  
Kwazulu Natal ◽  
Scarcity Of Resources

The existing misclassifications in correctional centers have negative effects on inmates’ well-being—emotional and physical. This is fueled by overcrowding in correctional centers, making rehabilitation of offenders, as envisaged by the Department of Correctional Services (DCS), an impossible mandate. Overcrowding causes various issues, including poor healthcare, scarcity of resources, lack of nutritious meals, and the perpetuation of violent behavior. The aim of the article is to determine the effects of overcrowding on the rehabilitation process of offenders. This study was conducted at the biggest correctional center (Durban Westville) in KwaZulu-Natal (KZN), with the use of semi-structured interviews with selected inmates and officials at the Medium B facility. The findings of this article reveal the negative physical, social, and psychological effects of overcrowding on the lives of offenders and the effects they have on rehabilitation programs. The article suggests that in order for rehabilitation programs to be a success, decisive steps need to be taken to improve the correctional environment.

scholarly journals Occupational Therapy and Multidisciplinary Working on Acute Psychiatric Wards: The Tompkins Acute Ward Study

2005 ◽  
Vol 68 (12) ◽  
pp. 545-552 ◽  
Author(s):  
Alan Simpson ◽  
Len Bowers ◽  
Jane Alexander ◽  
Caroline Ridley ◽  
Jonathan Warren
Keyword(s):  
Occupational Therapy ◽  
Interprofessional Education ◽  
Severity Of Illness ◽  
Occupational Therapists ◽  
Community Resources ◽  
Structured Interviews ◽  
Multidisciplinary Working ◽  
Acute Psychiatric Wards ◽  
Interprofessional Working ◽  
Living Being

There is limited research into occupational therapy and interprofessional working on acute psychiatric wards. This study aimed to explore relations between occupational therapists and other members of the multidisciplinary team through structured interviews with 47 staff on 14 acute psychiatric wards. The study found that occupational therapists provided assessments, group activities and individual therapeutic work, with the assessment and development of activities of daily living being central. Linking patients with community resources in preparation for discharge was also important. Severity of illness among patients and speed of discharge were barriers to effective input. Nurses and psychiatrists appreciated occupational therapy input but rarely the breadth of the role. Multidisciplinary relations were generally positive, although some ward teams were disinclined to include occupational therapists in communications and decision making. The occupational therapists appreciated their professional knowledge and opinion being respected and considered. The study concluded that occupational therapists play an important if often misunderstood role on acute psychiatric wards, but that their involvement could be significantly increased through the employment of more experienced occupational therapists and the provision of interprofessional education. Further research is required to explore the facilities, resources and support required to maximise occupational therapy input and identify areas for increased interprofessional working.

Professional Bereavement: A Qualitative Examination of Rehabilitation Counselors in Grief

2012 ◽  
Vol 43 (4) ◽  
pp. 3-11 ◽  
Author(s):  
Alan Davis ◽  
Shawn Saladin ◽  
Sandy Hansmann ◽  
Nicole Velgersdyk
Keyword(s):  
Qualitative Research ◽  
Vocational Rehabilitation ◽  
Self Care ◽  
Rehabilitation Counselors ◽  
Structured Interviews ◽  
Counselor Preparation ◽  
Rehabilitation Counselor ◽  
Profound Impact ◽  
Rehabilitation Programs ◽  
Need For Support

This article describes qualitative research related to rehabilitation counselor bereavement. Nine rehabilitation counselors who had experienced the death of a client volunteered to participate in structured interviews. The results were transcribed, analyzed, and found to contain six major themes. The themes were (a) profound impact, (b) self-questioning, (c) need for support, (d) questions regarding etiquette, (e) counselor preparation for the death of a client, and (f) need for self-care. Participants also offered suggestions for rehabilitation educators and administrators of State-Federal vocational rehabilitation programs.

Is Meeting Spiritual Need within the Occupational Therapy Domain?

