Although the use of evidence-based practice (EBP) is presently on the rise, there have been limited studies examining its use by occupational therapists within the US. The purpose of this study was to examine the use of EBP among registered occupational therapists in the occupational therapy intervention planning process. This descriptive study surveyed 500 members of the American Occupational Therapy Association (AOTA), of which 131 participants responded (26%). The results of the study supported the hypothesis that, within the sample studied, a minority of registered occupational therapists in the US utilize EBP in the intervention planning process. Other results included: (1) As level of academic education increased, the view of the importance of research to occupational therapy decreased. (2) As the years of practice increased, the use of research evidence in making clinical decisions decreased. As the occupational therapy profession moves towards utilization of EBP as a professional standard, it is imperative that the profession examines specific strategies to promote the adoption of such practice by its members, including the promotion of competency in evidence utilization, and the valuing of the established clinical reasoning skills of the practitioner while integrating research evidence into intervention planning to support professional practice.
A qualitative research design using grounded theory methodology was employed to explore how seven Caucasian women, free of major functional impairments, used Since their earliest writings occupational therapists have advocated the therapeutic benefits of routine organization of time and occupations. Habit training, activity configurations, and temporal structuring have been used to assess and treat patients' ability to manage their occupations and time in order to lead a balanced life and to adapt to daily needs and demands (Kielhofner & Burke, 1985;Meyer, 1977;Reilly, 1962Reilly, , 1966Slagle, 1922). None the less, there has been a paucity of systematic study concerning how people adaptively structure their occupations in time to influence their wellbeing.We know very little about how and why individuals place occupations in the sequentially fixed temporal patterns that constitute routines, and which
This study investigated the hypothesis that purposeful activity is an intrinsic motivator. We hypothesized that subjects would take longer to perceive themselves to be working hard and would have a higher heart rate increase when working on a product-oriented activity. Fifteen subjects sanded a cutting board that they could keep and a piece of wood that they could not keep until they reached a rating of 15 (hard) on the Borg Rating Scale of Perceived Exertion. No significant differences were found in the subjects' heart rate increase or in the time it took subjects to perceive themselves as working hard. Subjects reported significantly more enjoyment in sanding the cutting board than in sanding the wood, and significance increased further upon completion of the sanding board. Ex post facto, when subjects were categorized into three groups depending upon the degree of liking for each activity, it appeared that the degree of liking may be important in predicting exercise effort. Implications for practice and further research are discussed.
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