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Utility of an Occupational Therapy Driving Intervention for a Combat Veteran

Classen, Sherrilene; Monahan, Miriam; Canonizado, Maria; Winter, Sandra
Fonte: The American Occupational Therapy Association, Inc. Publicador: The American Occupational Therapy Association, Inc.
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
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86.23%
A single-subject study comparing clinical test results and driving errors in a returning combat veteran before and after an occupational therapy driving intervention yielded positive results.

An audit of attendance at occupational therapy by long-term psychiatric in-patients at Weskoppies Hospital

Krüger,Christa; van der Westhuizen,Ronél
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
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86.27%
OBJECTIVES: Although the value of occupational therapy (OT) in psychiatric rehabilitation is indisputable, little is known about the range of OT interventions attended by long-term in-patient populations. The aim of this study was to gather baseline information on which of the various OT interventions were attended the most frequently. METHODS: This study presents an audit of OT offered to 264 long-term in-patients at Weskoppies Hospital over eight months. The inpatients' attendance at various OT interventions was used to identify their patterns and frequency of participation. RESULTS: The most frequently attended OT interventions were (descending): Group OT in the OT department (high-functioning women); industrial therapy (men); woodwork-and-upholstery (men); group OT in the wards (low-functioning men); and clerical therapy (high-functioning patients). On the whole, attendance at OT was low. CONCLUSIONS: The current OT profile favours high-functioning and male patients. Low-functioning-female patients are neglected. Future OT efforts should focus on low-functioning long-term in-patients, particularly low-functioning-female patients.

Substance abusers' anger behaviour and sensory processing patterns: An occupational therapy investigation

Stols,Denisé; van Heerden,Rita; van Jaarsveld,Annamarie; Nel,Riette
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2013 EN
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86.29%
BACKGROUND: Persons with a high tendency towards anger often abuse substances. When problematic anger interferes with substance abusers' ability to cope, the occupational therapist plays a vital role in providing opportunities for substance abusers to experience and practice effective ways to deal with their anger. Many substance abusers seem to also have atypical sensory processing patterns. In Occupational Therapy atypical sensory processing is recognised as a domain of concern not only in children, but adults as well. It is against this background that the question was asked whether relations exist between substance abusers' anger behaviour and their sensory processing. METHODS: A quantitative, cross-sectional study was conducted to describe adult substance abusers' anger behaviour and sensory processing patterns. Adults with substance abuse difficulties admitted to two institutions in Pretoria between 1 October 2008 and 29 May 2009 represented the study population. The one institution specialises in substance abuse rehabilitation, while the other is an inpatient treatment facility for clients with mental health problems. A total of 84 participants met the inclusion criteria, of which 54 participants were in-patients at one institution and 30 in-patients at the other institution. Participants reported on the following anger behaviours: verbal expression...

Using the Occupational Therapy Practice Framework-ll to treat a rare condition - brain abscess and empyema

Gradidge,Katherine; Casteleijn,Daleen; Franzsen,Denise
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2013 EN
Relevância na Pesquisa
86.36%
Brain abscess and Empyema are potentially disabling conditions with lifelong consequences, yet there is a paucity of literature on occupational therapy assessment and treatment of these patients. A recent record review found that the most important presenting problems were neuro- musculoskeletal, movement and mental deficits. Based on this review, and the lack of literature on the guidelines for assessment and treatment of these conditions, the need for an occupational therapy practice guideline was established. The Occupational Therapy Practice Framework- II was used as a scaffold to draw up a guideline that will give occupational therapy clinicians working with this group of rare conditions a guideline for rehabilitation priorities for intervention.

Quality management in occupational therapy

Robinson,Helen; Botha,Annali
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2013 EN
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86.39%
Although quality management is used in occupational therapy in South Africa, no comprehensive description or standardisation of it exists and literature in the context of this topic is scarce. As a consequence of this, the purpose of this study was to describe the extent of occupational therapists' involvement in quality management. A quantitative study in the form of a survey was carried out. A convenience sample of 80 occupational therapists was surveyed, using a structured questionnaire. Results of the study indicated that most occupational therapists have some knowledge of quality frameworks. Standardisation of documentation and its auditing appear to be one of a number of problems. Another challenge is that occupational therapists may work in relative professional isolation making it problematic to implement quality management. Recommendations were made for occupational therapy practice and further research, as well as a proposed quality management framework for occupational therapy in South Africa.