2005 ◽  
Vol 68 (4) ◽  
pp. 177-180 ◽  
Author(s):  
Marion Hoyland ◽  
Christine Mayers
Keyword(s):  
Occupational Therapy ◽  
Spiritual Care ◽  
Occupational Therapists ◽  
Holistic Approach ◽  
Spiritual Needs ◽  
Structured Interviews ◽  
Relationship Of ◽  
The Relationship

The profession's present interest in the topic of spirituality initiated the decision to undertake this study, which aimed to investigate the extent to which occupational therapists consider clients' spiritual needs as part of their domain. The objectives of the study were to ascertain whether this was part of the occupational therapist's role and to identify the ways in which occupational therapists addressed the spiritual needs of their clients. Six senior II occupational therapists participated in semi-structured interviews. The participants felt that all individuals have spiritual needs, although not all would recognise or acknowledge them as such. All the participants considered spiritual care to be part of their role, but there was some uncertainty regarding the relationship of spiritual care to occupational therapy in general. Spiritual needs were addressed by a listening and holistic approach.

Private Practice: Benefits, Barriers and Strategies of Providing Fieldwork Placements

2003 ◽  
Vol 70 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Kym Sloggett ◽  
Nancy Kim ◽  
Debra Cameron
Keyword(s):  
Occupational Therapy ◽  
Private Practice ◽  
Formal Education ◽  
Occupational Therapists ◽  
Structured Interviews ◽  
Clinical Placements ◽  
Health Care Professions ◽  
Practice Methods ◽  
The University ◽  
Implementing Strategies

Background. Occupational therapists are entering private practice in ever increasing numbers. In order to gain the skills to practice in this area, students should have the opportunity to experience private practice fieldwork placements. However, the number offered in private practice settings continues to be limited. The purpose of this exploratory qualitative study was to identify the benefits, the barriers, and the strategies associated with providing fieldwork opportunities in private practice. Methods. Data were obtained through semi-structured interviews with six occupational therapists in private practice. Results. Results indicated that participating in fieldwork education affords benefits to the profession of occupational therapy, to the clinician, and to the facility. Potential barriers included student characteristics, cost, time, travel and legalities. Involvement from the university and the private setting were considered necessary for providing and implementing strategies. Clinical Implications. The findings have implications for increasing private practice placements for future students in occupational therapy and other health care professions offering clinical placements as a component of their formal education.

scholarly journals Multi-disciplinary team meetings in stroke rehabilitation: an observation study and conceptual framework

2014 ◽  
Vol 28 (12) ◽  
pp. 1237-1247 ◽  
Author(s):  
SF Tyson ◽  
L Burton ◽  
A McGovern
Keyword(s):  
Stroke Rehabilitation ◽  
Participant Observation ◽  
Leadership Skills ◽  
Occupational Therapists ◽  
Assessment Tools ◽  
Structured Interviews ◽  
Observation Study ◽  
Team Meetings ◽  
Measurement Tools ◽  
Multi Disciplinary Team

Objective: To explore how multi-disciplinary team meetings operate in stroke rehabilitation. Design: Non-participant observation of multi-disciplinary team meetings and semi-structured interviews with attending staff. Setting and participants: Twelve meetings were observed (at least one at each site) and 18 staff (one psychologist, one social worker; four nurses; four physiotherapists four occupational therapists, two speech and language therapists, one stroke co-ordinator and one stroke ward manager) were interviewed in eight in-patient stroke rehabilitation units. Results: Multi-disciplinary team meetings in stroke rehabilitation were complex, demanding and highly varied. A model emerged which identified the main inputs to influence conduct of the meetings were personal contributions of the members and structure and format of the meetings. These were mediated by the team climate and leadership skills of the chair. The desired outputs; clinical decisions and the attributes of apparently effective meetings were identified by the staff. A notable difference between the meetings that staff considered effective and those that were not, was their structure and format. Successful meetings tended to feature a set agenda, structured documentation; formal use of measurement tools; pre-meeting preparation and skilled chairing. These features were often absent in meetings perceived to be ineffective. Conclusions: The main features of operation of multi-disciplinary team meetings have been identified which will enable assessment tools and interventions to improve effectiveness to be developed.

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