Programme du congrès
Le Congrès virtuel de l’ACE 2020 sera présenté à l'heure normale du Centre. Assurez-vous d'ajouter/de soustraire le bon nombre d'heures en fonction de votre fuseau horaire :
| Heure du Pacifique | Heure des Rocheuses | Heure du Centre | Heure de l'Est | Heure de l'Atlantique | Heure de Terre-Neuve |
| -1 | 0 | 0 | +2 | +3 | +3.5 |
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PDF du programme de la congrès Coup d’oeil sur le congrès |
S9 Development of a winter accessibility toolkit
Pre-recorded (CST| HSC): N/A | Conférence
Participation et inclusion | Communauté/population
Jacquie Ripat (University of Manitoba | Winnipeg) jacquie.ripat@umanitoba.ca, Ed Giesbrecht University of Manitoba ed.giesbrecht@umanitoba.ca, Jaimie Borisoff British Columbia Institute of Technology, Karen Ethans University of Manitoba, Yue Li Toronto Rehabilitation Institute, Ernesto Morales Université Laval, Kathryn Sibley University of Manitoba, Alexie Touchette University of Manitoba
Introduction: Winter conditions including snow, ice, and cold temperatures create challenges to mobility and community participation for individuals who use mobility devices. There is limited evidence on the strategies, resources, and tools shown to improve winter mobility and community participation for these individuals. Objective: To develop a web-based toolkit of information, resources, and strategies for individuals using mobility devices, service providers, community organizations, and researchers. Methods: A pan-Canadian multi-disciplinary research team conducted this study in three phases. First, we completed a scoping review of peer-reviewed and grey literature to identify areas of knowledge related to the topic. Next, we conducted online asynchronous focus groups where individuals who use mobility devices discussed the strategies they use, and resources they access, to participate in their communities over winter. The findings from the first two phases were incorporated into the development of a prototype website. Using a rapid prototyping process and online survey method, four cycles of website design and development were undertaken. Results: The scoping review identified 23 peer-reviewed studies, and limited grey literature. Twenty-four participants from across Canada engaged in one of five focus groups. The research team developed the first website prototype; 27 mobility device users, 16 health care providers and seven consumer organization representatives provided feedback on the design. Conclusions: The final prototype is a high fidelity version of the website, ready for coding and launch. Ultimately, the toolkit will be used to engage a community of individuals who share an interest in improving winter mobility and community participation.
Participation et inclusion | Communauté/population
Jacquie Ripat (University of Manitoba | Winnipeg) jacquie.ripat@umanitoba.ca, Ed Giesbrecht University of Manitoba ed.giesbrecht@umanitoba.ca, Jaimie Borisoff British Columbia Institute of Technology, Karen Ethans University of Manitoba, Yue Li Toronto Rehabilitation Institute, Ernesto Morales Université Laval, Kathryn Sibley University of Manitoba, Alexie Touchette University of Manitoba
Introduction: Winter conditions including snow, ice, and cold temperatures create challenges to mobility and community participation for individuals who use mobility devices. There is limited evidence on the strategies, resources, and tools shown to improve winter mobility and community participation for these individuals. Objective: To develop a web-based toolkit of information, resources, and strategies for individuals using mobility devices, service providers, community organizations, and researchers. Methods: A pan-Canadian multi-disciplinary research team conducted this study in three phases. First, we completed a scoping review of peer-reviewed and grey literature to identify areas of knowledge related to the topic. Next, we conducted online asynchronous focus groups where individuals who use mobility devices discussed the strategies they use, and resources they access, to participate in their communities over winter. The findings from the first two phases were incorporated into the development of a prototype website. Using a rapid prototyping process and online survey method, four cycles of website design and development were undertaken. Results: The scoping review identified 23 peer-reviewed studies, and limited grey literature. Twenty-four participants from across Canada engaged in one of five focus groups. The research team developed the first website prototype; 27 mobility device users, 16 health care providers and seven consumer organization representatives provided feedback on the design. Conclusions: The final prototype is a high fidelity version of the website, ready for coding and launch. Ultimately, the toolkit will be used to engage a community of individuals who share an interest in improving winter mobility and community participation.
T20 Inequitable opportunities to achieve wellbeing through occupation in natural environments
Pre-recorded (CST| HSC): N/A | Conférence
Environnement | Pas de clientèle spécifique
Karen Whalley Hammell (University of British Columbia | Vancouver) ik.hammell@sasktel.net
Introduction: Occupations undertaken in natural environments beneficially impact physical/emotional health and wellbeing; improving cognitive function, contributing spiritual and cultural benefits, and increasing senses of belonging, self-worth and of the meaningfulness of the occupations (Hammell, 2020). Indeed, for many people, occupations undertaken in nature are essential for survival. However, access to health-promoting natural spaces is inequitably distributed, and the deleterious environmental impacts of climate change on occupations are disproportionately borne by people living in economically-disadvantaged areas. Objectives: 1) To review evidence concerning the importance to health and wellbeing of occupational engagement in natural environments. 2) To highlight the inequitable distribution of opportunities to engage in occupations in safe, health-promoting natural spaces. 3) To advance more critical approaches toward environmental determinants of occupation within occupational therapy theory and practice. Approach: This presentation draws from cross-disciplinary, cross-cultural research and critical environmental justice scholarship to explore the natural environment as an inequitably distributed determinant of occupational opportunities, engagement and wellbeing. Practice Implications: Socially and economically marginalized populations experience inequitable access to nature and heightened exposure to environmental degradation, which negatively impact their occupational opportunities. Because occupational engagement within natural environments is a determinant of health and wellbeing, it merits critical attention from occupational therapy theorists, researchers and practitioners. Conclusions: By identifying and addressing inequitable access to health-promoting natural environments occupational therapists can enhance people’s real opportunities and real abilities to engage in occupations that contribute to wellbeing. Our profession can contribute a valuable occupational perspective to global scholarship on human rights and climate change.
Environnement | Pas de clientèle spécifique
Karen Whalley Hammell (University of British Columbia | Vancouver) ik.hammell@sasktel.net
Introduction: Occupations undertaken in natural environments beneficially impact physical/emotional health and wellbeing; improving cognitive function, contributing spiritual and cultural benefits, and increasing senses of belonging, self-worth and of the meaningfulness of the occupations (Hammell, 2020). Indeed, for many people, occupations undertaken in nature are essential for survival. However, access to health-promoting natural spaces is inequitably distributed, and the deleterious environmental impacts of climate change on occupations are disproportionately borne by people living in economically-disadvantaged areas. Objectives: 1) To review evidence concerning the importance to health and wellbeing of occupational engagement in natural environments. 2) To highlight the inequitable distribution of opportunities to engage in occupations in safe, health-promoting natural spaces. 3) To advance more critical approaches toward environmental determinants of occupation within occupational therapy theory and practice. Approach: This presentation draws from cross-disciplinary, cross-cultural research and critical environmental justice scholarship to explore the natural environment as an inequitably distributed determinant of occupational opportunities, engagement and wellbeing. Practice Implications: Socially and economically marginalized populations experience inequitable access to nature and heightened exposure to environmental degradation, which negatively impact their occupational opportunities. Because occupational engagement within natural environments is a determinant of health and wellbeing, it merits critical attention from occupational therapy theorists, researchers and practitioners. Conclusions: By identifying and addressing inequitable access to health-promoting natural environments occupational therapists can enhance people’s real opportunities and real abilities to engage in occupations that contribute to wellbeing. Our profession can contribute a valuable occupational perspective to global scholarship on human rights and climate change.
T3 Participation-focused interventions in stroke rehabilitation: theoretical bases and elements
Pre-recorded (CST| HSC): N/A | Conférence
Réadaptation | Adulte
Mary Egan (University of Ottawa | Ottawa) megan@uottawa.ca, Dorothy Kessler Queens University dk75@queensu.ca, Nalia Gurgel University of Ottawa ngurg011@uottawa.ca, Anchal Chopra University of Ottawa achop079@uottawa.ca, Patrick Duong University of Ottawa pduong@uottawa.ca, Elizabeth Linkewich, Sara McEwen, Lindsey Sikora, Phyllis Montgomery
Introduction: Stroke rehabilitation interventions are categorized as those that aim to correct impairment and those that aim to improve participation. Impairment-focused interventions are generally based on motor-learning theory, and target normalization of body structures and function. Participation-focused interventions are more diverse. Reference is often made to promotion of metacognition and self-management, but cursory examination reveals diverse elements and approaches. Objective: The objective of this study is to present identify named participation-focused interventions, describe their underlying theories and elements. Methods: Scoping review of interventions using metacognitive or self-management approaches with the goal of improving participation among adults who have experienced stroke using Johanna Briggs guidelines for searching and selecting publications for review. Text will be extracted from the introduction and discussion to determine explicit and implicit theory. Elements of the intervention (such as goal setting, strategy development) and outcomes measured will be noted, to further elicit hypothesized mechanisms of action. Results: Over 3880 abstracts and over 200 full-text publications were reviewed. Over 20 named interventions were identified and described in approximately 50 publications. We are currently in the process of extracting and analyzing data, and results will be available for the conference. These results will be in the form of a detailed catalog of participation-focused interventions, their underlying theories and elements. Conclusions: Stroke rehabilitation guidelines specifically name impairment-focused interventions but not participation-focused interventions, rendering these invisible. Our catalog of these interventions will make it easier to select, utilize and advance the science of these interventions to enable occupational performance and engagement.
Réadaptation | Adulte
Mary Egan (University of Ottawa | Ottawa) megan@uottawa.ca, Dorothy Kessler Queens University dk75@queensu.ca, Nalia Gurgel University of Ottawa ngurg011@uottawa.ca, Anchal Chopra University of Ottawa achop079@uottawa.ca, Patrick Duong University of Ottawa pduong@uottawa.ca, Elizabeth Linkewich, Sara McEwen, Lindsey Sikora, Phyllis Montgomery
Introduction: Stroke rehabilitation interventions are categorized as those that aim to correct impairment and those that aim to improve participation. Impairment-focused interventions are generally based on motor-learning theory, and target normalization of body structures and function. Participation-focused interventions are more diverse. Reference is often made to promotion of metacognition and self-management, but cursory examination reveals diverse elements and approaches. Objective: The objective of this study is to present identify named participation-focused interventions, describe their underlying theories and elements. Methods: Scoping review of interventions using metacognitive or self-management approaches with the goal of improving participation among adults who have experienced stroke using Johanna Briggs guidelines for searching and selecting publications for review. Text will be extracted from the introduction and discussion to determine explicit and implicit theory. Elements of the intervention (such as goal setting, strategy development) and outcomes measured will be noted, to further elicit hypothesized mechanisms of action. Results: Over 3880 abstracts and over 200 full-text publications were reviewed. Over 20 named interventions were identified and described in approximately 50 publications. We are currently in the process of extracting and analyzing data, and results will be available for the conference. These results will be in the form of a detailed catalog of participation-focused interventions, their underlying theories and elements. Conclusions: Stroke rehabilitation guidelines specifically name impairment-focused interventions but not participation-focused interventions, rendering these invisible. Our catalog of these interventions will make it easier to select, utilize and advance the science of these interventions to enable occupational performance and engagement.
T42 Objective assessment of interprofessional education outcomes: An umbrella review
Pre-recorded (CST| HSC): N/A | Conférence
Éducation | Pas de clientèle spécifique
Iris C. I. Chao (University of Alberta), Meg Tronson University of Alberta, Ana Popovic Meridian Rehabilitation, Sharla King University of Alberta, Mary Roduta Roberts University of Alberta mroberts@ualberta.ca,
Introduction: The World Health Organization released a report in 2010 emphasizing the importance of interprofessional education (IPE) for improved healthcare quality. Determining IPE efficacy requires the availability of psychometrically validated tools or other empirically supported methods of assessment. However, the literature on the assessment of learning outcomes, or IP competencies, has grown rapidly as evidenced by multiple reviews on the topic over the last decade. Making available an accessible synthesis of reviews of the IPE assessment literature can support IP educational programming. Objective: To synthesize recent IPE assessment literature, examining how IPE learning outcomes are being assessed objectively, including what is being assessed, and the robustness of the assessment methods. Methods: An overview of reviews (also known as an umbrella review) was conducted following the methodology outlined by Aromataris et al. (2015). Retrieved articles were coded according to the objectives of the umbrella review. Coded data were then examined and compared across articles noting relationships and identifying common themes. Results: Forty-nine articles were retrieved for inclusion in the umbrella review. Preliminary themes emerging from analysis include, a lack of consensus around frameworks to assess IPE outcomes. Short-term IPE learning outcomes appear to have been prioritized over long-term outcomes with a reliance on self-assessment questionnaires versus direct assessments of IP competencies. There is a proliferation of IPE assessment tool development and adaptation, but rigorous investigations of psychometric properties are lagging. Conclusion: Research on IPE assessment is growing rapidly. Priorities include direct assessment of IP competencies and rigorous studies of measurement properties.
Éducation | Pas de clientèle spécifique
Iris C. I. Chao (University of Alberta), Meg Tronson University of Alberta, Ana Popovic Meridian Rehabilitation, Sharla King University of Alberta, Mary Roduta Roberts University of Alberta mroberts@ualberta.ca,
Introduction: The World Health Organization released a report in 2010 emphasizing the importance of interprofessional education (IPE) for improved healthcare quality. Determining IPE efficacy requires the availability of psychometrically validated tools or other empirically supported methods of assessment. However, the literature on the assessment of learning outcomes, or IP competencies, has grown rapidly as evidenced by multiple reviews on the topic over the last decade. Making available an accessible synthesis of reviews of the IPE assessment literature can support IP educational programming. Objective: To synthesize recent IPE assessment literature, examining how IPE learning outcomes are being assessed objectively, including what is being assessed, and the robustness of the assessment methods. Methods: An overview of reviews (also known as an umbrella review) was conducted following the methodology outlined by Aromataris et al. (2015). Retrieved articles were coded according to the objectives of the umbrella review. Coded data were then examined and compared across articles noting relationships and identifying common themes. Results: Forty-nine articles were retrieved for inclusion in the umbrella review. Preliminary themes emerging from analysis include, a lack of consensus around frameworks to assess IPE outcomes. Short-term IPE learning outcomes appear to have been prioritized over long-term outcomes with a reliance on self-assessment questionnaires versus direct assessments of IP competencies. There is a proliferation of IPE assessment tool development and adaptation, but rigorous investigations of psychometric properties are lagging. Conclusion: Research on IPE assessment is growing rapidly. Priorities include direct assessment of IP competencies and rigorous studies of measurement properties.
T6 Mapping the current landscape of teaching diversity in occupational therapy
Pre-recorded (CST| HSC): N/A | Conférence
Éducation | Communauté/population
Marie-Lyne Grenier (McGill University | Montreal) hiba.zafran@mcgill.ca, Laurence Roy McGill University laurence.roy@mcgill.ca, Hiba Zafran McGill Univeristy hiba.zafran@mcgill.ca
Introduction: Critical research in health professions education makes clear the role of educational institutions in perpetuating problematic discourses related to diversity, as well as their potential role in dismantling and rebuilding those discourses to reflect the realities of power relations that create systemic injustice (Ahmed, 2012; Beagan, 2015; Grenier, in press). Objective: The purpose of this scoping review was to provide a comprehensive overview of current pedagogical practices and educational paradigms used by occupational therapy educators to teach concepts of, and skills for, equity and diversity. Methods: This scoping review was developed according to the methods outlined by The Joanna Briggs Institute (2015) and included a total of 87 articles. Results: Results indicate that four main underlying pedagogical paradigms are drawn upon to teach concepts of diversity in professional occupational therapy education programs: competency-based pedagogy (43.67%), social-justice pedagogy (27.58%), critical pedagogy (12.64%) and constructivist pedagogy (6.89%). Further analysis revealed 14 key pedagogical practices utilized to teach concepts of diversity in professional occupational therapy education programs, with community service-learning (24.13%), international service-learning (21.83%) and didactic/course-based practices (13.79%) making up the majority of practices. Conclusion: While current research demonstrates some burgeoning interest by occupational therapy faculty and educators to adopt critical paradigms and practices to teach equity and diversity, problematic cultural competency-based paradigms and uncritical community- and international service-learning practices continue to dominate occupational therapy education.
Éducation | Communauté/population
Marie-Lyne Grenier (McGill University | Montreal) hiba.zafran@mcgill.ca, Laurence Roy McGill University laurence.roy@mcgill.ca, Hiba Zafran McGill Univeristy hiba.zafran@mcgill.ca
Introduction: Critical research in health professions education makes clear the role of educational institutions in perpetuating problematic discourses related to diversity, as well as their potential role in dismantling and rebuilding those discourses to reflect the realities of power relations that create systemic injustice (Ahmed, 2012; Beagan, 2015; Grenier, in press). Objective: The purpose of this scoping review was to provide a comprehensive overview of current pedagogical practices and educational paradigms used by occupational therapy educators to teach concepts of, and skills for, equity and diversity. Methods: This scoping review was developed according to the methods outlined by The Joanna Briggs Institute (2015) and included a total of 87 articles. Results: Results indicate that four main underlying pedagogical paradigms are drawn upon to teach concepts of diversity in professional occupational therapy education programs: competency-based pedagogy (43.67%), social-justice pedagogy (27.58%), critical pedagogy (12.64%) and constructivist pedagogy (6.89%). Further analysis revealed 14 key pedagogical practices utilized to teach concepts of diversity in professional occupational therapy education programs, with community service-learning (24.13%), international service-learning (21.83%) and didactic/course-based practices (13.79%) making up the majority of practices. Conclusion: While current research demonstrates some burgeoning interest by occupational therapy faculty and educators to adopt critical paradigms and practices to teach equity and diversity, problematic cultural competency-based paradigms and uncritical community- and international service-learning practices continue to dominate occupational therapy education.
T72 Usability of an app designed to enhance communication and engagement
Pre-recorded (CST| HSC): N/A | Conférence
Environnement | Pas de clientèle spécifique
Sabrina Leonard (Queen's University | Kingston) sabrina.leonard@queensu.ca, Kevyn Timmons Queen's University 17kmt3@queensu.ca, Catalina Oliveros Queen's University 17cob@queensu.ca, Kayla Huntington Queen's University 12kdh@queensu.ca, Katrine Sauvé-Schenk University of Ottawa ksauvesc@ottawau.ca, Beata Batorowicz Queen's University beata.batorowicz@queensu.ca, Dorothy Kessler Queen's University dk75@queensu.ca
Introduction: The use of mobile applications (apps) is growing, with uses including remote monitoring of health conditions and support of health behaviour change. Occupational therapists have been exploring the use of apps in various aspects of practice. To support client-centred care and self-management, apps need to allow individualized goal-setting, identification of strategies to achieve these goals, and tracking of goal progress. MyOTStride is a novel app designed to meet these needs. Objective: To evaluate the usability of MyOTStride to inform its ongoing development. Methods:
We are using a framework based on ISO (International Organization for Standardization) standards for technology development. Ten therapists and their clients will trial the app and complete semi-structured interviews and the Consumer Products Questionnaire (CPQ) prior to and following a 4-week trial. The interview consists of questions about the usability of each app feature and ways to improve the app. Interview data will be analyzed using directed content analysis with the ISO standards providing the analysis framework. Identified themes will be integrated with summarized CPQ data. Practice Implications: Data collection has started with one therapist. Findings will inform the development of MyOTStride with the goal of facilitating therapist-client communication, enhancing goal achievement, and increasing access to occupational therapy services for those in rural or remote areas.
Conclusions: We will inform the development of MyOTStride, an app designed to facilitate a client-centred approach with a variety of clients through engaging them in setting their individualized goals, developing strategies to achieve these goals, and tracking their progress.
Environnement | Pas de clientèle spécifique
Sabrina Leonard (Queen's University | Kingston) sabrina.leonard@queensu.ca, Kevyn Timmons Queen's University 17kmt3@queensu.ca, Catalina Oliveros Queen's University 17cob@queensu.ca, Kayla Huntington Queen's University 12kdh@queensu.ca, Katrine Sauvé-Schenk University of Ottawa ksauvesc@ottawau.ca, Beata Batorowicz Queen's University beata.batorowicz@queensu.ca, Dorothy Kessler Queen's University dk75@queensu.ca
Introduction: The use of mobile applications (apps) is growing, with uses including remote monitoring of health conditions and support of health behaviour change. Occupational therapists have been exploring the use of apps in various aspects of practice. To support client-centred care and self-management, apps need to allow individualized goal-setting, identification of strategies to achieve these goals, and tracking of goal progress. MyOTStride is a novel app designed to meet these needs. Objective: To evaluate the usability of MyOTStride to inform its ongoing development. Methods:
We are using a framework based on ISO (International Organization for Standardization) standards for technology development. Ten therapists and their clients will trial the app and complete semi-structured interviews and the Consumer Products Questionnaire (CPQ) prior to and following a 4-week trial. The interview consists of questions about the usability of each app feature and ways to improve the app. Interview data will be analyzed using directed content analysis with the ISO standards providing the analysis framework. Identified themes will be integrated with summarized CPQ data. Practice Implications: Data collection has started with one therapist. Findings will inform the development of MyOTStride with the goal of facilitating therapist-client communication, enhancing goal achievement, and increasing access to occupational therapy services for those in rural or remote areas.
