The meaning that undergraduate Occupational Therapy students at the University of KwaZulu-Natal attach to the Occupation of dance

ABSTRACT INTRODUCTION: Occupational Engagement is an inextricable component of life and is considered essential to human survival. Doing an occupation that is positively perceived (such as dance) can lead to the experience and expression of meaning which then enhances quality of life. This study aimed to explore the meaning that undergraduate Occupational Therapy students studying at the University of KwaZulu-Natal attach to dance as an occupation METHOD: The study followed an exploratory qualitative research design with purposive sampling. Focus groups and semi-structured interviews were utilized to collect data which were analysed thematically RESULTS: Five themes emerged: Centre stage (an exploration of factors motivating engagement); On Pointe (beneficial effects of dance); My Solo Dance Experience (the individual's journey whilst engaging); It Takes 2 to Tango (exploring the role of relationships) & Dancing to the Beat (exploring time available for engagement). The hidden complexities of 'meanings' attached to the occupation of dance emerged which were experienced as subjective and multi-dimensional CONCLUSION: The study revealed that the meanings attached to dance were based on individual experiences with the occupation, others and the environment. Engagement in the occupation of dance (doing) enhances personal growth (becoming) and becomes a part of the individual (being Keywords: doing; being; becoming; belonging; occupational engagement; occupational balance; occupation; dance; meaning

Promotion of Access to Information Act: Key issues for occupational therapists

ABSTRACT INTRODUCTION: Increasingly, healthcare practice, including occupational therapy, is influenced by non-medical legislation, such as the Promotion of Access to Information Act (PAIA), which regulates the right to access information held by others. While the PAIA does not intend to limit existing access to information rights, such as a patient's right to access their health information in terms of the National Health Act, the PAIA does provide better clarity regarding access to patients' information than health-related legislation and policies, including those of the Health Professions Council of South Africa METHOD: Using normative analysis of a desktop review of relevant legislation, case law and literature, this paper aims to provide guidance to occupational therapists about patients' right to access their information in terms of five themes: Theme 1: What is the difference between a public and a private body? Theme 2: Who may request access to information? Theme 3: Is there a prescribed process to be followed when requesting access to information? Theme 4: What is the nature of information to which access is granted? Theme 5: Are there any circumstances under which access may reasonably be refused? CONCLUSION: The paper concludes that, while existing health-related legislation and policies already provide the right to access to information, application of specific guidance from the PAIA e.g., using prescribed forms to request access, could serve to better protect patients' and practitioners' interests alike Key words: PAIA, National Health Act, healthcare practitioners, patient records, access to information, occupational therapy record-keeping, health-related legislation and policies.

Learning styles in Physiotherapy and Occupational Therapy students: an exploratory study

ABSTRACT BACKGROUND: Learning styles of health care professionals are unique and tend to be profession- specific. This study aimed to compare the learning styles of undergraduate occupational therapy and physiotherapy students and to determine the relationship between preferred learning styles, demographic factors, and academic performance METHOD: The study design was a cross-sectional, descriptive study. Undergraduate occupational therapy and physiotherapy students completed a self-developed questionnaire and the Grasha-Reichmann Learning Style Inventory RESULTS: A total of 313 students with a mean age of 19.6±1.58 years participated in this study. The results showed that students preferred the collaborative (75%) learning style, with the first-year students scoring significantly higher in the collaborative style (3.97±0.48; p<0.001). The male students (2.67±0.65) scored higher in the competitive learning style than female students (2.20±0.62; p=0.001, d=0.757). The competitive learning style, when controlling for sociodemographic variables, is a significant predictor of an increase in academic performance in English language (B=2.28, [0.60-3.96]), physics (B=3.62, [0.22-7.02]) and overall academic performance (B=2.12, [0.34-3.90 CONCLUSION: The predominant preferred learning styles are the collaborative and participant styles. The application in the teaching space should be carefully considered for the selection of teaching approaches and activities. This study points to the Physiotherapy and Occupational Therapy programmes need to align to the collaborative style and respond with a variety of teaching methods. The associations shown between preferred learning styles and demographic variables point to the need to pay attention to diversity when selecting teaching approaches and activities Keywords: Grasha-Reichmann Learning Style Inventory, learning styles, occupational therapy, physiotherapy, undergraduate students

Re-orienting occupational therapy: Embracing generative disruption and revisiting a posture that acknowledges human dignity

ABSTRACT BACKGROUND: Amidst the Covid-19 lockdown that commenced in March 2020, while the profession and service-users were coming to terms with its vast implications, the Occupational Therapy Association of South Africa initiated a Webinar series that stimulated provocative discussions and difficult dialogues. The authors of this paper deliver a commentary, critically engaging with the challenges of cogently articulating the contribution of occupational therapy services across various sectors of service delivery during the first wave of the Covid-19 pandemic in South Africa. The challenges of on the one hand, negotiating the abrupt cessation of rehabilitation services, especially in the public sector and, on the other, advancing the reasoning for accessible, community-based services, are considered AIM: The commentary draws from presentations at and reflections on the webinar hosted on 24 June 2020 titled 'Ethical and Moral Challenges for Occupational Therapy'. In this paper, the competing ethical and moral issues arising from being urged to adopt different ways of thinking and doing occupational therapy during the Covid-19 lockdown are outlined PROPOSITION: It is suggested that experiences emerging from this pandemic are urging the profession to rethink its positionality in the health sector. Two main considerations deserve attention: The first is rethinking how we use occupational therapy knowledge to act from and in relation to local contexts, viewing people who are marginalised as knowledge and action partners through generative disruption. The second is to revisit what it entails to foster a posture that acknowledges human dignity CONCLUSION: Generative disruption includes a continuous and unabashed critical reflection of and on the limits of our practice and knowledge at hand. It means that we need to include service users and community partners in taking necessary steps to render services in local contexts most needed in recalibration toward social and occupational justice. In our knowledge-making partnerships, it is also imperative to revisit the posture of acknowledging human dignity Keywords: Covid-19; occupational therapy; occupational justice; human dignity; generative disruption

Clinical utility of three sensory modulation measures for the child with ASD in South Africa: A practitioner's perspective

ABSTRACT BACKGROUND: There is need for the assessment of sensory modulation in children with Autism Spectrum Disorder (ASD) to be culturally, environmentally, economically and language sensitive to the South African population. It is assumed that the measures in current use are not appropriate, acceptable, practical or accessible for the South African child with ASD AIM: This study sought the practitioners' perspective on the clinical utility of three sensory modulation measures for children diagnosed with ASD in South Africa METHODS: A quantitative survey method was used to collect data from a purposive sample of 31 SAISI Occupational Therapy members nationwide RESULTS: Urban participants accounted for 83% of the sample, 80% were in private practice and 67% from English-speaking practices. All three measures demonstrated some level of clinical utility. The Sensory Processing Measure (SPM) was found to be more appropriate than the Sensory Profile (SP) (p<0.007), although the SP was more accessible than the SPM (p<0.002). Amongst non- English speakers the Sensory Experiences Questionnaire (SEQ) was more acceptable than the SPM (p<0.045 RECOMMENDATIONS: The SPM should be used in an interview format, with recommended changes and translation into the caregivers' home language, until a South African specific sensory screening measure, which can be readily reproducible in several local languages, is developed Keywords: Sensory Profile, the Sensory Processing Measure, Sensory Experiences Questionnaire, culturally sensitive, language appropriate