Factors Influencing Therapists' Interventions for Children with Learning Difficulties

Copley, Jodie; Nelson, Alison; Turpin, Merrill; Underwood, Katherine; Flanigan, Kerry

doi:10.1177/000841740807500206

Cited by 17 publications

(18 citation statements)

References 8 publications

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“…They were 'approaches and techniques used by therapists' and 'approaches are usually used in combination'. The remaining two themes ('factors affecting intervention choice' and 'embedded practices') are reported elsewhere (Copley, Nelson, Turpin, Underwood & Flanigan, 2007).…”

Section: Resultsmentioning

confidence: 99%

Occupational therapists prefer combining multiple intervention approaches for children with learning difficulties

Nelson

Copley

Flanigan

et al. 2009

Aus Occup Therapy J

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Section: Resultsmentioning

confidence: 99%

Occupational therapists prefer combining multiple intervention approaches for children with learning difficulties

Nelson

Copley

Flanigan

et al. 2009

Aus Occup Therapy J

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“…It is possible that case characteristics other than diagnosis (e.g. performance in selected activities [42,43]) would better capture the key clinical features that influence therapists' caseload management behaviours. However, there is currently no agreement about what these characteristics are and there are few standardised measures to assess them, leaving diagnosis as the most feasible and reliable variable on which to base this analysis.…”

Section: Discussionmentioning

confidence: 99%

Clinicians' caseload management behaviours as explanatory factors in patients' length of time on caseloads: a predictive multilevel study in paediatric community occupational therapy

Kolehmainen

MacLennan

Francis

et al. 2010

BMC Health Serv Res

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BackgroundLong waiting times and large caseloads are a challenge to children's therapy services internationally. Research in hospital-based healthcare indicates that waiting times are a function of throughput, and that length of care episode is related to clinicians' caseload management behaviour (i.e. actions at assessment, treatment, post-treatment, and discharge). There have been few attempts to study this in community health services. The present study investigated whether community occupational therapists' behaviour predicts children's length of time (LoT) on caseloads.MethodsRetrospective survey of case notes of children recently discharged from occupational therapy services. Using cluster random sampling, case notes were drawn from therapy records in six NHSScotland Health Boards. Data about therapists' behaviours of assessing, treating, reviewing and discharging, together with child characteristics, were used to construct regression models of factors related to LoT.ResultsTwenty-six therapists [median(IQR) time in paediatrics 8(6-13) years] and 154 of their cases [mean(SD) age 7(3) years; median(IQR) LoT 10(3-21)] were included. A multi-level model, adjusting for clustering, for therapists' actions of communicating assessment outcomes to parents, providing treatment, and placing the child on review, and for a diagnosis of cerebral palsy, explained 44% of variation in LoT.ConclusionsOccupational therapists' caseload management behaviours are associated with children's LoT on caseloads. Further research is required to investigate the direction of relationships between therapists' behaviours and LoT; and the relationships between contextual factors, therapists' caseload management behaviours and LoT. Further exploration of therapists' beliefs about caseload management could also be useful in identifying possible factors contributing to variation between therapists.

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“…En terapia ocupacional se han identificado múltiples variables contextuales que influyen sobre el razonamiento clínico y toma de decisiones (Shaafarodi et al, 2014). Por ejemplo, algunos estudios han señalado que factores como los recursos, el tiempo y mobiliario disponible determinaron el tratamiento escogido para niños con trastornos de aprendizaje (Copley et al, 2008). Adicionalmente, se ha identificado que la presencia de líderes que promuevan el uso de evidencia científica en el contexto de trabajo (Thomas & Law, 2013), libre acceso a bases de datos, tiempo disponible durante la jornada laboral (Humphris, 2000) y apropiada carga laboral (Dysart & Tomlin, 2002) facilitan la PBE.…”

Section: Introductionunclassified

Práctica basada en evidencia en el área pediátrica en Chile, un desafío pendiente

Rojas

Copley

Turpin

et al. 2017

Rev. Chil. Ter. Ocup.

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RESUMENLa práctica basada en evidencia (PBE) Métodos: "Interpretive description" fue utilizado como marco metodológico en este estudio, e involucró como informantes a diez terapeutas ocupacionales quienes participaron en entrevistas en profundidad. Los datos fueron transcritos, traducidos al inglés, codificados y analizados temáticamente. Las interpretaciones preliminares fueron enviadas a los participantes, quienes retroalimentaron el análisis de los datos. Resultados: Para tomar decisiones clínicas, los participantes usaron primordialmente experticia profesional e intuición. El acceso a desarrollo profesional continuo, a evidencia científica e información acerca de práctica contemporánea parece limitado. Los programas de PalabRaS clavEPráctica basada en evidencia, terapia ocupacional, toma de decisiones clínicas, pediatría, Chile.

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Factors Influencing Therapists' Interventions for Children with Learning Difficulties

Cited by 17 publications

References 8 publications

Occupational therapists prefer combining multiple intervention approaches for children with learning difficulties

Occupational therapists prefer combining multiple intervention approaches for children with learning difficulties

Clinicians' caseload management behaviours as explanatory factors in patients' length of time on caseloads: a predictive multilevel study in paediatric community occupational therapy

Práctica basada en evidencia en el área pediátrica en Chile, un desafío pendiente

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