Conclusions: We will inform the development of MyOTStride, an app designed to facilitate a client-centred approach with a variety of clients through engaging them in setting their individualized goals, developing strategies to achieve these goals, and tracking their progress.
T84 The role of occupational therapy in musicians’ health: A scoping review
Pre-recorded (CST| HSC): N/A | Conférence
Problèmes généraux/professionnels | Pas de clientèle spécifique
Bethany Villas (University of Alberta | Edmonton) villas@ualberta.ca, Uira Duarte Wisnesky University of Alberta duartewi@ualberta.ca, Lauren Slavik University of Alberta lslavik@ualberta.ca, Sandra Campbell University of Alberta scampbel@ualberta.ca, Christine Guptill University of Alberta guptill@ualberta.ca,
Introduction: The intense movement, awkward postures, concentration, and emotional communication required of musicians can place them at increased risk of music-related health conditions, such as musculoskeletal disorders and performance anxiety (Kenny & Ackermann, 2015). The development of music-related health conditions can be emotionally and financially devastating (Guptill, 2011). The role of occupational therapists in musician’s health has been previously discussed; however, no rigorous reviews of the scholarly literature have been conducted. We have therefore undertaken a scoping review with the following research questions: 1) what is known about the role of occupational therapy in instrumental musicians’ health? 2) what is the potential role of occupational therapy in musicians’ health? Objectives: Inform occupational therapists and scholars of the potential role of our profession in the care of musicians. Methods: We registered our protocol with the Joanna Briggs Institute (JBI) Systematic Review register, and have followed the JBI and the PRISMA-ScR guidelines for conducting a scoping review. A preliminary search of Medline, CINAHL, SCOPUS and Web of Science was undertaken to determine the extent of the research on this topic, and to confirm that no other reviews have been conducted or are in progress. Results: At this time, we have reviewed 54 abstracts and have proceeded to full review of 41 papers. We anticipate completing our scoping review by January 2020. Conclusions: This results of this review will help musicians and health practitioners understand the potential benefit of occupational therapy to enable meaningful occupation for those with music-related health conditions.
Problèmes généraux/professionnels | Pas de clientèle spécifique
Bethany Villas (University of Alberta | Edmonton) villas@ualberta.ca, Uira Duarte Wisnesky University of Alberta duartewi@ualberta.ca, Lauren Slavik University of Alberta lslavik@ualberta.ca, Sandra Campbell University of Alberta scampbel@ualberta.ca, Christine Guptill University of Alberta guptill@ualberta.ca,
Introduction: The intense movement, awkward postures, concentration, and emotional communication required of musicians can place them at increased risk of music-related health conditions, such as musculoskeletal disorders and performance anxiety (Kenny & Ackermann, 2015). The development of music-related health conditions can be emotionally and financially devastating (Guptill, 2011). The role of occupational therapists in musician’s health has been previously discussed; however, no rigorous reviews of the scholarly literature have been conducted. We have therefore undertaken a scoping review with the following research questions: 1) what is known about the role of occupational therapy in instrumental musicians’ health? 2) what is the potential role of occupational therapy in musicians’ health? Objectives: Inform occupational therapists and scholars of the potential role of our profession in the care of musicians. Methods: We registered our protocol with the Joanna Briggs Institute (JBI) Systematic Review register, and have followed the JBI and the PRISMA-ScR guidelines for conducting a scoping review. A preliminary search of Medline, CINAHL, SCOPUS and Web of Science was undertaken to determine the extent of the research on this topic, and to confirm that no other reviews have been conducted or are in progress. Results: At this time, we have reviewed 54 abstracts and have proceeded to full review of 41 papers. We anticipate completing our scoping review by January 2020. Conclusions: This results of this review will help musicians and health practitioners understand the potential benefit of occupational therapy to enable meaningful occupation for those with music-related health conditions.
T91 SocialTechASD: Translating knowledge to promote children with Autism social skills
Pre-recorded (CST| HSC): N/A | Conférence
Réadaptation | Enfant/ jeunesse
Yael Mayer (University of British Columbia | Vancouver) yael.mayer@ubc.ca, Tal Jarus University of British Columbia, Parisa Ghanouni Dalhousie University, Ally Malinowski University of British Columbia, Jennifer Chen University of British Columbia,
Rationale: It has been widely reported that children with Autism have an affinity for technology. This affinity can be a benefit since technology can help the development of social skills. However, finding systematic knowledge of useful technology to promote the social skills of children with Autism can be difficult. Objectives: In this paper, we will present a knowledge translation initiative named SocialTechASD to promote parents’ and clinicians’ knowledge of ways that children with Autism can benefit from the use of technology. Using the knowledge to action process framework, we created materials aimed at enhancing the knowledge of parents and clinicians of children with Autism, on this topic. Within this paper, we will present the materials and interventions, the methodology used to evaluate its effectiveness, and the findings from this study. Methods: To evaluate the impact of our knowledge translation strategy, we used a mixed-methods approach, including surveys and focus groups and interviews with 18 Knowledge brokers, 108 clinicians, and 64 parents. Interviews were analyzed using the Thematic Analysis approach. Results: Results of the study showed that parents and clinicians found the website as an effective and useful way to disseminate knowledge. Conclusions: It is important to find new ways to disseminate knowledge for parents and clinicians of children with Autism. Today, many technologies can enhance the social participation of children with Autism, but this knowledge does not always reach knowledge users. Initiatives like SocialTechASD can help in spreading valuable information to clients.
Réadaptation | Enfant/ jeunesse
Yael Mayer (University of British Columbia | Vancouver) yael.mayer@ubc.ca, Tal Jarus University of British Columbia, Parisa Ghanouni Dalhousie University, Ally Malinowski University of British Columbia, Jennifer Chen University of British Columbia,
Rationale: It has been widely reported that children with Autism have an affinity for technology. This affinity can be a benefit since technology can help the development of social skills. However, finding systematic knowledge of useful technology to promote the social skills of children with Autism can be difficult. Objectives: In this paper, we will present a knowledge translation initiative named SocialTechASD to promote parents’ and clinicians’ knowledge of ways that children with Autism can benefit from the use of technology. Using the knowledge to action process framework, we created materials aimed at enhancing the knowledge of parents and clinicians of children with Autism, on this topic. Within this paper, we will present the materials and interventions, the methodology used to evaluate its effectiveness, and the findings from this study. Methods: To evaluate the impact of our knowledge translation strategy, we used a mixed-methods approach, including surveys and focus groups and interviews with 18 Knowledge brokers, 108 clinicians, and 64 parents. Interviews were analyzed using the Thematic Analysis approach. Results: Results of the study showed that parents and clinicians found the website as an effective and useful way to disseminate knowledge. Conclusions: It is important to find new ways to disseminate knowledge for parents and clinicians of children with Autism. Today, many technologies can enhance the social participation of children with Autism, but this knowledge does not always reach knowledge users. Initiatives like SocialTechASD can help in spreading valuable information to clients.
F19 Exploring client-centred care in inter-provider relationships: A qualitative secondary analysis
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Environnement | Pas de clientèle spécifique
Cynthia Yamamoto (Winnipeg) cynthia.yamamoto@mail.mcgill.ca, Pamela Wener University of Manitoba pamela.wener@umanitoba.ca, Jacquie Ripat University of Manitoba jacquie.ripat@umanitoba.ca, Roberta L Woodgate University of Manitoba
Introduction: Occupational therapists have been researching the client-centred relationship between clients and therapists for many years. However, client-centred care (CCC) is commonly delivered in an interprofessional context and less research has focused on how CCC impacts inter-provider relationships and teamwork. Objectives: To produce a theoretical understanding of how CCC is used in the context of inter-provider relationships in Shared Mental Health Care teams in Manitoba. Methods: A previously collected data set formed the basis of qualitative secondary analysis using constructivist grounded theory. Focus group transcripts from five teams with providers from two or more professions were analyzed using constant comparison methods. Coding, memoing and diagramming were used to inductively derive major categories and themes. Results: Providers understood CCC at two levels, as individual providers and as a team. Working with each other and with the same clients over time, these providers developed a shared identity, termed “the Collective Provider” in this analysis, and embodied in the phrase working together "makes us a better provider". Teams in this study were characterized by well-functioning inter-provider relationships and an organizational context that supported collaboration. In these conditions, CCC was mobilized in a relationship-enhancing rather than dissenting manner within the team, and in a way that was thought to advance collaboration and best care. Conclusions: Attention to the quality of relationships between providers in addition to with the client may be important in realizing a positive, teamwork-facilitative function of client-centred rhetoric.
Environnement | Pas de clientèle spécifique
Cynthia Yamamoto (Winnipeg) cynthia.yamamoto@mail.mcgill.ca, Pamela Wener University of Manitoba pamela.wener@umanitoba.ca, Jacquie Ripat University of Manitoba jacquie.ripat@umanitoba.ca, Roberta L Woodgate University of Manitoba
Introduction: Occupational therapists have been researching the client-centred relationship between clients and therapists for many years. However, client-centred care (CCC) is commonly delivered in an interprofessional context and less research has focused on how CCC impacts inter-provider relationships and teamwork. Objectives: To produce a theoretical understanding of how CCC is used in the context of inter-provider relationships in Shared Mental Health Care teams in Manitoba. Methods: A previously collected data set formed the basis of qualitative secondary analysis using constructivist grounded theory. Focus group transcripts from five teams with providers from two or more professions were analyzed using constant comparison methods. Coding, memoing and diagramming were used to inductively derive major categories and themes. Results: Providers understood CCC at two levels, as individual providers and as a team. Working with each other and with the same clients over time, these providers developed a shared identity, termed “the Collective Provider” in this analysis, and embodied in the phrase working together "makes us a better provider". Teams in this study were characterized by well-functioning inter-provider relationships and an organizational context that supported collaboration. In these conditions, CCC was mobilized in a relationship-enhancing rather than dissenting manner within the team, and in a way that was thought to advance collaboration and best care. Conclusions: Attention to the quality of relationships between providers in addition to with the client may be important in realizing a positive, teamwork-facilitative function of client-centred rhetoric.
F20 Le contexte agricole communautaire : une ressource potentielle pour l’ergothérapie
samedi (CST| HSC): 11:00-11:25 | Présentation par affiche
Participation et inclusion | Communauté/population
Audrey Rheault-Petitclerc (Université du Québec à Trois-Rivières | Trois-Rivières) audrey.rheault-petitclerc@uqtr.ca, Pierre-Yves Therriault Université du Québec à Trois-Rivières pierre-yves.therriault@uqtr.ca
Introduction. Le rétablissement des personnes présentant une problématique de santé mentale est perturbé par une forte stigmatisation. Ce phénomène a des répercussions négatives sur leur estime de soi, intensifiant leur isolement social. Puisqu’un environnement inclusif est favorable à la santé mentale, il devient intéressant d’explorer un milieu de ce genre au Québec, soit les ressources à vocation communautaire en milieu agricole (RVCA). Objectifs. Cette étude a pour but 1) de comprendre l’opérationnalisation des RVCA au Québec et 2) d’explorer les retombées de la fréquentation de telles ressources sur la participation occupationnelle des personnes ayant une problématique de santé mentale. Méthode. Une étude phénoménologique descriptive a été réalisée. Les participants ont été sélectionnés par choix raisonné et par convenance. Une visite des RVCA ainsi que des entrevues semi-dirigées ont été administrées. Enfin, une analyse de contenu a permis l’émergence de différentes thématiques. Résultats. Trois gestionnaires et cinq travailleurs de deux RVCA ont participé à ce projet. Pour le premier objectif de recherche, les organisations étudiées montrent que leur fonctionnement diffère selon leur type d’exploitation, leurs missions et le choix des acteurs impliqués. Quant au second, les utilisateurs des ressources, différents changements sur le plan personnel ainsi qu’occupationnel sont notés. Conclusion. Les interventions menées en milieu écologique montrent d’intéressantes retombées sur la santé mentale. D’autres études doivent être réalisées avant de se prononcer sur le réel potentiel des RVCA pour les personnes ayant une problématique de santé mentale. L’implication des ergothérapeutes dans ces ressources pourrait accroître les retombées.
Participation et inclusion | Communauté/population
Audrey Rheault-Petitclerc (Université du Québec à Trois-Rivières | Trois-Rivières) audrey.rheault-petitclerc@uqtr.ca, Pierre-Yves Therriault Université du Québec à Trois-Rivières pierre-yves.therriault@uqtr.ca
Introduction. Le rétablissement des personnes présentant une problématique de santé mentale est perturbé par une forte stigmatisation. Ce phénomène a des répercussions négatives sur leur estime de soi, intensifiant leur isolement social. Puisqu’un environnement inclusif est favorable à la santé mentale, il devient intéressant d’explorer un milieu de ce genre au Québec, soit les ressources à vocation communautaire en milieu agricole (RVCA). Objectifs. Cette étude a pour but 1) de comprendre l’opérationnalisation des RVCA au Québec et 2) d’explorer les retombées de la fréquentation de telles ressources sur la participation occupationnelle des personnes ayant une problématique de santé mentale. Méthode. Une étude phénoménologique descriptive a été réalisée. Les participants ont été sélectionnés par choix raisonné et par convenance. Une visite des RVCA ainsi que des entrevues semi-dirigées ont été administrées. Enfin, une analyse de contenu a permis l’émergence de différentes thématiques. Résultats. Trois gestionnaires et cinq travailleurs de deux RVCA ont participé à ce projet. Pour le premier objectif de recherche, les organisations étudiées montrent que leur fonctionnement diffère selon leur type d’exploitation, leurs missions et le choix des acteurs impliqués. Quant au second, les utilisateurs des ressources, différents changements sur le plan personnel ainsi qu’occupationnel sont notés. Conclusion. Les interventions menées en milieu écologique montrent d’intéressantes retombées sur la santé mentale. D’autres études doivent être réalisées avant de se prononcer sur le réel potentiel des RVCA pour les personnes ayant une problématique de santé mentale. L’implication des ergothérapeutes dans ces ressources pourrait accroître les retombées.
F38 The effectiveness of water-based interventions in children diagnosed with autism
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Enfant/ jeunesse
Nikki Reid, Parisa Ghanouni
Rationale: Autism spectrum disorder (ASD) can have a vast impact on a child’s meaningful occupations. It is essential that occupational therapists (OTs) provide effective interventions to improve occupational engagement. Water-based interventions (WBIs) such as hydrotherapy, aquatic therapy, and swimming allow the child to engage in an activity that is enjoyable while the therapist facilitates development of desired skills. Furthermore, the natural setting of WBIs may make them more appealing than clinic-based interventions. Objectives: This systematic review examines the effectiveness of WBIs for improving behavior and socialization in children diagnosed with ASD compared to standard treatment. Method: A search of five databases (CINAHL, SPORTDiscus, PsycINFO, ERIC, PubMed) using a wide array of search terms (i.e. “autis*”, “water-therap*”, “social*”) identified 371 articles. 11 articles met the inclusion criteria and were appraised using the McMaster University Critical Appraisal Tool. Results: Most studies were moderate to strong quality. Overall, results show that WBIs significantly improve socialization in children with ASD. Significant improvements were also reported in some other behaviors such as playfulness, sleep, and appropriate use of emotions. Conclusion: Despite the varying WBIs used in the studies, there is moderate to strong evidence to support the use of WBIs to improve social skills and behaviors in children with ASD. WBIs may be used independently or in adjunct to other interventions to help children facing challenges related to socializing and functional behaviors.
Réadaptation | Enfant/ jeunesse
Nikki Reid, Parisa Ghanouni
Rationale: Autism spectrum disorder (ASD) can have a vast impact on a child’s meaningful occupations. It is essential that occupational therapists (OTs) provide effective interventions to improve occupational engagement. Water-based interventions (WBIs) such as hydrotherapy, aquatic therapy, and swimming allow the child to engage in an activity that is enjoyable while the therapist facilitates development of desired skills. Furthermore, the natural setting of WBIs may make them more appealing than clinic-based interventions. Objectives: This systematic review examines the effectiveness of WBIs for improving behavior and socialization in children diagnosed with ASD compared to standard treatment. Method: A search of five databases (CINAHL, SPORTDiscus, PsycINFO, ERIC, PubMed) using a wide array of search terms (i.e. “autis*”, “water-therap*”, “social*”) identified 371 articles. 11 articles met the inclusion criteria and were appraised using the McMaster University Critical Appraisal Tool. Results: Most studies were moderate to strong quality. Overall, results show that WBIs significantly improve socialization in children with ASD. Significant improvements were also reported in some other behaviors such as playfulness, sleep, and appropriate use of emotions. Conclusion: Despite the varying WBIs used in the studies, there is moderate to strong evidence to support the use of WBIs to improve social skills and behaviors in children with ASD. WBIs may be used independently or in adjunct to other interventions to help children facing challenges related to socializing and functional behaviors.
F41 Engagement in older adults during gameplay: An ethogram
jeudi (CST| HSC): 13:00-14:55 | Présentation par affiche
Environnement | Personne âgée
Adriana Rios Rincon (University of Alberta | Edmonton) aros@ualberta.ca, Lili Liu University of Waterloo lili.liu@uwaterloo.ca, Christine Daum University of Alberta cdaum@ualberta.ca, Aidan Comeau University of Alberta akcomeau@ualberta.ca, Diana Rincon Martinez University of Alberta/Universidad del Rosario rinconma@ualberta.ca, Laura Catalina Izquierdo Martinez University of Alberta/Universidad del Rosario izquierd@ualberta.ca
Introduction: Engagement while playing computer games can improve cognitive skills in older adults, especially those living with dementia. Existing scales to measure engagement are self-reported and challenging for older adults with dementia to use. Objective: The purpose of this research was to identify observable indicators associated with engagement in older adults while playing serious computer games, and to validate an ethogram, or an inventory of engagement-related behaviors. Methods: For the development of the ethogram, two independent raters watched 21 video footage of 17 older adults (5 with and 12 without dementia) who played computer games. An analysis and coding of video sequences was carried out to identify behaviours that indicate engagement, disengagement or neutral behaviours. Two independent researchers validated the ethogram. Results: Behavioural indicators of engagement formed three categories: Gaze and eye movements (e.g., eye movements that follow stimuli on the screen), facial expressions (e.g., associated with positive affect and approach motivation), and posture and body positioning (e.g., head directed towards the game with small head movements present indicative of scanning). Conclusions: The main behavioural indicators of engagement were gaze, eye movement (scanning), facial expressions, and movements of the play and non-play hands. The ethogram provides relevant knowledge about how engagement looks like in older adults with and without dementia and can be useful in clinical and research settings. The ethogram also provides indicators of engagement observed only in participants with dementia.
Environnement | Personne âgée
Adriana Rios Rincon (University of Alberta | Edmonton) aros@ualberta.ca, Lili Liu University of Waterloo lili.liu@uwaterloo.ca, Christine Daum University of Alberta cdaum@ualberta.ca, Aidan Comeau University of Alberta akcomeau@ualberta.ca, Diana Rincon Martinez University of Alberta/Universidad del Rosario rinconma@ualberta.ca, Laura Catalina Izquierdo Martinez University of Alberta/Universidad del Rosario izquierd@ualberta.ca
Introduction: Engagement while playing computer games can improve cognitive skills in older adults, especially those living with dementia. Existing scales to measure engagement are self-reported and challenging for older adults with dementia to use. Objective: The purpose of this research was to identify observable indicators associated with engagement in older adults while playing serious computer games, and to validate an ethogram, or an inventory of engagement-related behaviors. Methods: For the development of the ethogram, two independent raters watched 21 video footage of 17 older adults (5 with and 12 without dementia) who played computer games. An analysis and coding of video sequences was carried out to identify behaviours that indicate engagement, disengagement or neutral behaviours. Two independent researchers validated the ethogram. Results: Behavioural indicators of engagement formed three categories: Gaze and eye movements (e.g., eye movements that follow stimuli on the screen), facial expressions (e.g., associated with positive affect and approach motivation), and posture and body positioning (e.g., head directed towards the game with small head movements present indicative of scanning). Conclusions: The main behavioural indicators of engagement were gaze, eye movement (scanning), facial expressions, and movements of the play and non-play hands. The ethogram provides relevant knowledge about how engagement looks like in older adults with and without dementia and can be useful in clinical and research settings. The ethogram also provides indicators of engagement observed only in participants with dementia.
