Delegation of Oxygen Therapy: Occupational therapy at two academic hospitals
David Guo, Hasina Kanji-Jaffer, Isabella Cheng, Siobhan Donaghy, Andrea Dyrkacz, Joanna Rodomar, Jennifer LeBlanc
Day: Thursday, Time: 11:00-11:25, Session: T41
Introduction:
Administering a substance by inhalation such as oxygen, is a controlled act in Ontario (Regulated Health Professions Act, 1991). Patients utilizing oxygen therapy may require oxygen titration during occupational therapy. While occupational therapists (OTs) are not authorized to perform this controlled act, they may receive delegation to perform it. At two large teaching hospitals, occupational therapy and respiratory therapy leaders collaborated to bring oxygen therapy delegation to OTs.
Objective: To develop an educational and certification process to prepare OTs to effectively initiate and titrate supplemental oxygen within prescribed ranges during patient care.
Approach:
A literature review and environmental scan of oxygen therapy delegation at Ontario hospitals informed policy development and education planning. Three educational components were identified and developed: knowledge and theory, practical demonstration, and written examination. Learning and sharing from each other’s educational and implementation processes led to enhancements at both organizations. The knowledge component has evolved to be available in a self-study format, supplementing didactic learning. Biannual retraining and recertification is now standardized.
Practice Implications:
Interprofessional relationships are strengthened and patient safety is enhanced. The workflow of team members is not interrupted because OTs may immediately respond to desaturation by titrating oxygen, and care is no longer delayed awaiting another team member perform the controlled act.
Conclusions:
Oxygen therapy delegation to OTs has fostered interprofessional collaboration, leading to more timely and responsive care. Shared learnings between hospitals fostered collaboration and enhanced educational programming.
Day: Thursday, Time: 11:00-11:25, Session: T41
Introduction:
Administering a substance by inhalation such as oxygen, is a controlled act in Ontario (Regulated Health Professions Act, 1991). Patients utilizing oxygen therapy may require oxygen titration during occupational therapy. While occupational therapists (OTs) are not authorized to perform this controlled act, they may receive delegation to perform it. At two large teaching hospitals, occupational therapy and respiratory therapy leaders collaborated to bring oxygen therapy delegation to OTs.
Objective: To develop an educational and certification process to prepare OTs to effectively initiate and titrate supplemental oxygen within prescribed ranges during patient care.
Approach:
A literature review and environmental scan of oxygen therapy delegation at Ontario hospitals informed policy development and education planning. Three educational components were identified and developed: knowledge and theory, practical demonstration, and written examination. Learning and sharing from each other’s educational and implementation processes led to enhancements at both organizations. The knowledge component has evolved to be available in a self-study format, supplementing didactic learning. Biannual retraining and recertification is now standardized.
Practice Implications:
Interprofessional relationships are strengthened and patient safety is enhanced. The workflow of team members is not interrupted because OTs may immediately respond to desaturation by titrating oxygen, and care is no longer delayed awaiting another team member perform the controlled act.
Conclusions:
Oxygen therapy delegation to OTs has fostered interprofessional collaboration, leading to more timely and responsive care. Shared learnings between hospitals fostered collaboration and enhanced educational programming.
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Occupational performance for occupational therapists in champion and coach roles
Richard Kellowan & Meridith McClenaghan
Day: Friday, Time: 09:00-09:25, Session: F23
Introduction: Occupational Therapists (OTs) may assume leadership roles as clinical champions and coaches across several practice settings and populations. Research, client safety and clinical education programs may recruit OTs as the essential competencies of occupational therapy practice (ACOTRO, 2011) align with champion and coach roles and responsibilities (Soo, Berta & Baker, 2009). However, the reviewed literature has not examined the perspectives of OTs on occupational performance for champion and coach roles. Formal examination of these perspectives may enable occupational performance by identifying person, environment and occupation factors influencing role performance.
Objectives: Identify key roles and responsibilities for clinical champions and coaches. Establish relevance to the essential competencies of occupational therapy practice. Explore role performance factors for champions and coaches based on real – life experiences by OTs. Suggest directives for further qualitative research.
Approach: Literature review summarized research on conceptual frameworks for clinical champions and coaches. Narrative approach elicited the lived experiences of two (2) OTs with senior roles as a champion for a Cognitive Orientation to daily Occupational Performance Approach program and as a Falls Safety Coach in a rehabilitation hospital. The Theory of Environmental Press (Lawton, 1985) was referenced to illustrate how person, environment and interactional factors influenced role performance.
Results: Critical perspectives on person, environment and occupation factors influencing champion and coach roles performance were identified. Recommendations for enabling role performance were identified at several levels: champion; program manager; and executive sponsor.
Conclusions: Role performance factors are fundamental for enabling occupational performance for clinical champions and coaches.
Day: Friday, Time: 09:00-09:25, Session: F23
Introduction: Occupational Therapists (OTs) may assume leadership roles as clinical champions and coaches across several practice settings and populations. Research, client safety and clinical education programs may recruit OTs as the essential competencies of occupational therapy practice (ACOTRO, 2011) align with champion and coach roles and responsibilities (Soo, Berta & Baker, 2009). However, the reviewed literature has not examined the perspectives of OTs on occupational performance for champion and coach roles. Formal examination of these perspectives may enable occupational performance by identifying person, environment and occupation factors influencing role performance.
Objectives: Identify key roles and responsibilities for clinical champions and coaches. Establish relevance to the essential competencies of occupational therapy practice. Explore role performance factors for champions and coaches based on real – life experiences by OTs. Suggest directives for further qualitative research.
Approach: Literature review summarized research on conceptual frameworks for clinical champions and coaches. Narrative approach elicited the lived experiences of two (2) OTs with senior roles as a champion for a Cognitive Orientation to daily Occupational Performance Approach program and as a Falls Safety Coach in a rehabilitation hospital. The Theory of Environmental Press (Lawton, 1985) was referenced to illustrate how person, environment and interactional factors influenced role performance.
Results: Critical perspectives on person, environment and occupation factors influencing champion and coach roles performance were identified. Recommendations for enabling role performance were identified at several levels: champion; program manager; and executive sponsor.
Conclusions: Role performance factors are fundamental for enabling occupational performance for clinical champions and coaches.
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Exploring elopement through story-telling: Personalizing “The Code Yellow Man.”
Richard Kellowan & Meridith McClenaghan
Day: Friday, Time: 08:30-08:55, Session: F10
Introduction: Story – telling is a therapeutic activity that empowers clients to share their life histories, thus enabling occupational therapists to understand how client experience influence occupational performance (Frank, 1996). . Occupational Therapists (OTs) to examine the influence of list histories on occupational performance (Frank, 1996). Occupational Therapists may employ story – telling to identify the means, mechanisms and motivations for chronic elopement in clients with cognitive impairment. This may personalize Code Yellow responses to focus on least – restraint and occupation – based interventions.