Occupational therapy manager's role in and perceptions of clinical education

De Witt,Patricia; Rothberg,Alan; Bruce,Judith
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
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86.35%
This study explored the role and perceptions of clinical education by the occupational therapy (OT) managers of clinical training sites. A descriptive, quantitative survey design was used and a self-administered questionnaire was developed. The questionnaire was developed from the literature and comprised of four sections: nature of the site; clinical training at that site; management of clinical education and perceptions of benefits and challenges. The content validity of the questionnaire was established. The questionnaires were sent to the heads of OT departments (n=22) that are utilised for the clinical education of occupational therapy students. Fourteen questionnaires were returned (73.7%). Only 45.5% (n=39) of the occupational therapists employed in these sites were involved in clinical education. The most common criteria for being involved were clinical experience and where OTs qualified. Most OT managers played a supportive (36%) or logistical role (43%) in clinical education; 22% were actively involved while 28% had no involvement. The two most frequent benefits of providing clinical education were perceived to be assistance in managing the clinical load and keeping up to date, while time and staff issues were perceived to be the challenges. The importance of involvement of all tiers of management in clinical education is not widely appreciated.

Curriculum transformation: A proposed route to reflect a political consciousness in occupational therapy education

De Jongh,Jo-Celene; Hess-April,Lucia; Wegner,Lisa
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
86.36%
INTRODUCTION: Curriculum review is an ongoing, dynamic, long-term process that forms part of occupational therapy education. The Department of Occupational Therapy, University of the Western Cape (UWC) recently responded to the challenge of becoming socially responsive and politically relevant by engaging in curriculum review. The review revealed that political reasoning was not clearly delineated previously in the curriculum. In response to this problem, over a period of several years we engaged in a process of curriculum transformation so that students become politically conscious. METHODS: The process entailed environmental scanning, feedback from teaching staff and clinicians, students' evaluations, regular curriculum revision meetings, academic development meetings, workshops and seminars. A qualitative study using a cooperative enquiry approach was conducted to analyse the data. FINDINGS: From the analysis the following themes emerged: (1) identifying the essence of occupational therapy education at UWC, (2) understanding political practice on a theoretical and then a personal level, (3) integrating and operationalising political consciousness into the curriculum. We discuss the debates and critical questions raised in our efforts to develop a curriculum that prepares graduates to be politically conscious and socially responsive. Finally...

Domains for occupational therapy outcomes in mental health practices

Casteleijn,Daleen; Graham,Margot
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
86.33%
Occupational therapists in mental health care settings find it difficult to produce convincing evidence of their unique contribution to health care. This article reports on the initial phase of a larger study where the purpose was to determine domains for an outcome measure for occupational therapists in mental health care settings. A mixed methods exploratory design: Instrument Development Model was used to determine suitable domains. Occupational therapy clinicians participated in focus group discussions, workshops and the nominal group technique to discuss the status quo of outcome measurement and eventually selected domains for the ideal outcome measure for their contexts of practice. Five themes emerged from the thematic content analysis of the focus groups: Understanding the concept of outcomes, Giving examples of outcomes, Factors influencing the measurement of outcomes, Benefits from using an outcomes measure and Characteristics of an outcomes measure. The nominal group technique was employed during workshops on current trends in outcome measurement in occupational therapy. Eight domains emerged which represented the service delivery of the participating clinicians. The domains were Process skills, Motivation, Communication and interaction skills...

Undergraduate occupational therapy students' engagement in qualitative research: Identifying research problems and questions through reflection while in a community fieldwork setting

de Jongh,Jo-Celene
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
86.23%
As part of the occupational therapy undergraduate programme at the University of the Western Cape (UWC), students carry out group research projects while in their fieldwork placements. The purpose of the Research module is to introduce them to basic qualitative research methods. Following the progress of a group of students in a community fieldwork setting as an example, this article is a commentary on how they use the steps of the community process as a guideline to identify possible research questions. The author will highlight the process that students follow to refine their research questions, the support they require to identify priority problems, the barriers that students face while conducting research in fieldwork, and the positive outcomes for students and the community. In conclusion the community process provided the students with a theoretical guideline, specifically the needs assessment and analysis steps of the process in order for them to conceptualise a research question within a community fieldwork setting.