F42 Engagement in daily-life physical activity reduces symptoms after adolescent concussion
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Enfant/ jeunesse
Nicole Gingrich (University of British Columbia | Vancouver) n.gingrich@alumni.ubc.ca, Jacob Bosancich University of British Columbia j.bosancich@alumni.ubc.ca, Julia Schmidt University of British Columbia Julia.Schmidt@ubc.ca, Matthieu Boisgontie University of British Columbia boisgontiermatthieu@gmail.com, Boris Cheval University of Geneva boris.cheval@unige.ch
Introduction: Symptoms of concussion span domains of somatic, cognitive, physical, and emotional. Importantly, persistent symptoms beyond the typical recovery period in adolescents (e.g., <1month) can limit occupational engagement and participation. Rehabilitation programs including aerobic exercises can reduce persistent postconcussion symptoms. However, it is unknown if participation in self-directed daily-life physical activity can also reduce symptoms. Objectives: To investigate whether the level of participation in self-directed physical activity during daily-life reduces postconcussion symptoms in an adolescent population. Methods: Participants were ten adolescents aged 11–18 years with a recent concussion (<1 month). Participants self-reported their postconcussion symptoms and level of participation in daily-life physical activity at three timepoints: 1-, 3-, and 6-months after injury. Data was analyzed using a linear mixed model in R, controlling for time postconcussion, age, sex, and parental assessment of the symptoms. Results: There was a significant effect (effect size = 0.572) of physical activity on postconcussion symptoms (b = ?4.842, SE = 5.110, p = .010), with greater participation in daily-life physical activity associated with fewer symptoms, controlling for other variables in the model. Conclusion: These data suggest that participation in daily-life physical activity (e.g., physical education classes, sports, games), can be encouraged by occupational therapists to promote concussion recovery. It is possible that individuals gained a positive recovery framework through engagement in meaningful activities, or that neurological recovery was enhanced by aerobic physical activity. Further research is required to better understand the relationship between daily-life physical activity and recovery.
Réadaptation | Enfant/ jeunesse
Nicole Gingrich (University of British Columbia | Vancouver) n.gingrich@alumni.ubc.ca, Jacob Bosancich University of British Columbia j.bosancich@alumni.ubc.ca, Julia Schmidt University of British Columbia Julia.Schmidt@ubc.ca, Matthieu Boisgontie University of British Columbia boisgontiermatthieu@gmail.com, Boris Cheval University of Geneva boris.cheval@unige.ch
Introduction: Symptoms of concussion span domains of somatic, cognitive, physical, and emotional. Importantly, persistent symptoms beyond the typical recovery period in adolescents (e.g., <1month) can limit occupational engagement and participation. Rehabilitation programs including aerobic exercises can reduce persistent postconcussion symptoms. However, it is unknown if participation in self-directed daily-life physical activity can also reduce symptoms. Objectives: To investigate whether the level of participation in self-directed physical activity during daily-life reduces postconcussion symptoms in an adolescent population. Methods: Participants were ten adolescents aged 11–18 years with a recent concussion (<1 month). Participants self-reported their postconcussion symptoms and level of participation in daily-life physical activity at three timepoints: 1-, 3-, and 6-months after injury. Data was analyzed using a linear mixed model in R, controlling for time postconcussion, age, sex, and parental assessment of the symptoms. Results: There was a significant effect (effect size = 0.572) of physical activity on postconcussion symptoms (b = ?4.842, SE = 5.110, p = .010), with greater participation in daily-life physical activity associated with fewer symptoms, controlling for other variables in the model. Conclusion: These data suggest that participation in daily-life physical activity (e.g., physical education classes, sports, games), can be encouraged by occupational therapists to promote concussion recovery. It is possible that individuals gained a positive recovery framework through engagement in meaningful activities, or that neurological recovery was enhanced by aerobic physical activity. Further research is required to better understand the relationship between daily-life physical activity and recovery.
F45 Models of peer-based interventions for individuals with neurological conditions
jeudi (CST| HSC): 08:30-08:55 | Présentation par affiche
Participation et inclusion | Adulte
Sarah Aterman (Queen's University | Kingston) 1sja@queensu.ca, Lori Canes Queen's University 12lnc1@queensu.ca, Christina Della Croce Queen's University 16cdc3@queensu.ca, Tom Johnstone Queen's University 1tmj@queensu.ca, Tianna Park Queen's University tianna.park@queensu.ca, Dorothy Kessler Queen's University dk75@queensu.ca, Setareh Ghahari Queen's University sg128@queensu.ca
Introduction: In peer-based interventions, individuals support others going through similar life experiences. Peer-based interventions can provide a valued role for those providing support and potentially enhance occupational engagement for those receiving support. There are a wide variety of models of peer-based interventions. However, little is known about the similarities and differences among these models and their potential outcomes for people with neurological conditions. Objective: The objective of this scoping review was to describe and compare existing models of peer-based interventions for adults (18+) living with common neurological conditions. Methods: We used the approach outlined by Arksey and O’Malley (2005) for the review and searched MEDLINE, CINAHL, PsychInfo, and Embase for research on peer-led interventions for individuals with brain injury, Parkinson’s, multiple sclerosis, spinal cord injury, and stroke up to June 2019. Search terms included “peer support”, “peer mentor”, and other related terms. Data was extracted and compared for similarities and differences among models. Results: There are a wide variety of peer-based interventions for individuals with neurological conditions including individual and group-based formats, and in-person or telephone/online support. Content varies from structured education to an individualized approach based on the person’s needs. Outcomes also varied and included improved health, increased confidence, acceptance, and ability to self-manage in daily life. Conclusions: There are a variety of models for peer-based interventions for people experiencing common neurological conditions. There is a need to clearly define these model outcomes. Research using rigorous methods is needed to determine the most effective peer-based intervention models.
Participation et inclusion | Adulte
Sarah Aterman (Queen's University | Kingston) 1sja@queensu.ca, Lori Canes Queen's University 12lnc1@queensu.ca, Christina Della Croce Queen's University 16cdc3@queensu.ca, Tom Johnstone Queen's University 1tmj@queensu.ca, Tianna Park Queen's University tianna.park@queensu.ca, Dorothy Kessler Queen's University dk75@queensu.ca, Setareh Ghahari Queen's University sg128@queensu.ca
Introduction: In peer-based interventions, individuals support others going through similar life experiences. Peer-based interventions can provide a valued role for those providing support and potentially enhance occupational engagement for those receiving support. There are a wide variety of models of peer-based interventions. However, little is known about the similarities and differences among these models and their potential outcomes for people with neurological conditions. Objective: The objective of this scoping review was to describe and compare existing models of peer-based interventions for adults (18+) living with common neurological conditions. Methods: We used the approach outlined by Arksey and O’Malley (2005) for the review and searched MEDLINE, CINAHL, PsychInfo, and Embase for research on peer-led interventions for individuals with brain injury, Parkinson’s, multiple sclerosis, spinal cord injury, and stroke up to June 2019. Search terms included “peer support”, “peer mentor”, and other related terms. Data was extracted and compared for similarities and differences among models. Results: There are a wide variety of peer-based interventions for individuals with neurological conditions including individual and group-based formats, and in-person or telephone/online support. Content varies from structured education to an individualized approach based on the person’s needs. Outcomes also varied and included improved health, increased confidence, acceptance, and ability to self-manage in daily life. Conclusions: There are a variety of models for peer-based interventions for people experiencing common neurological conditions. There is a need to clearly define these model outcomes. Research using rigorous methods is needed to determine the most effective peer-based intervention models.
F54 Older immigrants’ narratives on social transitions: The occupation of “friending”
vendredi (CST| HSC): 11:00-11:25 | Présentation par affiche
Participation et inclusion | Personne âgée
Samanta Rivas Argueta (University of Toronto | Toronto) samanta.rivas.argueta@mail.utoronto.ca, Jasmine Bacola University of Toronto jasmine.bacola@mail.utoronto.ca, Lynn Cockburn University of Toronto l.cockburn@utoronto.ca, Barry Trentham University of Toronto b.trentham@utoronto.ca
Introduction: As people age, they experience life events that impact their ability to participate in meaningful occupations and roles. In particular, the process of immigration in older adulthood leads to changes in living arrangements, employment and cultural opportunities, which in turn impact the nature of their social networks (Friis et al., 1998). Currently, there is limited research on the nature of older immigrants friendships, and how occupational therapists (OTs) can enable the occupation of “friending” among this population. Objectives: This qualitative study aims to (1) understand the lived experiences of recent older immigrants engaging in “friending”, (2) explore older immigrants’ perspectives of the OT role in enabling the occupation of “friending”, (3) identify strategies, tools and technologies discussed within the participants' narratives that may facilitate older immigrants to engage in “friending”. Methods: This qualitative narrative inquiry design used an arts-informed approach. Community-dwelling older immigrants living in Ontario participated in either a walking or sit-down semi-structured interview. Thematic analysis investigated how older immigrants navigate changes in their friendship circles, and thus informed the provision of OT services to enable the occupation of “friending” among older immigrants. Practice Implications: The findings of this study enhance knowledge of the unique needs of older immigrants in maintaining and building friendships. Participants’ narratives inform the application of strategies, tools, and technologies to support older immigrants in navigating “friending” transitions. Conclusions: The findings of this study raise awareness around the importance of including and enabling “friending” as an important occupation when working with older immigrants.
Participation et inclusion | Personne âgée
Samanta Rivas Argueta (University of Toronto | Toronto) samanta.rivas.argueta@mail.utoronto.ca, Jasmine Bacola University of Toronto jasmine.bacola@mail.utoronto.ca, Lynn Cockburn University of Toronto l.cockburn@utoronto.ca, Barry Trentham University of Toronto b.trentham@utoronto.ca
Introduction: As people age, they experience life events that impact their ability to participate in meaningful occupations and roles. In particular, the process of immigration in older adulthood leads to changes in living arrangements, employment and cultural opportunities, which in turn impact the nature of their social networks (Friis et al., 1998). Currently, there is limited research on the nature of older immigrants friendships, and how occupational therapists (OTs) can enable the occupation of “friending” among this population. Objectives: This qualitative study aims to (1) understand the lived experiences of recent older immigrants engaging in “friending”, (2) explore older immigrants’ perspectives of the OT role in enabling the occupation of “friending”, (3) identify strategies, tools and technologies discussed within the participants' narratives that may facilitate older immigrants to engage in “friending”. Methods: This qualitative narrative inquiry design used an arts-informed approach. Community-dwelling older immigrants living in Ontario participated in either a walking or sit-down semi-structured interview. Thematic analysis investigated how older immigrants navigate changes in their friendship circles, and thus informed the provision of OT services to enable the occupation of “friending” among older immigrants. Practice Implications: The findings of this study enhance knowledge of the unique needs of older immigrants in maintaining and building friendships. Participants’ narratives inform the application of strategies, tools, and technologies to support older immigrants in navigating “friending” transitions. Conclusions: The findings of this study raise awareness around the importance of including and enabling “friending” as an important occupation when working with older immigrants.
F55 Earth, wind and fire!! Clients prepare disaster and emergency plans.
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Soins primaires/santé de la population | Pas de clientèle spécifique
Mary Evert (San Diego) evertmary@gmail.com
Rationale: Occupational therapists have a unique knowledge of an individual’s capacity and needs to assure that their clients and families have a current, safe and effective personal emergency and disaster preparedness plan. Objectives: Create audience dialogue exploring tools useful in emergency and disaster management frameworks in order to devise a plan relevant to clients and to themselves. Provincial and Federal agencies associated with emergency and disaster response training programs to become certified disaster responders will be discussed. Approach: It is critical that OTs will routinely assess these I-ADL skills with each client, their families/caregivers and their community. Participants explore logistics of preparations, needs for situational awareness of the safety of physical and social environments, making and having a “go” bag with them, communication and personal information necessities, prioritization of needs in case an immediate crisis, and mental health components and partnerships for surviving various emergencies. Occupational therapy personnel best prepare for facilitating effective client interventions by having their own personal emergency plan and by compelling stories that motivated them to assist clients and families cope with worst case scenarios. Practice implications: Working with personal and client situations, OT personnel will gain a better understanding of needed insights, competencies and ethical imperatives to anticipate preparedness and responses for possible emergency situations and disasters that might affect their clients, their OT worksite, themselves, and their communities. Conclusions: How therapists incorporate this life saving client treatment strategy is critical to aid advocacy for OT interventions, quality of life and public health/safety.
Soins primaires/santé de la population | Pas de clientèle spécifique
Mary Evert (San Diego) evertmary@gmail.com
Rationale: Occupational therapists have a unique knowledge of an individual’s capacity and needs to assure that their clients and families have a current, safe and effective personal emergency and disaster preparedness plan. Objectives: Create audience dialogue exploring tools useful in emergency and disaster management frameworks in order to devise a plan relevant to clients and to themselves. Provincial and Federal agencies associated with emergency and disaster response training programs to become certified disaster responders will be discussed. Approach: It is critical that OTs will routinely assess these I-ADL skills with each client, their families/caregivers and their community. Participants explore logistics of preparations, needs for situational awareness of the safety of physical and social environments, making and having a “go” bag with them, communication and personal information necessities, prioritization of needs in case an immediate crisis, and mental health components and partnerships for surviving various emergencies. Occupational therapy personnel best prepare for facilitating effective client interventions by having their own personal emergency plan and by compelling stories that motivated them to assist clients and families cope with worst case scenarios. Practice implications: Working with personal and client situations, OT personnel will gain a better understanding of needed insights, competencies and ethical imperatives to anticipate preparedness and responses for possible emergency situations and disasters that might affect their clients, their OT worksite, themselves, and their communities. Conclusions: How therapists incorporate this life saving client treatment strategy is critical to aid advocacy for OT interventions, quality of life and public health/safety.
F57 Integrated-care pathways for Black persons with TBI: A critical transdisciplinary scoping review
vendredi (CST| HSC): 10:30-10:55 | Présentation par affiche
Participation et inclusion | Communauté/population
Samira Omar (University of Toronto | Toronto) samira.omar@mail.utoronto.ca, LLana James University of Toronto llana.james@mail.utoronto.ca, Angela Colantonio University of Toronto angela.colantonio@utoronto.ca, Stephanie Nixon University of Toronto stephanie.nixon@utoronto.ca
Introduction: Current understandings of the etiology of traumatic brain injury (TBI) and trajectory of care lack consideration for the inclusion of Black populations and the impact of racialization, racism, and its intersections. Although community integration is an ultimate goal of rehabilitation post injury, Black persons with TBI have unmet needs along the care continuum including meaningful participation and vocation, resulting in occupational deprivation. While integrated care is seen as an appealing approach to service delivery, little is known about what this means for Black people with TBI. Objectives: To present the first critical transdisciplinary (CTD) scoping review mapping literature on the extent, range, and nature of integrated-care pathways for Black people experiencing TBI. Methods: Following Arksey and O’Malley’s scoping study methodology, CTD provides a transformative, health-equity lens that is a methodology and theory guiding this review. CTD is used to map the literature and understand elements of integrated care pathways for Black people experiencing TBI. Practice Implications: The application of CTD enables clinicians, administrators, educators, and researchers in the field of TBI and integrated care to re-examine hidden assumptions about racism, racialization, and Blackness that are often embedded in current visions of healthcare. Conclusions: CTD provides a critical examination of the literature and illuminates implications for integrated care for Black persons experiencing TBI, thereby advancing an occupational justice approach for healthcare.
Participation et inclusion | Communauté/population
Samira Omar (University of Toronto | Toronto) samira.omar@mail.utoronto.ca, LLana James University of Toronto llana.james@mail.utoronto.ca, Angela Colantonio University of Toronto angela.colantonio@utoronto.ca, Stephanie Nixon University of Toronto stephanie.nixon@utoronto.ca
Introduction: Current understandings of the etiology of traumatic brain injury (TBI) and trajectory of care lack consideration for the inclusion of Black populations and the impact of racialization, racism, and its intersections. Although community integration is an ultimate goal of rehabilitation post injury, Black persons with TBI have unmet needs along the care continuum including meaningful participation and vocation, resulting in occupational deprivation. While integrated care is seen as an appealing approach to service delivery, little is known about what this means for Black people with TBI. Objectives: To present the first critical transdisciplinary (CTD) scoping review mapping literature on the extent, range, and nature of integrated-care pathways for Black people experiencing TBI. Methods: Following Arksey and O’Malley’s scoping study methodology, CTD provides a transformative, health-equity lens that is a methodology and theory guiding this review. CTD is used to map the literature and understand elements of integrated care pathways for Black people experiencing TBI. Practice Implications: The application of CTD enables clinicians, administrators, educators, and researchers in the field of TBI and integrated care to re-examine hidden assumptions about racism, racialization, and Blackness that are often embedded in current visions of healthcare. Conclusions: CTD provides a critical examination of the literature and illuminates implications for integrated care for Black persons experiencing TBI, thereby advancing an occupational justice approach for healthcare.
F58 Disclosure perspectives of youth with invisible conditions: a scoping review
vendredi (CST| HSC): 10:30-10:55 | Présentation par affiche
Participation et inclusion | Pas de clientèle spécifique
Hannah Furness (University of Alberta | Edmonton) hfurness@ualberta.ca, Sandra Hodgetts University of Alberta sandy.hodgetts@ualberta.ca
Introduction: Many youth live with an invisible condition. Understanding youth’s perspectives of sharing their diagnosis with others benefits occupational therapists, to whom youth and parents often turn for support in areas of inclusion, participation, advocacy and mental health. Objectives: To explore the perspectives of youth with invisible conditions related to disclosing their diagnosis to others. Methods: This scoping review systematically searched CINAHL, ERIC, PsycINFO, and Medline databases with search terms related to youth, condition, invisible, and disclosure. Inclusion criteria were: (1) youth perspective, (2) invisible condition, (3) peer-reviewed, original research, and (4) disclosure to others (those outside the nuclear family). Results: Thirteen studies met inclusion criteria. These studies included youth (age 4 to 18 years) who have invisible conditions (e.g. epilepsy, diabetes, irritable bowel syndrome, sickle cell disorder, human immunodeficiency virus, depression, and anxiety). No studies were found that portrayed the perspective of youth with neurodevelopmental conditions (e.g. autism). Preliminary findings suggest that youth living with invisible conditions primarily engage in selective disclosure of their diagnosis; based on context, relationship to person, and purpose. Some youth preferred to conceal their condition because of fear of negative responses, (e.g. rejection, stigma, and bullying), as well as the desire to be “normal”. However, many youth preferred to share their condition to obtain support from family, peers, and teachers. Conclusion: Youth living with invisible conditions disclose their condition to others based on context, relationship, and purpose. This review enriches occupational therapists, and others’, knowledge about disclosure to better support youth with invisible disabilities.
Participation et inclusion | Pas de clientèle spécifique
Hannah Furness (University of Alberta | Edmonton) hfurness@ualberta.ca, Sandra Hodgetts University of Alberta sandy.hodgetts@ualberta.ca
Introduction: Many youth live with an invisible condition. Understanding youth’s perspectives of sharing their diagnosis with others benefits occupational therapists, to whom youth and parents often turn for support in areas of inclusion, participation, advocacy and mental health. Objectives: To explore the perspectives of youth with invisible conditions related to disclosing their diagnosis to others. Methods: This scoping review systematically searched CINAHL, ERIC, PsycINFO, and Medline databases with search terms related to youth, condition, invisible, and disclosure. Inclusion criteria were: (1) youth perspective, (2) invisible condition, (3) peer-reviewed, original research, and (4) disclosure to others (those outside the nuclear family). Results: Thirteen studies met inclusion criteria. These studies included youth (age 4 to 18 years) who have invisible conditions (e.g. epilepsy, diabetes, irritable bowel syndrome, sickle cell disorder, human immunodeficiency virus, depression, and anxiety). No studies were found that portrayed the perspective of youth with neurodevelopmental conditions (e.g. autism). Preliminary findings suggest that youth living with invisible conditions primarily engage in selective disclosure of their diagnosis; based on context, relationship to person, and purpose. Some youth preferred to conceal their condition because of fear of negative responses, (e.g. rejection, stigma, and bullying), as well as the desire to be “normal”. However, many youth preferred to share their condition to obtain support from family, peers, and teachers. Conclusion: Youth living with invisible conditions disclose their condition to others based on context, relationship, and purpose. This review enriches occupational therapists, and others’, knowledge about disclosure to better support youth with invisible disabilities.