Objectives: Poster examined story – telling approaches for elopement management from an Occupational Therapy (OT) perspective. Poster linked theoretical, ethical, and contemporary professional issues to guide clinical practice.
Approach: Literature review summarized life history assessment methods in OT. Case report identified outcomes of story – telling for chronic elopement management with a 61 year-old Indigenous man. Discussion linked outcomes with: professional standards for OT assessment, consent and documentation; the four pillars of medical ethics; and “calls to action” from the Truth and Reconciliation Commission (TRC, 2015). Narrative clinical reasoning elicited therapist reflections on three themes: care versus coercion; autonomy versus authority; and personalizing patients.
Results: Story – telling fostered active client participation in exploring elopement behaviours and facilitated a comprehensive behavioural management plan for clinical staff. Occurrence and duration of elopement incidents were reduced, and discharge barriers due to elopement behaviours were addressed. Implications for “personalizing” Code Yellow responses were identified on micro- and macro- institutional levels.
Conclusions: Story – telling is a client-centred OT approach for chronic elopement management that requires careful and conscious clinical reasoning by clinicians.
Day: Friday, Time: 08:30-08:55, Session: F10
Introduction: Story – telling is a therapeutic activity that empowers clients to share their life histories, thus enabling occupational therapists to understand how client experience influence occupational performance (Frank, 1996). . Occupational Therapists (OTs) to examine the influence of list histories on occupational performance (Frank, 1996). Occupational Therapists may employ story – telling to identify the means, mechanisms and motivations for chronic elopement in clients with cognitive impairment. This may personalize Code Yellow responses to focus on least – restraint and occupation – based interventions.
Objectives: Poster examined story – telling approaches for elopement management from an Occupational Therapy (OT) perspective. Poster linked theoretical, ethical, and contemporary professional issues to guide clinical practice.
Approach: Literature review summarized life history assessment methods in OT. Case report identified outcomes of story – telling for chronic elopement management with a 61 year-old Indigenous man. Discussion linked outcomes with: professional standards for OT assessment, consent and documentation; the four pillars of medical ethics; and “calls to action” from the Truth and Reconciliation Commission (TRC, 2015). Narrative clinical reasoning elicited therapist reflections on three themes: care versus coercion; autonomy versus authority; and personalizing patients.
Results: Story – telling fostered active client participation in exploring elopement behaviours and facilitated a comprehensive behavioural management plan for clinical staff. Occurrence and duration of elopement incidents were reduced, and discharge barriers due to elopement behaviours were addressed. Implications for “personalizing” Code Yellow responses were identified on micro- and macro- institutional levels.
Conclusions: Story – telling is a client-centred OT approach for chronic elopement management that requires careful and conscious clinical reasoning by clinicians.
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International Network for Applied Social Innovation in occupational therapy website
Reg Urbanowski, Nadine Blankvoort
Day: Thursday, Time: 15:30-15:55, Session: T96
Introduction. There are occupational therapy researchers and practitioners worldwide who are engaged in innovative research and practice pertaining to the prevention, mitigation, or elimination of the negative implications of the social determinants of health. The World Health Organization defines those as: “…are the conditions in which people are born, grow, live, work and age…The social determinants of health are mostly responsible for health inequities….” Objectives. Participants viewing this poster will gain an understanding of the website and how it may benefit them as a place to communicate with others on a global scale. Approach. The poster will identify the governance, site themes and describe how the site may be used to connect with others worldwide. Various screen shots will be provided to demonstrate how the site can be a meeting place to share ideas resources and concerns as well as a site for the co-development of projects. Practice Implications. For researchers and practitioners involved in work in the social determinants of health space this site will be an important site where they can share and learn from each other. Conclusions. There are occupational therapy researchers and practitioners worldwide who are engaged in innovative research and practice pertaining to the prevention, mitigation, or elimination of the negative implications of the social determinants of health. This poster exhibits a website where they can share and learn from each other.
Day: Thursday, Time: 15:30-15:55, Session: T96
Introduction. There are occupational therapy researchers and practitioners worldwide who are engaged in innovative research and practice pertaining to the prevention, mitigation, or elimination of the negative implications of the social determinants of health. The World Health Organization defines those as: “…are the conditions in which people are born, grow, live, work and age…The social determinants of health are mostly responsible for health inequities….” Objectives. Participants viewing this poster will gain an understanding of the website and how it may benefit them as a place to communicate with others on a global scale. Approach. The poster will identify the governance, site themes and describe how the site may be used to connect with others worldwide. Various screen shots will be provided to demonstrate how the site can be a meeting place to share ideas resources and concerns as well as a site for the co-development of projects. Practice Implications. For researchers and practitioners involved in work in the social determinants of health space this site will be an important site where they can share and learn from each other. Conclusions. There are occupational therapy researchers and practitioners worldwide who are engaged in innovative research and practice pertaining to the prevention, mitigation, or elimination of the negative implications of the social determinants of health. This poster exhibits a website where they can share and learn from each other.
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Predictive validity of the ScanCourse for on-road driving performance outcomes
Eric Chau, Adam Nishi, Lisa Kristalovich, W. Ben Mortenson
Day: Friday, Time: 13:30-13:55, Session: F61
Introduction: Being able to scan the environment when driving is critical for safety. The ScanCourse is a functional assessment that evaluates an individual’s ability to scan for visual information while in motion, which is similar to the task demands of driving. Some psychometric information on the ScanCourse has previously been reported (Lund, Moir, Kristalovich, & Mortenson, 2017); however, its predictive validity for driving is unknown. Assessing scanning abilities among those with neurological conditions who intend to return to driving can help identify safety risks and inform interventions. Objectives: To determine the predictive validity of the ScanCourse for on-road driving performance outcomes. Methods: Retrospective chart reviews (n=500) will be conducted at 5 Canadian driver rehabilitation programs. Demographic data, ScanCourse scores and on-road driving performance outcomes will be collected. A receiver operating characteristic (ROC) curve will be used to analyze the relationship between ScanCourse scores and on-road performance. Results: It is anticipated that the ScanCourse will have an area under the curve greater than 0.75, which indicates the ScanCourse would be an accurate predictor of on-road driving performance outcomes. ScanCourse cut-off scores determined from the ROC curve will help identify patients who may not be appropriate for an on-road assessment and may require additional assessments and interventions. Conclusions: This study will contribute to the limited body of evidence examining assessment tools for visual scanning. Establishing the predictive validity and cut-off scores of the ScanCourse will provide empirical support for its continued use in clinical practice as a diagnostic tool to assess fitness-to-drive.
