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

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Yuki Mashizume ◽  
Yosuke Zenba ◽  
Kayoko Takahashi

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.

1994 ◽  
Vol 61 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Mary Egan ◽  
M. Denise Delaat

Despite its prominent place in the Occupational Therapy Guidelines for client-centred practice, the exact role of spirituality in clinical practice has been difficult to delineate. In this paper current concepts of spirituality are outlined and ways in which these concepts have been applied in health care are described. To illustrate these spiritual concepts, the experiences of individuals whom the authors have met in their clinical practice are outlined in a series of vignettes. Finally, a revision of the model of occupational performance which enhances consideration of spirituality in occupational therapy practice is proposed, and some guidelines for occupational therapists wishing to incorporate spiritual concerns in therapy are suggested.


2021 ◽  
pp. 000841742110565
Author(s):  
Jane Cooper ◽  
Mong-lin Yu ◽  
Ted Brown

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.


2021 ◽  
pp. 030802262110301
Author(s):  
Maryam Binesh ◽  
Afsoon H Mehraban ◽  
Farahnaz M Shahboulaghi ◽  
Rokhsareh Aghili ◽  
Narges Shafaroodi

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.


2017 ◽  
Vol 37 (2) ◽  
pp. 98-108 ◽  
Author(s):  
Jennifer Kennedy ◽  
Jane A. Davis

Occupational engagement (OE) has been presented as a core construct in occupational therapy; however, its broad conceptualization and confounding definitions are problematic. Clarifying the construct of OE would help occupational therapists to explicate the nature of their practice. The purpose of this study was to explore occupational therapists’ perspectives of the construct of OE. Qualitative descriptive methodology was used to collect data using semistructured interviews with nine practicing occupational therapists in the Greater Toronto Area. Qualitative content analysis, using an inductive approach, was employed to uncover emerging categories. Participants spoke about transitioning from therapeutic engagement to OE with a client by following a client’s path of choice. The essential elements and influencers of OE were highlighted, and the relationship between OE and occupational performance was discussed. The findings provide an initial understanding of essential elements necessary to enable clients to initiate engagement in therapy and then, subsequently, in occupations of their choice.


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

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.


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