scholarly journals Influence of Occupational Therapy on Resilience in Individuals with Multiple Sclerosis

2012 ◽  
Vol 14 (3) ◽  
pp. 160-168 ◽  
Author(s):  
Janet Falk-Kessler ◽  
J. Tamar Kalina ◽  
Pamela Miller
Keyword(s):  
Multiple Sclerosis ◽  
Occupational Therapy ◽  
Ad Hoc ◽  
Multidisciplinary Treatment ◽  
Multidisciplinary Care ◽  
Control Group ◽  
Resilience Scale ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

This quasi-experimental pilot study examined the impact of multidisciplinary care, with a particular focus on occupational therapy (OT), on resilience in individuals with multiple sclerosis (MS). Individuals with a diagnosis of MS who were receiving multidisciplinary care including outpatient OT at an MS center were invited to participate. A total of 36 individuals agreed to enroll and were asked to complete a demographic questionnaire and the Resilience Scale (RS). After an 8-week period of multidisciplinary treatment, the 35 individuals who completed treatment were again asked to complete the RS. As a group they demonstrated statistically significant improvement in resilience. A cohort of participants unexpectedly did not follow through with OT but did follow through with their other referrals. These individuals completed the RS before and after the 8-week time period and became an ad hoc control group. The group receiving OT showed significant improvement in resilience, while the control group did not. This study shows that a multidisciplinary approach to care, especially when it includes OT, is effective in treating individuals with MS. Occupational therapy focuses on treating symptoms that specifically limit daily functioning and participation, and may be uniquely positioned to affect resilience. Because resilience plays an important role in functional recovery and maintenance, this study suggests that OT may be a critical component of MS care in developing characteristics that enhance resilience.

scholarly journals The Use of Procalcitonin as a Sepsis Marker in a Community Hospital

2019 ◽  
Vol 3 (4) ◽  
pp. 545-552
Author(s):  
Nathalia De Oro ◽  
Maria E Gauthreaux ◽  
Julie Lamoureux ◽  
Joseph Scott
Keyword(s):  
Lactic Acid ◽  
Length Of Stay ◽  
Community Hospital ◽  
Unit Length ◽  
Hospital Setting ◽  
Control Group ◽  
Before And After ◽  
Quasi Experimental ◽  
Current Cutoff ◽  
The Impact

Abstract Background Procalcitonin (PCT) is a biomarker that shows good sensitivity and specificity in identifying septic patients. Methods This study investigated the diagnostic accuracy of PCT in a community hospital setting and how it compared to that of lactic acid. It explored the impact on patient care before and after PCT implementation regarding costs and length of stay. Two comparative groups were analyzed using an exploratory descriptive case–control study with data from a 19-month period after PCT implementation and a retrospective quasi-experimental study using a control group of emergency department patients diagnosed with sepsis using data before PCT implementation. Results Post-procalcitonin implementation samples included 165 cases and pre-procalcitonin implementation sample included 69 cases. From the 165 sepsis cases who had positive blood cultures, PCT had a sensitivity of 89.7%. In comparison, lactic acid's sensitivity at the current cutoff of 18.02 mg/dL (2.0 mmol/L) was 64.9%. There was a 32% decrease in median cost before and after PCT implementation, even with the length of stay remaining at 5 days in both time periods. Conclusions There was a significant decrease after the implementation of PCT in cost of hospitalization compared to costs before implementation. This cost is highly correlated with length of stay; neither the hospital nor the intensive care unit length of stay showed a difference with before and after implementation. There was a positive correlation between lactic acid and PCT values. PCT values had a higher predictive usefulness than the lactic acid values.

scholarly journals Peningkatan Kemandirian Lansia Melalui Okupasi Terapi dan Group Psychotheraphy di PSTW Sabai Nan Aluih Sicincin Padang Pariaman

2020 ◽  
Vol 15 (2) ◽  
pp. 136-146
Author(s):  
Sunardi Sunardi ◽  
Renidayati Renidayati
Keyword(s):  
Occupational Therapy ◽  
Group Psychotherapy ◽  
The Elderly ◽  
T Test ◽  
Control Group ◽  
Training Module ◽  
Therapeutic Modalities ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