Day: Friday, Time: 13:30-13:55, Session: F61
Introduction: Being able to scan the environment when driving is critical for safety. The ScanCourse is a functional assessment that evaluates an individual’s ability to scan for visual information while in motion, which is similar to the task demands of driving. Some psychometric information on the ScanCourse has previously been reported (Lund, Moir, Kristalovich, & Mortenson, 2017); however, its predictive validity for driving is unknown. Assessing scanning abilities among those with neurological conditions who intend to return to driving can help identify safety risks and inform interventions. Objectives: To determine the predictive validity of the ScanCourse for on-road driving performance outcomes. Methods: Retrospective chart reviews (n=500) will be conducted at 5 Canadian driver rehabilitation programs. Demographic data, ScanCourse scores and on-road driving performance outcomes will be collected. A receiver operating characteristic (ROC) curve will be used to analyze the relationship between ScanCourse scores and on-road performance. Results: It is anticipated that the ScanCourse will have an area under the curve greater than 0.75, which indicates the ScanCourse would be an accurate predictor of on-road driving performance outcomes. ScanCourse cut-off scores determined from the ROC curve will help identify patients who may not be appropriate for an on-road assessment and may require additional assessments and interventions. Conclusions: This study will contribute to the limited body of evidence examining assessment tools for visual scanning. Establishing the predictive validity and cut-off scores of the ScanCourse will provide empirical support for its continued use in clinical practice as a diagnostic tool to assess fitness-to-drive.
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Mindfulness Programs Applied to Health Profession Students
Michael Slack, Emily Neufeld, Tom Heah, Carrie Krekoski, Katie Lee-Bunting, Diana Winston, Kathy Wong, Tal Jarus
Day: Thursday, Time: 10:00-10:25, Session: T25
Introduction: Chronic stress is attributed to a wide variety of negative health issues. It is a growing concern for health-profession students, who generally experience twice as much as the general adult population. Mindfulness-based approaches, used therapeutically, have been shown to decrease stress and increase quality of life measures in a wide variety of populations. Objectives: To determine the efficacy and feasibility of three different mindfulness programs at decreasing stress, anxiety and depression and increasing mindfulness and occupational engagement when applied to health-profession students. Methods: This mixed method study will examine three mindfulness programs that will be run simultaneously with health-profession students. Three standardized assessment surveys will be completed by all participants, pre- and post-intervention, to measure stress, anxiety, depression, mindfulness and occupational engagement. Semi-structured focus groups will be conducted with participants from each program to further elaborate on the findings. Results: We expect that all three programs will show significant decreases in stress, anxiety and depression as well as increased mindfulness and occupational engagement. Conclusion: Mindfulness programs are an effective, inexpensive strategy to decrease the negative mental symptoms related to the increased stress experienced by health-profession students. This study will provide information not only on their effectiveness but also which program is most feasible for health-profession students.
Day: Thursday, Time: 10:00-10:25, Session: T25
Introduction: Chronic stress is attributed to a wide variety of negative health issues. It is a growing concern for health-profession students, who generally experience twice as much as the general adult population. Mindfulness-based approaches, used therapeutically, have been shown to decrease stress and increase quality of life measures in a wide variety of populations. Objectives: To determine the efficacy and feasibility of three different mindfulness programs at decreasing stress, anxiety and depression and increasing mindfulness and occupational engagement when applied to health-profession students. Methods: This mixed method study will examine three mindfulness programs that will be run simultaneously with health-profession students. Three standardized assessment surveys will be completed by all participants, pre- and post-intervention, to measure stress, anxiety, depression, mindfulness and occupational engagement. Semi-structured focus groups will be conducted with participants from each program to further elaborate on the findings. Results: We expect that all three programs will show significant decreases in stress, anxiety and depression as well as increased mindfulness and occupational engagement. Conclusion: Mindfulness programs are an effective, inexpensive strategy to decrease the negative mental symptoms related to the increased stress experienced by health-profession students. This study will provide information not only on their effectiveness but also which program is most feasible for health-profession students.
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L’ergothérapie en groupe de médecine familiale avec une clientèle pédiatrique
Marie-Andrée Jarry, Brigitte Vachon, Marie-Noëlle Simard, Laurence Potvin
Day: Saturday, Time: 10:30-10:55, Session: S61
Introduction : Les ergothérapeutes ont un rôle important à jouer dans le dépistage des retards de développement chez les enfants. Or, au Québec, ce dépistage s’effectue principalement dans les soins de première ligne, tel qu’en groupe de médecine de famille (GMF) où l’ergothérapeute est actuellement très peu présent. Objectif : Développer un modèle d’intégration de l’ergothérapeute en GMF pour la clientèle pédiatrique en décrivant cette pratique, en documentant les facilitateurs et obstacles à l’intégration ainsi qu’en évaluant ses impacts auprès des autres professionnels et des parents. Méthodologie : Une étude de cas unique a été réalisée. Une ergothérapeute et 7 membres de son équipe ont participé à des entrevues individuelles. Des données ont aussi été recueillies dans les documents élaborés par l’ergothérapeute ainsi que dans les dossiers cliniques. Résultats : L’intégration d’un ergothérapeute en GMF pour la clientèle pédiatrique contribue à améliorer la capacité de l’équipe à évaluer les retards de développement, identifier les besoins de l’enfant, outiller les parents ainsi qu’orienter rapidement les enfants vers les services spécialisés requis. Les facilitateurs et les obstacles à l’intégration se divisent en trois catégories : l’établissement du rôle de l’ergothérapeute, les ressources environnementales, organisationnelles et sociales ainsi que la culture et la collaboration. Conclusion : L’intégration de l’ergothérapeute favorise l’amélioration de l’expertise de l’équipe pour le dépistage des retards de développement et l’orientation des enfants vers les services ciblés requis. Ce modèle d’implantation peut accompagner d’autres GMF souhaitant intégrer un ergothérapeute.
Day: Saturday, Time: 10:30-10:55, Session: S61
Introduction : Les ergothérapeutes ont un rôle important à jouer dans le dépistage des retards de développement chez les enfants. Or, au Québec, ce dépistage s’effectue principalement dans les soins de première ligne, tel qu’en groupe de médecine de famille (GMF) où l’ergothérapeute est actuellement très peu présent. Objectif : Développer un modèle d’intégration de l’ergothérapeute en GMF pour la clientèle pédiatrique en décrivant cette pratique, en documentant les facilitateurs et obstacles à l’intégration ainsi qu’en évaluant ses impacts auprès des autres professionnels et des parents. Méthodologie : Une étude de cas unique a été réalisée. Une ergothérapeute et 7 membres de son équipe ont participé à des entrevues individuelles. Des données ont aussi été recueillies dans les documents élaborés par l’ergothérapeute ainsi que dans les dossiers cliniques. Résultats : L’intégration d’un ergothérapeute en GMF pour la clientèle pédiatrique contribue à améliorer la capacité de l’équipe à évaluer les retards de développement, identifier les besoins de l’enfant, outiller les parents ainsi qu’orienter rapidement les enfants vers les services spécialisés requis. Les facilitateurs et les obstacles à l’intégration se divisent en trois catégories : l’établissement du rôle de l’ergothérapeute, les ressources environnementales, organisationnelles et sociales ainsi que la culture et la collaboration. Conclusion : L’intégration de l’ergothérapeute favorise l’amélioration de l’expertise de l’équipe pour le dépistage des retards de développement et l’orientation des enfants vers les services ciblés requis. Ce modèle d’implantation peut accompagner d’autres GMF souhaitant intégrer un ergothérapeute.
