scholarly journals Telehealth and Home Health Occupational Therapy: Clients’ Perceived Satisfaction With and Perception of Occupational Performance

2020 ◽  
Vol 12 (2) ◽  
pp. 105-124
Author(s):  
Missi A. Zahoransky ◽  
Jennifer E. Lape
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Home Health Care ◽  
Performance Measure ◽  
Home Health ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Perceived Satisfaction ◽  
Quasi Experimental ◽  
Therapy Clients

Home health care agencies are restructuring service delivery models to address quality of care and client satisfaction while containing costs. New regulatory changes and the public health emergency as a result of the COVID-19 pandemic brought immediate need for alternative care models. Telehealth has been recognized as a feasible means to provide health care. This quasi-experimental pretest-posttest study examined the feasibility of performing occupational therapy telehealth visits as adjunct to on-site visits for homebound clients (N=9). The OASIS data collection set, Canadian Occupational Performance Measure, and a survey were used to collect data. This combination of visits resulted in clinically and statistically significant improvements in client perception of performance and satisfaction. Findings showed that participants felt this visit model met their needs and they would recommend to others. Results of this study warrant a larger study involving physical therapy and speech language pathology disciplines.  

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 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.

A Qualitative Study of Professional Issues in Home Health Therapy

2017 ◽  
Vol 30 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Eric Shamus ◽  
Sarah Fabrizi ◽  
Jeffrey Hogan
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Home Care ◽  
Home Health Care ◽  
Physical Therapists ◽  
Real Life ◽  
Occupational Therapists ◽  
Home Health ◽  
Professional Issues ◽  
Snowball Sampling

Professional issues are experienced by physical and occupational therapists working in home health care. A grounded theory method was utilized with snowball sampling to interview 11 home health physical therapists and six occupational therapists working with a variety of populations in the home health setting. Major themes were identified separately for physical and occupational therapy using open, axial, and selective coding. The themes were then recoded for shared themes among the two professions. The major research questions included the following: What professional issues are encountered by therapists working in home health care? What type of benefits and barriers do therapists describe when providing home health services? Finally, how do professional issues compare between the different professions? The five major themes identified by physical therapists included work environment, work characteristics, communication, patient and family, and work-life balance. The themes identified by occupational therapists included the natural environment, the context of health care, client factors, and therapist factors. Common themes described by both physical and occupational therapy providers included the real-life environment of the home, the structure of home care, and autonomy of service provision. Results provide information about professional issues faced by therapists working in the home health care setting. There are a number of issues that are common to both professions, and others that appear to be discipline specific. These findings will guide professional efforts as the demands for professionals working in home care increase.

scholarly journals Ownership and Exit Behavior: Evidence from the Home Health Care Market

2016 ◽  
Vol 16 (1) ◽  
pp. 289-320 ◽  
Author(s):  
Chiara Orsini
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Capital Investment ◽  
Home Health ◽  
Health Care Market ◽  
For Profit ◽  
Not For Profit ◽  
Quasi Experimental ◽  
The Law ◽  
Exit Behavior

Abstract In the US health care system a high fraction of suppliers are not-for-profit companies. Some argue that non-profits are “for-profits in disguise” and I test this proposition in a quasi-experimental way by examining the exit behavior of home health care firms after a legislative change considerably reduced reimbursed visits per patient. The change allows me to construct a cross provider measure of restriction in reimbursement and to use this measure and time-series variation due to the passage of the law in my estimates. I find that exits among for-profit firms are higher than those of not-for-profit firms, rejecting the null that these sectors responded to the legislation in similar ways. In addition, my results expand the view that “not-for-profit” firms are a form of “trapped capital.” There is little capital investment in the home health care market, so the higher exit rates of for-profit firms after the law change indicate the possible role of labor inputs in generating differences in exit behavior across sectors.

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.

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