Using Evidence to Promote the Distinct Value of Occupational Therapy

Arbesman, Marian; Lieberman, Deborah; Metzler, Christina A.

doi:10.5014/ajot.2014.684002

Cited by 17 publications

(14 citation statements)

References 15 publications

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“…Use of a sensitive, performance-based tool like the PASS can help occupational therapy practitioners detect differences in errors so they can prescribe more precise evidence-based treatment interventions and modifications (Arbesman, Lieberman, & Metzler, 2014). For example, the PASS would be beneficial in evaluating a person with MCI who is able to cook a meal independently (i.e., requires no cues to initiate or complete) but does so with poor quality (food is dangerously undercooked) and decreased safety (stove is left on for several hours).…”

Section: Discussionmentioning

confidence: 99%

Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment: A Pilot Project

Carrie

Anderson

Hershey

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. We investigated differences in observed performance of instrumental activities of daily living (IADLs) and self-reported satisfaction with social role performance between people with amnestic mild cognitive impairment (a-MCI) and age- and gender-matched control participants. METHOD. We measured observed performance of 14 IADLs using the Independence, Safety, and Adequacy domains of the Performance Assessment of Self-Care Skills (PASS) and the Patient-Reported Outcomes Measurement Information Systems (PROMIS) to examine satisfaction with social role performance. RESULTS. Total PASS scores were significantly lower in participants with a-MCI (median = 40.6) than in control participants (median = 44.2; p = .006). Adequacy scores were also significantly lower. No significant differences were found between groups on the PROMIS measures. CONCLUSION. IADL differences between groups were related more to errors in adequacy than to safety and independence. Occupational therapy practitioners can play a key role in the diagnosis and treatment of subtle IADL deficits in people with MCI.

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Section: Discussionmentioning

confidence: 99%

Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment: A Pilot Project

Carrie

Anderson

Hershey

et al. 2015

The American Journal of Occupational Therapy

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“…However, in order to be able to further develop OT interventions for clients with chronic pain, occupational therapists need to search for evidence in typical OT interventions and methods (Robinson et al, ). By incorporating interventions that have strong evidence, OT practitioners can help to provide efficient and cost‐effective services (Arbesman et al, ), but it should still be borne in mind that EBP integrates the best research evidence with clinical expertise and what the patient values (Straus et al, ).…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapy Interventions in Chronic Pain – A Systematic Review

Hesselstrand

Samuelsson

Liedberg

2015

Occupation Therapy Intl

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The use of interventions based on the best available evidence in occupational therapy is essential, and evaluation of research is part of an evidence-based practice. The aim of this study was to assess the quality of studies describing and evaluating the effects of occupational therapy interventions on chronic pain. A systematic review of studies with diverse designs was carried out. A quality assessment was conducted, and the level of evidence was defined using the Research Pyramid Model. Of 19 included studies, three received the highest evidence level, and three were considered to be of high quality. The clinical recommendations that can be derived from this study are the following: occupational therapy interventions should start from the identified needs of the person with chronic pain; no support exists for the effectiveness of electromyographic biofeedback training as a supplement, more studies are needed to confirm this result; the efficacy of instructions on body mechanics was significant during work-hardening treatment; and occupational therapists need to perform and present more clinical studies of high quality and high-evidence level to build up a trustworthy arsenal of evidence-based interventions, for example, in persons with chronic pain.

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“…Because of the increasing incidence and cost of chronic conditions, using the evidence to support the role of occupational therapy practitioners as leaders of care management makes sense. These interventions enable clients to restore and maintain participation in a variety of occupations and can be incorporated into comprehensive care systems (Arbesman, Lieberman, & Metzler, 2014).…”

mentioning

confidence: 99%

Occupational Therapy Home Modification Assessment and Intervention

Somerville

Smallfield

Stark

et al. 2016

The American Journal of Occupational Therapy

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Evidence Connection articles describe a clinical application of a systematic review developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice (EBP) Project. This Evidence Connection provides a case report of a client referred to occupational therapy for home modification assessment and intervention, applying the evidence from the systematic review of home modifications conducted in conjunction with the EBP Project. The client received in-home occupational therapy after side effects of liver disease resulted in increased falls within her home.

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Using Evidence to Promote the Distinct Value of Occupational Therapy

Abstract: If occupational therapy is to advance in conjunction with the health care system to achieve the triple aim, evidence must be used to pave the way to new roles and areas of practice.

Cited by 17 publications

References 15 publications

Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment: A Pilot Project

Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment: A Pilot Project

Occupational Therapy Interventions in Chronic Pain – A Systematic Review

Occupational Therapy Home Modification Assessment and Intervention

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