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'Ms-Understandings'? : Troubling Stereotypical Assumptions of Older Single Women
Rona M Macdonald & Pia Kontos
Day: Friday, Time: 11:00-11:25, Session: F40
‘Ms-Understandings’? : Troubling Stereotypical Assumptions of Older Single Women
Rationale
More Canadians are living ‘single’ than ever before, but singleness for women remains a stigmatized and marginalized position. In occupational therapy, single women stereotypes (e.g., lonely, sad, and vulnerable) have not been problematized as a gendered phenomenon with concomitant political and ideological dimensions that play out at interactional and systems levels. Drawing on findings from completed doctoral research that explored the identity negotiation strategies of older single women, previously unexplored aspects of the social dynamics around singleness for women are outlined.
Objectives
To examine the talk of older life-long single women for the range of interpretive resources drawn upon and how those resources were employed in singleness identity negotiation.
Approach
Using discourse analysis, talk data from repeat interviews with four women was examined for patterns in the resources drawn upon and how those resources were employed.
Results: Singleness talk was strongly polarized into two repertoires: the ‘deficit’ (failure, loneliness) repertoire that undermined the relatively weak ‘singleness-as-freedom’ (to do and be) repertoire. Deficit discourses were strongly refuted, but positive claims about singlehood were weakly upheld. Identity negotiation strategies included distancing from the category ‘single’, and using rhetorical maneuvers to close down conversations, rendering singleness an invisible identity.
Conclusions:
The study demonstrates that singleness for older women is an identity of difference and a ‘troubled’ identity (i.e. difficult to be aligned with), thus exposing a previously unidentified equity and social justice ‘blind-spot’ within OT.
Abstract Summary (50 words)
An unprecedented numbers of Canadians today are ‘single’, yet in occupational therapy, older single women stereotypes (e.g., lonely, sad, and vulnerable) are commonly assumed and not questioned. Drawing on findings from doctoral research that explored the identity negotiation strategies of older single women, OT’s are invited to re-evaluate existing ‘Ms-Understandings’.
Day: Friday, Time: 11:00-11:25, Session: F40
‘Ms-Understandings’? : Troubling Stereotypical Assumptions of Older Single Women
Rationale
More Canadians are living ‘single’ than ever before, but singleness for women remains a stigmatized and marginalized position. In occupational therapy, single women stereotypes (e.g., lonely, sad, and vulnerable) have not been problematized as a gendered phenomenon with concomitant political and ideological dimensions that play out at interactional and systems levels. Drawing on findings from completed doctoral research that explored the identity negotiation strategies of older single women, previously unexplored aspects of the social dynamics around singleness for women are outlined.
Objectives
To examine the talk of older life-long single women for the range of interpretive resources drawn upon and how those resources were employed in singleness identity negotiation.
Approach
Using discourse analysis, talk data from repeat interviews with four women was examined for patterns in the resources drawn upon and how those resources were employed.
Results: Singleness talk was strongly polarized into two repertoires: the ‘deficit’ (failure, loneliness) repertoire that undermined the relatively weak ‘singleness-as-freedom’ (to do and be) repertoire. Deficit discourses were strongly refuted, but positive claims about singlehood were weakly upheld. Identity negotiation strategies included distancing from the category ‘single’, and using rhetorical maneuvers to close down conversations, rendering singleness an invisible identity.
Conclusions:
The study demonstrates that singleness for older women is an identity of difference and a ‘troubled’ identity (i.e. difficult to be aligned with), thus exposing a previously unidentified equity and social justice ‘blind-spot’ within OT.
Abstract Summary (50 words)
An unprecedented numbers of Canadians today are ‘single’, yet in occupational therapy, older single women stereotypes (e.g., lonely, sad, and vulnerable) are commonly assumed and not questioned. Drawing on findings from doctoral research that explored the identity negotiation strategies of older single women, OT’s are invited to re-evaluate existing ‘Ms-Understandings’.
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'Ms-Understandings'? : Troubling Stereotypical Assumptions of Older Single Women
Rona Macdonald & Pia Kontos
Day: Friday, Time: 11:00-11:25, Session: F40
Rationale: More Canadians are living ‘single’ than ever before, but singleness for women remains a stigmatized and marginalized position. In occupational therapy, single women stereotypes (e.g., lonely, sad, and vulnerable) have not been problematized as a gendered phenomenon with political and ideological dimensions that play out at interactional and systems levels. Drawing on findings from completed doctoral research that explored the identity negotiation strategies of older single women, previously unexplored key aspects of the social dynamics around singleness for women are outlined. Objectives: To examine the talk of older life-long single women for the range of interpretive resources drawn upon and how those resources were employed in singleness identity negotiation. Approach: Using discourse analysis, talk data from repeat interviews with four women was examined for patterns in the resources drawn upon and how those resources were employed. Results: Singleness talk was strongly polarized into two repertoires: the ‘deficit’ (failure, loneliness) repertoire that undermined the relatively weak ‘singleness-as-freedom’ (to do and be) repertoire. Deficit discourses were strongly refuted, but positive claims about singlehood were weakly upheld. Identity negotiation strategies included distancing from the category ‘single’, and using rhetorical maneuvers to close down conversations, rendering singleness an invisible identity. Conclusions: The study demonstrates that singleness for older women is an identity of difference and a ‘troubled’ identity (i.e. difficult to be aligned with), thus exposing a previously unidentified equity and social justice ‘blind-spot’ within OT.
Day: Friday, Time: 11:00-11:25, Session: F40
Rationale: More Canadians are living ‘single’ than ever before, but singleness for women remains a stigmatized and marginalized position. In occupational therapy, single women stereotypes (e.g., lonely, sad, and vulnerable) have not been problematized as a gendered phenomenon with political and ideological dimensions that play out at interactional and systems levels. Drawing on findings from completed doctoral research that explored the identity negotiation strategies of older single women, previously unexplored key aspects of the social dynamics around singleness for women are outlined. Objectives: To examine the talk of older life-long single women for the range of interpretive resources drawn upon and how those resources were employed in singleness identity negotiation. Approach: Using discourse analysis, talk data from repeat interviews with four women was examined for patterns in the resources drawn upon and how those resources were employed. Results: Singleness talk was strongly polarized into two repertoires: the ‘deficit’ (failure, loneliness) repertoire that undermined the relatively weak ‘singleness-as-freedom’ (to do and be) repertoire. Deficit discourses were strongly refuted, but positive claims about singlehood were weakly upheld. Identity negotiation strategies included distancing from the category ‘single’, and using rhetorical maneuvers to close down conversations, rendering singleness an invisible identity. Conclusions: The study demonstrates that singleness for older women is an identity of difference and a ‘troubled’ identity (i.e. difficult to be aligned with), thus exposing a previously unidentified equity and social justice ‘blind-spot’ within OT.
