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Occupational therapists' practice patterns for clients with cognitive impairment following acquired brain injury: development of a questionnaire
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
2012 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 2, p. 150-163Article in journal (Refereed) Published
Abstract [en]

Clients with cognitive impairment following acquired brain injury (CIABI) are a common group to receive occupational therapy services. Research has shown that occupational therapy has a positive effect on occupational performance for these clients, but the exact nature of the interventions is not clearly described and needs to be better understood and defined. The aim of this study was to develop and evaluate an empirically derived questionnaire for the purpose of surveying occupational therapists' (OTs') practice patterns in relation to CIABI. The questionnaire was developed from the results of a former qualitative study. It was evaluated for content validity by a group of six OT researchers with experience in CIABI, using the content validity index (CVI). Reliability was evaluated by a test-retest design with a group of 51 OTs. Data were analysed by non-parametric statistical methods. Initially the questionnaire consisted of 90 items dealing with OT practice and nine demographic questions. After the reliability and content validity process the OT practice items were reduced to 44. The revised questionnaire will be used to survey and explicitly describe occupational therapy practice for clients with CIABI.

Place, publisher, year, edition, pages
London, United Kingdom: Informa Healthcare, 2012. Vol. 19, no 2, p. 150-163
Keywords [en]
Content validity, instrument development, psychometrics, reliability
National Category
Occupational Therapy Other Health Sciences
Research subject
Nursing Science w. Occupational Therapy Focus
Identifiers
URN: urn:nbn:se:oru:diva-22123DOI: 10.3109/11038128.2011.576428ISI: 000300557000005PubMedID: 21631175Scopus ID: 2-s2.0-84857587229OAI: oai:DiVA.org:oru-22123DiVA, id: diva2:510460
Note

Funding Agencies:

Örebro University, School of Health and Medical Sciences 

Swedish Association of Occupational Therapists 

Available from: 2012-03-16 Created: 2012-03-16 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Occupational therapy practice for clients with cognitive impairments following aquired brain injury: occupational therapists' perspective
Open this publication in new window or tab >>Occupational therapy practice for clients with cognitive impairments following aquired brain injury: occupational therapists' perspective
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to describe occupational therapy practice for clients with cognitive impairment following acquired brain injury (CIABI) from the perspective of practicing occupational therapists (OTs).

To fulfill this aim, qualitative and quantitative approaches were used including interviews (Study I) and questionnaires (Studies II -IV). Based on the qualitative descriptions generated in Study I, a questionnaire was developed and evaluated for content validity and test-rest validity (Study II). The questionnaire was then used in a survey (Study III). The reactive Delphi technique was used to empirically define the aspects that OTs found to be consistent with the concept of therapeutic use of self (Study IV).

The results showed that a predominant practice pattern was the use of ADL activities for intervention regardless of whether limitations in occupational performance or cognitive function were assessed, or whether the approach to therapy was remedial or compensatory. General ADL-instruments were used more than instruments focused on impairment level. Therapies covering a wide range of cognitive impairments, and abilities important to organizing and executing occupational performance were commonly targeted. Therapies targeting clients’ activity limitations were prioritized before remediating impairment. Therapeutic use of self was regarded as being important and the results identified clientspecific aims not earlier described in relation to therapeutic use of self. Another prominent practice pattern was the collaborative approach toward clients, relatives, and other staff. Theories used to support practice were primarily general. Occupational therapy practice for clients with CIABI was found to be complex, and the practice patterns were affected by circumstances such as the ‘hidden’ nature of the cognitive impairments, perceived lack of knowledge, and organizational issues. The results of this thesis can be used as a foundation for further research on practice patterns or the specific therapies used. It can facilitate discussions on strengths and weaknesses witcurrent practice, the need for development, and research utilization.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2012. p. 89
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 41
Keywords
occupational therapy, cognition, rehabilitation, practice, acquired brain injury, stroke, TBI, assessment, intervention
National Category
Occupational Therapy Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-26007 (URN)978-91-7668-903-5 (ISBN)
Public defence
2012-12-07, Örebro universitet, Prismahuset, hörsal HSP2, Fakultetsgatan 1, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-09-25 Created: 2012-09-25 Last updated: 2017-10-17Bibliographically approved

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Holmqvist, KajsaKamwendo, KittyIvarsson, Ann-Britt

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