No abstract

Objective/Background : The degree of a patient's absorption in tasks as a measure of rehabilitation effectiveness has yet to be studied. The objective of this study is to develop a scale that can measure a patient's flow state in a clinical situation such as occupational therapy (OT). Methods : The final 14 items were determined from the comprehensive assessment of item analysis results by a preliminary experiment. A total of 240 participants engaged in computer games that induced three psychological states: flow, anxiety, and boredom. After performing each task, participants completed our flow scale and the State-Trait Anxiety Inventory (STAI). The reliability was calculated using Cronbach's alpha coefficient. The validity was confirmed from three viewpoints, namely, the correlation coefficient with the STAI, the discrimination power of each psychological state, and the accuracy of factor structure. An occupational analysis of various activities was also conducted to confirm that the computer game task was representative of measurable activities. Results : Cronbach's alpha coefficient was .918. The total score of the scale was significantly negatively correlated with the total score of STAI (r = −.537, p < .01). A significant difference among each psychological state was observed (p < .01). Covariance structure analysis indicated that the model fit index showed an acceptable fit. The computer game task used in this experiment was closely related to games, crafts, learning, cooking, and playing an instrument. Conclusion : Our flow scale appears to have satisfactory reliability and validity to verify quantitatively whether the occupational tasks used in OT can effectively provide a flow experience for patients

Attention training with induction of the flow was associated with greater improvement of attention. The results of this study may provide provisional evidence of the effectiveness of rehabilitation considering the patient's psychological state.

Importance: Coronavirus disease 2019 (COVID-19) has had a severe psychological impact on frontline and second-line medical workers. However, few empirical reports have been published on its impact on occupational therapists. Clarifying the mental health status of occupational therapists is important to maintain care quality and prevent psychological problems in this population.Objective: To investigate the psychological impact of COVID-19 on Japanese occupational therapists in prefectures with and without severe pandemic-related restrictions and elucidate factors associated with psychological problems such as anxiety, depression, and insomnia. Design: A cross-sectional online survey using region-stratified two-stage cluster sampling conducted May 28-31, 2020.Participants: The sample included 371 participants (63.1% women) in the prefectures under specific cautions (i.e., where residents were strictly advised to refrain from outings) and 1,312 in the prefectures without such cautions (61.9% women). Results:The increase in workload due to the pandemic was significantly related to an increase in anxiety, depression, and insomnia, and an attempt to avoid talking face to face with others was significantly related to an increase in anxiety regardless of area. In prefectures under specific cautions as of May 25, 2020, the provision of sufficient information on COVID-19 by the workplace significantly reduced the risk of insomnia. In other prefectures, the provision of sufficient information significantly reduced the risk of depression.Conclusions and Relevance: These results demonstrate the severe negative psychological impact of the increase in workload resulting from COVID-19 and suggest the importance of psychological support for occupational therapists, such as the provision of sufficient information by the workplace.

Despite their common use as eating utensils in East Asia, chopsticks require complex fine motor-skills for adequate operation and are thus most frequently used with the dominant hand; however, the effect of training time on the proficiency of using chopsticks with the non-dominant hand, as well as the brain activity underlying changes in skill, remain unclear. This study characterised the effect of time spent training in chopstick operation with the non-dominant hand on chopstick-use proficiency and the related brain activity to obtain data that may help individuals who are obliged to change handedness due to neurological disease to learn to use their non-dominant hand in performing daily activities. Thirty-two healthy right-handed students were randomly allocated to training (n = 16) or control (n = 16) groups; the former received 6 weeks of training in chopstick use with their non-dominant (left) hand, and the latter received none. After training, significant improvements in the execution speed and smoothness of upper extremity joints were observed in the training group. Moreover, left dorsolateral prefrontal cortex activity significantly decreased, and bilateral premotor cortex activity significantly increased across training. These results indicated that 6 weeks of chopstick training with the non-dominant hand effectively improved chopstick operation.