Authors:Clara S.C. Lee, Ka-hin Ng, Phyllis C.K. Chan, Xianwei Peng First page: 3 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background/ObjectiveLiterature shows that there is a circular relationship between children’s ADHD-related behaviors and parenting stress. This systematic review and meta-analysis aimed to understand if mindfulness parent trainings have benefits for both parenting stress and the problem behaviors in children with ADHD.MethodsFive databases, CINAHL, Embase, PsycINFO, PubMED, and Web of Science, were searched. Within-group effects at post-treatment and follow-up assessment, and between-group effects at post-treatment were analyzed. Effect sizes (Hedges’ g) were also calculated.ResultsTen studies (5 RCTs and 5 non-RCTs) met the selection criteria and were selected for systematic review, and nine of them were included for meta-analysis. Among these 10 studies, five studies involved mindfulness training for both parents and children, while the other five studies involved mindfulness training for parents only. Within-group effects at post-treatment were small-to-large for all outcomes. Hedges’ g ranged between −0.17 [95% CI (−0.98, 0.64)] and 4.70 [95% CI (3.59, 5.81)] for parenting stress; 0.17 [95% CI (−0.03, 0.37)] and 4.03 [95% CI (2.97, 5.09)] for children’s problem behaviors; and 0.20 [95% CI (−0.10, 0.50)] and 2.98 [95% CI (2.16, 3.80)] for children’s ADHD symptoms. Between-group comparisons showed mindfulness parent training was superior to other active controls on all outcomes.ConclusionFindings suggest that mindfulness parent training may be beneficial for parenting stress and children’s ADHD-related behaviors, and due to the small number of studies reviewed, cautions should be taken when interpreting the results. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-03-03T12:35:11Z DOI: 10.1177/15691861211073826
Authors:Zhiming Tang, Zhicheng Zhu, Xia Zhang, Ying He First page: 25 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Objective: To evaluate the effect of Tai Chi (TC) and Baduanjin (Bdj) activities on the physical intervention of compulsory segregation drug addicts through a meta-analysis system.Methods: Six commonly used databases were searched by computer to collect publicly available studies on the physical interventions of TC and Bdj activities for drug addicts from the time of database construction to May 2021. Two researchers independently screened the literature according to the inclusion and exclusion criteria, jointly extracted the data, and evaluated the quality of the literature, and conducted Meta-analysis using RevMan 5.4 software.Results: A total of 16 randomized controlled trials (RCTs) from 15 publications were included. Meta-analysis indicate that compared with the control group, TC and Bdj had significant effects on blood pressure, lung capacity, heart rate, closed-eye single-leg stand, and seated forward bending in drug addicts, as evidenced by: systolic pressure MD=−4.66, 95%CI = [−7.94, −1.39], p = .005; diastolic pressure MD = −3.49, 95%CI=[−5.45, −1.52], p = .0005; spirometry MD = 12.68, 95%CI = [43.83, 197.52], p = .002; heart rate MD = −2.78, 95%CI = [4.76, −.8], p = .006; MD = 1.47, 95%CI = [6.1, 14.84], p < .00,001 for one-leg stand with eyes closed, MD = 3.08, 95%CI = [1.8, 4.36], p < .00,001 for seated forward bend; however, the effect of TC and Bdj on BMI MD = .01, 95%CI = [−.54, .56], p = .97; grip strength MD = .68, 95%CI = [−.99, 2.34], p = .43; body fat percentage MD = .04, 95%CI = [−.59,.67], p = .91 had no effect.Conclusions: Tai Chi and Bdj can improve the cardiovascular system, cardiorespiratory fitness, balance, and body flexibility of drug addicts better than conventional rehabilitation. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-05-31T06:54:23Z DOI: 10.1177/15691861221090551
Authors:Hiroki Okada First page: 35 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background/ObjectivesPeople with schizophrenia have defective self-assessment of ability (i.e., loss of introspective accuracy [IA]). Although previous studies grouped people according to the degree of IA, the clinical features of these subgroups have not been clarified. Additionally, the determinants of outcomes depending on self-assessment remain unknown. We aimed to identify the clinical features that can help distinguish these subgroups and whether the determinants of vocational outcomes differed between the groups.MethodsThe self-assessment ability of 100 people with schizophrenia was examined and categorized as accurate, over-, or under-estimators. Multiple discriminant analysis was also performed. After demonstrating statistical validity, the relative effects of positive and negative symptoms, cognitive function, and level of IA on vocational outcomes were also examined for each subgroup.ResultsThe symptoms that particularly explained the differences between these subgroups were positive and negative (expressing factors) symptoms: p < .001. Using the determinants of vocational outcomes in each subgroup, the over-estimator subgroup was characterized by positive symptoms: p = .025, the under-estimator group, by the underestimation of their own ability: p = .042, and the accurate estimator group, by cognitive function: p = .006.ConclusionReduced IA can be a core mediator of various symptoms. Thus, tailoring the target and strategy of interventions for vocational outcomes according to the accuracy and quality of IA is important in clinical settings. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-02-18T04:24:45Z DOI: 10.1177/15691861221075715
