Evidence-based practice (EBP) requires clinicians to access, appraise and integrate research literature with clinical experience and clients' perspectives. Currently, little is known about occupational therapists' attitudes to EBP, their perception of implementation barriers or their educational needs. A questionnaire reflecting these issues was sent to a proportionate random sample of 1491 members of the national professional occupational therapy association, OT AUSTRALIA. The questionnaire was completed by 649 (44%) participants. Occupational therapists were positive about EBP with most (96%) agreeing that EBP is important to occupational therapy. Although 56% used research to make clinical decisions, more relied on clinical experience (96%), information from continuing education (82%) and colleagues (80%). Lack of time, evidence and skills were identified as the main barriers to the implementation of EBP. Over half (52%) expressed strong interest in EBP skills training, and most (80%) indicated an interest in the availability of brief summaries of evidence. Targeted educational initiatives, resources and systems are needed to support EBP in occupational therapy.
Little research has been conducted to determine the motivations of hate crime offenders. This article builds on an earlier work of J. Levin and McDevitt (1993) in which a typology of offender motivations was first articulated. We reanalyze 169 Boston police case files that were originally studied in order to provide empirical grounding for the typology. In this updated study, characteristics of the three original motives-thrill, defensive, and mission-are examined in relation to a new category: retaliatory motivation. In addition, the article addresses the issue of levels of culpability in explaining the most appropriate sanctions for certain kinds of hate offenders.
The concept of stages of driving cessation for people with dementia could be used to develop new approaches or adapt existing approaches to driving cessation. Interventions would need to be individualized, optimally timed, and address grief, explore realistic alternative community access, and simultaneously maintain key relationships and provide caregiver support.
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