F62 Diversifying the health and human service professions: Indigenous perspectives
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Adulte
Kristen Joy-Correll (University of British Columbia | Vancouver) k.joycorrell@alumni.ubc.ca, Emilie Nevill University of British Columbia emilie.nevill@alumni.ubc.ca, Hali McLennan University of British Columbia, Hailey Matheson University of British Columbia, Ashley Quinn University of British Columbia ashley.quinn@ubc.ca, Yael Mayer University of British Columbia yael.mayer@ubc.ca, Tal Jarus University of British Columbia tal.jarus@ubc.ca
Introduction Indigenous peoples make up 5% of Canadian population, however, only 3% of health care professionals identify as Indigenous. As various studies have reported the benefits of diversifying the health professions, the barriers and facilitators of increasing the number of Indigenous peoples in these professions must be identified. Objectives In response to Truth and Reconciliation Commission of Canada’s Calls to Action, the purpose of this project is to identify and understand the barriers and facilitators Indigenous peoples face in occupations related to achieving and maintaining a position in health and human service professions. Approach A narrative approach will be used to collect perspectives based on individual experiences through facilitation of sharing circles with Indigenous students, staff, and clinical and academic faculty. Thematic analysis will be used to reveal themes regarding participant experiences and the impact of those experiences on participation in study and career-related occupations. Practice Implications The identified facilitators and barriers can be used to analyze current policies and procedures that promote education in health and human service professions, and instigate change to enhance diversity in these professions. Conclusions We anticipate results from this study will identify current academic structures and ideologies that are rooted in colonialism, that act as barriers for engagement and inclusion of Indigenous students. In addition, we anticipate the results will act as a catalyst for uncovering further changes to be made regarding attitudes, procedures, and practices present in an academic environment that limit the inclusion of Indigenous peoples in health and human service professions.
Participation et inclusion | Adulte
Kristen Joy-Correll (University of British Columbia | Vancouver) k.joycorrell@alumni.ubc.ca, Emilie Nevill University of British Columbia emilie.nevill@alumni.ubc.ca, Hali McLennan University of British Columbia, Hailey Matheson University of British Columbia, Ashley Quinn University of British Columbia ashley.quinn@ubc.ca, Yael Mayer University of British Columbia yael.mayer@ubc.ca, Tal Jarus University of British Columbia tal.jarus@ubc.ca
Introduction Indigenous peoples make up 5% of Canadian population, however, only 3% of health care professionals identify as Indigenous. As various studies have reported the benefits of diversifying the health professions, the barriers and facilitators of increasing the number of Indigenous peoples in these professions must be identified. Objectives In response to Truth and Reconciliation Commission of Canada’s Calls to Action, the purpose of this project is to identify and understand the barriers and facilitators Indigenous peoples face in occupations related to achieving and maintaining a position in health and human service professions. Approach A narrative approach will be used to collect perspectives based on individual experiences through facilitation of sharing circles with Indigenous students, staff, and clinical and academic faculty. Thematic analysis will be used to reveal themes regarding participant experiences and the impact of those experiences on participation in study and career-related occupations. Practice Implications The identified facilitators and barriers can be used to analyze current policies and procedures that promote education in health and human service professions, and instigate change to enhance diversity in these professions. Conclusions We anticipate results from this study will identify current academic structures and ideologies that are rooted in colonialism, that act as barriers for engagement and inclusion of Indigenous students. In addition, we anticipate the results will act as a catalyst for uncovering further changes to be made regarding attitudes, procedures, and practices present in an academic environment that limit the inclusion of Indigenous peoples in health and human service professions.
F78 Powered mobility wheelchairs among children with disabilities: A scoping review
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Enfant/ jeunesse
Kathleen Hogan, Hilary Verhaeghe, Parisa Ghanouni
Background: Independent mobility provides children with a means to explore their environment and facilitate development. There are considerable implications for children who cannot functionally ambulate as a result of disability. Early powered mobility (PM) devices can afford children opportunities for occupational engagement, and promote overall development. Objective: This narrative review of the literature examines the value of PM devices for children aged six months to six years who are not functional ambulators. Method: Six online databases (CINAHL, EMBASE, ERIC, PsychInfo, PubMed, and SPORTDiscus) were searched using key words retrieving 1312 articles. After screening for inclusion criteria nine articles were retained for appraisal using Critical Appraisal Skills Programme tools. Results: This review summarizes previous literature about the skills required to use PM, the time required to learn these skills, and the positive impacts early PM has on children, specifically on social skills, play and motor development, which was further supported through parent and caregiver perspectives. Despite positive outcomes, numerous barriers were identified in the process of accessing PM devices, however modified ride-on cars may be a feasible alternative to standard PM devices. Conclusions: For children who are not functional ambulators, early PM is essential to provide opportunities for occupational engagement. Occupational therapists are positioned to educate children, their families and stakeholders about the benefits of PM devices. Further research is required that incorporate long term follow-up to quantify the effect of using PM devices on childhood development.
Participation et inclusion | Enfant/ jeunesse
Kathleen Hogan, Hilary Verhaeghe, Parisa Ghanouni
Background: Independent mobility provides children with a means to explore their environment and facilitate development. There are considerable implications for children who cannot functionally ambulate as a result of disability. Early powered mobility (PM) devices can afford children opportunities for occupational engagement, and promote overall development. Objective: This narrative review of the literature examines the value of PM devices for children aged six months to six years who are not functional ambulators. Method: Six online databases (CINAHL, EMBASE, ERIC, PsychInfo, PubMed, and SPORTDiscus) were searched using key words retrieving 1312 articles. After screening for inclusion criteria nine articles were retained for appraisal using Critical Appraisal Skills Programme tools. Results: This review summarizes previous literature about the skills required to use PM, the time required to learn these skills, and the positive impacts early PM has on children, specifically on social skills, play and motor development, which was further supported through parent and caregiver perspectives. Despite positive outcomes, numerous barriers were identified in the process of accessing PM devices, however modified ride-on cars may be a feasible alternative to standard PM devices. Conclusions: For children who are not functional ambulators, early PM is essential to provide opportunities for occupational engagement. Occupational therapists are positioned to educate children, their families and stakeholders about the benefits of PM devices. Further research is required that incorporate long term follow-up to quantify the effect of using PM devices on childhood development.
F79 Tabletop role-playing games and adults with Autism Spectrum Disorder
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Santé mentale | Adulte
Kimberly Germann (University of Toronto) kimberly.germann@mail.utoronto.ca, Kirsty Mae University of Toronto kirsty.mae@mail.utoronto.ca, Anderson Todd University of Toronto anderson.todd@utoronto.ca, Naomi Hazlett Canadian Association of Occupational Therapists naomi.hazlett@gmail.com, Michael Goldberg mikegoldberg2001@gmail.com, Andrea Duncan University of Toronto a.duncan@utoronto.ca
Introduction: Adults with mid- to high-functioning autism spectrum disorder (ASD) have social competency difficulties. These difficulties impact their ability to engage in social activities. Several studies support the use of role-playing to develop social competence skills (McSharry & Jones, 2000; Miller, 1980). However, there is little known about the impact of the tabletop role-playing game, Dungeons and Dragons (D&D), on social competence of adults with ASD. Objective: To determine if playing D&D can impact the social competence skills of adults with mid- to high- functioning ASD. Methods: This mixed-methods study will have an explanatory sequential design. Twelve participants aged 18-30 diagnosed with ASD will take part in 10 weekly sessions of D&D. Participants will complete several pre- and post-measures covering various aspects of social competence. Each session will be video recorded, from which behavioural checklists will be completed for each participant. After the sessions, participants will complete a semi-structured interview. Pre- and post-measures will be compared and then correlated to the behavioural checklist data. The interviews will be analysed through thematic analysis. Results: The anticipated results of this study will provide preliminary evidence of any changes in social competence skills throughout and after the D&D sessions. These results will inform clinical evidence-based-practice, and will provide a basis for future studies addressing similar questions. Conclusions: This study will address a gap existing in current literature and will help inform evidence-based practice with regards to future interventions for adults with mid- to high-functioning ASD.
Santé mentale | Adulte
Kimberly Germann (University of Toronto) kimberly.germann@mail.utoronto.ca, Kirsty Mae University of Toronto kirsty.mae@mail.utoronto.ca, Anderson Todd University of Toronto anderson.todd@utoronto.ca, Naomi Hazlett Canadian Association of Occupational Therapists naomi.hazlett@gmail.com, Michael Goldberg mikegoldberg2001@gmail.com, Andrea Duncan University of Toronto a.duncan@utoronto.ca
Introduction: Adults with mid- to high-functioning autism spectrum disorder (ASD) have social competency difficulties. These difficulties impact their ability to engage in social activities. Several studies support the use of role-playing to develop social competence skills (McSharry & Jones, 2000; Miller, 1980). However, there is little known about the impact of the tabletop role-playing game, Dungeons and Dragons (D&D), on social competence of adults with ASD. Objective: To determine if playing D&D can impact the social competence skills of adults with mid- to high- functioning ASD. Methods: This mixed-methods study will have an explanatory sequential design. Twelve participants aged 18-30 diagnosed with ASD will take part in 10 weekly sessions of D&D. Participants will complete several pre- and post-measures covering various aspects of social competence. Each session will be video recorded, from which behavioural checklists will be completed for each participant. After the sessions, participants will complete a semi-structured interview. Pre- and post-measures will be compared and then correlated to the behavioural checklist data. The interviews will be analysed through thematic analysis. Results: The anticipated results of this study will provide preliminary evidence of any changes in social competence skills throughout and after the D&D sessions. These results will inform clinical evidence-based-practice, and will provide a basis for future studies addressing similar questions. Conclusions: This study will address a gap existing in current literature and will help inform evidence-based practice with regards to future interventions for adults with mid- to high-functioning ASD.
F8 Evidence to support occupational therapy university program admissions decision-making
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Éducation | Adulte
Cara Brown (University of Manitoba | Winnipeg) cara.brown@umanitoba.ca, Solène Borger University of Manitoba soleneborger@gmail.com
Background: Several Canadian occupational therapy programs require applicants to complete pre-requisite courses in order to be eligible for admission. While literature suggests that pre-requisite GPA has no correlation with student success, the research on rehabilitation programs is extremely limited. There is a need for more evidence to support the development of occupational therapy admissions policies and procedures. Objective: To determine the relationship between pre-requisite course success and occupational therapy program academic and fieldwork success. Method: Retrospective analysis of admissions and program data in one Canadian university. Sample: Students admitted into the regular stream of the program between 2012 and 2019 for academic success analysis (n=400), and 2016-2019 for fieldwork success analysis (n=200). Variables: Predictor variables are the GPA’s of individual pre-requisite courses and the overall pre-requisite GPA. Control variables include age, sex, admission category, three- or four-year undergraduate degree, and residency at the time of admission. The dependent variables are individual course GPA’s, final program GPA, and fieldwork performance. Data Analysis: Descriptive statistics, correlations between predictor and outcome variables, and a series of regression analyses to determine the relationship between pre-requisites and academic and fieldwork success. Results: In addition to presenting the relationship between pre-requisite requirements and student success, we will discuss other predictors that can inform occupational therapy admissions policy and procedure development across Canadian occupational therapy university programs. Conclusion: This study provides an important contribution to the very small body of literature on rehabilitation admissions processes. It will contribute to evidence-based decision-making for Canadian occupational therapy university programs.
Éducation | Adulte
Cara Brown (University of Manitoba | Winnipeg) cara.brown@umanitoba.ca, Solène Borger University of Manitoba soleneborger@gmail.com
Background: Several Canadian occupational therapy programs require applicants to complete pre-requisite courses in order to be eligible for admission. While literature suggests that pre-requisite GPA has no correlation with student success, the research on rehabilitation programs is extremely limited. There is a need for more evidence to support the development of occupational therapy admissions policies and procedures. Objective: To determine the relationship between pre-requisite course success and occupational therapy program academic and fieldwork success. Method: Retrospective analysis of admissions and program data in one Canadian university. Sample: Students admitted into the regular stream of the program between 2012 and 2019 for academic success analysis (n=400), and 2016-2019 for fieldwork success analysis (n=200). Variables: Predictor variables are the GPA’s of individual pre-requisite courses and the overall pre-requisite GPA. Control variables include age, sex, admission category, three- or four-year undergraduate degree, and residency at the time of admission. The dependent variables are individual course GPA’s, final program GPA, and fieldwork performance. Data Analysis: Descriptive statistics, correlations between predictor and outcome variables, and a series of regression analyses to determine the relationship between pre-requisites and academic and fieldwork success. Results: In addition to presenting the relationship between pre-requisite requirements and student success, we will discuss other predictors that can inform occupational therapy admissions policy and procedure development across Canadian occupational therapy university programs. Conclusion: This study provides an important contribution to the very small body of literature on rehabilitation admissions processes. It will contribute to evidence-based decision-making for Canadian occupational therapy university programs.
S10 Professional Identity formation processes of disabled healthcare students and clinicians
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Adulte
Yael Mayer (University of British Columbia | Vancouver) yael.mayer@ubc.ca, Tal Jarus University of British Columbia, Elisabeth Gross University of British Columbia, Laura Yvonne Bulk University of British Columbia, Laura Nimmon University of British Columbia, Terry Krupa Queen's University, Susan Murphy University of British Columbia, Michal Shalev University of British Columbia, Alfiya Battalova University of British Columbia, Michael Lee University of British Columbia
Introduction: Disabled students and clinicians, who are underrepresented within healthcare professions, face unique challenges when developing their professional identity alongside their continuously developing disability identity. They hold dual roles as both service providers and service receivers. Dominant discourses portray disabled people as objects of misfortune while healthcare practitioners are portrayed as capable, active, independent, and competent individuals who assist needy others. This duality is almost unstudied and unaddressed in the healthcare training and employment. Objective: The aim of this study was to explore the multifaceted identity formation processes of disabled healthcare students and clinicians. Method: 27 disabled students and 29 clinicians from five healthcare professions (medicine, nursing, occupational therapy, physiotherapy, and social work), in three Canadian universities/cities were interviewed. Each participant was interviewed between one to three times along one year, for a total of 126 interviews. Study design and data analysis were informed by Grounded Theory. Results: The main findings included (a) the perception of “Disability as a liability” – disability was perceived as incompetence; (b) Healthcare settings contributed to the challenges of professional identity formation; and (c) the varying levels of incorporation between disability identity and professional identity, which ranged from complete separation of the disability and professional identity, to an integration of these two identities. Conclusions: Addressing sources of tension for professional identity formation will support students and clinicians with disabilities in their professional identity formation, their transition to the workforce, and in maintaining their roles as healthcare practitioners.
Participation et inclusion | Adulte
Yael Mayer (University of British Columbia | Vancouver) yael.mayer@ubc.ca, Tal Jarus University of British Columbia, Elisabeth Gross University of British Columbia, Laura Yvonne Bulk University of British Columbia, Laura Nimmon University of British Columbia, Terry Krupa Queen's University, Susan Murphy University of British Columbia, Michal Shalev University of British Columbia, Alfiya Battalova University of British Columbia, Michael Lee University of British Columbia
Introduction: Disabled students and clinicians, who are underrepresented within healthcare professions, face unique challenges when developing their professional identity alongside their continuously developing disability identity. They hold dual roles as both service providers and service receivers. Dominant discourses portray disabled people as objects of misfortune while healthcare practitioners are portrayed as capable, active, independent, and competent individuals who assist needy others. This duality is almost unstudied and unaddressed in the healthcare training and employment. Objective: The aim of this study was to explore the multifaceted identity formation processes of disabled healthcare students and clinicians. Method: 27 disabled students and 29 clinicians from five healthcare professions (medicine, nursing, occupational therapy, physiotherapy, and social work), in three Canadian universities/cities were interviewed. Each participant was interviewed between one to three times along one year, for a total of 126 interviews. Study design and data analysis were informed by Grounded Theory. Results: The main findings included (a) the perception of “Disability as a liability” – disability was perceived as incompetence; (b) Healthcare settings contributed to the challenges of professional identity formation; and (c) the varying levels of incorporation between disability identity and professional identity, which ranged from complete separation of the disability and professional identity, to an integration of these two identities. Conclusions: Addressing sources of tension for professional identity formation will support students and clinicians with disabilities in their professional identity formation, their transition to the workforce, and in maintaining their roles as healthcare practitioners.
S13 Demystifying program evaluation: a case-study of a university work-wellness program
jeudi (CST| HSC): 13:00-13:25 | Présentation par affiche
Santé physique | Adulte
Sara Saunders (McGill University | Montreal) sara.saunders@mcgill.ca, Amanda Davis McGill University, Rebekah Lewis McGill University
Introduction: A university wellness program has been developed to provide work-wellness assessments and interventions to departments by occupational therapy professional masters students. Since its inception five years ago, 20 students have provided holistic interventions to 13 departments. Informal feedback suggests benefits for both students and departmental participants, but the program has yet to be formally evaluated. With the goal of improving and expanding this student-driven work-wellness program, a program evaluation process was initiated in 2019. Objectives: The aim of the project was to develop a user-friendly process of evaluation. Outcomes evaluated included whether the need for ergonomic services has been met; whether impactful interventions have been provided; and, whether the role-emerging experience has been positive for students. Approach: A simplified version of the utilization-focused program evaluation framework was used to develop an evaluation process for the wellness program. This framework orients evaluation activities toward practical application for users and ensures that the evaluation process and findings support decision-making and quality improvement. Practice Implications: Preliminary outcomes support the implementation of a role-emerging placement as a model to provide work-wellness services within a university workplace. This paper will present both the preliminary outcomes and the ongoing evaluation process. Conclusions: Initial evaluation results demonstrate positive benefits of the work-wellness program. Program evaluation of innovative occupational therapy programs is essential to ensure outcomes are meeting the program objectives, to support program growth and to promote the profession in emerging roles.
Santé physique | Adulte
Sara Saunders (McGill University | Montreal) sara.saunders@mcgill.ca, Amanda Davis McGill University, Rebekah Lewis McGill University
Introduction: A university wellness program has been developed to provide work-wellness assessments and interventions to departments by occupational therapy professional masters students. Since its inception five years ago, 20 students have provided holistic interventions to 13 departments. Informal feedback suggests benefits for both students and departmental participants, but the program has yet to be formally evaluated. With the goal of improving and expanding this student-driven work-wellness program, a program evaluation process was initiated in 2019. Objectives: The aim of the project was to develop a user-friendly process of evaluation. Outcomes evaluated included whether the need for ergonomic services has been met; whether impactful interventions have been provided; and, whether the role-emerging experience has been positive for students. Approach: A simplified version of the utilization-focused program evaluation framework was used to develop an evaluation process for the wellness program. This framework orients evaluation activities toward practical application for users and ensures that the evaluation process and findings support decision-making and quality improvement. Practice Implications: Preliminary outcomes support the implementation of a role-emerging placement as a model to provide work-wellness services within a university workplace. This paper will present both the preliminary outcomes and the ongoing evaluation process. Conclusions: Initial evaluation results demonstrate positive benefits of the work-wellness program. Program evaluation of innovative occupational therapy programs is essential to ensure outcomes are meeting the program objectives, to support program growth and to promote the profession in emerging roles.
S22 Enabling: A modified concept analysis
vendredi (CST| HSC): 13:00-13:25 | Présentation par affiche
Problèmes généraux/professionnels | Pas de clientèle spécifique
Brooke Mitchell (University of Manitoba | Winnipeg) mitche54@myumanitoba.ca, Nicholaas Kehler University of Manitoba kehlern3@myumanitoba.ca, Raeanne Wysocki University of Manitoba wysockir@myumanitoba.ca
Introduction: Occupational therapists in Canada are guided by concepts that provide direction to the profession. The central role that guides these concepts is being a “expert in enabling occupation” (CAOT, 2012). The term enabling has been embedded in the profession since the 1980s and occupational therapists have often been described as enabler’s (Townsend, 2002). An initial review of the literature revealed that the term enabling is defined and used in various ways across professions - especially in literature regarding addictions. Objectives: Using a modified version of the concept analysis framework outlined by Walker and Avant (2005), this paper aims to outline the different uses of enabling throughout the healthcare literature. Methods: A review of the literature defining enabling was conducted using CINAHL, PubMed, Scopus, and Ovid Medline databases. Forward searching along with the following search terms were used in all four databases: enabling, occupational therapy, addictions. Practice Implications: The contradictory uses of enabling has implications for occupational therapy practice - especially for occupational therapists whose work overlaps with those in the field of addictions. As occupational therapists work in interprofessional teams, there is the potential for miscommunication or confusion when this terminology is used differently across professions. Conclusion: Enabling is often understood positively in occupational therapy and negatively in addictions, creating a knowledge gap between professions. Future directions for this research include a cross-cultural examination of this term with the occupational therapy community in Chile.
Problèmes généraux/professionnels | Pas de clientèle spécifique
Brooke Mitchell (University of Manitoba | Winnipeg) mitche54@myumanitoba.ca, Nicholaas Kehler University of Manitoba kehlern3@myumanitoba.ca, Raeanne Wysocki University of Manitoba wysockir@myumanitoba.ca
Introduction: Occupational therapists in Canada are guided by concepts that provide direction to the profession. The central role that guides these concepts is being a “expert in enabling occupation” (CAOT, 2012). The term enabling has been embedded in the profession since the 1980s and occupational therapists have often been described as enabler’s (Townsend, 2002). An initial review of the literature revealed that the term enabling is defined and used in various ways across professions - especially in literature regarding addictions. Objectives: Using a modified version of the concept analysis framework outlined by Walker and Avant (2005), this paper aims to outline the different uses of enabling throughout the healthcare literature. Methods: A review of the literature defining enabling was conducted using CINAHL, PubMed, Scopus, and Ovid Medline databases. Forward searching along with the following search terms were used in all four databases: enabling, occupational therapy, addictions. Practice Implications: The contradictory uses of enabling has implications for occupational therapy practice - especially for occupational therapists whose work overlaps with those in the field of addictions. As occupational therapists work in interprofessional teams, there is the potential for miscommunication or confusion when this terminology is used differently across professions. Conclusion: Enabling is often understood positively in occupational therapy and negatively in addictions, creating a knowledge gap between professions. Future directions for this research include a cross-cultural examination of this term with the occupational therapy community in Chile.