Authors:Yael Fogel, Sara Rosenblum, Anna L. Barnett First page: 44 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background: In school, children are required to perform a range of handwriting tasks. The writing needs to be legible to the child and other readers. The aim of this study was to examine handwriting legibility across different writing tasks and to explore which components might predict overall handwriting legibility.Methods: This was a secondary analysis of data from 148 school-aged children across writing scripts obtained from the Detailed Assessment of Speed of Handwriting: copying-best, copying-quickly and free-writing.Results: Results showed that letter formation was the major predictor of the total HLS score, and significant differences in handwriting legibility were found across the three tasks.Conclusions: The HLS is a practical tool that can benefit occupational therapists who work in schools by assessing handwriting legibility across different handwriting tasks. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-02-18T08:08:06Z DOI: 10.1177/15691861221075709
Authors:Bi Xia Ngooi, Su Ren Wong, Janice Dehui Chen, Vanessa Shi Yin Koh First page: 52 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background/ObjectivesSelf-efficacy is a key component in mental health recovery and improvement in well-being. Mental illness is often resultant of environmental stressors, highlighting the importance of coping skills. Occupational therapists commonly utilise activity-based group therapy to encourage use of activities as coping strategies. However, there has been little research concerning these groups and their role in enhancing self-efficacy in behavioural-based coping skills. This study aimed to explore factors that affect behavioural-based coping self-efficacy during activity-based group therapy in an acute mental health ward. It investigates the relationships between (1) behavioural-based coping self-efficacy with overall mental health self-efficacy and (2) mental health self-efficacy and subjective well-being.MethodsImmediately after the first group, participants completed a post-group questionnaire. Participation level was also rated. At discharge, the participants were asked to complete the UK Office of National Statistics subjective well-being tool and the Mental Health Self-Efficacy Scale. Descriptive statistics, independent sample t-tests and one-way analysis of variance were done to examine possible covariates and confounders of all outcome variables. General linear models were then conducted.ResultsPost-group questionnaire reflected moderate-high self-efficacy (M = 6.92, SD = 2.48) and positive well-being with higher happiness scores (M = 7.42, SD = 2.20) and lower anxiety scores (M = 3.79, SD = 2.85). Coping self-efficacy significantly predicted overall mental health self-efficacy (p = .014), which in turn significantly predicted positive domains of well-being.ConclusionsPerforming behavioural-based coping strategies in groups can enhance coping self-efficacy and positive well-being, with possible positive influence on mental health self-efficacy and well-being at discharge. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-03-02T05:20:51Z DOI: 10.1177/15691861221075798
Authors:Aviva Beit Yosef, Talia Maeir, Fatena Khalailh, Yafit Gilboa First page: 62 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. AimsOur study explored the perceived feasibility of using a home-based telerehabilitation service for older adults with chronic health conditions in Israel.MethodThis mixed-methods study included two focus groups of registered occupational therapists (n = 10) working in rehabilitation wards in Israel. Participants completed an open-ended questionnaire and Likert scale items so that data could be gathered on their perspectives regarding using an in-home telerehabilitation service for older adults after discharge from rehabilitation units. Thematic analysis with an a priori coding approach was applied to the data.ResultsPerceived advantages included transfer to the natural environment and the overcoming of geographical distance. Caregiver support and patient motivation were recognized as enabling factors. Perceived barriers included lack of hands-on contact and the concern that safety could be impeded by technological challenges and the patients’ cognitive status.ConclusionsFindings from this study can potentially contribute to facilitating the implementation of a home-based telerehabilitation service as a practical alternative for elderly patients after discharge from rehabilitation units in Israel. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-03-03T11:24:56Z DOI: 10.1177/15691861221080311