The increasing number of the elderly causes complex problems for the elderly, families and communities. Physiological and psychological changes make the elderly feel useless, experience decreased motivation and independence. One of the efforts to increase the independence of the elderly in order to remain qualified is the application of therapeutic modalities in the form of occupational therapy and group psychotherapy. This study aims to determine the changes in the independence of the elderly before and after Ocupasi therapy and Group Psychotherapy at PSTW Sabai Nan Aluih Sic Cincin, Padang Pariaman Regency. The study used a quantitative approach with "Quasi Experimental pre and post test with control group which was held from March to November 2019. The study sample was 63 elderly people who were taken by purposive sampling." The research instrument used the Katz AD Index. Data analysis used Paired sample t-test and Independent t test. The increase in the average independence of the dementia elderly was greater in the elderly who were given Ocupasi therapy and Group Psychotherapy by 18.83 compared to those who received Ocupasi therapy of 7,121. Conclusion The elderly who received occupational therapy and group psychotherapy experienced an increase in independence compared to the elderly who only received occupational therapy. It is recommended that nursing home nurses receive occupational therapy training modified with group psychotherapy and that the training module needs to be improved.

scholarly journals The Impact of Education on Mother’s Knowledge for Stunting Prevention Through Moringa Oleifera in Kuan Noel Village, Fatumnasi District, South Central Timor Regency

2020 ◽  
Vol 8 (3) ◽  
pp. 206
Author(s):  
IRLIN FALDE RITI
Keyword(s):  
Treatment Group ◽  
Moringa Oleifera ◽  
Sampling Technique ◽  
Control Group ◽  
South Central ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact ◽  
Educational Aspect

<p align="center"><strong>ABSTRAK</strong></p><p><strong>Background:</strong> One of nutritious problems susceptibly encountred in the world nowadays is kid’s stunting. Stunting is a failure of growth condition and cronical nutritious problems caused by poor nutritious supply because of improper meal provisions in long term growth consumptions. Stunting could be primarily prevented by increasing knowledge about stunting prevention through consuming moringa oleifera regularly. <strong>The aim:</strong> This study is intended to know the impact of education on mother’s knowledge for stunting prevention through regular moringa oleifera consumption. <strong>Research Method: </strong>This research applied a quasi experimental design by generating non equivalent control group which complied two groups; 30 subjects (mothers) were considered as treatment group; whereas, other 30 subjects (mothers) were taken as control group. Thus sampling technique applied was consecutive sampling. <strong>Results:</strong> The study showed that there was a significant impact on education score before and after intervention effects towards the treatment group (p=0,000); whereas there was no significant difference on the control group (p=0,184). The statistical analysis applied independent sample t-test which showed if educational aspect significantly impacted on the increase of mother’s knowledge (p=0,000). <strong>Conclusion:</strong> Educational aspect impacted on mother’s knowledge for stunting prevention through moringa oleifera.</p>

scholarly journals Quality of Life in Patients with Multiple Sclerosis after Autologous Hematopoietic Stem Cell Transplantation

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 5708-5708
Author(s):  
Juan Carlos Olivares-Gazca ◽  
Iván Murrieta-Álvarez ◽  
Jesús Mauricio Olivares-Gazca ◽  
Yarely Itzayana García-Navarrete ◽  
Yahveth Cantero-Fortiz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Cell Transplantation ◽  
Hematopoietic Cell Transplantation ◽  
Conflicts Of Interest ◽  
Hematopoietic Stem ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

