Understanding decision-making towards housework among women with upper limb repetitive strain injury

Cheung, Therma Wai Chun; Clemson, Lindy; O’Loughlin, Kate; Shuttleworth, Russell

doi:10.1111/1440-1630.12254

Cited by 13 publications

(5 citation statements)

References 25 publications

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“…In other studies, 19% of patients were not able to return to their job following nerve repair and at least 3 months of hand therapy (Meiners et al., 2005), and 42% of patients reported problems with self-care following surgery and hand therapy for Dupuytren’s contracture (Engstrand et al., 2009). Two papers exploring patients’ recovery found that patients valued engagement in occupation as a more important outcome than improvements in objective measures (Cheung et al., 2016; Engstrand et al., 2015). In fact, including a focus on occupation in hand therapy was shown to improve client motivation and success (Astifidis et al., 2009; Bates and Mason, 2014; Jack and Estes, 2010).…”

Section: Resultsmentioning

confidence: 99%

“…Some studies explicitly referred to the well-recognised categories of occupation, namely self-care, productivity and leisure (Cederlund et al., 2010; Engstrand et al., 2009; Goransson and Cederlund, 2011). However, other studies used a range of terms for self-care occupations: ADLs, safety issues of hand function, daily hygiene tasks, self-care activities and household-management tasks (Black, 2011; Engstrand et al., 2015; Kaskutas and Powell, 2013); productivity occupations – housework, work, job tasks and study (Bamford and Walker, 2010; Cheung et al., 2016; Hays and Rozental, 2013; Hirth et al., 2011; Poerbodipoero et al., 2007); and leisure occupations –social issues of hand function, hobbies and recreational demands (Bamford and Walker, 2010; Engstrand et al., 2015; Hays and Rozental, 2013; Meiners et al., 2005).…”

Section: Resultsmentioning

confidence: 99%

“…This literature shows that, not unsurprisingly, hand injuries impact directly and immediately on occupational performance and engagement, which was even shown to continue to be problematic following hand therapy rehabilitation (Cederlund et al., 2010; Meiners et al., 2005; Poerbodipoero et al., 2007). Furthermore, there is some evidence that suggests the motivating impact of the use of occupation on patient engagement in therapy (Cheung et al., 2016; Engstrand et al., 2015). So then, why are occupational therapists not making more use of the key tool of an occupational perspective in hand therapy?…”

Section: Discussionmentioning

confidence: 99%

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An occupational perspective in hand therapy: A scoping review

Burley

Tommaso

Cox

et al. 2018

British Journal of Occupational Therapy

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Introduction: There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method: This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results: Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists' expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion: Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An occupational perspective in hand therapy: A scoping review

Burley

Tommaso

Cox

et al. 2018

British Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

“…A recent scoping review (Burley, Di Tommaso, Cox & Molineux, 2018) revealed that patients with hand injuries experienced occupational issues and found rehabilitation informed by an occupational perspective to be motivating (Bamford & Walker, 2010;Cheung, Clemson, O'Loughlin & Shuttleworth, 2016;Engstrand, Krevers & Kvist, 2015). Other themes from the scoping review included: the assumption that a bottom-up, biomechanical approach would improve occupational performance; a high focus placed on occupational outcome measures; and the use of informal discussion as an occupational strategy (Powell & Von Der Heyde, 2014;Weinstock-Zlotnick & Bear-Lehman, 2015).…”

Section: Introductionmentioning

confidence: 99%

Primary Contact Occupational Therapy Hand Clinics: The pull of an occupational perspective

Burley

Cox

Tommaso

et al. 2018

Aus Occup Therapy J

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Occupational therapists working in primary contact roles were pushed by the biomedical culture of the setting. Despite this, there was still a pull towards an occupational perspective. This research provides an initial exploration of primary contact clinics, and highlighted the added bonus of an occupational perspective. The findings present a timely opportunity for occupational therapists to critically reflect on practice in PCOTH clinics.

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“…Therefore, therapists can anticipate that a male partner who is in a co-habiting relationship may be prepared to perform additional housework if their female partner is injured, whereas a married man may not. At the same time, consistent with Cheung et al. (2016), unless the emotional barriers of the wife are addressed, education in ergonomics and the provision of adaptive equipment is unlikely to effect a change.…”

Section: Implications For Practicementioning

confidence: 74%

International perspective on factors influencing the performance of housework: a scoping review

Arnold

Mackenzie

James

et al. 2018

British Journal of Occupational Therapy

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Introduction: Occupational therapists provide care opinions when assessing a person's capacity to perform housework. This skill requires occupational therapists to understand healthy populations' attitude towards housework. Method: A scoping review was undertaken using keyword and MeSH terms. Thirty articles were identified as meeting the inclusion and exclusion criteria. Each article was reviewed allowing thematic development of factors that influenced a person's decision to perform housework. Results: Studies present data from 34 countries, many of which are classified as high-or upper-middle-income countries. The results indicated that housework is primarily performed by women. The time range was 11.5 hours/week to 27 hours/week. Impacting factors included the employment, marital and parental status of the household, the earning and education level of each person as well as their peer group attitudes, women's involvement in national legislation along with the social class and cultural attitudes towards women. In addition, the presence of children aged under 15 years or adults over 74 years in the household increased levels of housework performance. Conclusion: The study reveals there is no single predictive factor on who performs housework, how long it will take nor the selection of tasks. This supports the occupational therapy philosophy of considering the individual's requirements when making care decisions.

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Understanding decision-making towards housework among women with upper limb repetitive strain injury

Abstract: Therapists need to be aware that counselling to address the emotional barriers experienced by women is important during ergonomic education.

Cited by 13 publications

References 25 publications

An occupational perspective in hand therapy: A scoping review

An occupational perspective in hand therapy: A scoping review

Primary Contact Occupational Therapy Hand Clinics: The pull of an occupational perspective

International perspective on factors influencing the performance of housework: a scoping review

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