Background: Communication, behavioural disturbances and low motivation influence the functional potential and the effectiveness of interventions in adolescents with cerebral palsy (CP). While the model of human occupation (MOHO) is a conceptual model in occupational therapy, no research on the volition of adolescents with CP in daily activities has been undertaken.Aim: To explore the elements contributing to the volition of adolescents with CP based on their own experienceMethods: A qualitative approach using directed content analysis with volition of MOHO as a framework was applied. Semi-structured in-depth interviews were carried out with five adolescents with CP and five parents of the same adolescents.Results: In this study primary codes were categorized into eight categories: family and community-related values, individual values, individual perceptions of ability level, sense of control over conditions, enjoying performing activities, enjoying interpersonal relationships, physical context features and social context features.Conclusions: Personal causation in interaction with environmental features is strongly influenced by adolescents' motivation.Significance: Occupational therapists could improve the motivation of adolescents with CP in interaction with the individual's volition with focussing on self-efficacy for promoting personal causation. Adapting to the physical environment and changing the attitudes of others to these adolescents is necessary.
Objectives: Generally, adolescents who are interested in performing activities experience positive emotions and report high levels of well-being. However, adolescents with Cerebral Palsy (CP) encounter various issues affecting their interests. The present research was planned to investigate the predictor factors that affect the interest in performing activities in Iranian adolescents with CP. Methods: In total, 312 adolescents with CP (10-19-year-olds, Mean±SD age: 14.08±2.34 y) participated in this cross-sectional study. Their gross motor function was assessed by the Gross Motor Function Classification System (GMFCS), and their manual ability was evaluated by the Manual Ability Classification System (MACS) in random order by an occupational therapist. All study participants also completed the Adolescent Interest Inventory-Cerebral Palsy (AII-CP). The predictive model was analyzed using a multiple linear regression model by the enter method. Results: The multiple linear regression analysis data presented that the highest independence in motor performance, personal values, social environment support, and age appeared to be the strongest predictors of interest in performing activities in the explored adolescents with CP (R2: 0.475). Discussion: Interest as a significant factor for participation and motivation in conducting daily living activities is associated with the highest independence in motor performance, personal values, social environment support, and the age of adolescents with CP.
Facilitating participation is regarded as the primary goal and outcome of rehabilitation. According to the importance of comprehensive assessment of participation in occupational areas (social participation, work, education, instrumental activities of daily living, activities of daily living, rest and sleep, leisure, and play), all available studies on the development or translation of measures, which assess participation in Persian, were systematically reviewed. Methods: A search for Persian versions of measures, which assess participation in at least one occupational area, was carried out. Eight bibliographic databases, including 4 Iranian (IranDoc, Medlib, Magiran, and SID) and 4 international (Cochran, PubMed, Scopus, and ScienceDirect) databases from 1990-2018 were searched by 2 independent researchers based on the predetermined criteria. Any disagreements during the selection processes were resolved in consultation with the third researcher. Results: Through 3 refining steps, by 2 independent researchers, 68 articles exactly related to this study were selected and studied. A total of 50 measures were extracted. The content of the measures and their psychometric properties were reported; 44 were translated into Persian and 6 developed based on the Iranian population. Discussion: This critical review will help Persian-speaking therapists to select an appropriate measure for assessing participation in different occupational areas. Considering the importance of participation in the outcomes of rehabilitation and since it is mostly cultural and familialbased, developing new scales based on Persian-speaking people culture seems necessary.
Introduction Enhancing participation is the focus of occupational therapy. Comprehensive and accurate assessment ensures that clinicians can tailor an intervention to the client’s needs. This systematic review was completed to identify Persian adolescents’ participation measures and critically appraise them. It would be helpful in the selection of the most appropriate instrument to use in adolescent-related research and clinical practice. Method Ten bibliographic databases, four Iranian and six international, without year limits were searched up to June 2019. A systematic search was directed according to COSMIN guidelines for systematic reviews of patient-reported outcome measures and PRISMA guidelines (Systematic review registration: CRD42017073581). Results Seven measures were extracted from the articles. Reviewing the content and psychometric properties of the measures as well as the methodological quality of the studies indicated that the Modified Activity Questionnaire is the only measure with consistent and moderately reliable results. It measures adolescent participation in leisure activities but not all domains of participation. Conclusion There may be a growing need for adapting existing Persian measures or developing new ones based on specific age features related to puberty-stage alongside cultural, social and academic demands, which have a significant effect on adolescents’ participation in meaningful occupations. High methodological quality in designing such studies also has great importance.
Introduction: This case report aimed to report the effectiveness of creative occupations on a child with anxiety problems in a mental health center in Iran. Case Presentation: This case report has been performed in 12 sessions with a three-month follow-up. The Spence Children's Anxiety Scale (SCAS) and a structured clinical interview were used to collect information. The child's score on SCAS was 66 at the first session, which was then reduced to 41 at the sixth session, and 27 at the twelfth session. The child's father also confirmed the positive effects of the intervention on the child's behavior. Conclusions: Creative occupations showed a positive effect on reducing the severity of anxiety symptoms. These effects remained to a large extent during the intervention.
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