Effectiveness of occupation-based interventions on performance’s quality for hemiparetic stroke in community-dwelling: A randomized clinical trial study

Ahn, Si-Nae

doi:10.3233/nre-182429

Cited by 11 publications

(25 citation statements)

References 20 publications

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“…There is growing research showing that occupational therapy interventions are effective for people with health conditions across the life course, decreasing health care utilization (Rogers et al, 2017), improving the ability to complete daily life activities independently or with reduced assistance (Aghajanzade et al, 2019;Ahn, 2019;Burgess & Jensen, 2019;Uruma et al, 2019), and increasing quality of life (Levasseur et al, 2019;Yang et al, 2020).…”

Section: New Shift In Envisioning Healthmentioning

confidence: 99%

Not Just Mortality and Morbidity but Also Function: Opportunities and Challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030 Initiative

Richards

Vallée

2020

The American Journal of Occupational Therapy

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The World Health Organization's (WHO's) new focus on rehabilitation offers great opportunities for occupational therapy. Recognizing that the problems in daily function created by the aging of the world's population and the increasing prevalence of chronic health conditions require rehabilitation to be a vital part of health systems, the World Health Organization brought a variety of stakeholders together in 2017 and 2019 to help them develop the Rehabilitation 2030 initiative. Occupational therapy was represented by the World Federation of Occupational Therapists, the American Journal of Occupational Therapy, the Canadian Journal of Occupational Therapy, editorial board members of several occupational therapy journals, and other occupational therapy researchers. A major challenge to meeting the goal of sufficient rehabilitation services to meet global need is the worldwide shortage of occupational therapists. This shortage can be attributed to a paucity of knowledge about occupational therapy as a health care profession, lack of understanding of the occupational therapy scope of practice, the cost of education required to become an occupational therapist, and the need for occupational therapy salaries to offset educational costs. Nonetheless, ongoing success in research and clinical outcomes will increase knowledge of the value of occupational therapy and increase the size of the profession. WHO's focus on function is to be lauded. Yet, occupational therapists must not be content with an emphasis on function. They also need to advocate for contextual changes that eliminate barriers to participation and engagement experienced by people with disability. W e have entered an exciting era for occupational therapy! In 2017, the World Health Organization (WHO) launched its new initiative in rehabilitation, Rehabilitation 2030, by bringing together stakeholders from a large variety of areas to assist them in creating this vision. To build consensus, create a realistic action plan, and gain the commitment of various stakeholders, WHO organized two meetings (in 2017 and 2019

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Section: New Shift In Envisioning Healthmentioning

confidence: 99%

Not Just Mortality and Morbidity but Also Function: Opportunities and Challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030 Initiative

Richards

Vallée

2020

The American Journal of Occupational Therapy

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“…Of the 22 RCTs and quasi-RCTs, 16 were included in the meta-analysis (Ahn, 2019;Ahn et al, 2017;Bertilsson et al, 2014;Dawson et al, 2013;Donkervoort et al, 2001;Goverover et al, 2007;Kessler et al, 2017;Liu and Chan, 2014;Liu et al, 2004a;McEwen et al, 2015;Polatajko et al, 2012;Poulin et al, 2017;Skidmore et al, 2015;Song et al, 2019;Spikman et al, 2010;Winkens et al, 2009). Six studies were not included for the following reasons: Guidetti et al (2010) reported median and interquartile range and subsequently data could not be pooled in the meta-analysis.…”

Section: Flow Of Studies Through the Reviewmentioning

confidence: 99%

“…Cognitive strategy training improved activity performance compared to usual or standard care (SMD 0.63, 95% CI 0.07-01.19); however, again heterogeneity was high (I 2 ¼ 80%). The effect of cognitive strategy training conducted in the chronic stage of recovery (greater than 3 months from onset) was explored by pooling data from 10 studies with 314 participants (Ahn, 2019;Ahn et al, 2017;Dawson et al, 2013;Goverover et al, 2007;Kessler et al, 2017;Polatajko et al, 2012;Poulin et al, 2017;Song et al, 2019;Spikman et al, Figure 2. Standard mean difference (SMD) (95% confidence interval (CI)) of the effect of cognitive strategy training compared with any comparative intervention or no intervention on activity performance outcomes immediately after intervention for people with nonprogressive brain injury.…”

Section: Timing Of Providing Cognitive Strategy Interventionsmentioning

confidence: 99%

Cognitive strategy training for adults with neurological conditions: a systematic review and meta-analysis exploring effect on occupational performance