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Transforming Occupational Therapist Assistant and Physiotherapist Assistant Student Performance-Based Evaluations
Karen Koseck, Celia Mirco, Patricia Lee
Day: Thursday, Time: 08:30-08:55, Session: T10
The Occupational Therapist Assistant & Physiotherapist Assistant Practical Performance Lab Evaluation: Global Rating Scale (OTA&PTA GRS) was developed and validated. An on-line evaluator instructional tutorial was created improving accuracy and consistency in scoring, among and between, evaluators. Data analysis regarding the usefulness of the on-line tutorial will be presented.
Day: Thursday, Time: 08:30-08:55, Session: T10
The Occupational Therapist Assistant & Physiotherapist Assistant Practical Performance Lab Evaluation: Global Rating Scale (OTA&PTA GRS) was developed and validated. An on-line evaluator instructional tutorial was created improving accuracy and consistency in scoring, among and between, evaluators. Data analysis regarding the usefulness of the on-line tutorial will be presented.
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A National Occupational Assistant Student Fieldwork Evaluation Form
Karen Koseck, Patricia Lee, Leanne Sadowsky , Teresa Avvampato and Nancy Pullan
Day: Thursday, Time: 11:00-11:25, Session: T44
Due to large variation in fieldwork forms, the Canadian OTA and/or PTA Student Fieldwork Evaluation Form was developed and validated. This competency-based evaluation allows preceptors to evaluate student performance in a consistent manner across different sites and placement levels. Survey data analysis on ease of use will be presented.
Day: Thursday, Time: 11:00-11:25, Session: T44
Due to large variation in fieldwork forms, the Canadian OTA and/or PTA Student Fieldwork Evaluation Form was developed and validated. This competency-based evaluation allows preceptors to evaluate student performance in a consistent manner across different sites and placement levels. Survey data analysis on ease of use will be presented.
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Development of a Mental Health Program for Immigrant Youth
Setareh Ghahari, Libby Alexander
Day: Friday, Time: 08:30-08:55, Session: F13
Introduction: Children and youth in immigrant families face a unique intersection of challenges to their mental health: social alienation, discrimination, economic deprivation, and conflicting expectations from parents and peers – a so-called “perfect storm”. Add to this the fact that they are functioning in an environment that neither they nor their parents have the knowledge or skills to navigate, and the risk for mental illness increases many-fold. Our research group has developed a program called ‘Living Well’ to promote mental health among adult immigrants. We are aiming to revise the program for immigrant youth. Objectives: In this study, we will conduct 4 focus groups and 7 interviews to explore youth immigrants’ knowledge gaps and existing strategies that need to be considered in supporting the mental health literacy of immigrants. We will also explore aspects of the adult ‘Living Well’ program that are required to be adapted to the culture and age-specific needs of immigrant youth. The data will be collected from youth immigrants (13 to 18 years old), their parents, young immigrants (19 to 24 years old), and representatives from the local and provincial immigrant settlement organizations that regularly provide youth immigrant programs. Conclusion: During this ongoing funded project, we will build knowledge to improve the mental health of immigrant youth by including perspectives of different stakeholders.
Day: Friday, Time: 08:30-08:55, Session: F13
Introduction: Children and youth in immigrant families face a unique intersection of challenges to their mental health: social alienation, discrimination, economic deprivation, and conflicting expectations from parents and peers – a so-called “perfect storm”. Add to this the fact that they are functioning in an environment that neither they nor their parents have the knowledge or skills to navigate, and the risk for mental illness increases many-fold. Our research group has developed a program called ‘Living Well’ to promote mental health among adult immigrants. We are aiming to revise the program for immigrant youth. Objectives: In this study, we will conduct 4 focus groups and 7 interviews to explore youth immigrants’ knowledge gaps and existing strategies that need to be considered in supporting the mental health literacy of immigrants. We will also explore aspects of the adult ‘Living Well’ program that are required to be adapted to the culture and age-specific needs of immigrant youth. The data will be collected from youth immigrants (13 to 18 years old), their parents, young immigrants (19 to 24 years old), and representatives from the local and provincial immigrant settlement organizations that regularly provide youth immigrant programs. Conclusion: During this ongoing funded project, we will build knowledge to improve the mental health of immigrant youth by including perspectives of different stakeholders.
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Flow in older adults: Observation as an alternative to self-report
Alexandria Wickins, Christine Daum, Adriana Rios Rincon, Antonio Miguel-Cruz, Lili Liu
Day: Friday, Time: 11:00-11:25, Session: F38
Introduction: Engagement in activities is important across one’s lifespan and positively impacts perceived quality of life. With age-related decline in cognitive and physical abilities, older adults can find themselves unable to participate in previously valued activities. Flow theory, conceptualized by Mihaly Csikszentmihalyi, can be used to identify and develop engaging activities, such as computer games, for older adults. Historically, flow has been explored primarily through self-report measures. Memory, comprehension, age, and response biases may impact the validity of self-report data in older adults. Observable indicators of flow may enhance researchers’ and therapists’ ability to understand older adults’ level of engagement during activity participation. Objectives: The purpose of this paper was to explore flow theory as it relates to computer games and identify observable indicators associated with flow states in older adults during gameplay. Approach: A literature review was conducted examining flow theory and flow in electronic gameplay. Minimal research has focused on indicators of flow states based on observation, therefore, literature related to elements of flow, such as focused attention, enjoyment and challenge was also reviewed. Connections between observable behaviours and flow during electronic gameplay are proposed. Practice Implications: Occupational therapists may be able to identify elements of flow through observational methods, allowing them to better understand engagement in populations with whom self-report data may not be sufficient, such as in older adults with dementia. Conclusion: Three categories of potential observable indicators are proposed: gaze/eye movements, facial expressions and body positioning.
Day: Friday, Time: 11:00-11:25, Session: F38
Introduction: Engagement in activities is important across one’s lifespan and positively impacts perceived quality of life. With age-related decline in cognitive and physical abilities, older adults can find themselves unable to participate in previously valued activities. Flow theory, conceptualized by Mihaly Csikszentmihalyi, can be used to identify and develop engaging activities, such as computer games, for older adults. Historically, flow has been explored primarily through self-report measures. Memory, comprehension, age, and response biases may impact the validity of self-report data in older adults. Observable indicators of flow may enhance researchers’ and therapists’ ability to understand older adults’ level of engagement during activity participation. Objectives: The purpose of this paper was to explore flow theory as it relates to computer games and identify observable indicators associated with flow states in older adults during gameplay. Approach: A literature review was conducted examining flow theory and flow in electronic gameplay. Minimal research has focused on indicators of flow states based on observation, therefore, literature related to elements of flow, such as focused attention, enjoyment and challenge was also reviewed. Connections between observable behaviours and flow during electronic gameplay are proposed. Practice Implications: Occupational therapists may be able to identify elements of flow through observational methods, allowing them to better understand engagement in populations with whom self-report data may not be sufficient, such as in older adults with dementia. Conclusion: Three categories of potential observable indicators are proposed: gaze/eye movements, facial expressions and body positioning.
