Trends in policy, practice, and research point to the need for a community-engaged Scholarship of Practice (SOP) model that can be used to inform the development of occupational therapy practitioners, educators, and researchers. This article describes a community-engaged SOP model, the evidence justifying the need for such a model, and strategies to effectively create community-engaged practitioners, educators and career scientists within occupational therapy. We highlight several examples of community-based participatory research to further inform this model, and in turn, translate this knowledge back to communities for action and systems change that can affect the lives of people with disabilities and the communities in which they seek to live and participate long term.
IntroductionMultiple sclerosis (MS) is an immune-mediated disease of the central nervous system. It is considered a major cause of non‐traumatic disability in young adults. One of the most common and disabling symptoms of MS is fatigue. MS fatigue can impact all aspects of quality of life, including physical, mental and social function. Fortunately, fatigue self-management interventions, such as ‘Managing Fatigue: A 6 week energy conservation course’, can decrease the impact of fatigue and improve health-related quality of life. The purpose of this study is to compare three modes of delivering theManaging Fatigueintervention—two remote delivery formats (teleconference and internet) and one in-person format—on perceptions of fatigue and its impact on physical, mental and social function.Methods and analysisA non-inferiority randomised clinical trial is being conducted to compare the three delivery formats (1:1:1 allocation ratio) among 582 participants with MS living in the Midwestern and Northeastern United States. The hypothesis is that teleconference and internet versions of the intervention are non-inferior to the traditional mode of clinical service delivery (ie, one to one, in person) in terms of the primary outcome of self-reported fatigue impact (ie, Fatigue Impact Scale) and the secondary outcome of health-related quality of life (ie, Multiple Sclerosis Impact Scale). Outcomes are being measured at baseline, 2 months, 3 months and 6 months. The primary analysis tool will be linear mixed effects model. The prespecified inferiority margin for the primary outcome is 10 points. We will also examine whether baseline characteristics (eg, sociodemographic) moderate outcomes of theManaging Fatigueintervention and whether changes in self-efficacy and fatigue self-management behaviours mediate changes in outcomes.Ethics and disseminationThe protocol is approved centrally by the institutional review board at Case Western Reserve University. Eligible participants give consent before being enrolled and randomised into the study. The study results will be disseminated through relevant advocacy organisations, newsletters to participants, publication in peer-reviewed journals and presentations at scientific conferences.Trial registration numberNCT03550170.
This article is a literature review of the research regarding the use of serial casting in the treatment of spasticity. Spasticity has serious consequences, which impact activities of daily living and the quality of life. Classical studies in physiology indicate that muscle tissue immobilized in the shortened position can be physiologically changed through prolonged stretch. Serial casting has proven effective in improving such factors as range of motion and clinical measures of spasticity in spastic limbs. Further research is needed to determine the most effective uses of serial casts in the treatment of spasticity.
Introduction The Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM is a leading approach in occupational therapy. Implementing the CO-OP ApproachTM in a group format in day rehabilitation has not yet been explored. Method In day rehabilitation, a barrier to implementing the CO-OP ApproachTM is the group model. To address these challenges, this feasibility study involved the development, implementation, and evaluation of a CO-OP group for adults. Four patients participated in six group sessions. Pre- and post-measures included the Canadian Occupational Performance Measure (COPM) and the Assessment of Motor and Process Skills (AMPS). Subjective data were collected to reflect the participant’s experiences during the group. Results 80% of participants recruited completed the group. All participants demonstrated improvement in goals addressed within the group and goals not addressed within the group on the COPM. AMPS findings were inconclusive. Subjective findings indicated participants appreciated the group learning environment, valued the CO-OP process, were motivated to participate, and would have liked more groups. Conclusion To our knowledge, this is the first adult CO-OP group in a clinical setting. Results support the feasibility of a CO-OP group in day rehabilitation and the need for further examination of the effectiveness of this intervention.
This article is a literature review of the research regarding the use of serial casting in the treatment of spasticity. Spasticity has serious consequences, which impact activities of daily living and the quality of life. Classical studies in physiology indicate that muscle tissue immobilized in the shortened position can be physiologically changed through prolonged stretch. Serial casting has proven effective in improving such factors as range of motion and clinical measures of spasticity in spastic limbs. Further research is needed to determine the most effective uses of serial casts in the treatment of spasticity.
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