The application of concept analysis in the occupational therapy treatment process in mental health

Abstract

Abstract:The objective of this study was to construct a coding schema for analysing the occupational therapy process, often described as formulating the treatment goal, implementing treatment and evaluating the effect of treatment. The concepts underlying the terms treatment goal, treatment intervention and effect or outcome of treatment, as used in occupational therapy, were defined and an analytical template of questions was constructed, using the analysis method designed by Walker and Avant (1995)

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

“…The results are reported according to the structure of the TOT (Ivarsson et al, 1998) (see Tables 2 to 8).…”

“…The themes and dimensions found in this study may be useful as a conceptual model for further studies of evidence-based occupational therapy in mental health. The TOT coding method (Ivarsson et al, 1998) is recommended for systematically analysing the content of occupational therapy records as a chart review for individuals with mental illness.…”

“…In all studies using retrospective research, it may be questioned whether the results are valid if only one researcher has interpreted the records. The TOT coding method can be used as an objective method to analyse patient case records (Ivarsson et al, 1998). The same questions are asked in relation to all records, and the content is used to examine these questions in the areas of treatment goal, treatment intervention and outcome.…”

“…In the second stage, the coded material was analysed. The first author conducted the coding by using the TOT coding scheme (Ivarsson et al, 1998). The scheme covers the main elements of the occupational therapy process 'treatment goal', 'treatment intervention' and 'treatment outcome', organized into components and subcomponents and presented in the coding scheme as questions such as 'What is documented about the patient's restriction in occupational performance?'…”

“…In order to meet the need for a comprehensive system to analyse goals, intervention and outcome, the Template of Occupational Therapy (TOT) was developed (Ivarsson et al, 1998). The TOT includes 'treatment goal', 'treatment intervention' and 'effect or outcome of treatment' as a model for chart review in occupational therapy.…”