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Occupational therapist practice patterns in relation to clients with cognitive impairment following acquired brain injury
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.ORCID iD: 0000-0001-5418-3154
2014 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 28, no 11, p. 1365-1373Article in journal (Refereed) Published
Abstract [en]

Primary objective: To describe Swedish occupational therapist practice patterns for clients with cognitive impairment following acquired brain injury.

Research design: A cross-sectional stratified random sample of 462 occupational therapists.

Methods: An online questionnaire was used to collect data.

Main results: The predominant practice pattern was the use of ADL-activities for assessment and therapy regardless of whether limitations in occupational performance or cognitive function were assessed or whether the approach was remedial or compensatory. For assessment, general ADL-instruments were used more often than instruments that assessed cognitive function. Instruments were used less often within municipal rehabilitation facilities compared to regional, county and primary care facilities. The most common focus of the therapies was in regard to abilities related to executive functioning. Another prominent practice pattern was a collaborative approach involving clients, relatives and other staff. The theories used in practice were, to a large extent, general in nature and did not focus specifically on cognitive functioning.

Conclusions: Swedish occupational therapy practice for clients with cognitive impairments following acquired brain injury focuses highly on occupational performance. Therapies targeting executive functioning seem particularly important in practice and a collaborative approach involving clients, relatives and other staff is a prominent feature in practice.

Place, publisher, year, edition, pages
Informa Healthcare, 2014. Vol. 28, no 11, p. 1365-1373
Keywords [en]
assessment, intervention, occupational therapy cognition
National Category
Neurosciences
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:oru:diva-26099DOI: 10.3109/02699052.2014.919529ISI: 000341969200002PubMedID: 24911987Scopus ID: 2-s2.0-84907043606OAI: oai:DiVA.org:oru-26099DiVA, id: diva2:558663
Note

Funding Agencies:

Örebro University

Swedish Association of Occupational Therapists

Available from: 2012-10-04 Created: 2012-10-04 Last updated: 2018-01-12Bibliographically 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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Lidström Holmqvist, KajsaIvarsson, Ann-BrittHolmefur, Marie

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