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Weekend Discharge Team: Facilitating Hospital Discharges – 7 Days a Week
Isabella Cheng, Nicole Cooper, Tracey DasGupta, Lois Fillion, Lina Gagliardi, Florina Weisenberg, Cynthia Woodard
Day: Thursday, Time: 13:30-13:55, Session: T63
Day: Thursday, Time: 13:30-13:55, Session: T63
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The Effects of an Intraprofessional Educational Session Among OT and OTA Students
Kimberley Persons; Debra Battistella
Day: Thursday, Time: 14:00-14:25, Session: T77
Introduction: Literature reveals that occupational therapists and occupational therapy assistants are unclear regarding their respective roles and responsibilities. This can negatively impact client outcomes, professional growth of individual practitioners, and the image of the occupational therapy profession. There is an opportunity to enhance occupational therapy education using intraprofessional education, a collaborative model where students of different levels of the same profession learn together.
Objectives: The purpose of this study is to determine the effectiveness of OT and OTA students participating in a collaborative learning session. This was a pre-experimental research study with a pretest-posttest design. The study was completed with students from an occupational therapy program and an occupational therapy assistant program. Methods: Students’ confidence of the supervisory process and role delineation in occupational therapy were measured at pre-test, following a one-hour lecture, and following an intraprofessional class project. Measures included a researcher developed, multiple-choice OT/OTA Knowledge Quiz and adapted versions of the Attitudes Toward Health Care Teams Scale and the Student Perceptions of Interprofessional Clinical Education–Revised. Results: 129 OT or OTA students participated. Results of the study showed students had an increase in general knowledge of OT/OTA roles after the lecture with no significant changes to attitudes or perceptions. After the collaborative group project, both OT and OTA students had more positive attitudes and perceptions towards intraprofessional practice. Conclusion: By engaging in intraprofessional education, OT and OTA students will be better equipped to confidently perform and articulate their roles to consumers, health care providers, and other stakeholders.
Day: Thursday, Time: 14:00-14:25, Session: T77
Introduction: Literature reveals that occupational therapists and occupational therapy assistants are unclear regarding their respective roles and responsibilities. This can negatively impact client outcomes, professional growth of individual practitioners, and the image of the occupational therapy profession. There is an opportunity to enhance occupational therapy education using intraprofessional education, a collaborative model where students of different levels of the same profession learn together.
Objectives: The purpose of this study is to determine the effectiveness of OT and OTA students participating in a collaborative learning session. This was a pre-experimental research study with a pretest-posttest design. The study was completed with students from an occupational therapy program and an occupational therapy assistant program. Methods: Students’ confidence of the supervisory process and role delineation in occupational therapy were measured at pre-test, following a one-hour lecture, and following an intraprofessional class project. Measures included a researcher developed, multiple-choice OT/OTA Knowledge Quiz and adapted versions of the Attitudes Toward Health Care Teams Scale and the Student Perceptions of Interprofessional Clinical Education–Revised. Results: 129 OT or OTA students participated. Results of the study showed students had an increase in general knowledge of OT/OTA roles after the lecture with no significant changes to attitudes or perceptions. After the collaborative group project, both OT and OTA students had more positive attitudes and perceptions towards intraprofessional practice. Conclusion: By engaging in intraprofessional education, OT and OTA students will be better equipped to confidently perform and articulate their roles to consumers, health care providers, and other stakeholders.
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Troubles du comportement alimentaire: enjeux éthiques vécus en pratique transdisciplinaire
Sandrine Renaud, Marie-Josée St-Pierre et Marie-Josée Drolet
Day: Saturday, Time: 09:00-09:25, Session: S11
Les enjeux éthiques de la pratique transdisciplinaire auprès de personnes présentant un trouble du comportement alimentaire sont peu documentés. L’étude décrit ces enjeux éthiques via un devis qualitatif. La description de ces enjeux est une première étape permettant d’identifier des moyens habilitant les ergothérapeutes à les résoudre avec plus d’aisance.
Day: Saturday, Time: 09:00-09:25, Session: S11
Les enjeux éthiques de la pratique transdisciplinaire auprès de personnes présentant un trouble du comportement alimentaire sont peu documentés. L’étude décrit ces enjeux éthiques via un devis qualitatif. La description de ces enjeux est une première étape permettant d’identifier des moyens habilitant les ergothérapeutes à les résoudre avec plus d’aisance.
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Belonging through sport participation for disabled youths: A scoping review
Winnie Zhao, Kirtana Thirumal, Denise DuBois, Rebecca Renwick
Day: Thursday, Time: 10:30-10:55, Session: T28
Introduction. Belonging is central to how young adults with intellectual and developmental disabilities (IDD) experience inclusion in community life (Renwick et al., 2018). Belonging has been broadly understood to be facilitated by sport participation (e.g., engaging in competitive and informal or formally organized games or athletic events, performed alone or in a group) (World Health Organization, 2001), which has therapeutic benefits in rehabilitative contexts. Yet belonging has been only partially conceptualized and superficially studied. Further, although literature on sport participation and belonging encompasses various populations, significant gaps in knowledge remain about young adults aged 18-36 with intellectual and developmental disabilities (IDD). Objective. The findings of this scoping review will describe and characterize how belonging has been conceptualized in the literature examining sport participation for young adults with IDD. Methods. The strongest methodological standards (Arksey & O’Malley, 2005; Colquhoun et al., 2017) will guide this scoping review. A search of five key scientific databases will identify relevant literature (1988 - 2018). Two independent reviewers will screen citations and abstracts for inclusion. Then, study, sample, and construct (e.g., belonging, sport participation) characteristics will be extracted, charted, and categorized. Practice Implications. The findings will help guide sport-focused programs, policies, and occupational therapy (OT) individual and programmatic interventions for this population. Conclusions. Scoping review findings will: (a) systematically synthesize how belonging and sport participation are conceptualized within the research literature about young adults with IDD; (b) identify gaps in current knowledge; and (c) highlight priority areas for future occupational therapy roles and research.