Introduction Multiple sclerosis (MS) is an inflammatory, demyelinating and neurodegenerative disease of the central nervous system (CNS) that causes a whole spectrum of neurological disorders associated with a profound decrease in the quality of life of affected patients. Currently, autologous hematopoietic cell transplantation (ASCT) is a validated therapeutic approach and has been shown to be superior to new immunomodulatory agents. However, the impact of these therapies on the quality of life of patients with MS is unknown. Objective Identify the impact on the quality of life in patients with multiple sclerosis after ASCT at our center. Methods A quasi-experimental, longitudinal, prospective and single-center study was conducted in which the quality of life was determined in patients with MS before and after ASCT. Patients who could not answer the questionnaire themselves were excluded and incomplete questionnaires were eliminated. The quality of life was determined by applying the MS-QoL 29 instrument which is validated instrument for this pathology (Cronbach 0.88-0.90 and Pearson with high correlation with MS-QoL56). The variables related to the physical and mental components of the instrument as well as demographic characteristics were studied. The statistical analysis of the data included measures of central tendency as well as inferential for the comparison of means and proportions (NC 95%, p <0.05). Results We included 52 patients prospectively from October 2018 to June 2019, 71% of the patients were women and the remaining 29% men. The median of age of the subset is 50 years (Interval 27-65). Of the selected patients, 45% has PPMS, 39% has SPMS and 16% has PPMS. Twenty six patients were followed at 3 months and seventeen were followed 6 months after ASCT. The statistical differences between the quality of life in the patients prior to the ASCT and the follow-up at 3 and 6 months in both the physical and mental components was analyzed. In the physical component the differences at 3 months (A) were significant (p = 0.019, 95% NC) as well as the differences at 6 months (b) after ASCT (p = 0.0024, 95% NC). In the mental component the differences were significant at 3 months (C) (p = 0.0012, NC 95%) as well as the differences at 6 months (D) after ASCT (p = 0.0007, NC 95%). Conclusions The study suggests that ASCT is a feasible and safe therapeutic alternative to improve the quality of life in patients with multiple sclerosis. Figure Disclosures No relevant conflicts of interest to declare.

scholarly journals The Impact of Information Technology on Family Values Transformation

2017 ◽  
Vol 2 (4) ◽  
pp. 153
Author(s):  
Bagus Haryono
Keyword(s):  
Information Technology ◽  
Positive Impact ◽  
Family Values ◽  
Personal Contact ◽  
Control Group ◽  
Technology Application ◽  
Message Service ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

This research explains the impact of Contemporary Information Technology Application Progress (CITA-P), WhatsApp/WA application, in transforming the family values from face-to-face contact (Emotional and Personal Value or EPV) to non-personal contact (Pragmatic Value or PV). It uses quasi-experimental design conducted by pre-test, treatment, and post-test in Hagen lineage (HaL) as Experiment Group (EG). Then it compares by Control Group (CG) with the Limited-Treatment (L-T) by phone, Short Message Service/SMS, and Facebook/Fb in Sumer lineage (SuL). Data were collected by sending the Eid messages. Respondent consisted of HaL and SuL members. Contemporary treatment is manipulated by CITA-P at the HaL member. Findings showed that CITA-P has positive impact to transform the EPV toward PV, as indicated by significant increase in the larger IT-P score in the EG than the L-T effect in CG before and after implementing it.

scholarly journals The Interactive Web-Based Program MSmonitor for Self-Management and Multidisciplinary Care in Persons With Multiple Sclerosis: Quasi-Experimental Study of Short-Term Effects on Patient Empowerment

10.2196/14297 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e14297
Author(s):  
Peter Joseph Jongen ◽  
Gezien ter Veen ◽  
Wim Lemmens ◽  
Rogier Donders ◽  
Esther van Noort ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Self Efficacy ◽  
Multidisciplinary Care ◽  
Self Management ◽  
Control Group ◽  
Short Term ◽  
Quasi Experimental ◽  
Program Components

