Key words: Mental Health care user (MHCU), Psychosis, Occupational Therapy, music tempo, occupational performance component (OPC), occupational performance area (OPA)
Emotional regulation is an important skill enabling or disabling the occupational engagement of adolescent clients. Evaluation is a key concept in the occupational therapy process, informing treatment approaches and outcomes. The authors could not identify a scale measuring emotional regulation strategies used by adolescent in the literature. A quantitative, descriptive study was done following a process of scale development. A survey with 78 items was designed which 404 adolescents from a tertiary institution completed. From the results, a provisional scale was developed, measuring emotional regulation strategies used by adolescents. The scale has 39 items, consisting of five emotional regulation strategy categories, named Comfort and Sharing, Antisocial behaviour, Creative Activities, Physical Activities and Eating. A confirmatory factor analysis (CFA) model proved the provisional scale, as well as the items, to be reliable. Further research for the development and the refinement of this scale is recommended. The use of an emotional regulation scale could assist the occupational therapist in understanding the adolescent client's emotional regulation strategies or lack thereof.
INTRODUCTION: Assessment of in-hand manipulation is fundamental to guide treatment for children with fine motor delays. Limited literature is available on how South African occupational therapists assess in-hand manipulation. This study aimed to describe which current in-hand manipulation assessment methods are used and what the preferences of occupational therapists in all areas of paediatric practices are regarding a suitable instrument METHODS: Quantitative cross-sectional study design with a non-probability purposive sampling method was used. Participants completed an EvaSys survey system online questionnaire RESULTS: Two-hundred-and-ninety-two (n=292) occupational therapists registered with the HPCSA participated. Limited familiarity (n=50; 17.1 %) with the formal assessment instruments described in literature was reported. The informal assessment methods most commonly used were subjective observation of tasks (n=287; 98.3%) of scholastic tasks (n=261; 89.4%) and play tasks (n=255; 87.3%) for children between the ages of five to six years (n=273; 93.5%). Preferences supported a descriptive instrument accompanied by a user manual that is administered under 15 minutes, in multiple languages, and with attention to the quality of movements and compensatory techniques used by the child CONCLUSION: Results showed that the current and preferred assessment methods used by occupational therapists might provide guidance for the future development of a contextual, relevant in-hand manipulation instrument for paediatric practices in South Africa Keywords: in-hand manipulation; assessment methods; paediatric practice
Aim Accurate assessment of in-hand manipulation is imperative when treating children with fine motor delays. A clinically suitable instrument for in-hand manipulation is required to inform the paediatric developmental and rehabilitation context. Critical evaluation of the available instrument is required to make an informed decision and direct future research. The aim of the study was to assess the available literature with a view to writing a scoping review on in-hand manipulation assessment instruments for children. Methods The Arskey and O'Malley six-stage scoping review was applied. Fifteen databases were sourced for articles published between 1 January 1990 and 31 December 2020. After identifying 33 eligible articles that met the inclusion criteria, the data obtained from the articles were charted. Results Eleven in-hand manipulation assessment instruments were identified and summarised according to (i) the constructs of in-hand manipulation included; (ii) clinical utility aspects of applicability and practicality and (iii) psychometric properties. Conclusion At the time of the review, none of the instruments had comprehensively completed the instrument development process to the point of standardisation with evaluated psychometric properties. Further research is recommended for the development of a gold standard in-hand manipulation assessment instrument.
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