S26 Comparing the usability of an adaptive rower to promote inclusion
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Adulte
Rachel Wong (University of British Columbia | Vancouver) r.wong.64@alumni.ubc.ca, Ashley Stewart University of British Columbia ashley.stewart@alumni.ubc.ca, Ben Mortenson International Collaboration on Repair Discoveries (ICORD) ben.mortenson@ubc.ca, Carolyn Sparrey Simon Fraser University csparrey@sfu.ca, Jaimie Borisoff British Columbia Institute of Technology Jaimie_Borisoff@bcit.ca, James Laskin University of Mantana james.laskin@mso.umt.edu, Johanne Mattie British Columbia Institute of Technology Johanne_Mattie@bcit.ca, Bonita Sawatzky International Collaboration on Repair Discoveries (ICORD) bonita.sawatzky@ubc.ca
Rationale: Exercise is not only associated with greater physical and mental health (Eitivipart et al., 2019), but is a meaningful occupation for wheelchair users. Wheelchair users engage in less physical activity than able bodied-persons due to various physical, personal and environmental barriers (van den Akker et al., 2019); for example, the lack of accessible cardiovascular exercise equipment specifically designed for this population. Currently, some people use an arm cycle ergometer, but they are not commonly available in community gyms. Given the prevalence of rowing machines, we have developed an aftermarket kit that makes these machines more inclusive. Objectives: Compare the usability of our adaptive rowing ergometer to an arm cycle. Methods: This mixed-methods study uses a concurrent triangulation design. Participants will trial the adaptive rower and the arm cycle . Following each exercise trial (5 min), participants (n= 15) with spinal cord injury will complete the System Usability Scale (SUS), and a semi-structured interview. SUS data will be analyzed using a paired sample t-test and qualitative data will be analyzed through conventional content analysis (Hsieh & Shannon, 2005). Results: The study will provide an enhanced perspective on users’ experiences with two potential exercise modalities, anticipated barriers of use, thoughts about inclusion and practicality of the equipment for participation in cardiovascular exercise. Conclusions: Users’ perspective will inform modifications of the newly developed adaptive rower to promote inclusion and greater participation in cardiovascular exercise for wheelchair users, whether for health or leisure purposes, which may ultimately enhance their quality of life.
Participation et inclusion | Adulte
Rachel Wong (University of British Columbia | Vancouver) r.wong.64@alumni.ubc.ca, Ashley Stewart University of British Columbia ashley.stewart@alumni.ubc.ca, Ben Mortenson International Collaboration on Repair Discoveries (ICORD) ben.mortenson@ubc.ca, Carolyn Sparrey Simon Fraser University csparrey@sfu.ca, Jaimie Borisoff British Columbia Institute of Technology Jaimie_Borisoff@bcit.ca, James Laskin University of Mantana james.laskin@mso.umt.edu, Johanne Mattie British Columbia Institute of Technology Johanne_Mattie@bcit.ca, Bonita Sawatzky International Collaboration on Repair Discoveries (ICORD) bonita.sawatzky@ubc.ca
Rationale: Exercise is not only associated with greater physical and mental health (Eitivipart et al., 2019), but is a meaningful occupation for wheelchair users. Wheelchair users engage in less physical activity than able bodied-persons due to various physical, personal and environmental barriers (van den Akker et al., 2019); for example, the lack of accessible cardiovascular exercise equipment specifically designed for this population. Currently, some people use an arm cycle ergometer, but they are not commonly available in community gyms. Given the prevalence of rowing machines, we have developed an aftermarket kit that makes these machines more inclusive. Objectives: Compare the usability of our adaptive rowing ergometer to an arm cycle. Methods: This mixed-methods study uses a concurrent triangulation design. Participants will trial the adaptive rower and the arm cycle . Following each exercise trial (5 min), participants (n= 15) with spinal cord injury will complete the System Usability Scale (SUS), and a semi-structured interview. SUS data will be analyzed using a paired sample t-test and qualitative data will be analyzed through conventional content analysis (Hsieh & Shannon, 2005). Results: The study will provide an enhanced perspective on users’ experiences with two potential exercise modalities, anticipated barriers of use, thoughts about inclusion and practicality of the equipment for participation in cardiovascular exercise. Conclusions: Users’ perspective will inform modifications of the newly developed adaptive rower to promote inclusion and greater participation in cardiovascular exercise for wheelchair users, whether for health or leisure purposes, which may ultimately enhance their quality of life.
S36 Occupational therapy’s role in oncology care: A scoping review
vendredi (CST| HSC): 15:15-15:40 | Présentation par affiche
Problèmes généraux/professionnels | Communauté/population
Amina Mahmood (University of Ontario Institute of Technology) amina.mahmood@ontariotechu.net, Otto Sanchez University of Ontario Institute of Technology otto.sanchez@uoit.ca, Nasya Jebanesan University of Ontario Institute of Technology nasya.jebanesan@ontariotechu.net, Mishel Mahboob University of Ontario Institute of Technology mishel.mahboob@ontariotechu.net
Introduction: With advances in treatment, individuals with cancer are living longer and experiencing chronic challenges. Beyond physician care, addressing daily function is important. Occupational therapists (OTs) focus on enabling engagement in meaningful occupations.Objectives: This scoping review aimed to determine what is known from the existing literature about the role of OT in oncological clinical situations. Methods: The CINAHL database was used, producing 401 hits. Keywords included: occupational therap*, oncolog*, cancer, tumour, neoplasm, and malignan*. The inclusion criteria were: original research studies, humans with a cancer diagnosis, and studies describing an OT intervention/role. Three reviewers applied criteria to all articles, including 44 for review. Results: The prominent theme found across all articles was the role of OT in addressing psychosocial effects of cancer. Studies emphasized aspects of psycho-oncology care, identifying needs for OTs in addressing functional difficulties and compromised quality of life. OT assessments evaluated cognition, the presence of anxiety, depression, and fatigue. OT interventions in psycho-oncology settings included activity planning, relaxation techniques, and stress management. A majority of the studies concluded that OTs are equipped with the necessary skills to address the deficits and QOL of cancer patients. However, OT services are underutilized in cancer care. Conclusions: OTs are important to an oncology healthcare team. Literature highlights lack of recognition of an OT’s role in the oncology field. Research on education and advocacy of OT services in cancer care is required. The literature suggests increasing awareness about the role of OT with the public, and healthcare teams.
Problèmes généraux/professionnels | Communauté/population
Amina Mahmood (University of Ontario Institute of Technology) amina.mahmood@ontariotechu.net, Otto Sanchez University of Ontario Institute of Technology otto.sanchez@uoit.ca, Nasya Jebanesan University of Ontario Institute of Technology nasya.jebanesan@ontariotechu.net, Mishel Mahboob University of Ontario Institute of Technology mishel.mahboob@ontariotechu.net
Introduction: With advances in treatment, individuals with cancer are living longer and experiencing chronic challenges. Beyond physician care, addressing daily function is important. Occupational therapists (OTs) focus on enabling engagement in meaningful occupations.Objectives: This scoping review aimed to determine what is known from the existing literature about the role of OT in oncological clinical situations. Methods: The CINAHL database was used, producing 401 hits. Keywords included: occupational therap*, oncolog*, cancer, tumour, neoplasm, and malignan*. The inclusion criteria were: original research studies, humans with a cancer diagnosis, and studies describing an OT intervention/role. Three reviewers applied criteria to all articles, including 44 for review. Results: The prominent theme found across all articles was the role of OT in addressing psychosocial effects of cancer. Studies emphasized aspects of psycho-oncology care, identifying needs for OTs in addressing functional difficulties and compromised quality of life. OT assessments evaluated cognition, the presence of anxiety, depression, and fatigue. OT interventions in psycho-oncology settings included activity planning, relaxation techniques, and stress management. A majority of the studies concluded that OTs are equipped with the necessary skills to address the deficits and QOL of cancer patients. However, OT services are underutilized in cancer care. Conclusions: OTs are important to an oncology healthcare team. Literature highlights lack of recognition of an OT’s role in the oncology field. Research on education and advocacy of OT services in cancer care is required. The literature suggests increasing awareness about the role of OT with the public, and healthcare teams.
S37 Occupational outcomes of a physical activity program for mental health
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Santé mentale | Adulte
Amy Nesbitt (University of Toronto) amy.nesbitt@mail.utoronto.ca, Kristina Collins University of Toronto, Emily Nalder University of Toronto, Catherine Sabiston
Introduction: Physical activity (PA) is a therapeutic approach to address mental health challenges amongst university students. While there is support for the application of PA to reduce symptoms of mental illness, protect against stressors, and promote well-being, the impact of PA on occupational performance (OP) among this population remains unknown. This pilot study aimed to evaluate whether a PA intervention can improve OP among university students seeking counselling for mental health issues. Objectives: The specific objectives were to (1) identify university students’ occupational performance issues (OPIs), and (2) assess pre- and post-intervention differences in OP and mental health. Methods: University students will be recruited through a university health centre by clinician referrals to a 6-week, 1-hour PA intervention with a certified exercise professional. Eligible participants will self-report a mental health challenge and will be not meeting Canadian PA guidelines (<150 minutes PA per week). Participants will complete standardized self-report measures pre- and post-intervention. OP will be examined using the Canadian Occupational Performance Measure, and mental health will be assessed using the Mental Health Inventory. Data will be analyzed using paired sample t-tests. Practice Implications: Results may have practical implications for the integration of PA in occupational therapy practice to improve occupational outcomes, and bring awareness to students’ OPIs in the face of mental health challenges. Conclusions: Given the widespread consequences of poor mental health for students’ ability to fulfill their student roles, it is important to explore the effectiveness of complementary therapies for improving occupational performance outcomes among this population.
Santé mentale | Adulte
Amy Nesbitt (University of Toronto) amy.nesbitt@mail.utoronto.ca, Kristina Collins University of Toronto, Emily Nalder University of Toronto, Catherine Sabiston
Introduction: Physical activity (PA) is a therapeutic approach to address mental health challenges amongst university students. While there is support for the application of PA to reduce symptoms of mental illness, protect against stressors, and promote well-being, the impact of PA on occupational performance (OP) among this population remains unknown. This pilot study aimed to evaluate whether a PA intervention can improve OP among university students seeking counselling for mental health issues. Objectives: The specific objectives were to (1) identify university students’ occupational performance issues (OPIs), and (2) assess pre- and post-intervention differences in OP and mental health. Methods: University students will be recruited through a university health centre by clinician referrals to a 6-week, 1-hour PA intervention with a certified exercise professional. Eligible participants will self-report a mental health challenge and will be not meeting Canadian PA guidelines (<150 minutes PA per week). Participants will complete standardized self-report measures pre- and post-intervention. OP will be examined using the Canadian Occupational Performance Measure, and mental health will be assessed using the Mental Health Inventory. Data will be analyzed using paired sample t-tests. Practice Implications: Results may have practical implications for the integration of PA in occupational therapy practice to improve occupational outcomes, and bring awareness to students’ OPIs in the face of mental health challenges. Conclusions: Given the widespread consequences of poor mental health for students’ ability to fulfill their student roles, it is important to explore the effectiveness of complementary therapies for improving occupational performance outcomes among this population.
S38 Neuromyelitis Optica Spectrum Disorder: Occupation, pain, fatigue, anxiety, and depression
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Santé physique | Adulte
Susan Forwell (University of British Columbia | Vancouver) susan.forwell@ubc.ca, Kristen Nikolejsin University of British Columbia kristen.nikolejsin@alumni.ubc.ca, Liz Hadhazy University of British Columbia elizabeth.hadhazy@alumni.ubc.ca, Denise Kendrick Vancouver Coastal Health denise.kendrick@vch.ca
Introduction: Neuromyelitis Optica Spectrum Disorder (NMOSD) is a relapse-remitting disease of the central nervous system resulting in debilitating symptoms that significantly impact quality of life. Little is known about the patient experience regarding pain, fatigue, depression, and anxiety in NMOSD and its impact on occupation. Objectives: To determine the prevalence and relationships between pain, fatigue, anxiety, and depression in a sample of adults with NMOSD and their impact on participation in occupations and overall function. Methods: A total of 28 eligible patients completed self-report questionnaires that measured pain, fatigue, anxiety, and depression. The data was analyzed using correlational, descriptive and dispersion statistics as well as content analysis of text data in order to establish relationships between variables and determine significance and impact. Results: This study’s results provide a better understanding of the impact of pain and anxiety and severity of participants’ experience as they live with NMOSD. The results illustrate the impact NMOSD symptoms have on occupational participation and overall function and bring further awareness and insight to this rare condition. Conclusion: The vast majority of NMOSD literature is centered around the disease’s pathophysiology, signs, symptoms, and worldwide prevalence. This study uses a battery of self-reported tests to provide occupational therapists and other healthcare professionals with a greater understanding of the patient experience with NMOSD symptoms and the impacts on occupation. An understanding of how the participants experience their symptoms is essential to occupational therapists in treating and understanding this population appropriately and effectively.
Santé physique | Adulte
Susan Forwell (University of British Columbia | Vancouver) susan.forwell@ubc.ca, Kristen Nikolejsin University of British Columbia kristen.nikolejsin@alumni.ubc.ca, Liz Hadhazy University of British Columbia elizabeth.hadhazy@alumni.ubc.ca, Denise Kendrick Vancouver Coastal Health denise.kendrick@vch.ca
Introduction: Neuromyelitis Optica Spectrum Disorder (NMOSD) is a relapse-remitting disease of the central nervous system resulting in debilitating symptoms that significantly impact quality of life. Little is known about the patient experience regarding pain, fatigue, depression, and anxiety in NMOSD and its impact on occupation. Objectives: To determine the prevalence and relationships between pain, fatigue, anxiety, and depression in a sample of adults with NMOSD and their impact on participation in occupations and overall function. Methods: A total of 28 eligible patients completed self-report questionnaires that measured pain, fatigue, anxiety, and depression. The data was analyzed using correlational, descriptive and dispersion statistics as well as content analysis of text data in order to establish relationships between variables and determine significance and impact. Results: This study’s results provide a better understanding of the impact of pain and anxiety and severity of participants’ experience as they live with NMOSD. The results illustrate the impact NMOSD symptoms have on occupational participation and overall function and bring further awareness and insight to this rare condition. Conclusion: The vast majority of NMOSD literature is centered around the disease’s pathophysiology, signs, symptoms, and worldwide prevalence. This study uses a battery of self-reported tests to provide occupational therapists and other healthcare professionals with a greater understanding of the patient experience with NMOSD symptoms and the impacts on occupation. An understanding of how the participants experience their symptoms is essential to occupational therapists in treating and understanding this population appropriately and effectively.
S39 Cognitive adaptation training for inpatient forensic clients with schizophrenia
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Santé mentale | Adulte
Riley Saikaly (University of Toronto | Toronto) riley.saikaly@mail.utoronto.ca, Kerri Adams University of Toronto Kerri.adams@mail.utoronto.ca, Courtney Brennan Centre for Addiction and Mental Health Courtney.brennan@camh.ca, John Spavor Centre for Addiction and Mental Health John.spavor@camh.ca, Stephanie Penney Centre for Addiction and Mental Health Stephanie.penney@camh.ca, Sean Kidd Centre for Addiction and Mental Health Sean.kidd@camh.ca
Introduction: Cognitive deficits are present in the majority of clients with schizophrenia and have been shown to have a greater impact on functioning than positive symptoms. Cognitive Adaptation Training (CAT) is an evidence-based compensatory intervention that focuses on improving functioning through the provision of environmental supports. While the majority of evidence supporting CAT is based on outpatient settings, there is preliminary evidence to suggest that CAT may be beneficial to clients with schizophrenia on an inpatient basis. This study would be among the few systematic examinations of CAT as an inpatient intervention, and the first to examine a modified CAT approach in a Canadian and forensic setting. Objective: To understand the feasibility of implementing a modified CAT approach for clients with schizophrenia within an inpatient forensic mental health setting. Methodology: A mixed-methods study will be employed. Inpatient forensic clients with schizophrenia (n=24) will be recruited from a Canadian mental health centre. Outcomes, including room organization, perceived self-care, and goal attainment, will be measured at baseline, posttreatment, and at three-month follow-up. Mixed ANOVA analyses will be used to analyze data. Focus groups will be conducted with participants and staff to understand the impact of CAT on the therapeutic milieu within the unit. Practice Implications: The study will provide mental health clinicians, including OTs, with meaningful information regarding the implementation of CAT within inpatient mental health settings. Conclusions: Findings will contribute to the development of a larger scale trial to be completed in similar mental health settings.
Santé mentale | Adulte
Riley Saikaly (University of Toronto | Toronto) riley.saikaly@mail.utoronto.ca, Kerri Adams University of Toronto Kerri.adams@mail.utoronto.ca, Courtney Brennan Centre for Addiction and Mental Health Courtney.brennan@camh.ca, John Spavor Centre for Addiction and Mental Health John.spavor@camh.ca, Stephanie Penney Centre for Addiction and Mental Health Stephanie.penney@camh.ca, Sean Kidd Centre for Addiction and Mental Health Sean.kidd@camh.ca
Introduction: Cognitive deficits are present in the majority of clients with schizophrenia and have been shown to have a greater impact on functioning than positive symptoms. Cognitive Adaptation Training (CAT) is an evidence-based compensatory intervention that focuses on improving functioning through the provision of environmental supports. While the majority of evidence supporting CAT is based on outpatient settings, there is preliminary evidence to suggest that CAT may be beneficial to clients with schizophrenia on an inpatient basis. This study would be among the few systematic examinations of CAT as an inpatient intervention, and the first to examine a modified CAT approach in a Canadian and forensic setting. Objective: To understand the feasibility of implementing a modified CAT approach for clients with schizophrenia within an inpatient forensic mental health setting. Methodology: A mixed-methods study will be employed. Inpatient forensic clients with schizophrenia (n=24) will be recruited from a Canadian mental health centre. Outcomes, including room organization, perceived self-care, and goal attainment, will be measured at baseline, posttreatment, and at three-month follow-up. Mixed ANOVA analyses will be used to analyze data. Focus groups will be conducted with participants and staff to understand the impact of CAT on the therapeutic milieu within the unit. Practice Implications: The study will provide mental health clinicians, including OTs, with meaningful information regarding the implementation of CAT within inpatient mental health settings. Conclusions: Findings will contribute to the development of a larger scale trial to be completed in similar mental health settings.
S47 Patient-oriented research: Engaging patients as co-investigators in system transformation
vendredi (CST| HSC): 14:30-14:55 | Présentation par affiche
Participation et inclusion | Pas de clientèle spécifique
Margaret Tompson (Saskatoon) tompson@sasktel.net, Charlene Haver University of Saskatchewan charlene.haver@usask.ca, Christine Stobart Patient-Oriented Research (SCPOR), University of Saskatchewan christine.stobart@usask.ca, Kristen Haase College of Nursing, University of Saskatchewan Kristen.haase@usask.ca
Introduction: Over the past decade interest in patient and public involvement in research has grown. This session will provide an introduction to patient-oriented research from the perspective of the patient, researcher, and research support unit with strategies for planning and implementation. Objectives: Attendees will learn: (1) the differences between patient-focused and patient-oriented research; (2) how to access information and resources to engage in patient-oriented research, and; (3) how to involve their patients as research partners. Approach: The perspectives of a health researcher, patient partner, and staff members from a research support unit will be highlighted. The patient oriented research supports that exist and strategies used to facilitate patient-oriented research will be described. Practice Implications: Patient-oriented research has the potential to transform healthcare by engaging patients with lived experience in the design and conduct of research. As members of the multidisciplinary team, occupational therapists can play a pivotal role in engaging patients in research and leading this important work. Conclusions: There are many stakeholders whose voice needs to be heard for research to be meaningful to patients, families, and clinicians. Occupational therapists have an important role in ensuring patients’ voices become an integral part of the research process.
