Using Occupational Therapy Process Addressing Sleep-Related Problems in Neurorehabilitation

Abstract

Introduction: Sleep is one of the main occupations defined in the occupational therapy (OT) Practice Framework-4. Methods: A survey link was sent to registered OT practitioners in Florida (N = 14,978) in September 2019 through E-mail addresses obtained from the Florida Department of Health website. A convenience sample of 213 OT practitioners responded; the majority were female (87%), with 56% reporting over 10 years of experience treating patients with neurological disorders. The person-environment-occupation-performance (PEOP) OT process provided the guiding framework for the proposed model. Spearman's rho correlation coefficients determined the correlations between the variables of interest. Regression coefficients attained through hierarchical ordinal logistic regression estimated the log odds between the variables. Results: Therapists who wrote more sleep-oriented goals were predicted to use a greater variety of sleep-related assessments (odds ratio [OR] = 1.256; 95% confidence interval [CI] = 1.171–1.347). Furthermore, a greater repertoire of sleep interventions was predicted when more types of sleep assessments were utilized (OR = 2.134 (95% CI = 1.750–2.602); more clients expressed sleep-related concerns to the OT practitioners (OR = 1.207; 95% CI = 1.044–1.395); and when the OT practitioners worked in a greater number of clinical settings (OR = 1.308; 95% CI = 1.113–1.539). Conclusion: The findings confirmed that the PEOP model might guide the OT service process when addressing sleep-related problems in neurorehabilitation. However, variations between settings and environmental facilitators/barriers may also play a role in sleep-related interventions.

Application of the Person–Environment–Occupation–Performance Model: A Scoping Review

“…Some studies explored a broad array of occupations while others focused more narrowly on activities and tasks within an occupation category. The PEOP Model was also used as a framework for investigating occupations not commonly addressed in occupational therapy research, including sleep ( Akbarfahimi et al, 2020 ; Enam et al, 2022 ; Fan & Drumheller, 2021 ; Yang & Smallfield, 2020 ), work ( Désiron et al, 2013 ; Dorsey et al, 2017 ; Herrera & Behm, 2021 ; Liu et al, 2007 ; Naweed et al, 2022 ), self-management and health management ( Herrera & Behm, 2021 ; D. Lee et al, 2017 ; Orellano-Colón et al, 2021 ), and community mobility ( Kersten et al, 2020 ; Mulry et al, 2017 ).…”

“…Studies on eating disorders and weight management examined specific occupations that should be considered in assessment and intervention ( Conn et al, 2019 ; Forhan & Gill, 2013 ; Koller & Berg, 2021 ). The PEOP Model was proposed as an approach to guide the occupational therapy process in several studies related to sleep ( Akbarfahimi et al, 2020 ; Enam et al, 2022 ; Fan & Drumheller, 2021 ; Ho & Siu, 2018 ; Yang & Smallfield, 2020 ). The role of occupational therapy in higher education was explored using the PEOP Model ( Chupradit et al, 2021 ; Clifton & Taff, 2021 ).…”

Social Participation and Related Factors in Older Adult Women

“…It is an organized process in which individuals can achieve their desired goals and socalled self-fulfillment through their specific, collective, conscious, and voluntary actions (2). Social participation is involved in activities that are created in social situations with others and follow social interdependence (3). Developing and maintaining social participation are vital human needs for older adults (4).…”