Authors:Pak-Ho Choi, Pui-Sze Ma, Wai-Ying Mak, Nga-Pan Mok, Yuen Yi Cynthia Lai, Chi-Wen Chien First page: 71 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. BackgroundChildren with disabilities are reported to participate less in activities than their typically developing peers. However, owing to limited longitudinal studies, improvements or deteriorations in their participation over time remain unclear. No studies were also conducted in Hong Kong to describe children’s activity participation over time.AimTo investigate the changes in participation patterns of Hong Kong children with and without disabilities.MethodsThirty-four children with disabilities and 138 without disabilities were recruited from four schools. Their parents completed the Participation and Environment Measure for Children and Youth twice over 2 years.ResultsAfter 2 years, both groups of children were found to engage more frequently in using electronic devices and less frequently in indoor play activities/games at home. They also participated more often in school extra-curriculum activities, events and field trips. However, the frequency of community activities remained relatively stable in the two groups. No changes in their levels of involvement in almost of home, school and community activities were identified.ConclusionThe findings of increased participation in some home and school activities over time are encouraging. However, stable or possibly decreased participation of children with disabilities in other activities requires further efforts in promoting their participation. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-06-13T09:41:55Z DOI: 10.1177/15691861221087274
Authors:Ahmed Amer, Mahmoud A. Alomari, Gustav Jarl, Majd M Ajarmeh, Fathi Migdadi, Ann-Christin Eliasson, Liselotte Hermansson First page: 84 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. BackgroundValidated outcome measures are essential for assessment and treatment of children with disabilities. The Children’s Hand-use Experience Questionnaire (CHEQ) was developed and validated for use in Western countries for children with unilateral hand dysfunction. This study aimed to perform a cross-cultural adaptation and investigate reliability for the Arabic CHEQ.MethodsTranslation and cross-cultural adaptation were performed in four phases: (i) forward-translation and reconciliation with feedback from parents and typically developing children from Jordan (n = 14); (ii) backward-translation and review; (iii) cognitive debriefing with parents and/or their children with unilateral hand dysfunction (n = 17); and (iv) review and proofreading. In the psychometric analyses, 161 children from Jordan (mean age [SD] 10y 8 m [5y 8 m]; 88 males) participated. Internal consistency was evaluated with Cronbach’s alpha. Test-retest reliability was evaluated in 39 children with intraclass correlation coefficient (ICC) and weighted kappa (κ).ResultsSynonyms of four words were added to accommodate for different Arabic dialects. On average, 93% of children with unilateral hand dysfunction and their parents understood the CHEQ items. One response alternative, ‘Get help’, to the opening question was unclear for 70% of the respondents and need further explanation. Two items about using a knife and fork were difficult to comprehend and culturally irrelevant. High internal consistency was demonstrated (Cronbach’s alphas 0.94- 0.97) and moderate to excellent ICC (0.77–0.93). For 18 individual items, κ indicated poor to good agreement (κ between 0.28 and 0.66).ConclusionsAfter the suggested minor adjustments, the Arabic CHEQ will be comprehensible, culturally relevant and reliable for assessing children with unilateral hand dysfunction in Jordan. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-05-25T02:58:26Z DOI: 10.1177/15691861221088891
Authors:Chi-Wen Chien, Chloe Mo, Chung-Ying Lin, Wing Hei Chan, Cheuk Wing Chan, Wai Hin Tang, Chun Pong Siu, Hang Shuen Yip First page: 96 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. BackgroundLearning about occupational therapy theories is crucial to occupational therapy education, and an online database is developed to facilitate students’ learning of occupational therapy theories in this study.AimThis study was conducted to evaluate the effect of this database on users’ experiences.MethodsA mixed-method approach, including surveys and focus groups, was used. First- and third-year students who had studied occupational therapy theory at a university participated in this study.ResultsOne-hundred-and-twenty students completed the surveys, and 11 students participated in the focus groups. The students demonstrated a significant increase in the number of theories they named and their perceived understanding of theories after the semester. They rated the content, utility and satisfaction with the database in facilitating their understanding/learning of theories as moderate-good. Based on qualitative data, it appeared that the database provided specific information about occupational therapy theories and facilitated students’ learning and level of interest in learning about them. However, the first-year students who accessed the database showed a significantly decreased level of interest in learning about theories, but such the decrease was not found in the third-year students.ConclusionThe study findings suggest that the use of an online database may enhance students' learning about occupational therapy theories in educational settings. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-06-07T04:19:35Z DOI: 10.1177/15691861221088890
