Task Oriented Training and Evaluation at Home

Rowe, Veronica T.; Neville, Marsha

doi:10.1177/1539449217727120

Cited by 16 publications

(11 citation statements)

References 34 publications

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“…In a qualitative research design, the data can be used to more fully explain the phenomena and the perceptions of the participants more so than what can be expressed through quantitative data. All participants made improvements in motor recovery as evidenced through quantitative findings (Rowe & Neville, 2018). However, qualitatively, Juan and Fred reported less satisfaction with their motoric improvements, than did Agnes and Beth.…”

Section: Discussionmentioning

confidence: 95%

“…Quantitative and qualitative data were collected repeatedly before, during, after, and 1 month following the intervention. Quantitative data were reported elsewhere (Rowe & Neville, 2018; ClinicalTrials.gov Identifier: NCT02852369). This study reports the findings of a qualitative design using direct content analysis based on the constructs of motor learning and occupational adaptation theories.…”

Section: Methodsmentioning

confidence: 99%

“…These unstructured, informal interviews were conducted during the treatment process as a form of eliciting the participant’s desire for specific activities, the meaning of the activity, and perceptions of performance. Field notes recorded by the researcher included specific quotes from the participants as they emerged during the treatment (Rowe & Neville, 2018). The content analysis process allowed for development of themes which is indicated when text is being analyzed based on a predetermined theoretical lens (Hsieh & Shannon, 2005).…”

Section: Methodsmentioning

confidence: 99%

“…The fact that this study was part of a larger single-subject design (Rowe & Neville, 2018), the data may lack some authenticity. The aim of this study was not the original intent.…”

Section: Limitationsmentioning

confidence: 99%

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Client Perceptions of Task-Oriented Training at Home: “I Forgot I Was Sick”

Rowe

Neville

2018

OTJR: Occupational Therapy Journal of Research

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Task-oriented training is a contemporary intervention based on behavioral neuroscience and recent models of motor learning. It can logically be guided by the theory of occupational adaptation. This report presents the perceptions of four participants who underwent task-oriented training at home (TOTE Home) for upper extremity hemiparesis following a stroke. Guided by principles of motor learning and the theory of occupational adaptation, a directed content analysis was used with field notes recorded during the TOTE Home. Three themes emerged: salience of the activity within context, desire for mastery by creating the just right challenge, and adapted self-perception of abilities. While motor learning principles informed the method of task practice and feedback, it was the person's desire to perform meaningful, relevant activities that drove the adaptive process. This study provided insight in the perceptions and experiences of participants undergoing TOTE Home.

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Section: Discussionmentioning

confidence: 95%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…The fact that this study was part of a larger single-subject design (Rowe & Neville, 2018), the data may lack some authenticity. The aim of this study was not the original intent.…”

Section: Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

Client Perceptions of Task-Oriented Training at Home: “I Forgot I Was Sick”

Rowe

Neville

2018

OTJR: Occupational Therapy Journal of Research

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“…The TOTE Home intervention included a maximum of 30 1-hr sessions of training, with two to three session per week, in the participants' homes (see Rowe and Neville, 2017, for the TOTE Home intervention details). During each training session, the therapist (first author) and the participant worked closely to set up the task for training and problem solved any challenges.…”

Section: Methodsmentioning

confidence: 99%

The Feasibility of Conducting Task-Oriented Training at Home for Patients with Stroke

Rowe¹,

Neville²

2019

The Open Journal of Occupational Therapy

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Background: Task-oriented training for upper extremity hemiparesis following a stroke is an effective intervention with evidence of its application in the clinic setting. However, the home provides an enriched and practical environment to implement this intervention. This report presents the feasibility of implementing task-oriented training at home. Method: Stroke survivors with limitations in upper extremity movement and function were assessed before and after a Task-Oriented Training and Evaluation at Home (TOTE Home) program, and 1 month later. Areas of process, resources, management, and scientific value were analyzed for the feasibility of a larger randomized clinical trial (RCT). Results: The process of this study was acceptable but demonstrated a need for more personnel for a larger trial to accommodate a larger sample over a shorter period. Adjusting the amount of intervention dosing may reduce the amount of resources required to achieve participants' goals. A large RCT examining TOTE Home would require management from multiple professionals. TOTE Home proved to be a safe scientific endeavor with no adverse side effects. Conclusion: The implementation of TOTE Home is a feasible endeavor. A larger clinical trial is justified to determine the generalizability and effectiveness of this intervention in a home-based setting.

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Comparison between Two Methods to Evaluate Function in Postoperative Breast Cancer Survivors

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Zomkowski

Cunha

et al. 2020

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Introduction Treatment for breast cancer can cause adverse effects such as pain and reduced upper limb function which can affect activities of daily living. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is the most used tool for evaluating function in breast cancer survivors. However, some specific aspects have raised discussions about its restricted coverage, which can generate several biases. Objective To determine if DASH scores differed when assessed before and after task‐oriented training (TOT) at 3 and 6 months after breast cancer surgery. Design Prospective cohort study. Setting Institutional study of 22 women assessed at 3 and 6 months after breast cancer surgery. Main Outcome Measures The DASH questionnaire and TOT assessment. Two correlation tests were performed: Spearman's correlation between the total score of the two DASH scores (pre‐ and post‐TOT) and the Kendall's tau correlation between each of the items. Results There was a moderate and excellent correlation between final DASH scores, pre‐ and post‐TOT, at both 3 and 6 months postoperatively. However, when assessed individually, most of the DASH items were poorly correlated. There was also no agreement between the total DASH scores pre‐ and post‐TOT as assessed by Bland‐Altman plots. Conclusion Both the DASH and TOT are considered useful in clinical practice to assess upper limb function, although the use of TOT in some of the DASH items may reduce memory bias and improve skills estimation.

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Task Oriented Training and Evaluation at Home

Cited by 16 publications

References 34 publications

Client Perceptions of Task-Oriented Training at Home: “I Forgot I Was Sick”

Client Perceptions of Task-Oriented Training at Home: “I Forgot I Was Sick”

The Feasibility of Conducting Task-Oriented Training at Home for Patients with Stroke

Comparison between Two Methods to Evaluate Function in Postoperative Breast Cancer Survivors

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