Day: Thursday, Time: 10:30-10:55, Session: T28
Introduction. Belonging is central to how young adults with intellectual and developmental disabilities (IDD) experience inclusion in community life (Renwick et al., 2018). Belonging has been broadly understood to be facilitated by sport participation (e.g., engaging in competitive and informal or formally organized games or athletic events, performed alone or in a group) (World Health Organization, 2001), which has therapeutic benefits in rehabilitative contexts. Yet belonging has been only partially conceptualized and superficially studied. Further, although literature on sport participation and belonging encompasses various populations, significant gaps in knowledge remain about young adults aged 18-36 with intellectual and developmental disabilities (IDD). Objective. The findings of this scoping review will describe and characterize how belonging has been conceptualized in the literature examining sport participation for young adults with IDD. Methods. The strongest methodological standards (Arksey & O’Malley, 2005; Colquhoun et al., 2017) will guide this scoping review. A search of five key scientific databases will identify relevant literature (1988 - 2018). Two independent reviewers will screen citations and abstracts for inclusion. Then, study, sample, and construct (e.g., belonging, sport participation) characteristics will be extracted, charted, and categorized. Practice Implications. The findings will help guide sport-focused programs, policies, and occupational therapy (OT) individual and programmatic interventions for this population. Conclusions. Scoping review findings will: (a) systematically synthesize how belonging and sport participation are conceptualized within the research literature about young adults with IDD; (b) identify gaps in current knowledge; and (c) highlight priority areas for future occupational therapy roles and research.
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Canadian Occupational Therapists’ Contribution to the Interprofessional Collaboration Literature
Jaclyn Bell, Pam Wener
Day: Thursday, Time: 08:30-08:55, Session: T13
Introduction: Interprofessional collaboration (IPC) is an important area of focus in health care. Occupational therapists bring unique knowledge and skills to IPC by incorporating expertise in occupation, client-centredness, function, and team dynamics. However, little is known about occupational therapists’ contribution as authors to the IPC peer-reviewed literature. While the IPC peer-reviewed literature includes occupational therapy students and practitioners, how occupational therapy researchers contribute to this field has not been explored.
Objectives: The aim of this scoping review was to identify how Canadian occupational therapist authors are contributing to peer-reviewed IPC research literature focusing on practice. Methods: Researchers conducted a scoping review using Arksey and O'Malley's (2005) six-step framework: identifying the research question, relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Researchers also performed a quality check for the included articles. Results: Seven articles met the inclusion criteria. Five articles included Ontario occupational therapist authors. Six articles were written by interprofessional teams. Research conducted was qualitative, quantitative, or mixed methods. Review and synthesis of these articles described the features, underpinnings, barriers and facilitators, and benefits of IPC. Conclusions: Few peer-reviewed publications about IPC practice are written by Canadian occupational therapists. Although occupational therapists play an important role in IPC in practice, few are sharing their unique expertise about occupation, function, client-centred practice, and team dynamics through publications. Occupational therapist authors are missing an important opportunity to share our professional perspective in IPC contexts within our professional community and with others who are interested in IPC.
Day: Thursday, Time: 08:30-08:55, Session: T13
Introduction: Interprofessional collaboration (IPC) is an important area of focus in health care. Occupational therapists bring unique knowledge and skills to IPC by incorporating expertise in occupation, client-centredness, function, and team dynamics. However, little is known about occupational therapists’ contribution as authors to the IPC peer-reviewed literature. While the IPC peer-reviewed literature includes occupational therapy students and practitioners, how occupational therapy researchers contribute to this field has not been explored.
Objectives: The aim of this scoping review was to identify how Canadian occupational therapist authors are contributing to peer-reviewed IPC research literature focusing on practice. Methods: Researchers conducted a scoping review using Arksey and O'Malley's (2005) six-step framework: identifying the research question, relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Researchers also performed a quality check for the included articles. Results: Seven articles met the inclusion criteria. Five articles included Ontario occupational therapist authors. Six articles were written by interprofessional teams. Research conducted was qualitative, quantitative, or mixed methods. Review and synthesis of these articles described the features, underpinnings, barriers and facilitators, and benefits of IPC. Conclusions: Few peer-reviewed publications about IPC practice are written by Canadian occupational therapists. Although occupational therapists play an important role in IPC in practice, few are sharing their unique expertise about occupation, function, client-centred practice, and team dynamics through publications. Occupational therapist authors are missing an important opportunity to share our professional perspective in IPC contexts within our professional community and with others who are interested in IPC.
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Role of Occupational Therapy in Infant Sleep Education
Heather Boyd
Day: Friday, Time: 13:00-13:25, Session: F59
Infant sleep is a primary concern for new parents. Information provided to families about typical sleep development and advice for resolving concerns are often not evidence-based. OTs have knowledge of infant development, a perspective of sleep as a meaningful occupation, and access to research evidence and the PEO model. This places OTs in a potential role as infant sleep educators. Furthermore, an OT’s awareness of maternal mental health and the importance of self-care means OTs can be key health care professionals for supportive parent education regarding infant sleep. Objectives: OTs will be informed of the evidence regarding current sleep practices, normal infant sleep development, and strategies for addressing sleep issues with infants. Approach: Literature and clinical evidence of normal infant sleep skill development, typical hurdles, and strategies for supporting infant sleep are reviewed. A framework is proposed for supporting parent education, parental decision-making, and changes in parent perspective regarding expectations for infant sleep development. Practice implications: OTs working with families of infants and young children can play a key role in educating parents about infant sleep, safe sleep practices, and evidence-based solutions to sleep issues. An OT can address maternal self-care and infant sleep skill development through assessment and education. Conclusions: Based on OT scope of practice, and our models of practice, OTs have a valuable role in improving infant sleep and maternal satisfaction with infant sleep through education, and emphasis on maternal self-care.
Day: Friday, Time: 13:00-13:25, Session: F59
Infant sleep is a primary concern for new parents. Information provided to families about typical sleep development and advice for resolving concerns are often not evidence-based. OTs have knowledge of infant development, a perspective of sleep as a meaningful occupation, and access to research evidence and the PEO model. This places OTs in a potential role as infant sleep educators. Furthermore, an OT’s awareness of maternal mental health and the importance of self-care means OTs can be key health care professionals for supportive parent education regarding infant sleep. Objectives: OTs will be informed of the evidence regarding current sleep practices, normal infant sleep development, and strategies for addressing sleep issues with infants. Approach: Literature and clinical evidence of normal infant sleep skill development, typical hurdles, and strategies for supporting infant sleep are reviewed. A framework is proposed for supporting parent education, parental decision-making, and changes in parent perspective regarding expectations for infant sleep development. Practice implications: OTs working with families of infants and young children can play a key role in educating parents about infant sleep, safe sleep practices, and evidence-based solutions to sleep issues. An OT can address maternal self-care and infant sleep skill development through assessment and education. Conclusions: Based on OT scope of practice, and our models of practice, OTs have a valuable role in improving infant sleep and maternal satisfaction with infant sleep through education, and emphasis on maternal self-care.