Authors:Makoto Tanaka, Takao Osanai, Takuhiko Kato, Hisako Ogasawara, Kazumaru Wada First page: 105 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background/ObjectivesVisual demonstration by occupational therapists is very common in psychiatric treatment, however, some patients with schizophrenia could not imitate the actions despite the absence of any physical impairments. Therefore, the purpose of this study was to identify how cognitive functions such as attention and cognitive processes in the imitation process is necessary and how these processes were related to the ability to convert this into action (imitation) in patients with schizophrenia.MethodThe participants were patients with schizophrenia with mean age 59.2 (± 11.3) years, 23 were men and 10 were women. The participants were tested for imitation ability and cognitive function, working memory, and motor imagery.ResultsThree subjects achieved full scores in the visual imitation test. However, the median of the total score was 10.0, with many subjects failing to imitate multiple tasks. Imitation learning is associated with duration of illness ( t = −4.09, p = .000 ) , mental health ( t = −2.30, p = .029 ) , and cognitive function such as the ability to retain visual information ( t = −2.97, p = .006 ) , and that these factors are interrelated.ConclusionTo effectively promote imitation learning in patients with schizophrenia, occupational therapists need to establish teaching methods that make it easier for learners to retain visual information from the early stages of their illness. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-05-28T02:28:51Z DOI: 10.1177/15691861221102777
Authors:Briony Norton, Benjamin Bugden, Karen PY Liu First page: 115 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Objective: This systematic review aimed to identify and describe the utility of functional outcome measures reported in intervention trials between 2010 and 2020, and to map these measures to the International Classification of Functioning, Disability and Health (ICF) model.Method: The search was carried out on MEDLINE, CINAHL and Cochrane Register of Clinical Trials. Peer-reviewed intervention studies detailing the functional outcome measures used for any treatment for distal radius fracture were selected. Participant characteristics, outcome measures reported and the trends in their use over time and geographical locations were extracted.Results: This review analysed 119 studies. Thirty-one functional outcome measures were used across 36 countries. Ninety-two percent of studies measured both the Body Function/Structure and Activity/Participation domains of the ICF. The most frequently used measures were the Disabilities of the Arm, Shoulder and Hand Questionnaire, Range of Motion and Grip Strength. There is a lack of measures on successful return to meaningful occupation.Conclusion: The outcome measures identified were equally spread across the ICF domains. There is a growing importance of Patient-Reported Outcome Measures to supplement performance-based measures, but a lack of measure on successful return to meaningful occupation. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-08-11T11:38:18Z DOI: 10.1177/15691861221114264
Authors:Kátia Maki Omura, Otavio Augusto de Araujo Costa Folha, Paula Silva Moreira, Estéfanny da Silva Bittencourt, Adriene Damasceno Seabra, Marcelo Marques Cardoso First page: 125 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background/objectiveAlthough many therapeutic approaches use energy conservation, only a few effectively report the steps involved. Thus, it is intended to identify energy conservation practices to be organized in flexible and adaptable stages.MethodsA scoping review was carried out, whose search strategies were applied in seven databases (CINAHL, Cochrane Library, Portal BVS, PsycINFO, PubMed, Scopus, and Web of Science) following guidelines by Arksey and O’Malley on the Rayyan software. Searches were carried out from January 2010 to December 2020. Inclusion of refered publications with different study designs, participation of adults with or by demands of energy conservation, joint protection, and control of fatigue and/or pain. Exclusion of productions without an occupational therapist or involving merely pharmacological or surgical therapeutic strategies.Results653 articles were identified, after the selection and eligibility steps, 30 articles were full review, 18 articles were included and 635 excluded. Energy conservation studies have been increasingly focusing on neurological and systemic diseases, especially regarding symptoms of fatigue and pain. The findings were arranged in six strategies whose interventions are essentially based on guidelines and setting goals for patients, client-centered approach. Merely supervised interventions are less frequent. The number of sessions is closed, but the duration of treatment is not yet.ConclusionsThe signs of pain and fatigue are confirmed as indicators of energy conservation strategies, this delivery can be condensed from planning and organization, priorities, activity analysis, balance between activity and rest, outsourcing of tasks and physical/environmental adaptation.Trial Registration, OSFhttps://osf.io/rsyq4. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-11-02T12:36:25Z DOI: 10.1177/15691861221137223