Background Empowerment helps persons with a chronic disease to self-manage their condition and increase their autonomy and participation. MSmonitor (Curavista bv) is an interactive Web-based program for self-management and multidisciplinary care in multiple sclerosis (MS). It includes, among others, short questionnaires on fatigue (Modified Fatigue Impact Scale-5 [MFIS-5]) and health-related quality of life (HRQoL, Leeds Multiple Sclerosis Quality of Life [LMSQoL]); long questionnaires on disabilities, perception of disabilities (Multiple Sclerosis Impact Profile), and HRQoL (Multiple Sclerosis Quality of Life-54); a Medication and Adherence Inventory and an Activity Diary. The combination MFIS-5, LMSQoL, and Medication and Adherence Inventory constitutes the Quick Scan. Objective This study aimed to investigate the short-term effects of MSmonitor on empowerment in patients with MS. Methods We conducted a quasi-experimental study in a general hospital. Of the 180 patients with MS, 125 were eligible, 30 used MSmonitor, and 21 participated in the study (mean age 45.4 years, SD 10.2 years). A total of 24 eligible patients who did not use MSmonitor constituted the control group (mean age 49.3 years, SD 11.4 years). At baseline and at 4 months, we assessed self-efficacy (Multiple Sclerosis Self-Efficacy Scale [MSSES]), participation and autonomy (Impact on Participation and Autonomy [IPA] questionnaire), and self-management (Partners In Health [PIH] questionnaire). Differences between time points and groups were tested with paired t tests and χ² tests. Results In the MSmonitor group, follow-up values remained unchanged for MSSES control (P=.19), MSSES function (P=.62), IPA limitations (P=.26), IPA problems (P=.40), PIH recognition and management of symptoms (P=.52), PIH adherence to treatment (P=.80), and PIH coping (P=.73), whereas the PIH knowledge score had improved (mean 27.8, SD 1.7 vs mean 28.7, SD 2.0; P=.02). The overall utilization rate of the program components was 83% and that of the Quick Scan was 95%. In the control group, all outcomes had remained unchanged. Conclusions The results suggest that for first-time users of the MSmonitor program and their health care providers, it may not be justified to expect a short-term improvement in empowerment in terms of self-efficacy, self-management, autonomy, or participation. Furthermore, a lack of effect on empowerment is not because of nonusage of the program components.

Pharmacy-Led β-Lactam Allergy Interview (BLAI) Reduces Duration of Fluoroquinolones Within a Community Hospital

2019 ◽  
Vol 53 (6) ◽  
pp. 588-595 ◽  
Author(s):  
Elizabeth W. Covington ◽  
Beth Jobson Baldwin ◽  
Emily Warren
Keyword(s):  
Community Hospital ◽  
Skin Testing ◽  
Control Group ◽  
Cohort Design ◽  
Prospective Group ◽  
Before And After ◽  
Effective Option ◽  
Lactam Antibiotic ◽  
Quasi Experimental ◽  
The Impact

Background: Patients with reported β-lactam allergies often receive broad-spectrum antimicrobials and have been shown to experience a variety of negative health consequences, such as increased mortality, costs, readmission, and adverse reactions. Current literature focuses on β-lactam allergy skin testing but lacks evidence on β-lactam allergy interviews (BLAI) when skin testing is unavailable. Objective: This study aimed to test the impact of a pharmacy-led BLAI on duration of fluoroquinolones at a community hospital. Methods: A quasi-experimental design with a prospective cohort design and historical control group was used to assess patients with reported penicillin (PCN) allergies in a community hospital. The primary outcome was duration of fluoroquinolones before and after implementation of BLAI. Secondary outcomes included length of stay (LOS), percentage of patients switched to a β-lactam antibiotic, percentage of antimicrobial stewardship recommendations made/accepted, and discrepancies between allergy in medical record and interview-reported allergy. Nonparametric continuous data and medians were evaluated by Mann-Whitney U. Results: A total of 80 patients were included in the study (43 in the control group and 37 in the prospective group). Fluoroquinolone duration was reduced after the implementation of BLAI (3.7 vs 2.7 days, P = 0.027). In all, 49% of patients in the prospective group were switched to a β-lactam antibiotic after BLAI, with no allergic reactions, adverse effects, or impact on LOS. Conclusion and Relevance: BLAI resulted in a significant reduction in fluoroquinolone duration in patients with PCN allergies and may represent a safe and effective option for institutions lacking skin-testing capabilities.

scholarly journals Impact of 3D Printing on Occupational Therapy Student Technology Efficacy

2021 ◽  
Vol 5 (4) ◽  
pp. 571-586
Author(s):  
Kimberly Davis ◽  
Laura Gurney
Keyword(s):  
3D Printing ◽  
Occupational Therapy ◽  
Control Group ◽  
Educational Module ◽  
Design Modification ◽  
Student Groups ◽  
Occupational Therapy Students ◽  
Before And After ◽  
3D Printers ◽  
The Impact