Swanton

Gustafsson

Froude

et al. 2020

British Journal of Occupational Therapy

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Introduction The objective of this systematic review was to synthesise the evidence for cognitive strategy training to determine its effectiveness to improve performance of activities of daily living in an adult neurological population. Method Medline, CINAHL, EMBASE, PSYCInfo, PsycBITE and Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews were searched until August 2019. Studies examining the effect of cognitive strategy training on functional performance were included. Population criteria included adults with non-progressive neurological conditions. External and internal validity of included studies was systematically evaluated using an appropriate methodological quality assessment for each study design. A content analysis was conducted of the methodologies used. Findings Forty-one studies met the inclusion criteria and were appraised for content, 16 randomised or quasi-randomised trials were meta-analysed. Trial quality was generally ‘good’, Physiotherapy Evidence Database scale scores ranged from 3 to 8 (out of 10). For activity performance outcomes post-intervention, there was a significant benefit of cognitive strategy training over usual care (standardised mean difference 0.79, 95% confidence interval 0.49–1.09; P < 0.00001). Conclusion More high-quality research is needed to strengthen the evidence base for cognitive strategy interventions to improve activity performance outcomes for adults with non-progressive neurological conditions. Systematic review registration PROSPERO CRD42016033728

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“…There is growing research showing that occupational therapy interventions are effective, decreasing healthcare utilization (Rogers et al, 2016), improving the ability to complete daily life activities independently or with reduced assistance (Aghajanzade et al, 2019; Ahn, 2019; Burgess & Jensen, 2019; Uruma et al, 2019), and increasing the quality of life (Levasseur et al, 2019; Yang et al, 2019) for individuals with health conditions across their life span.…”

Section: A New Shift In Envisioning Healthmentioning

confidence: 99%

“…De plus en plus de recherches montrent que les interventions ergothérapiques sont efficaces, qu’elles réduisent l’utilisation des soins de santé (Rogers, Bai, Lavin et Anderson, 2016), améliorent la capacité de réaliser les activités de la vie quotidienne ou de les effectuer avec moins d’assistance (Ahn, 2019; Uruma, et al, 2019; Burgess et Jensen, 2019; Aghajanzade, et al, 2019) et rehaussent la qualité de vie (Levasseur, et al, 2019; Yang, Wang et Chang, 2019) des individus vivant avec des problèmes de santé, peu importe leur âge.…”

Section: Une Nouvelle Façon D’envisager La Santéunclassified

Not just mortality and morbidity, but also functioning: Opportunities and challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030

Richards

Vallée

2020

Can J Occup Ther

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We have entered an exciting era for occupational therapy! In 2017, the World Health Organization (WHO) launched its new initiative in rehabilitation by bringing together stakeholders from a large variety of areas to create a new rehabilitation vision. In order to build consensus, create a realistic action plan, and gain the commitment of various stakeholders, WHO organized two meetings (in 2017 and 2019). Ministers of Health, educators, researchers, journal editors, non-profit organizations, program and research funders, and consumers were invited to comment and validate the directions prioritized by WHO. Occupational therapy was represented throughout this process by several entities, such as the World Federation of Occupational Therapists, the American Journal of Occupational Therapy, the Canadian Journal of Occupational Therapy, the Scandinavian Journal of Occupational Therapy, and several occupational therapist researchers. The objectives of this initiative can be summarized as: (a) creating strong leadership and political support for rehabilitation; (b) improving rehabilitation planning, implementation, governance, and investment; (c) expanding high-quality rehabilitation workforce and services; (d) enhancing rehabilitation data collection; and (d) building research capacity and expanding the availability of quality evidence for rehabilitation (WHO, 2019). Why Rehabilitation? Why Now? Health and demographic trends are changing globally. The world's population is aging, with more people in the later years of life than those under 24 years of age by 2050 (United Nations, Department of Economic and Social Affairs, Population Division, 2017). Aging is associated with increasing risk of disability (Gregory & Fried, 2003; U.S. Government Printing Office, 2016). In addition, the prevalence of noncommunicable diseases is increasing (World Health Organization [WHO], 2018a). Non-communicable diseases remain the leading cause of death in the world (WHO, 2018b). However, equally important, they often result in many years of decreased functioning and occupational engagement. In addition, advancements in acute medical care has reduced the possibility of death from many health conditions, such as stroke (Kunst et al., 2011; Seminog et al., 2019). Thus, the number of individuals with disabling conditions has risen considerably in this century (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators, 2016). Currently it is estimated that over a billion people, or about 15% of the global population, live with a disability, and these numbers are expected to grow (WHO, 2011). Such disability produces

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Effectiveness of occupation-based interventions on performance’s quality for hemiparetic stroke in community-dwelling: A randomized clinical trial study

Cited by 11 publications

References 20 publications

Not Just Mortality and Morbidity but Also Function: Opportunities and Challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030 Initiative

Not Just Mortality and Morbidity but Also Function: Opportunities and Challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030 Initiative

Cognitive strategy training for adults with neurological conditions: a systematic review and meta-analysis exploring effect on occupational performance

Not just mortality and morbidity, but also functioning: Opportunities and challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030

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