Participation et inclusion | Pas de clientèle spécifique
Margaret Tompson (Saskatoon) tompson@sasktel.net, Charlene Haver University of Saskatchewan charlene.haver@usask.ca, Christine Stobart Patient-Oriented Research (SCPOR), University of Saskatchewan christine.stobart@usask.ca, Kristen Haase College of Nursing, University of Saskatchewan Kristen.haase@usask.ca
Introduction: Over the past decade interest in patient and public involvement in research has grown. This session will provide an introduction to patient-oriented research from the perspective of the patient, researcher, and research support unit with strategies for planning and implementation. Objectives: Attendees will learn: (1) the differences between patient-focused and patient-oriented research; (2) how to access information and resources to engage in patient-oriented research, and; (3) how to involve their patients as research partners. Approach: The perspectives of a health researcher, patient partner, and staff members from a research support unit will be highlighted. The patient oriented research supports that exist and strategies used to facilitate patient-oriented research will be described. Practice Implications: Patient-oriented research has the potential to transform healthcare by engaging patients with lived experience in the design and conduct of research. As members of the multidisciplinary team, occupational therapists can play a pivotal role in engaging patients in research and leading this important work. Conclusions: There are many stakeholders whose voice needs to be heard for research to be meaningful to patients, families, and clinicians. Occupational therapists have an important role in ensuring patients’ voices become an integral part of the research process.
S50 Play-therapy for children with attention deficit hyperactivity disorder: A review
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Enfant/ jeunesse
Marina Flatman, Parisa Ghanouni
Introduction: Children with Attention Deficit Hyperactive Disorder (ADHD) usually demonstrate difficulties with social interactions and attention. Play-based therapy is a child centered approach that aims to improve the social and behavioural skills. The necessity of this review is uncovering the current outcomes of play-based therapy on children with ADHD, with hopes of broadening the applications of play therapy for families and occupational therapists. Objective: This scoping review examines the literature for the effects of play-therapy on children with ADHD and its implication for occupational therapists. Method: We searched several databases, including CINAHL, PsychINFO, ERIC and MEDLINE resulted in 727 articles. After applying the inclusion/exclusion criteria, 11 quantitative articles remained for review. Results: Play-therapy has been shown to have long-term, positive effects on improving the behaviour, academic skills, and family dynamics of children with ADHD. Play-therapy can improve language skills and communication among children. These outcomes were shown to be significant across the home, classroom and play environments. Conclusion: These findings have strong clinical implications for occupational therapists working with children with ADHD in the schools, home or a clinic environment. Play is a major occupational engagement for children and can be used as a medium to facilitate development of positive outcomes.
Participation et inclusion | Enfant/ jeunesse
Marina Flatman, Parisa Ghanouni
Introduction: Children with Attention Deficit Hyperactive Disorder (ADHD) usually demonstrate difficulties with social interactions and attention. Play-based therapy is a child centered approach that aims to improve the social and behavioural skills. The necessity of this review is uncovering the current outcomes of play-based therapy on children with ADHD, with hopes of broadening the applications of play therapy for families and occupational therapists. Objective: This scoping review examines the literature for the effects of play-therapy on children with ADHD and its implication for occupational therapists. Method: We searched several databases, including CINAHL, PsychINFO, ERIC and MEDLINE resulted in 727 articles. After applying the inclusion/exclusion criteria, 11 quantitative articles remained for review. Results: Play-therapy has been shown to have long-term, positive effects on improving the behaviour, academic skills, and family dynamics of children with ADHD. Play-therapy can improve language skills and communication among children. These outcomes were shown to be significant across the home, classroom and play environments. Conclusion: These findings have strong clinical implications for occupational therapists working with children with ADHD in the schools, home or a clinic environment. Play is a major occupational engagement for children and can be used as a medium to facilitate development of positive outcomes.
S59 Operation Oasis: Students providing respite for children with disabilities
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Enfant/ jeunesse
Justyna Cox (McMaster University | Hamilton) justynacox@gmail.com, Jessica Cronk McMaster University jessicatcronk@gmail.com, Kyra Posterski McMaster University posterski.k@gmail.com, Hannah Thompson McMaster University thompsonhannah9@gmail.com, Nancy Pollock McMaster University pollock@mcmaster.ca, Briano DiRezze McMaster University direzzbm@mcmaster.ca
Introduction: Operation Oasis (OO) is a unique respite program that matches rehabilitation science students with families of children with disabilities. Having operated for more than 20 years, OO must ensure it is meeting current stakeholder needs, and develop a more sustainable model. Objectives: This study aimed to examine the needs of families and students related to OO and key characteristics important for sustainability. Methods: Online surveys were developed and conducted to explore needs. Participants included families of children with disabilities, and past, current and prospective student OO respite providers. Recruitment occurred via email, flyers and online program portals. An environmental scan was also conducted through a web-based search to identify local respite programs. Interviews were conducted to examine program characteristics and methods of sustainability. Results: Surveys were completed by 82 respondents, across all surveys. Families indicated satisfaction with OO respite services, however expressed need for more services. Student respite providers identified gaining valuable experience through OO and typically provided weekly respite. All respondents recommended development of a website and coordinator role for matching and ongoing support. The environmental scan identified few respite options offering services for individuals across age-ranges with diverse diagnoses. Programs identified a coordinator and a fee-for-service model as key to sustainability. Conclusions: Findings described the needs of families and students for the success of OO, and informed recommendations to improve its sustainability. This study may provide a model for other interested universities and respite programs to follow.
Participation et inclusion | Enfant/ jeunesse
Justyna Cox (McMaster University | Hamilton) justynacox@gmail.com, Jessica Cronk McMaster University jessicatcronk@gmail.com, Kyra Posterski McMaster University posterski.k@gmail.com, Hannah Thompson McMaster University thompsonhannah9@gmail.com, Nancy Pollock McMaster University pollock@mcmaster.ca, Briano DiRezze McMaster University direzzbm@mcmaster.ca
Introduction: Operation Oasis (OO) is a unique respite program that matches rehabilitation science students with families of children with disabilities. Having operated for more than 20 years, OO must ensure it is meeting current stakeholder needs, and develop a more sustainable model. Objectives: This study aimed to examine the needs of families and students related to OO and key characteristics important for sustainability. Methods: Online surveys were developed and conducted to explore needs. Participants included families of children with disabilities, and past, current and prospective student OO respite providers. Recruitment occurred via email, flyers and online program portals. An environmental scan was also conducted through a web-based search to identify local respite programs. Interviews were conducted to examine program characteristics and methods of sustainability. Results: Surveys were completed by 82 respondents, across all surveys. Families indicated satisfaction with OO respite services, however expressed need for more services. Student respite providers identified gaining valuable experience through OO and typically provided weekly respite. All respondents recommended development of a website and coordinator role for matching and ongoing support. The environmental scan identified few respite options offering services for individuals across age-ranges with diverse diagnoses. Programs identified a coordinator and a fee-for-service model as key to sustainability. Conclusions: Findings described the needs of families and students for the success of OO, and informed recommendations to improve its sustainability. This study may provide a model for other interested universities and respite programs to follow.
S60 Feasibility and acceptability of Self-Management for Amputee Rehabilitation using Technology
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Éducation | Personne âgée
Madeline Tremblay (University of British Columbia | Vancouver) m.tremblay@alumni.ubc.ca, Amber Sands University of British Columbia amber.sands@alumni.ubc.ca, Elham Esfandiari University of British Columbia, Sheena King GF Strong Rehabilitation Centre, William Miller University of British Columbia
Introduction: Individuals with lower limb amputation (LLA) face challenges pertaining to mobility and activities of daily living. Providing an online education platform may help these individuals maintain independence and improve mobility. Objectives: To assess the feasibility and acceptability of Self-Management for Amputee Rehabilitation using Technology (SMART), an online self-management program, among individuals with unilateral LLA. Methods: Using a mixed-methods approach, a single group of individuals with LLA will be exposed to the SMART intervention. Participants are 50 years or older, use a prosthetic limb daily, and have internet access. Participants will be assessed at baseline (T1), and after 4 weeks of intervention (T2). Pilot educational modules will focus on skin care, residual limb management, functional use of their prosthetic limb, and falls prevention. The primary outcome measure is the 2-Minute Walk Test. Secondary outcomes include the Ambulatory Self-Confidence Questionnaire, Patient Activation Measure, and the Activities Specific Balance Confidence measure. A semi-structured interview about the acceptability of SMART will be conducted post-intervention. Data will be analyzed using a single group t-test. Interviews will be transcribed verbatim and analyzed using thematic analysis. Feasibility indicators will be classified as binary (successful/unsuccessful). Results: We anticipate SMART will be feasible (with regards to process, resource, management, and treatment issues) and acceptable. Conclusions: Provision of online modules could improve access to education and support for people living in remote communities, or those with difficulty accessing in-person services. This platform could augment current rehabilitation resources to improve daily activities for individuals with LLA.
Éducation | Personne âgée
Madeline Tremblay (University of British Columbia | Vancouver) m.tremblay@alumni.ubc.ca, Amber Sands University of British Columbia amber.sands@alumni.ubc.ca, Elham Esfandiari University of British Columbia, Sheena King GF Strong Rehabilitation Centre, William Miller University of British Columbia
Introduction: Individuals with lower limb amputation (LLA) face challenges pertaining to mobility and activities of daily living. Providing an online education platform may help these individuals maintain independence and improve mobility. Objectives: To assess the feasibility and acceptability of Self-Management for Amputee Rehabilitation using Technology (SMART), an online self-management program, among individuals with unilateral LLA. Methods: Using a mixed-methods approach, a single group of individuals with LLA will be exposed to the SMART intervention. Participants are 50 years or older, use a prosthetic limb daily, and have internet access. Participants will be assessed at baseline (T1), and after 4 weeks of intervention (T2). Pilot educational modules will focus on skin care, residual limb management, functional use of their prosthetic limb, and falls prevention. The primary outcome measure is the 2-Minute Walk Test. Secondary outcomes include the Ambulatory Self-Confidence Questionnaire, Patient Activation Measure, and the Activities Specific Balance Confidence measure. A semi-structured interview about the acceptability of SMART will be conducted post-intervention. Data will be analyzed using a single group t-test. Interviews will be transcribed verbatim and analyzed using thematic analysis. Feasibility indicators will be classified as binary (successful/unsuccessful). Results: We anticipate SMART will be feasible (with regards to process, resource, management, and treatment issues) and acceptable. Conclusions: Provision of online modules could improve access to education and support for people living in remote communities, or those with difficulty accessing in-person services. This platform could augment current rehabilitation resources to improve daily activities for individuals with LLA.
S61 Exploring occupational engagement in individuals living with Parkinson’s Disease
vendredi (CST| HSC): 14:00-14:25 | Présentation par affiche
Participation et inclusion | Personne âgée
Michelle Tomlinson (Western University | London, ON) mtomlin2@uwo.ca, Youstina Beshay Western University, Maya Ramakrishnan Western University, Jae Young Seo Western University, Jeffrey Holmes
Introduction: Parkinson’s Disease (PD) is a progressive and prevalent neurodegenerative condition with many physical and cognitive symptoms that impact daily functioning and occupation. While the research on lived experience in this population is abundant, little is known about engagement in meaningful occupations from a lived experience perspective. Objectives: To investigate the continued engagement in meaningful occupations by individuals living with PD through lived experience. Methods: A secondary analysis of qualitative data from 19 participants living with PD was undertaken using summative content analysis. Participants were aged 57-79 (M = 68, SD = 63) and have lived with PD for 2 to 21 years (M = 7.3, SD = 5.3). Initial coding of parent study transcripts was conducted independently by researchers to compose a preliminary list of codes, which was done in an inductive and iterative manner. Transcripts were then uploaded to NVivo 11 qualitative data analysis software and codes were extracted in accordance with this list. Results: Analysis yielded three main themes across which engagement in meaningful occupations was impacted: (1) self-care, (2) productivity, and (3) leisure. Subthemes emerged as (1) occupations lost, (2) occupations gained, or (3) occupations modified in each of these areas as a result of PD. Conclusions: This narrative study contributes to the growing body of literature on occupational engagement in individuals with PD. It sheds light on the importance of understanding the experience of occupational engagement in this population and provides a foundation for informing client-centered interventions based on continued engagement in meaningful occupations.
Participation et inclusion | Personne âgée
Michelle Tomlinson (Western University | London, ON) mtomlin2@uwo.ca, Youstina Beshay Western University, Maya Ramakrishnan Western University, Jae Young Seo Western University, Jeffrey Holmes
Introduction: Parkinson’s Disease (PD) is a progressive and prevalent neurodegenerative condition with many physical and cognitive symptoms that impact daily functioning and occupation. While the research on lived experience in this population is abundant, little is known about engagement in meaningful occupations from a lived experience perspective. Objectives: To investigate the continued engagement in meaningful occupations by individuals living with PD through lived experience. Methods: A secondary analysis of qualitative data from 19 participants living with PD was undertaken using summative content analysis. Participants were aged 57-79 (M = 68, SD = 63) and have lived with PD for 2 to 21 years (M = 7.3, SD = 5.3). Initial coding of parent study transcripts was conducted independently by researchers to compose a preliminary list of codes, which was done in an inductive and iterative manner. Transcripts were then uploaded to NVivo 11 qualitative data analysis software and codes were extracted in accordance with this list. Results: Analysis yielded three main themes across which engagement in meaningful occupations was impacted: (1) self-care, (2) productivity, and (3) leisure. Subthemes emerged as (1) occupations lost, (2) occupations gained, or (3) occupations modified in each of these areas as a result of PD. Conclusions: This narrative study contributes to the growing body of literature on occupational engagement in individuals with PD. It sheds light on the importance of understanding the experience of occupational engagement in this population and provides a foundation for informing client-centered interventions based on continued engagement in meaningful occupations.
S69 Therapeutic effects of exergames for people with cognitive impairment
vendredi (CST| HSC): 15:15-15:40 | Présentation par affiche
Réadaptation | Personne âgée
Grace Crolla (University of Toronto | Toronto) grace.crolla@mail.utoronto.ca, Jessica Beatty University of Toronto jessica.beatty@mail.utoronto.ca, Labiba Ahmed University of Toronto labiba.ahmed@mail.utoronto.ca, Erica Dove University of Toronto erica.dove@mail.utoronto.ca, Arlene Astell University of Toronto arlene.astell@mail.utoronto.ca
Introduction: Regular physical activity can benefit people with dementia or mild cognitive impairment (henceforth people with cognitive impairment, PCI). Unfortunately, low levels of exercise adherence prevail in this population. Exergames offer an exciting exercise program alternative that may improve participation rates. However, limited research has been done examining the effectiveness of exergames in improving balance, movement confidence, and cognitive function among PCI. Objective: The aim of this study is to determine whether an exergames intervention delivered in a group setting impacts balance, movement confidence, and cognitive function among PCI. Methods: In this single group pretest-posttest study, 24 participants identified as PCI will participate in a 10-week group-based exergames intervention at three adult day programs. Balance, movement confidence, and cognitive function will be measured at pre- and post-intervention using the Mini-Balance Evaluation Systems Test (Mini-BEST), coded video recordings, and the Montreal Cognitive Assessment (MoCA). Pre- and post-test outcome measures will be compared using paired t-tests and an analysis of covariance (ANCOVA). Practice Implications: The results will indicate whether group-based exergames have a statistically significant effect on balance, movement confidence, and cognitive function among PCI. This study will also contribute to the evidence base for the potential use of exergames as an occupational therapy intervention to improve physical and cognitive functioning of PCI. Conclusions: Exergames may represent an alternative group exercise program that rehabilitation therapists may recommend for PCI, that is engaging and also effective in improving physical and cognitive functioning. Keywords: Dementia, MCI, exergames, cognitive function, balance, movement confidence
Réadaptation | Personne âgée
Grace Crolla (University of Toronto | Toronto) grace.crolla@mail.utoronto.ca, Jessica Beatty University of Toronto jessica.beatty@mail.utoronto.ca, Labiba Ahmed University of Toronto labiba.ahmed@mail.utoronto.ca, Erica Dove University of Toronto erica.dove@mail.utoronto.ca, Arlene Astell University of Toronto arlene.astell@mail.utoronto.ca
Introduction: Regular physical activity can benefit people with dementia or mild cognitive impairment (henceforth people with cognitive impairment, PCI). Unfortunately, low levels of exercise adherence prevail in this population. Exergames offer an exciting exercise program alternative that may improve participation rates. However, limited research has been done examining the effectiveness of exergames in improving balance, movement confidence, and cognitive function among PCI. Objective: The aim of this study is to determine whether an exergames intervention delivered in a group setting impacts balance, movement confidence, and cognitive function among PCI. Methods: In this single group pretest-posttest study, 24 participants identified as PCI will participate in a 10-week group-based exergames intervention at three adult day programs. Balance, movement confidence, and cognitive function will be measured at pre- and post-intervention using the Mini-Balance Evaluation Systems Test (Mini-BEST), coded video recordings, and the Montreal Cognitive Assessment (MoCA). Pre- and post-test outcome measures will be compared using paired t-tests and an analysis of covariance (ANCOVA). Practice Implications: The results will indicate whether group-based exergames have a statistically significant effect on balance, movement confidence, and cognitive function among PCI. This study will also contribute to the evidence base for the potential use of exergames as an occupational therapy intervention to improve physical and cognitive functioning of PCI. Conclusions: Exergames may represent an alternative group exercise program that rehabilitation therapists may recommend for PCI, that is engaging and also effective in improving physical and cognitive functioning. Keywords: Dementia, MCI, exergames, cognitive function, balance, movement confidence
T25 Utilizing occupational therapy expertise to minimize bed entrapment risks
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Défense des droits et des intérêts/développement de politique | Adulte
Meridith McClenaghan (Sinai Health - Bridgepoint Hospital | Toronto) Meridith.McClenaghan@sinaihealth.ca, Carolyn Alma Sinai Health - Bridgepoint Hospital, Kara Ronald Sinai Health - Bridgepoint Hospital, Richard Kellowan Kingston General Hospital
Introduction: Occupational therapists (OTs) employ expert clinical reasoning and defined practice processes to minimize bed entrapment risks for vulnerable clients. Key decision-making variables include: pressure redistribution, twenty-four hour postural management, falls risk, client safety, responsive behaviours, personal care needs, and enabling meaningful activities. Clinical demands, client factors, and ethical dilemmas may influence how OTs mitigate these variables to minimize bed entrapment risks while maintaining autonomy and function. Site-specific, clinical decision-making tools for bed entrapment risk mitigation may enable OTs to provide excellent care for all. Objectives: 1) Define and identify zones of bed entrapment. 2) Review how therapeutic support surfaces, bed mobility aids, and positioning strategies may affect bed entrapment risks. 3) Discuss a site-specific, clinical decision-making tool for bed entrapment mitigation. 4) Suggest considerations for future policy development. Approach: A comprehensive evaluation was completed using the Hospital Bed Safety Work Group test methods included in the Health Canada Guidance document. Results were compiled in a Bed – Mattress Compatibility Chart for clinical use by OTs. The bed entrapment risk clinical decision making tool was developed through literature review, vendor consultations, case reviews, and expert analysis. Practice Implications: The above tools provide OTs with concrete mechanisms to identify high-risk clients and to manage bed entrapment variables for several patient populations at a complex care and rehabilitation hospital. Conclusions: The benefits of implementing therapeutic mattresses may outweigh any identified hospital bed entrapment risks. Site-specific bed entrapment tools enable occupational therapy intervention to minimize bed entrapment risks.
Défense des droits et des intérêts/développement de politique | Adulte
Meridith McClenaghan (Sinai Health - Bridgepoint Hospital | Toronto) Meridith.McClenaghan@sinaihealth.ca, Carolyn Alma Sinai Health - Bridgepoint Hospital, Kara Ronald Sinai Health - Bridgepoint Hospital, Richard Kellowan Kingston General Hospital
Introduction: Occupational therapists (OTs) employ expert clinical reasoning and defined practice processes to minimize bed entrapment risks for vulnerable clients. Key decision-making variables include: pressure redistribution, twenty-four hour postural management, falls risk, client safety, responsive behaviours, personal care needs, and enabling meaningful activities. Clinical demands, client factors, and ethical dilemmas may influence how OTs mitigate these variables to minimize bed entrapment risks while maintaining autonomy and function. Site-specific, clinical decision-making tools for bed entrapment risk mitigation may enable OTs to provide excellent care for all. Objectives: 1) Define and identify zones of bed entrapment. 2) Review how therapeutic support surfaces, bed mobility aids, and positioning strategies may affect bed entrapment risks. 3) Discuss a site-specific, clinical decision-making tool for bed entrapment mitigation. 4) Suggest considerations for future policy development. Approach: A comprehensive evaluation was completed using the Hospital Bed Safety Work Group test methods included in the Health Canada Guidance document. Results were compiled in a Bed – Mattress Compatibility Chart for clinical use by OTs. The bed entrapment risk clinical decision making tool was developed through literature review, vendor consultations, case reviews, and expert analysis. Practice Implications: The above tools provide OTs with concrete mechanisms to identify high-risk clients and to manage bed entrapment variables for several patient populations at a complex care and rehabilitation hospital. Conclusions: The benefits of implementing therapeutic mattresses may outweigh any identified hospital bed entrapment risks. Site-specific bed entrapment tools enable occupational therapy intervention to minimize bed entrapment risks.