This study examines a mixed methods experiment, evaluating the impact of 3D printing on Occupational Therapy student’s self-reported technology efficacy levels, before and after an educational module focused on 3D printing technology. Utilizing free and online software and university owned 3D printers, students were challenged to create client centered assistive devices. Software included free computer aided drafting software, slicing software, and an online design repository. Copyright and attribution licensing concepts were also addressed for design modification considerations and use in clinical settings. Participants explored adaptations of 3D designs to meet individualized client needs and integration of rehabilitative theories. Project-based implementation of 3D printing with ‘real world’ clients created increased student ‘buy-in’ and engagement. Participants were recruited from private, rural, higher education, occupational therapy students in pre-clinical lab courses. Comparisons between student groups exposed to 3D printing and a control group without exposure are assessed using quantitative and qualitative data. The control group expressed interest in further technology education in their field. Students show significant increases in technology focused self-efficacy between participant groups.

scholarly journals PROMOSI MEDIA FILM BERBAHASA BENGKULU BERPENGARUH TERHADAP PENGETAHUAN DAN MOTIVASI WANITA DALAM DETEKSI DINI KANKER SERVIKS MELALUI IVA TES

2019 ◽  
Vol 6 (2) ◽  
pp. 123-132
Author(s):  
Lusi Andriani ◽  
Sri Yanniarti ◽  
Desi Widiyanti ◽  
Elvi Destariyani
Keyword(s):  
Cervical Cancer ◽  
Comparison Group ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Design Data ◽  
Control Group Design ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

The incidence of Cervical cancer about 16/ 100,000 women, 70% of deaths occur in poor and developing countries. It is estimated that approximately 528,000 new cases of cervical cancer and caused 266,000 people to die. The purpose of this study to determine the impact of local language movies on knowledge and motivation Women in the implementation of early detection of cervical cancer by the IVA test. This study uses a quantitative method with a design quasi-experimental pre and post-test with control group design, data were collected using a questionnaire. Samples were 60 women in the Kampung Melayu district area consists of 30 people as the intervention group and 30 in the comparison group. The data analysis used univariate, the bivariate test of T-dependent and T-test Independent, multivariate use MANCOVA. Results showed knowledge before and after intervention increased from 10.73 into 12.80 with p-value(0.000) and Motivation scores increase of 56.57 into 60.40 with p-value (0.002). There are significant differences between the intervention group and the comparison group with p-value(0.002) for the knowledge and p (0.000) for motivation. There was a significant effect of the variable Independent Movie towards Knowledge and Motivation women with pValue 0.00, covariate variable does not affect the knowledge and motivation with p-Value greater than α =0.05. Need to campaign on an ongoing basis to be able to motivate women in carrying out the examination IVA and the media that is used needs to be varied so that women interested and more easily understand the message.

The Effect of Using Proposed Software by the Students of Instructional Technology to Acquire New Instructional Technology Skills

2021 ◽  
Vol 13 (45) ◽  
pp. 125-146
Author(s):  
Dawood Abdulmalek Al-Hidabi ◽  
Eissa Mohammed Ali Saleh
Keyword(s):  
Instructional Technology ◽  
Control Group ◽  
Technology Skills ◽  
Technology Students ◽  
Before And After ◽  
Quasi Experimental ◽  
And Control ◽  
The Impact ◽  
Self Learning ◽  
Academic Year

This study investigated the effect of using proposed software by the students of Instructional Technology Department to acquire new instructional technology skills. To achieve the study objectives, the quasi-experimental research with both experimental and control groups was conducted among 40 second-level students of the Instructional Technology Department at Ibb University in the academic year 2018-2019. Participants took pre and post-tests in order to compare the statistical difference before and after the implementation of the proposed software. The research instrument used in this study was an observation card to measure the extent to which students have acquired the new instructional technology skills. After developing a list of new instructional technology skills, building the proposed software and conducting the treatment, the results showed that students in the experimental group were better than the control group in acquiring the new instructional technology skills. These results demonstrated the impact of using the proposed software for acquiring the new instructional technology skills compared to the conventional methods. The study recommended computerizing specialization courses of the Instructional Technology Department, using self-learning methods that would help students acquire better skills so as to improve and develop the learning process. Keywords: proposed software, new instructional technology skills, Instructional Technology students.

Sign in / Sign up

Export Citation Format

Share Document