Incorporating a client-centered approach in the development of occupational therapy outcome domains for mental health care settings in South Africa

Casteleijn,Daleen; Graham,Margot
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
86.38%
Occupational therapists use a client-centered approach as part of embracing a philosophy of respect for, and partnership with people receiving services. This approach must also be incorporated in measuring outcomes of the service and clients must have input in evaluating the outcomes of their intervention. This article reports on a specific phase of a larger study in which clients have been included in confirming the domains for an outcome measure in occupational therapy in mental health care settings. A case study strategy was used which enabled mental health care users to express their needs and expectations of the occupational therapy service. These were captured during 12 individual interviews and two focus groups. The findings were thematically analysed and constantly compared with the domains identified by occupational therapy clinicians in Phase 1 of the larger study. Results from this study indicated that the service which the participating occupational therapy clinicians were rendering, were in keeping with the needs and expectations of the mental health care users.

The sources of professional confidence in occupational therapy students

Holland,Kathy; Middleton,Lyn; Uys,Leana
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
86.33%
INTRODUCTION: While undergraduate training in South Africa places an emphasis on ensuring the competence of occupational therapy graduates, very little attention has been paid to exploring their professional confidence, despite the fact that this has been highlighted as an issue for students. The foundation for professional confidence is laid during student years, and is influenced by a number of determinants, which this study aimed to identify. METHODS AND MATERIAL: Qualitative methodology was used with a purposive sample of nineteen final year occupational therapy students. Students were invited to participate voluntarily in focus group interviews and/or submit their reflective journal. Five lecturers and six clinical supervisors at the University concerned also participated in focus group interviews. Deductive thematic analysis of the data was undertaken. RESULTS: Two broad themes emerged. The first theme, external determinants, included clinical experience, relationships with peers, staff and patients, and the changing environment in which they worked. The second theme, internal determinants, included certain identified personal characteristics and influencers. The external and internal sources of professional confidence beliefs were either within the control of the student...

Hedges in occupational therapy research texts

Coetzer,Amanda
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2009 EN
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86.27%
The study examined an aspect of research writing, namely hedging. The aim was to establish the nature of the relation between the quality of the article and report writing in occupational therapy and the density of hedges in such writing. The texts comprised undergraduate reports, which were divided into two achievement groups, namely high and low achievers and journal articles by occupational therapists. Articles were included because it was assumed that they exemplified good writing, and accordingly, would be appropriately hedged, and would provide a reliable basis for comparing the student groups. Hyland's (1998) analytical framework was used. While statistical tests revealed no differences between the student groups, overall, the tests revealed significant differences in the use of hedges between the professional and student writers. In the light of these findings, it is suggested that hedging in research writing be studied and taught to students in order to assist them in their studies and careers.

Occupational therapy and the quest for human dignity: Why human rights matter

van der Merwe,Tania
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2010 EN
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86.31%
Human rights are often regarded as an encumbered term. People, who are marginalised by socio-political factors beyond their control, grapple with the relevance of human rights to their everyday life experience. Based on South Africa's history many citizens have experienced discriminatory barriers of some sort, therefore educating students and clients in human rights is imperative. This paper explores a critical view of the relevance of human rights to occupational therapy in terms of the various offices an occupational therapist occupies. An overview is given of possible challenges that might need to be overcome in applying the human rights framework in everyday life and practice with the view to stimulating discourse on cultivating a human rights culture in the occupational therapy profession's quest for human dignity.