Authors:Shota Suzumura, Aiko Osawa, Yoshikiyo Kanada, Maeda Keisuke, Eiko Takano, Junpei Sugioka, Maeda Natsumi, Taishi Nagahama, Kenta Shiramoto, Katsumi Kuno, Shiori Kizuka, Kenji Satoh, Hiroaki Sakurai, Yuko Sano, Tomohiko Mizuguchi, Akihiko Kandori, Izumi Kondo First page: 137 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. AimA testing method for early diagnosis of Mild cognitive dementia (MCI) that can be easily applied in clinical practice was investigated in this study. We examined whether MCI risk can be determined through finger movements.MethodsBetween 2013 and 2020, 1097 individuals were screened. After applying propensity-score matching to adjust for variability between the groups, 173 individuals each in the mild cognitive impairment and control groups were selected. Thereafter, differences between groups in mean values of parameters extracted from finger tap movements were determined using unpaired t-test and effect size. Furthermore, area under the curve, sensitivity, and specificity were calculated from the receiver operating characteristic curve for parameters with significant difference.ResultsA significant difference was observed, especially in the number of taps in the MCI group compared with that in the control group (p < .001; 95% CI, −12.7 to −8.8; r = 0.51). A cut-off value of 30 taps was applied (sensitivity, 0.77; specificity, 0.67; AUC, 0.79). Significant differences were also observed in rhythm-related parameters.ConclusionsThese parameters might be useful for capturing MCI risk. Finger taps are easily measured and may be suitable for screening large populations. This tool might be used as a supplemental method to increase the sensitivity of traditional cognitive tests. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-08-09T05:20:28Z DOI: 10.1177/15691861221109872
Authors:Kohei Ikeda, Satoshi Sasada First page: 146 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Background/ObjectiveThe purpose of this study is to develop and validate an instrument to assess interprofessional collaboration by occupational therapists, physical therapists, and speech-language therapists.MethodsItem development consisted of a review of interprofessional collaboration and group interviews with occupational therapists, physical therapists, and speech-language therapists. The developed items were surveyed on a 4-point Likert scale among occupational therapists, physical therapists, and speech-language therapists. Ceiling effects, floor effects, and item-total correlation analysis for each item, as well as constructs, internal consistency, and cross-cultural validity of the scales were evaluated.ResultsA total of 47 items were extracted for evaluation and 28 items with five factors (“team-oriented behavior,” “exchange of opinions,” “flexible response,” “sharing the whole picture of the patient,” and “coordination of support methods”) were retained after the evaluation. The correlation coefficients of the five factors ranged from 0.48 to 0.72. The total score of each factor and the total score of all 28 items were compared for occupational therapists, physical therapists, and speech-language therapists, and the result showed that was no statistically significant difference between the total scores of all factors and the job titles. The Cronbach’s alpha coefficients for the five factors are 0.842, 0.840, 0.805, 0.732, and 0.734 for the first, second, third, fourth, and fifth factors, respectively.ConclusionsThe developed scale includes items aimed at facilitating patients' activities of daily living through interprofessional collaboration, and its content reflects the expertise of occupational therapists, physical therapists, and speech-language therapists. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-08-07T07:11:35Z DOI: 10.1177/15691861221111439
Authors:Margarida Estorninho, Se Kin Cheang, Sio In Chan, Ka I Ieong, Chon Un Lam, Karen PY Liu First page: 154 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. AimThe study aimed to describe the finger dexterity in office workers of an Asian population.MethodsOne hundred twenty-seven right-handed office workers, aged 21–50 with a similar split of male and female, were recruited with finger dexterity measured by the O’Connor Finger Dexterity Test. The grip strength, tip and lateral pinch strength of both hands were also measured.ResultsThis study provided the percentile score of the O’Connor Finger Dexterity Test of both males and females in the Asian population. Raw scores of below 218 and 213 seconds in male and female participants respectively reach the 90th percentile, and above 237 and 235 seconds in male and female below the 10th percentile. Results showed no significant difference in local mean scores across different age groups, between male and female and with varying hours of working in typing, filing, and writing. A significant difference was only found in finger dexterity and years of working as office workers. No significant correlation was found between the finger dexterity with grip strength, tip and lateral pinch of the dominant right hand. The results were similar to the original normative score with similar work skills and demands.ConclusionThe mean scores could be used as a valid reference for local occupational therapists to evaluate the finger dexterity of office workers. However, caution has to be taken that conclusions drawn can be biased because of the relatively small sample size, and the results cannot be generalized to represent a wider Asian population. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-07-12T02:21:35Z DOI: 10.1177/15691861221114258