T27 Evaluating occupational therapy outcomes at a community-based life skills program
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Problèmes généraux/professionnels | Adulte
Cynthia Yamamoto (Winnipeg) cynthia.yamamoto@mail.mcgill.ca, Pamela Wener University of Manitoba pamela.wener@umanitoba.ca, Sandra Sheegl Gaining Resources Our Way Inc. ssheegl@growourway.ca
Introduction: As part of evidence-based practice, outcome evaluation is encouraged in occupational therapy however may be less often realized due to a variety of barriers. Objectives: To detail the process and outcome of a program evaluation undertaken at a life skills program providing individualized occupational therapy services to individuals with intellectual and developmental disabilities. Methods: Exploratory analysis was used to visualize how Canadian Occupational Performance Measure (COPM) scores varied before and after client participation in occupation-focused intervention. Two non-parametric statistical tools were used; the Wilcoxin sign-rank test to examine changes in the outcome of interest as a repeated measure, and the Mann Whitney-U test to look at possible gender differences. The analysis was carried out using R programming language. Results: A total of 15 participants were included in this analysis. No differences in gender were found, and performance and satisfaction scores after intervention were found to be significantly greater than the before intervention, with p-values of 0.00286 and <0.001 respectively. Thus, participants were found to be making meaningful gains in self-selected goals following client-centred occupational therapy intervention. Conclusions: Accrued evidence of the effectiveness of occupational therapy is needed to strengthen the perceived value of occupational therapy services. Integration of the COPM into the practice process at our program, allowed for routinely collected occupational therapy outcome data to be used to track both individual and group outcomes. This study provides an illustrative example of how routine outcome measurement activities can be readily implemented to advocate for occupational therapy funding and services.
Problèmes généraux/professionnels | Adulte
Cynthia Yamamoto (Winnipeg) cynthia.yamamoto@mail.mcgill.ca, Pamela Wener University of Manitoba pamela.wener@umanitoba.ca, Sandra Sheegl Gaining Resources Our Way Inc. ssheegl@growourway.ca
Introduction: As part of evidence-based practice, outcome evaluation is encouraged in occupational therapy however may be less often realized due to a variety of barriers. Objectives: To detail the process and outcome of a program evaluation undertaken at a life skills program providing individualized occupational therapy services to individuals with intellectual and developmental disabilities. Methods: Exploratory analysis was used to visualize how Canadian Occupational Performance Measure (COPM) scores varied before and after client participation in occupation-focused intervention. Two non-parametric statistical tools were used; the Wilcoxin sign-rank test to examine changes in the outcome of interest as a repeated measure, and the Mann Whitney-U test to look at possible gender differences. The analysis was carried out using R programming language. Results: A total of 15 participants were included in this analysis. No differences in gender were found, and performance and satisfaction scores after intervention were found to be significantly greater than the before intervention, with p-values of 0.00286 and <0.001 respectively. Thus, participants were found to be making meaningful gains in self-selected goals following client-centred occupational therapy intervention. Conclusions: Accrued evidence of the effectiveness of occupational therapy is needed to strengthen the perceived value of occupational therapy services. Integration of the COPM into the practice process at our program, allowed for routinely collected occupational therapy outcome data to be used to track both individual and group outcomes. This study provides an illustrative example of how routine outcome measurement activities can be readily implemented to advocate for occupational therapy funding and services.
T28 Early intervention for infants and toddlers with Autism Spectrum Disorder
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Enfant/ jeunesse
Katie Staden (Society for Treatment of Autism | Calgary) stadenk@sta-ab.com, Shelley Booker Salvador Society for Treatment of Autism bookers@sta-ab.com, Jennifer Morton Society for Treatment of Autism mortonj@sta-ab.com, Natalie Wiles Society for Treatment of Autism wilesn@sta-ab.com
Introduction: The Infant-Toddler Pilot Program at Society for Treatment of Autism, was a six month pilot program based on the Early Social Interaction Project (ESI). It was developed and adapted to increase engagement and skills in daily routines. Objective: To determine if a toddler model, based on active engagement from family with support from a multidisciplinary team was successful and needed. Methods: A Canadian Occupational Performance Measure and Measure of Active Engagement and Transactional Supports from a fifteen minute video recording, were conducted at regular intervals to measure child and caregiver progress and parent satisfaction in identified priorities and daily routines. Collaborative coaching took place within the home, during daily routines, in which team members demonstrated how to use strategies and provided guided practice for caregivers. Results: Preliminary results indicate individual child and family progress in active engagement and improvement in skills in daily routines. Specific results will be determined and shared. A collaborative coaching model appears to be successful for child and family learning and engagement. Conclusions: Pilot project results indicate a need to continue and expand programming.
Réadaptation | Enfant/ jeunesse
Katie Staden (Society for Treatment of Autism | Calgary) stadenk@sta-ab.com, Shelley Booker Salvador Society for Treatment of Autism bookers@sta-ab.com, Jennifer Morton Society for Treatment of Autism mortonj@sta-ab.com, Natalie Wiles Society for Treatment of Autism wilesn@sta-ab.com
Introduction: The Infant-Toddler Pilot Program at Society for Treatment of Autism, was a six month pilot program based on the Early Social Interaction Project (ESI). It was developed and adapted to increase engagement and skills in daily routines. Objective: To determine if a toddler model, based on active engagement from family with support from a multidisciplinary team was successful and needed. Methods: A Canadian Occupational Performance Measure and Measure of Active Engagement and Transactional Supports from a fifteen minute video recording, were conducted at regular intervals to measure child and caregiver progress and parent satisfaction in identified priorities and daily routines. Collaborative coaching took place within the home, during daily routines, in which team members demonstrated how to use strategies and provided guided practice for caregivers. Results: Preliminary results indicate individual child and family progress in active engagement and improvement in skills in daily routines. Specific results will be determined and shared. A collaborative coaching model appears to be successful for child and family learning and engagement. Conclusions: Pilot project results indicate a need to continue and expand programming.
T29 Hand intervention for Multiple Sclerosis: An occupation-focused intervention program
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Adulte
Jieping Gong (University of British Columbia | Vancouver) jieping.gong@alumni.ubc.ca, Linda Tang University of British Columbia l.tang@alumni.ubc.ca, Jeremy Adderley University of British Columbia jeremy.adderley@vch.ca, Denise Kendrick University of British Columbia denise.kendrick@vch.ca, Susan Forwell University of British Columbia susan.forwell@ubc.ca
Introduction: Hand impairment is a common challenge for individuals with Multiple Sclerosis (MS). However, no comprehensive intervention tool currently exists to address this problem. The Hand Intervention for Multiple Sclerosis (HIMS) was developed as an occupation-focused hand rehabilitation program. Objectives: To improve the HIMS based on feedback from individuals with MS-associated hand impairment and prepare the program for clinical testing. Methods: Participants will be recruited from a local MS clinic. Participants in this mixed methods study will complete a questionnaire related to everyday challenges with hand function, and attend a focus group to gather feedback on the HIMS program. Data will be analyzed using descriptive statistics for the questionnaires, and qualitative inductive content analysis for the focus groups. Results: Feedback from participants will contribute to a broader understanding of the occupational challenges related to hand dysfunction and develop the HIMS into a comprehensive and applicable program. Conclusion: The HIMS is the first intervention tool for occupational therapists that specifically addresses MS-related hand dysfunction. Completion of this study will facilitate future testing of the HIMS in clinical practice for its effectiveness in improving hand function for individuals with MS.
Réadaptation | Adulte
Jieping Gong (University of British Columbia | Vancouver) jieping.gong@alumni.ubc.ca, Linda Tang University of British Columbia l.tang@alumni.ubc.ca, Jeremy Adderley University of British Columbia jeremy.adderley@vch.ca, Denise Kendrick University of British Columbia denise.kendrick@vch.ca, Susan Forwell University of British Columbia susan.forwell@ubc.ca
Introduction: Hand impairment is a common challenge for individuals with Multiple Sclerosis (MS). However, no comprehensive intervention tool currently exists to address this problem. The Hand Intervention for Multiple Sclerosis (HIMS) was developed as an occupation-focused hand rehabilitation program. Objectives: To improve the HIMS based on feedback from individuals with MS-associated hand impairment and prepare the program for clinical testing. Methods: Participants will be recruited from a local MS clinic. Participants in this mixed methods study will complete a questionnaire related to everyday challenges with hand function, and attend a focus group to gather feedback on the HIMS program. Data will be analyzed using descriptive statistics for the questionnaires, and qualitative inductive content analysis for the focus groups. Results: Feedback from participants will contribute to a broader understanding of the occupational challenges related to hand dysfunction and develop the HIMS into a comprehensive and applicable program. Conclusion: The HIMS is the first intervention tool for occupational therapists that specifically addresses MS-related hand dysfunction. Completion of this study will facilitate future testing of the HIMS in clinical practice for its effectiveness in improving hand function for individuals with MS.
T34 Understanding balance using rim-mounted grab bars during bathing transfers
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Environnement | Personne âgée
Rebecca Greene (KITE, Toronto Rehab - UHN; University of Toronto | Toronto) rebecca.greene@mail.utoronto.ca, Iris Levine KITE, Toronto Rehab - UHN iris.levine@uhn.ca, Roger Montgomery KITE, Toronto Rehab - UHN roger.montgomery@uhn.ca, Alison Novak KITE, Toronto Rehab - UHN; University of Toronto alison.novak@uhn.ca
Rationale: Grab bars address fall risk during bathing transfers and support healthy aging-in-place. Temporary rim-mounted grab bars are recommended when installation of permanent grab bars is not feasible. However, the safety and effectiveness of rim-mounted grab bars is unknown, including effects on balance and postural requirements during transfers. Objectives: Examine how using a rim-mounted grab bar during bathing transfers affects balance control and postural requirements in older adults with bathing difficulty, compared to standard permanent grab bars. Methods: Older adults with bathing difficulty stepped in and out of a wet/soapy bathtub. Bathtub entry and exit were completed: (1) while using a high and (2) low rim-mounted grab bar, (3) using a permanent vertical grab bar (mounted on side wall in line with bathtub rim), and (4) using wall-only support. Force plates beneath and adjacent to the bathtub permitted the determination of center of pressure measures (displacement range, variability, peak velocity) to quantify balance control. Frontal and sagittal plane trunk and lower-limb kinematics (peak trunk, bilateral hip and knee angles) were collected via 3D motion capture to quantify postural requirements. Results: Nine participants completed the study. Additional data collection is ongoing. We expect the rim-mounted grab bar will elicit poorer balance control and greater trunk flexion compared to the permanent grab bar condition, and these differences will be more pronounced for the low rim-mounted grab bar. Conclusions: Findings may inform bathroom design standards, clinical recommendations, and development of assistive technology to support healthy aging-in-place and reduce fall risk in bathing environments.
Environnement | Personne âgée
Rebecca Greene (KITE, Toronto Rehab - UHN; University of Toronto | Toronto) rebecca.greene@mail.utoronto.ca, Iris Levine KITE, Toronto Rehab - UHN iris.levine@uhn.ca, Roger Montgomery KITE, Toronto Rehab - UHN roger.montgomery@uhn.ca, Alison Novak KITE, Toronto Rehab - UHN; University of Toronto alison.novak@uhn.ca
Rationale: Grab bars address fall risk during bathing transfers and support healthy aging-in-place. Temporary rim-mounted grab bars are recommended when installation of permanent grab bars is not feasible. However, the safety and effectiveness of rim-mounted grab bars is unknown, including effects on balance and postural requirements during transfers. Objectives: Examine how using a rim-mounted grab bar during bathing transfers affects balance control and postural requirements in older adults with bathing difficulty, compared to standard permanent grab bars. Methods: Older adults with bathing difficulty stepped in and out of a wet/soapy bathtub. Bathtub entry and exit were completed: (1) while using a high and (2) low rim-mounted grab bar, (3) using a permanent vertical grab bar (mounted on side wall in line with bathtub rim), and (4) using wall-only support. Force plates beneath and adjacent to the bathtub permitted the determination of center of pressure measures (displacement range, variability, peak velocity) to quantify balance control. Frontal and sagittal plane trunk and lower-limb kinematics (peak trunk, bilateral hip and knee angles) were collected via 3D motion capture to quantify postural requirements. Results: Nine participants completed the study. Additional data collection is ongoing. We expect the rim-mounted grab bar will elicit poorer balance control and greater trunk flexion compared to the permanent grab bar condition, and these differences will be more pronounced for the low rim-mounted grab bar. Conclusions: Findings may inform bathroom design standards, clinical recommendations, and development of assistive technology to support healthy aging-in-place and reduce fall risk in bathing environments.
T37 Developing technology for aging-in-place: a developmental research design
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Environnement | Personne âgée
Jacqueline Rousseau (Université de Montréal | Montréal) jacqueline.rousseau@umontreal.ca, Nolwenn Lapierre Université de Montréal Nolwenn.Lapierre@umontreal.ca, Alain St-Arnaud CIUSSS-de-l'Est-de-l'Île-de-Montréal alain.starnaud.lteas@ssss.gouv.qc.ca, Jean Meunier Université de Montréal meunier@IRO.UMontreal.CA
Introduction. Developing technologies to cope with falls and responsive behaviours is promising to support aging-in-place. Detecting multiple unusual and dangerous events such as falls and responsive behaviours (e.g. aggressiveness) is a challenge and few technologies are ready for doing it in the “real” context (eg. at home). Objectives. This communication presents the development of a new technology to address unusual events: falls and responsive behaviours. Methods. A developmental research design (8 phases) was conducted: from the exploration of the potential users’ needs to the implementation at home, including the technological development. According to each phase, qualitative research methods (eg. individual interviews, focus groups, multiple case studies) or simulation (eg. simulating falls or responsive behaviours in an apartment-laboratory) were performed. From the first to the last phase, the technology was tested in both contexts: laboratory and apartment-laboratory (controlled contexts) and home environment (real context). Results. Potential users are in favor of this new technology: older adults (83%), caregivers (92%) and also professionals and managers from the health care system. The technology specificity and sensitivity range from 91% to 100% for fall and responsive behaviours detection. The implementation at home (fall detection) has shown its feasibility and its acceptability. The potential users’ perception (eg. nurses) about using this new technology in a long term care unit, for detecting falls and responsive behaviours, was also positive. Conclusion. This project illustrates a method for developing technology considering the needs/opinion of the potential users from the first phase to its implementation.
Environnement | Personne âgée
Jacqueline Rousseau (Université de Montréal | Montréal) jacqueline.rousseau@umontreal.ca, Nolwenn Lapierre Université de Montréal Nolwenn.Lapierre@umontreal.ca, Alain St-Arnaud CIUSSS-de-l'Est-de-l'Île-de-Montréal alain.starnaud.lteas@ssss.gouv.qc.ca, Jean Meunier Université de Montréal meunier@IRO.UMontreal.CA
Introduction. Developing technologies to cope with falls and responsive behaviours is promising to support aging-in-place. Detecting multiple unusual and dangerous events such as falls and responsive behaviours (e.g. aggressiveness) is a challenge and few technologies are ready for doing it in the “real” context (eg. at home). Objectives. This communication presents the development of a new technology to address unusual events: falls and responsive behaviours. Methods. A developmental research design (8 phases) was conducted: from the exploration of the potential users’ needs to the implementation at home, including the technological development. According to each phase, qualitative research methods (eg. individual interviews, focus groups, multiple case studies) or simulation (eg. simulating falls or responsive behaviours in an apartment-laboratory) were performed. From the first to the last phase, the technology was tested in both contexts: laboratory and apartment-laboratory (controlled contexts) and home environment (real context). Results. Potential users are in favor of this new technology: older adults (83%), caregivers (92%) and also professionals and managers from the health care system. The technology specificity and sensitivity range from 91% to 100% for fall and responsive behaviours detection. The implementation at home (fall detection) has shown its feasibility and its acceptability. The potential users’ perception (eg. nurses) about using this new technology in a long term care unit, for detecting falls and responsive behaviours, was also positive. Conclusion. This project illustrates a method for developing technology considering the needs/opinion of the potential users from the first phase to its implementation.
T38 Functional individualized cognitive intervention program for Multiple Sclerosis
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Adulte
Ian Ko (University of British Columbia | Vancouver) ian.ko@alumni.ubc.ca, Denis Aldana University of British Columbia denis.aldana24@alumni.ubc.ca, Denise Kendrick University of British Columbia Denise.Kendrick@vch.ca, Nancy Forseth University of British Columbia nancy.forseth@vch.ca, Susan Forwell University of British Columbia susan.forwell@ubc.ca
Introduction: Approximately 40-65% of persons with multiple sclerosis (MS) experience cognitive dysfunction, which can affect their ability to function in daily activities and maintain quality of life (Korakas & Tsolaki, 2016). This can lead to difficulty maintaining employment, participating in social activities and completing instrumental activities both at home and within the community. Although there are many assessments to detect cognitive impairment in this population, there is no comprehensive and individualized cognitive intervention program designed to address the impact of MS-related cognitive dysfunction on daily function. The Functional Individualized Cognitive Intervention Program (FICIP) was developed to address this gap by providing therapists with a framework for assessment of cognitive function, as well as categorized intervention strategies. Objectives: To test the content validity and clinical utility of the FICIP. Methods: The FICIP was distributed to expert occupational therapy clinicians for use in clinical practice. Their feedback on the content and clinical utility was gathered using questionnaires. Results: Based on feedback from expert clinicians, changes were made to the FICIP to further improve the use of the FICIP intervention. Additionally, feedback from clinicians support the content validity of the FICIP. Conclusion: The contributions of expert occupational therapists has improved the usefulness of the FICIP and supported the content validity of the intervention to better serve eventual integration it to clinical practice.
Réadaptation | Adulte
Ian Ko (University of British Columbia | Vancouver) ian.ko@alumni.ubc.ca, Denis Aldana University of British Columbia denis.aldana24@alumni.ubc.ca, Denise Kendrick University of British Columbia Denise.Kendrick@vch.ca, Nancy Forseth University of British Columbia nancy.forseth@vch.ca, Susan Forwell University of British Columbia susan.forwell@ubc.ca
Introduction: Approximately 40-65% of persons with multiple sclerosis (MS) experience cognitive dysfunction, which can affect their ability to function in daily activities and maintain quality of life (Korakas & Tsolaki, 2016). This can lead to difficulty maintaining employment, participating in social activities and completing instrumental activities both at home and within the community. Although there are many assessments to detect cognitive impairment in this population, there is no comprehensive and individualized cognitive intervention program designed to address the impact of MS-related cognitive dysfunction on daily function. The Functional Individualized Cognitive Intervention Program (FICIP) was developed to address this gap by providing therapists with a framework for assessment of cognitive function, as well as categorized intervention strategies. Objectives: To test the content validity and clinical utility of the FICIP. Methods: The FICIP was distributed to expert occupational therapy clinicians for use in clinical practice. Their feedback on the content and clinical utility was gathered using questionnaires. Results: Based on feedback from expert clinicians, changes were made to the FICIP to further improve the use of the FICIP intervention. Additionally, feedback from clinicians support the content validity of the FICIP. Conclusion: The contributions of expert occupational therapists has improved the usefulness of the FICIP and supported the content validity of the intervention to better serve eventual integration it to clinical practice.
T47 Understanding friendship transitions in older adults living in rural Ontario
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Participation et inclusion | Personne âgée
Zhiao Li (University of Toronto) Zhiao.li@mail.utoronto.ca, Anna Zhao University of Toronto ayq.zhao@mail.utoronto.ca, Lynn Cockburn University of Toronto, Barry Trentham University of Toronto
Introduction: Friendships are vital relationships that provide social support and connectedness for older adults [2]. Changes in friendships have significant impacts on participation, engagement, health, and wellbeing in later life [3]. For older adults living in rural communities, changes in friendships are influenced by factors such as geographical location and cultural differences [1]. There is limited research looking at changes in friendships for older adults living in rural areas and the role occupational therapists (OTs) can play to facilitate smooth friendship transitions for this population. Objectives: The objectives of this study are two-fold. 1) to understand the experiences for older adults living in rural Ontario as they navigate through transitions in their friendships and 2) to understand how older adults living in rural Ontario perceive the role OT can play in these transitions. Methods: This qualitative study uses a narrative inquiry design. Community-dwelling older adults aged 65+ living in rural Ontario are recruited to engage in a semi-structured walking or sit-down interview. The resulting narratives are analyzed using the Life Course Perspective and themes related to management and experience of changes and transitions in friendships and social relationships are identified. Practice Implications: The findings from this study will help OTs understand their roles in enabling friendships for older adults living in rural Ontario. Conclusions: This study provides a deeper understanding of the experiences of older adults living in rural Ontario as they navigate through transitions in their friendships.