A proposal for an undergraduate stroke rehabilitation curriculum appropriate for South African occupational therapy

Freeme,Juliana; Casteleijn,Daleen
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
86.33%
The incidence of stroke will likely increase in the next few decades as the expected health of sub-Saharan Africans is predicted to deteriorate as a result of increasing infectious and poverty-related diseases. In addition, studies have shown that the risk factors for vascular disease as well as the increasing age of the population will add to this problem. Effective curriculum planning regarding stroke rehabilitation in tertiary educational institutions training occupational therapy students should be a pertinent topic in South Africa. This paper explores the opinions of clinicians and experts in the field of neurology about the occupational therapy stroke rehabilitation curricula. It also aims to clarify and evaluate opinions regarding occupational therapy stroke rehabilitation curricula, by raising awareness of the issues pertaining to the current educational curricula. Two combined methods were used which included a curriculum audit and a panel discussion. Specific information was extracted from the audit regarding the requirements for training in stroke rehabilitation, revising the number of stroke rehabilitation theories taught, the use of updated and uniform terminology across all universities, and lastly the need to teach and use standardised assessments to measure effectiveness of stroke rehabilitation techniques. Several common topics arose from the panel discussion...

Co-morbidities of hearing loss and occupational therapy in preschool children

Sewpersad,Varsha
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2014 EN
Relevância na Pesquisa
86.31%
INTRODUCTION: Many children with hearing impairment present with one or more health-related conditions defined as a co-morbidity in addition to hearing loss. Families and professionals are then faced with various challenges that often complicate the assessment, management and educational placement of these children. Appropriate holistic intervention is essential for the development and quality of life of the child. This study describes the co-morbidities within the field of occupational therapy, speech therapy and physiotherapy that pre-school children with hearing loss present with at the Centre for Language and Hearing Impaired Children (CLAHIC) and its implications for management. METHOD: A descriptive, retrospective research design was employed. Using a non-probability, purposive sampling strategy the records of 62 children diagnosed with a hearing loss that attended the CLAHIC from 1999 to 2010, were reviewed. RESULTS: The prevalent co-morbidities identified in this study were found mostly within the field of Occupational Therapy and included fine and gross motor delay, visual motor integration disorders and bilateral integration disorders. Further findings indicated that co-morbidities of hearing loss are independent of the degree of the hearing loss. CONCLUSION: The findings suggest that pre-school children with hearing loss...

Are final year occupational therapy students adequately prepared for clinical practice? A case study in KwaZulu-Natal

Naidoo,Deshini; Van Wyk,Jacqueline; Nat,Robin Joubert
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 EN
Relevância na Pesquisa
86.31%
This study explores the perceptions offinal year occupational therapy students at the University of KwaZulu Natal and their supervisors, regarding their preparedness to practice as well as their views about the efficacy of the undergraduate curriculum in accomplishing adequate levels of preparedness. METHOD: A qualitative design using focus groups and semi-structured interviews with students and clinical supervisors to obtain their views and backed up by an analysis of relevant documents of the Health Professions Council of SA and the World Federation of Occupational Therapists, the outcome of which formed the conceptual framework guiding analysis of the data from the interviews and focus groups RESULTS/FINDINGS: Both students and their supervisors felt they possessed adequate graduate competencies to prepare them for practice. Some concerns related to curriculum content, teaching methods, and relationships with lecturers and clinical supervisors emerged. Students' level of professional confidence was directly influenced by their degree of enjoyment of the fieldwork practical and positive experiences related to this. Supervisors also reported that students display high levels of ethical awareness. CONCLUSIONS: the findings provide insights into understanding the relevance of current occupational therapy training specifically at UKZN but also of relevance to the rest of South Africa

The impact of two modules on first year occupational therapy students' knowledge and attitudes to the core constructs of occupation

Green,Caryn; Hudson,Kerry; Wicht,Minkateko; Willows,Claire; Buchanan,Helen
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2015 EN
Relevância na Pesquisa
86.33%
INTRODUCTION: The first year occupational therapy course at the University of Cape Town focusses on developing an understanding of occupation. Two first semester modules form the foundation for this understanding. This study aimed to describe the impact of these modules on first year students' knowledge of, and attitudes towards, the core constructs of occupation. METHODOLOGY: A pre-experimental one-group pre-test post-test design was used with a convenience sample recruited from the 2013 first year occupational therapy class. A self-administered questionnaire was developed for the study based on an extensive literature review and consultation with international occupational therapy experts. Data were gathered before and after participating in the modules. Content and construct validity, test-retest and inter-rater reliability were determined using the expert panel and a pilot test. Data were analysed with STATISTICA. RESULTS: Forty-five (N=60) participants completed pre-test and post-test questionnaires and were included in the analysis. Knowledge improved significantly (p<0.001) between pre-test and post-test, and positive attitudinal changes were noted. CONCLUSION: Knowledge and attitudes improved after completing the modules suggesting that students were equipped with a sound foundational understanding of the core constructs of occupation.