Authors:Hidekazu Saito, Kazuki Yokoyama, Takafumi Morimoto, Hisaaki Ota, Nozomu Ikeda First page: 159 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Objective: This study aimed to explore the influence of coronavirus disease-2019 (COVID-19) on occupational therapy (OT) for physical disorders, including changes in the assessment, treatment, other restrictions, and measures of OT.Methods: A questionnaire survey was conducted among occupational therapists working in Hokkaido, Japan, and 123 out of the 334 (36.8%) were from OT facilities that target physical disorders. The responses were classified the categories and codes by [ ] and , respectively.Results: The number of patients decreased in 47.1% of the OT facilities after the pandemic declaration. Only one facility reported . Therefore, [thoroughness of standard precautions] including , , and [changes in treatment structure] including were implemented. Additionally, there were not only [restrictions on participation of patients] and [restrictions on outpatient services], but also [restrictions on operations of OT], such as and so on. Furthermore, [changes in treatment structure] and [setting criteria for discontinuation of participation] were utilized in some facilities to prevent and to reduce the risk of infection.Conclusions: By revisiting the assessment and treatment guidelines on infection control, it is possible to provide continuous OT services and to tackle the challenges posed by the pandemic. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-09-14T09:46:00Z DOI: 10.1177/15691861221121525
Authors:Eris C. M. Ho, Andrew M. H. Siu First page: 168 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. BackgroundSleep problems are a health issue worldwide. Based on the Person-Environment-Occupation-Performance model, we developed an occupation-based sleep programme to promote awareness of sleep hygiene factors, promote an environment conductive to sleep, and restructure participation in daytime activities with a focus on occupational balance.MethodThis study uses a non-equivalent group design to evaluate the effectiveness of an occupation-based sleep intervention among community-dwelling adults with insomnia, when compared with a treatment-as-usual (TAU) group which focused on sleep hygiene, and relaxation.ResultsWhen compared with the TAU group (n = 20), the intervention group (n = 22) had significant improvement in sleep duration, occupational balance, and reduction in mood symptoms at both post treatment and 1-month follow up.ConclusionThe results demonstrated that an occupation-based programme is an effective treatment for insomnia disorder and demonstrated the role which occupational therapy could play in primary health care service. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-10-26T01:36:15Z DOI: 10.1177/15691861221136261
Authors:Young-Myoung Lim, Jae-Shin Lee, Su-Kyoung Kim, Tae-Hyun Cha, Doo-Han Yoo, Hee Kim First page: 180 Abstract: Hong Kong Journal of Occupational Therapy, Ahead of Print. Introduction: Cooperation among rehabilitation team members is essential in the home-based rehabilitation setting. Q-methodology that can quantitatively analyze the subjectivity of members of the rehabilitation team was used to explore the role of occupational therapists (OTs) in home-based rehabilitation. Methods: The Q-methodology process was implemented in five steps: Step 1 - Representative statements about the role of OTs were collected through in-depth interviews, open questionnaires, and literature reviews (Q-sample); Step 2 - A total of 34 rehabilitation team members (physical therapists, OTs, social workers, nutritionists) were recruited (P-sample); Step 3 - The statements were classified according to their subjective perspective (Q-sort); Step 4 - Factor analysis was performed based on the correlation among the responses from the participants (Q-factor analysis); Step 5 - The awareness factor for roles was interpreted (Interpretation of awareness factors). Results: The roles of OTs perceived by members of the home-based rehabilitation team were formed into five factors (A) Adaptation within home environments; (B) Professional development; (C) Reliable service execution; (D) Client needs resolution; and (E) Focus on activity participation. In all factors, perspectives on the role of OTs in helping clients participate in their roles and activities at home were included. These factors included issues and directions addressed in prior literature on the development of occupational therapy. Conclusions: In home-based rehabilitation, OTs must play a professional role in ensuring clients live fully at home, and cooperate with team members for an effective rehabilitation approach. Citation: Hong Kong Journal of Occupational Therapy PubDate: 2022-11-02T12:57:52Z DOI: 10.1177/15691861221136262
Open Access journal
[1176 journals]