Participation et inclusion | Personne âgée
Zhiao Li (University of Toronto) Zhiao.li@mail.utoronto.ca, Anna Zhao University of Toronto ayq.zhao@mail.utoronto.ca, Lynn Cockburn University of Toronto, Barry Trentham University of Toronto
Introduction: Friendships are vital relationships that provide social support and connectedness for older adults [2]. Changes in friendships have significant impacts on participation, engagement, health, and wellbeing in later life [3]. For older adults living in rural communities, changes in friendships are influenced by factors such as geographical location and cultural differences [1]. There is limited research looking at changes in friendships for older adults living in rural areas and the role occupational therapists (OTs) can play to facilitate smooth friendship transitions for this population. Objectives: The objectives of this study are two-fold. 1) to understand the experiences for older adults living in rural Ontario as they navigate through transitions in their friendships and 2) to understand how older adults living in rural Ontario perceive the role OT can play in these transitions. Methods: This qualitative study uses a narrative inquiry design. Community-dwelling older adults aged 65+ living in rural Ontario are recruited to engage in a semi-structured walking or sit-down interview. The resulting narratives are analyzed using the Life Course Perspective and themes related to management and experience of changes and transitions in friendships and social relationships are identified. Practice Implications: The findings from this study will help OTs understand their roles in enabling friendships for older adults living in rural Ontario. Conclusions: This study provides a deeper understanding of the experiences of older adults living in rural Ontario as they navigate through transitions in their friendships.
T60 Clients’ preferences for occupational therapy: “Meet me where I’m at”
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Problèmes généraux/professionnels | Adulte
Lacey Lynes (University of Manitoba | Winnipeg) lacey.m.lynes@gmail.com, Tess Rowson University of Manitoba tessm.rowson@gmail.com
Introduction: Client-centred practice is a foundational concept within occupational therapy practice however, the meaning of this essential approach to practice has not been well documented from the perspective of clients living with chronic conditions. Clients with multiple sclerosis (MS) typically have several occupational therapy interactions across the trajectory of their condition, and have valuable perspectives regarding what creates a successful occupational therapy experience. Objectives: To explore the meaning clients with MS attribute to the occupational therapy experience including the client-therapist relationship and the client’s perspective of the facilitators and barriers that impact how they receive occupational therapy services, over time and across settings. Methods: Qualitative interpretive description methodology was used to understand clients’ subjective experiences of occupational therapy. Seven participants with MS engaged in semi-structured interviews. Two researchers thematically analyzed the transcripts to develop a coding scheme; codes were subsequently collapsed and the relationships between themes were explored. Results: Four themes emerged from the analysis: "I am the expert of my own experiences"; occupational therapist behaviours and attitudes; occupational therapy practice; and the healthcare system. When these themes come together in a positive and cohesive way, the occupational therapist is able to “Meet me where I’m at”. Conclusions: Clients with MS shared critical aspects of their occupational therapy experience. By listening to client’s experiences and embracing them as experts of their own condition and lives, occupational therapists can better position themselves to be client-centred therapists for individuals along their multiple sclerosis trajectory.
Problèmes généraux/professionnels | Adulte
Lacey Lynes (University of Manitoba | Winnipeg) lacey.m.lynes@gmail.com, Tess Rowson University of Manitoba tessm.rowson@gmail.com
Introduction: Client-centred practice is a foundational concept within occupational therapy practice however, the meaning of this essential approach to practice has not been well documented from the perspective of clients living with chronic conditions. Clients with multiple sclerosis (MS) typically have several occupational therapy interactions across the trajectory of their condition, and have valuable perspectives regarding what creates a successful occupational therapy experience. Objectives: To explore the meaning clients with MS attribute to the occupational therapy experience including the client-therapist relationship and the client’s perspective of the facilitators and barriers that impact how they receive occupational therapy services, over time and across settings. Methods: Qualitative interpretive description methodology was used to understand clients’ subjective experiences of occupational therapy. Seven participants with MS engaged in semi-structured interviews. Two researchers thematically analyzed the transcripts to develop a coding scheme; codes were subsequently collapsed and the relationships between themes were explored. Results: Four themes emerged from the analysis: "I am the expert of my own experiences"; occupational therapist behaviours and attitudes; occupational therapy practice; and the healthcare system. When these themes come together in a positive and cohesive way, the occupational therapist is able to “Meet me where I’m at”. Conclusions: Clients with MS shared critical aspects of their occupational therapy experience. By listening to client’s experiences and embracing them as experts of their own condition and lives, occupational therapists can better position themselves to be client-centred therapists for individuals along their multiple sclerosis trajectory.
T64 Cognitive rehabilitation group interventions for military members with cognitive dysfunction
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Communauté/population
Chelsea Jones (Heroes in Mind Advocacy and Research Consortium (HiMARC), University of Alberta | Edmonton) cweiman@ualberta.ca, Ashley Pike University of Alberta apike@ualberta.ca, Suzette Bremault-Phillips Heroes in Mind Advocacy and Research Consortium (HiMARC), University of Alberta suzette2@ualberta.ca
Introduction: Canadian Armed Forces (CAF) Service Members (SMs) experience higher rates of mild traumatic brain injuries (mTBIs) and psychosocial risk factors such as mental health diagnoses, sleep disturbances, alcohol consumption, and post-concussion symptoms than Canadian civilians.1 Associated challenges with executive cognitive functioning (ECF) can significantly impede their performance, engagement, and deployability.2 To address challenges with ECF, an Occupational Therapist created and delivered Brain Bootcamp — an integrated behavioral health intervention for CAF-SMs who sustained mTBI or traumatic brain injuries (TBI) and experienced ECF. Brain Bootcamp’s impact on ECF in individuals with mTBI/TBIand/or mental health diagnoses has not been determined. Objective: To determine if Brain Bootcamp improves cognitive performance, reduces mTBI/TBI-related symptoms, and increases external aid utilization among CAF-SMs with reduced ECF. Method: A quasi-experimental study was conducted of clinical outcomes collected from 65 participants who participated in Brain Bootcamp. Measures used to determine changes in client ECF prior to and following the intervention included the Montreal Cognitive Assessment (MoCA),3 Rivermead Post-Concussion Symptom Questionnaire (RPQ),4 Global Resilience Questionnaire (GRQ),5 Depression Anxiety and Stress Scale (DASS-21),6 External Aids Utilization Survey (EAUS).7. Result: Statistically significant changes pre/post-intervention were observed, including improved cognitive performance, reduced self-reported mTBI/TBI symptoms, and increased external aid utilization. Conclusion: Brain Bootcamp appears to have a positive effect on ECF. Such improvements can enable CAF-SMs to be operationally ready for military service and have greater overall well-being. Brain Bootcamp appears to be a promising ECF-enhancing intervention.
Réadaptation | Communauté/population
Chelsea Jones (Heroes in Mind Advocacy and Research Consortium (HiMARC), University of Alberta | Edmonton) cweiman@ualberta.ca, Ashley Pike University of Alberta apike@ualberta.ca, Suzette Bremault-Phillips Heroes in Mind Advocacy and Research Consortium (HiMARC), University of Alberta suzette2@ualberta.ca
Introduction: Canadian Armed Forces (CAF) Service Members (SMs) experience higher rates of mild traumatic brain injuries (mTBIs) and psychosocial risk factors such as mental health diagnoses, sleep disturbances, alcohol consumption, and post-concussion symptoms than Canadian civilians.1 Associated challenges with executive cognitive functioning (ECF) can significantly impede their performance, engagement, and deployability.2 To address challenges with ECF, an Occupational Therapist created and delivered Brain Bootcamp — an integrated behavioral health intervention for CAF-SMs who sustained mTBI or traumatic brain injuries (TBI) and experienced ECF. Brain Bootcamp’s impact on ECF in individuals with mTBI/TBIand/or mental health diagnoses has not been determined. Objective: To determine if Brain Bootcamp improves cognitive performance, reduces mTBI/TBI-related symptoms, and increases external aid utilization among CAF-SMs with reduced ECF. Method: A quasi-experimental study was conducted of clinical outcomes collected from 65 participants who participated in Brain Bootcamp. Measures used to determine changes in client ECF prior to and following the intervention included the Montreal Cognitive Assessment (MoCA),3 Rivermead Post-Concussion Symptom Questionnaire (RPQ),4 Global Resilience Questionnaire (GRQ),5 Depression Anxiety and Stress Scale (DASS-21),6 External Aids Utilization Survey (EAUS).7. Result: Statistically significant changes pre/post-intervention were observed, including improved cognitive performance, reduced self-reported mTBI/TBI symptoms, and increased external aid utilization. Conclusion: Brain Bootcamp appears to have a positive effect on ECF. Such improvements can enable CAF-SMs to be operationally ready for military service and have greater overall well-being. Brain Bootcamp appears to be a promising ECF-enhancing intervention.
T67 Supporting resiliency among families of children with disabilities
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Santé mentale | Enfant/ jeunesse
Parisa Ghanouni parisa.ghanouni@alumni.ubc.ca, Laura Eves, Jennifer Block
Introduction: Families of children with disabilities usually experience higher levels of stress and anxiety compared with families of typically developing children. Such distress may place families of children with disabilities at increased risk of mental and physical health conditions. Despite these challenges, most families of children with disabilities demonstrate coping strategies and adaptation to their situations, and have developed some level of resilience. Objectives: As far as we know, no study has investigated barriers and facilitators in delivery of health-related programs among families of children with disabilities to support their resiliency. This study highlights underlying mechanisms on what services may advance their resilience, help them to confront challenges they may face. Method: Participants of the project include 30 families of children with disabilities (age below 13 years) and health care providers working in rehabilitation settings, such as occupational therapists, speech language pathologists, or psychologists (> one year working experience) across Canada. They participated in an online survey to identify barriers in services and how to facilitate resiliency. Practice Implications: The anticipated knowledge generated from this study helps enhance family’s resilience as well as quality of health care services, education, and policy. This knowledge will be applicable to a broad range of health disciplines to help improve mental health and resilience of families of children with disabilities. Conclusion: Resilience as an attribute to adversity plays a protective factor that allows individuals to deal with challenges. Without the support services to enhance resiliency, children with disabilities might be susceptible to mental problems.
Santé mentale | Enfant/ jeunesse
Parisa Ghanouni parisa.ghanouni@alumni.ubc.ca, Laura Eves, Jennifer Block
Introduction: Families of children with disabilities usually experience higher levels of stress and anxiety compared with families of typically developing children. Such distress may place families of children with disabilities at increased risk of mental and physical health conditions. Despite these challenges, most families of children with disabilities demonstrate coping strategies and adaptation to their situations, and have developed some level of resilience. Objectives: As far as we know, no study has investigated barriers and facilitators in delivery of health-related programs among families of children with disabilities to support their resiliency. This study highlights underlying mechanisms on what services may advance their resilience, help them to confront challenges they may face. Method: Participants of the project include 30 families of children with disabilities (age below 13 years) and health care providers working in rehabilitation settings, such as occupational therapists, speech language pathologists, or psychologists (> one year working experience) across Canada. They participated in an online survey to identify barriers in services and how to facilitate resiliency. Practice Implications: The anticipated knowledge generated from this study helps enhance family’s resilience as well as quality of health care services, education, and policy. This knowledge will be applicable to a broad range of health disciplines to help improve mental health and resilience of families of children with disabilities. Conclusion: Resilience as an attribute to adversity plays a protective factor that allows individuals to deal with challenges. Without the support services to enhance resiliency, children with disabilities might be susceptible to mental problems.
T69 Adults with ASD face significant challenges accessing healthcare services
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Problèmes généraux/professionnels | Adulte
Megan Widmer (Queen's University) 18mw6@queensu.ca, Thomas Heneghan Queen's University 13th23@queensu.ca, Methuna Naganathan Queen's University 17mn12@queensu.ca, Setareh Ghahari Queen's University sg128@queensu.ca
Introduction: Adults with Autism Spectrum Disorder (ASD) usually are challenged because of difficulties with social interactions, verbal and non-verbal communication, and their sensory processing. These challenges are often compounded because they do not have or prefer not to use parental support, puts them at risk of facing barriers accessing healthcare services Objectives: This scoping review aimed to investigate barriers that adults with ASD experience when accessing healthcare services. Methods: Four databases including Embase, MEDLINE, CINAHL, and PsycInfo were searched. Papers were included if participants in the study were over 18 years old, diagnosed with ASD, and the study pertained to healthcare services. Studies that explored healthcare access for adults with ASD using caregiver’s and healthcare professional’s perceptions were also included. Data were extracted and categorized into the five determinants of access as described by Levesque et al. (2013). Results: Findings from 23 papers indicate adults with ASD experience numerous barriers when accessing healthcare services, primarily related to the appropriateness and acceptability of care. These findings are important because access to care is often considered a product of availability and affordability. Literature highlights the need for improved education for providers and advocacy to reduce stigma for adults with ASD when interacting with the healthcare system. Conclusion: These findings show the need for changes in policies and processes in the healthcare system to ensure service appropriateness and acceptability for adults with ASD. Occupational therapists can educate and support both adults with ASD and healthcare professionals to interact with each other more effectively.
Problèmes généraux/professionnels | Adulte
Megan Widmer (Queen's University) 18mw6@queensu.ca, Thomas Heneghan Queen's University 13th23@queensu.ca, Methuna Naganathan Queen's University 17mn12@queensu.ca, Setareh Ghahari Queen's University sg128@queensu.ca
Introduction: Adults with Autism Spectrum Disorder (ASD) usually are challenged because of difficulties with social interactions, verbal and non-verbal communication, and their sensory processing. These challenges are often compounded because they do not have or prefer not to use parental support, puts them at risk of facing barriers accessing healthcare services Objectives: This scoping review aimed to investigate barriers that adults with ASD experience when accessing healthcare services. Methods: Four databases including Embase, MEDLINE, CINAHL, and PsycInfo were searched. Papers were included if participants in the study were over 18 years old, diagnosed with ASD, and the study pertained to healthcare services. Studies that explored healthcare access for adults with ASD using caregiver’s and healthcare professional’s perceptions were also included. Data were extracted and categorized into the five determinants of access as described by Levesque et al. (2013). Results: Findings from 23 papers indicate adults with ASD experience numerous barriers when accessing healthcare services, primarily related to the appropriateness and acceptability of care. These findings are important because access to care is often considered a product of availability and affordability. Literature highlights the need for improved education for providers and advocacy to reduce stigma for adults with ASD when interacting with the healthcare system. Conclusion: These findings show the need for changes in policies and processes in the healthcare system to ensure service appropriateness and acceptability for adults with ASD. Occupational therapists can educate and support both adults with ASD and healthcare professionals to interact with each other more effectively.
T70 Health equity approaches in occupational therapy: current practices and challenges
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Problèmes généraux/professionnels | Pas de clientèle spécifique
Charlène Rochefort-Allie (Dalhousie University | Halifax) charlene.rochefort@dal.ca
Rationale: There is an ongoing discussion within the profession on the roles of occupational therapists in addressing the social determinants of health and health equity. However, although practitioners generally recognize inequities that impact the occupational realities, health, and well-being of their clients, many remain uncertain about how to address these issues in their clinical role. Objectives: This study describes how equity-oriented approaches are currently understood and enacted in daily clinical practice among Canadian occupational therapists and documents perceived barriers and needs to foster the integration of these approaches. Methods: Over 250 Canadian occupational therapists completed an online questionnaire based on current equity indicators in health care (see Browne et al., 2015). Descriptive statistics and content analysis were used to analyze survey responses. Correlation analysis was used to explore potential associations between factors related to practice contexts. Results: Therapists most commonly reported facilitating access to health and social services and advocating for individual clients; a range of actions to modify process aspects of occupational therapy services were described in qualitative responses. Organizational factors, including funding, time, and institutional culture, as well as systemic and intersecting aspects of inequities were common reported barriers. Supportive management, competence training programs, and collaboration with other professionals and communities were identified as valued supports. Conclusions: These results provide valuable insights on opportunities for interventions, existing barriers, and enablers that will help occupational therapists and organizations develop their capacity for health equity actions.
Problèmes généraux/professionnels | Pas de clientèle spécifique
Charlène Rochefort-Allie (Dalhousie University | Halifax) charlene.rochefort@dal.ca
Rationale: There is an ongoing discussion within the profession on the roles of occupational therapists in addressing the social determinants of health and health equity. However, although practitioners generally recognize inequities that impact the occupational realities, health, and well-being of their clients, many remain uncertain about how to address these issues in their clinical role. Objectives: This study describes how equity-oriented approaches are currently understood and enacted in daily clinical practice among Canadian occupational therapists and documents perceived barriers and needs to foster the integration of these approaches. Methods: Over 250 Canadian occupational therapists completed an online questionnaire based on current equity indicators in health care (see Browne et al., 2015). Descriptive statistics and content analysis were used to analyze survey responses. Correlation analysis was used to explore potential associations between factors related to practice contexts. Results: Therapists most commonly reported facilitating access to health and social services and advocating for individual clients; a range of actions to modify process aspects of occupational therapy services were described in qualitative responses. Organizational factors, including funding, time, and institutional culture, as well as systemic and intersecting aspects of inequities were common reported barriers. Supportive management, competence training programs, and collaboration with other professionals and communities were identified as valued supports. Conclusions: These results provide valuable insights on opportunities for interventions, existing barriers, and enablers that will help occupational therapists and organizations develop their capacity for health equity actions.
T71 Effectiveness of rehabilitation service for veterans of the Canadian Armed Forces
Uploaded poster (CST| HSC): N/A | Présentation par affiche
Réadaptation | Adulte
Antonio Miguel Cruz (University of Alberta | Edmonton) miguelcr@ualberta.ca, Martha Roxburgh University of Alberta martha.roxburgh@ualberta.ca, Lili Liu University of Waterloo lili.liu@uwaterloo.ca, Juan Guevara University of Alberta jguevara@ualberta.ca, Sharon Brintnell University of Alberta esb1@ualberta.ca
Introduction. Since 2007, a community based, not-for-profit interdisciplinary clinic has offered an individualized approach to rehabilitation services based on the Canadian Model of Occupational Performance to Veterans of the Canadian Armed Forces (VCAF), many of whom present with complex needs associated with multiple service-related musculoskeletal, mental health and medical conditions. Objectives. To determine the effectiveness of the interdisciplinary clinic service on VCAF clients. The objective of the intervention is to restore achievable optimum level of function within a 3 to 6-month period. Methods. Retrospective non-experimental exploratory study design. A subsample of the clients’ files on the clinic’s clinical paper-based database were selected, n= 64 (proportional stratified sample by gender). The outcome variables were divided into four main categories, namely; a) psychosocial risk factors for prolonged disability (catastrophizing, perceived injustice, fear of symptom exacerbation (movement), and perceived disability); b) clinical symptom profile measures of pain, fatigue, and depression, and severity of depression symptoms; c) general health status and satisfaction with life; and d) perceived functional ability and occupational performance. Results. Overall, 66.66% of the outcome variables (22/33) improved after the OPAU personalized intervention, 30.33% (10/33) became worse, and 3.03% remained the same (1/33). Conclusions. At post-test, the personalized intervention was mostly effective in reducing the severity of depression, the fear of moving around, and fatigue, in improving general health status (perceived health status), and in increasing sexual satisfaction and occupational performance.
Réadaptation | Adulte
Antonio Miguel Cruz (University of Alberta | Edmonton) miguelcr@ualberta.ca, Martha Roxburgh University of Alberta martha.roxburgh@ualberta.ca, Lili Liu University of Waterloo lili.liu@uwaterloo.ca, Juan Guevara University of Alberta jguevara@ualberta.ca, Sharon Brintnell University of Alberta esb1@ualberta.ca
Introduction. Since 2007, a community based, not-for-profit interdisciplinary clinic has offered an individualized approach to rehabilitation services based on the Canadian Model of Occupational Performance to Veterans of the Canadian Armed Forces (VCAF), many of whom present with complex needs associated with multiple service-related musculoskeletal, mental health and medical conditions. Objectives. To determine the effectiveness of the interdisciplinary clinic service on VCAF clients. The objective of the intervention is to restore achievable optimum level of function within a 3 to 6-month period. Methods. Retrospective non-experimental exploratory study design. A subsample of the clients’ files on the clinic’s clinical paper-based database were selected, n= 64 (proportional stratified sample by gender). The outcome variables were divided into four main categories, namely; a) psychosocial risk factors for prolonged disability (catastrophizing, perceived injustice, fear of symptom exacerbation (movement), and perceived disability); b) clinical symptom profile measures of pain, fatigue, and depression, and severity of depression symptoms; c) general health status and satisfaction with life; and d) perceived functional ability and occupational performance. Results. Overall, 66.66% of the outcome variables (22/33) improved after the OPAU personalized intervention, 30.33% (10/33) became worse, and 3.03% remained the same (1/33). Conclusions. At post-test, the personalized intervention was mostly effective in reducing the severity of depression, the fear of moving around, and fatigue, in improving general health status (perceived health status), and in increasing sexual satisfaction and occupational performance.