Clients' perceptions of an occupational therapy intervention at a substance use rehabilitation centre in the Western Cape

Bell,Teneil; Wegner,Lisa; Blake,Lauren; Jupp,Leigh; Nyabenda,Fides; Turner,Tamryn
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
86.31%
Substance use among adolescents is a significant health and social problem and affects occupational performance. While occupational therapy interventions are available at substance use rehabilitation centres in the Western Cape, little is known about clients' perceptions of the usefulness of these interventions. A qualitative study was conducted to address this gap, specifically exploring clients' perceptions of the usefulness of the intervention on their occupations post discharge. The occupational therapist at a particular centre was interviewed as a key informant. Eight participants who attended the aftercare programme at the centre took part in three focus groups. Four themes emerged from the analysis of data: "We taking the drugs away, but we need to give them something back in that place"; "I don't want to be that person I was in the past"; "Keeping me clean"; "Take us out into the life". Participants perceived skills development, work training, life skills and leisure exploration to be useful. However, team members' roles and treatment objectives should be clarified to the clients to ensure that clients understand why they are participating in therapy. Finally, there should be more community-based, out-patient support programmes for adolescents so that the appropriate services are more easily accessible.

Occupational therapy hand assessment practices: Cause for concern?

de Klerk,Susan; Buchanan,Helen; Pretorius,Blanche
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
86.29%
INTRODUCTION: Assessment is critical for measuring improvement, or lack thereof, and demonstrating the outcome of intervention. In response to the lack of research in this area, this study aimed to determine the assessment practices of occupational therapists working with clients with hand conditions METHODS: A quantitative cross sectional survey design was used. A convenience sample of occupational therapists was recruited from five provinces. Respondents completed a questionnaire developed for the study that comprised demographic information, assessments used, frequency of use and factors influencing assessment choice. Data were analysed with Statistica version 11 RESULTS: Eighty-one respondents (n=114) completed questionnaires representing a 71% response rate. Goniometry (84.0%), manual muscle testing (76.5%) and testing for flexor tendon function (76.3%) were used most frequently. The most common reasons for not using assessments were lack of availability and unfamiliarity CONCLUSION: It is of concern that the assessment practices of participants in this study focussed primarily on the assessment of body function and structure with few therapists using activity and participation measures. This could seriously limit the evidence needed to verify the outcomes achieved through occupational therapy intervention in the treatment of hand conditions.

An historical overview of the development of occupational therapy educational institutions in Brazil

Emmel,Maria Luisa Guillaumon; da Cruz,Daniel Marinho Cezar; de Oliveira Figueiredo,Mirela
Fonte: South African Journal of Occupational Therapy Publicador: South African Journal of Occupational Therapy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
86.27%
INTRODUCTION: The first occupational therapy (OT) undergraduate programme in Brazil opened in 1956 in Rio de Janeiro by the "Associagao Brasileira Beneficente de Reabilitagao", as a technical educational course. It became a university undergraduate programme only in 1969. The aim of this article is to provide a comprehensive overview of the development of OT undergraduate programmes in Brazil. In addition, a mapping of the distribution of existing educational courses in Brazil will be reported through an historical overview. From 1958 until 1986, 15 undergraduate programmes were identified. Between 1987 and 1999, this number increased to 24 and finally between 2000 and 2011 this number was raised to 75 across the whole country. There are some significant differences between the OT courses, depending on the region of the country. The lecturing laboratory spaces that drew the most attention were the Assistive Technology Laboratories, which only began to appear in the middle of the 2000s CONCLUSION: There was a marked increase throughout the last decade in the number and the quality of OT undergraduate programmes in Brazil, which consequently enhanced the number of occupational therapists in the country, improved standards within the profession and brought advances in the field of practice. In order to understand the role of the practitioners in the contemporary world a dialogue between different countries and continents plays an important role when reflecting on the OT undergraduate programmes.