Goal, intervention and outcome of occupational therapy in individuals with psychoses. Content analysis through a chart review

This study examined the effectiveness of short-term, home-based occupational therapy guided by the Occupational Therapy Intervention Process Model for improving activities of daily living [ADL] with eight frail, older adults living in assistive living. A multi-method research approach was utilized to collect both quantitative and descriptive, qualitative data in the form of a retrospective examination of the participants' clinical records. The quantitative component was a within-subjects, repeated-measures analysis of participants' Assessment of Motor and Process Skills [AMPS] ADL motor and ADL process ability measures that revealed statistically significant improvement in ADL motor, but not ADL process abilities. The qualitative component was a content analysis of the clinical records. ADL baselines, goals, interventions and outcomes documented were analyzed. Improvement was noted in 77% of the written ADL goals. Results are discussed and recommendations were given for future research and documentation to improve the profession's ability to support evidence-based practice.

Section: Discussionmentioning

confidence: 81%

Effectiveness of occupational therapy with frail community living older adults

Fisher

Atler

Potts³

2007

“…One could ask if occupational therapists in general have difficulties expressing themselves in regard to the expected outcome of occupation. A study examining how occupational therapists document occupational therapy in patient records showed that few statements in the records concerned outcome in comparison with planned goals and interventions (24).…”

Section: Discussionmentioning

confidence: 99%

Occupation as described by occupational therapy students in Sweden: A follow-up study

Ivarsson

Müllersdorf

2009

Self Cite

This study is the second in a series of studies carried out in Sweden concerning the dimensions of the concept occupation. The specific aim of this study was to explore new and confirm previously found dimensions of the concept of occupation in the context of occupational therapy. Occupational therapy students, a few weeks from their completion of studies, were asked to write down spontaneously what they personally considered to be occupation. Forty-two women and three men, aged between 25 and 33 years, participated. Grounded theory with the constant comparative method was used to analyse the data. A coding scheme of 40 codes was used to compare new data with previously found data concerning the concept of occupation as described by occupational therapy students. Six new codes concerning occupation expanded the dimensions of the concept. Five of those were found within the doing and context dimensions. These codes defined occupation as something that depends on who is performing the occupation and where the occupation is performed. Thus, occupation is not a permanent state but also very much depends on subjective experience. Additional studies with experienced occupational therapists have been planned to further expand these findings and aim to give a stronger foundation to the concept of occupation built on empirical grounds.

“…Among 30 template questions, the subcomponents of the goal not identi ed were patients' expected occupational health and individual goals. In a chart review [24] it was found that the OTs in mental health worked on a client-centred approach with intensive co-operation between patient and therapist. This co-operation emerged in statements regarding both goal planning and interventions.…”

Section: Discussionmentioning

confidence: 99%

Occupational Therapy as Documented in Patients Records Part III. Valued but not Documented. Underground Practice in the Context of Professional Written Communication

Pierre

2001

Lundgren Pierre B. Occupational therapy as documented in patients' records -Part III. Valued but not documented. Underground practice in the context of professional written communication. Scand J Occup Ther 2001; 8: 174-183.The aim of the study was to describe some of the underground practice of occupational therapy in the context of documentation, in particular with respect to what occupational therapists (OTs) value in their daily work but not include in documentation. The study has an explorative research design comprising a quantitative content analysis of 22 records and a semi-structured interview with 11 OTs working in a geriatric clinic. Even though documentation was carried out in accordance with the occupational therapy process (as was also the case in the records the OTs felt unsatis ed with), the OTs felt dissatis ed. Whether the OTs were satis ed or not with the way they kept patient records therefore concerns other aspects besides ethical and legal ones. Focusing on occupational performance, establishing collaborative practice, co-operating in assessments and interventions and continuing a therapeutic process were domains identi ed as underground. These domains may also be expressed as steps in an occupational therapy process. The OTs were uncertain about putting words to or naming some aspects of the professional assessments, the small things going on all day long, intertwined in legitimate tools and well-de ned professional tasks, although they valued them highly.