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Reporting a medically unfit driver: What happens next? Developing a patient and family education handout
Tara Bassett, David Guo
Day: Thursday, Time: 08:30-08:55, Session: T11
Day: Thursday, Time: 08:30-08:55, Session: T11
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A new training program: For safe and inclusive outdoor activities
Fanny Boucher Lefaivre, Anick Sauvageau, Marc St-Onge, Hélène Carbonneau, Valérie Poulin
Day: Thursday, Time: 14:00-14:25, Session: T74
Introduction: The pursuit of outdoor activities provides many benefits for people with or without disabilities. However, very little research exists regarding the training of helpers of persons with disabilities. Adequate training is essential to promote safe behaviors in supporting people with disabilities during outdoor activities. Objectives: To develop and evaluate a training program that focuses on safe behaviors for those who help people with disabilities in outdoor activities. Method: The program was developed by occupational therapists and recreation therapists, following the steps from the Knowledge to Action framework (Graham et al., 2006), and tested with 7 participants. The outcomes assessed at post-intervention included: participants’ satisfaction, knowledge, and adoption of safe behaviors measured with a standardized scale (Therriault, 2006) rated by two evaluators. Intention to change behaviors (Légaré et al., 2014) was evaluated pre- and post-intervention. Results: This 7-hour training program is comprised of both theoretical and practical components about safe behaviors when helping people with disabilities in the following outdoor activities: canoe/kayak, Joelette, bike and rock climbing. The training mostly involves hands-on practice (e.g., with adapted equipment) and feedback. Participants showed high satisfaction with the program as well as safe behaviors post-training (mean score=X/2). Intention to change behaviors remained high from pre- to post-intervention (p≥0.05). Conclusion: This promising program could contribute to improve helpers’ adoption of safe behaviors to support people with disabilities to engage in outdoor activities. Enabling people with disabilities to engage in safe and inclusive outdoor recreation promotes occupational justice for everyone.
Day: Thursday, Time: 14:00-14:25, Session: T74
Introduction: The pursuit of outdoor activities provides many benefits for people with or without disabilities. However, very little research exists regarding the training of helpers of persons with disabilities. Adequate training is essential to promote safe behaviors in supporting people with disabilities during outdoor activities. Objectives: To develop and evaluate a training program that focuses on safe behaviors for those who help people with disabilities in outdoor activities. Method: The program was developed by occupational therapists and recreation therapists, following the steps from the Knowledge to Action framework (Graham et al., 2006), and tested with 7 participants. The outcomes assessed at post-intervention included: participants’ satisfaction, knowledge, and adoption of safe behaviors measured with a standardized scale (Therriault, 2006) rated by two evaluators. Intention to change behaviors (Légaré et al., 2014) was evaluated pre- and post-intervention. Results: This 7-hour training program is comprised of both theoretical and practical components about safe behaviors when helping people with disabilities in the following outdoor activities: canoe/kayak, Joelette, bike and rock climbing. The training mostly involves hands-on practice (e.g., with adapted equipment) and feedback. Participants showed high satisfaction with the program as well as safe behaviors post-training (mean score=X/2). Intention to change behaviors remained high from pre- to post-intervention (p≥0.05). Conclusion: This promising program could contribute to improve helpers’ adoption of safe behaviors to support people with disabilities to engage in outdoor activities. Enabling people with disabilities to engage in safe and inclusive outdoor recreation promotes occupational justice for everyone.
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Bridging the gap in pediatric wheelchair skills testing and training
Daoust G., Rushton PW., Demers L.
Day: Friday, Time: 16:00-16:25, Session: F102
Introduction. The majority of young wheelchair users are dependant on a caregiver for everyday mobility, despite availability of the Wheelchair Skills Program (WSP), a ‘gold standard’ wheelchair skills testing and training program (www.wheelchairskillsprogram.ca). Given the suboptimal integration of the WSP into occupational therapy practice and the fact that wheelchair skills training is not systematically provided in pediatric rehabilitation, development of a context-specific knowledge translation (KT) intervention is warranted. Objective. To develop a WSP KT intervention adapted to the pediatric rehabilitation context. Methods. This in-progress mixed methods study, being conducted in a pediatric rehabilitation centre, is guided by phases 1-4 of the Knowledge-to-Action framework. Participants of relevant stakeholders’ groups (wheelchair users, occupational therapists, program managers and health insurance representatives) are completing questionnaires and participating in focus groups and qualitative interviews. These data will be analysed using the Consolidated Framework for Implementation Research. Results. Study findings will document the current pediatric wheelchair skills training practice, propose pediatric-sensitive considerations for the WSP, and present barriers and facilitators to WSP use in the pediatric context. The development of a pediatric-sensitive WSP KT intervention will be based upon these results and existing relevant literature. Conclusion. With the aim of integrating evidence into occupational therapy practice, development of the pediatric-sensitive WSP KT intervention will guide change in practice at the study site and may also inform other centers who wish to improve practice in this area or practice.
Day: Friday, Time: 16:00-16:25, Session: F102
Introduction. The majority of young wheelchair users are dependant on a caregiver for everyday mobility, despite availability of the Wheelchair Skills Program (WSP), a ‘gold standard’ wheelchair skills testing and training program (www.wheelchairskillsprogram.ca). Given the suboptimal integration of the WSP into occupational therapy practice and the fact that wheelchair skills training is not systematically provided in pediatric rehabilitation, development of a context-specific knowledge translation (KT) intervention is warranted. Objective. To develop a WSP KT intervention adapted to the pediatric rehabilitation context. Methods. This in-progress mixed methods study, being conducted in a pediatric rehabilitation centre, is guided by phases 1-4 of the Knowledge-to-Action framework. Participants of relevant stakeholders’ groups (wheelchair users, occupational therapists, program managers and health insurance representatives) are completing questionnaires and participating in focus groups and qualitative interviews. These data will be analysed using the Consolidated Framework for Implementation Research. Results. Study findings will document the current pediatric wheelchair skills training practice, propose pediatric-sensitive considerations for the WSP, and present barriers and facilitators to WSP use in the pediatric context. The development of a pediatric-sensitive WSP KT intervention will be based upon these results and existing relevant literature. Conclusion. With the aim of integrating evidence into occupational therapy practice, development of the pediatric-sensitive WSP KT intervention will guide change in practice at the study site and may also inform other centers who wish to improve practice in this area or practice.
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Admission Factors That Predict Occupational Therapy Students’ Practicum Success
Adam Mohamed, Markus Ott, Behdin Nowrouzi-Kia, & Jill Stier
Day: Thursday, Time: 15:30-15:55, Session: T97
Introduction: There is an increasing number of qualified applicants for a limited number of positions in occupational therapy programs. Currently, undergraduate grade point averages, reference letters, personal statements, and interviews represent commonly used tools to select applicants (Siu & Rieter, 2009). While grade point averages are consistently correlated with academic success, there remains a lack of clarity with admission factors predictive of practicum success. Applicants with strengths that are required in practicums, such as professionalism and clinical reasoning, could inadvertently be omitted from occupational therapy programs if specific non-academic-related application components are not identified and given commensurate attention. Objectives: This study aims to determine which admission factors predict competency-based fieldwork evaluation scores among students of a Canadian Master of Science in Occupational Therapy program. Methods: A sample of 450 admitted Master of Science in Occupational Therapy students’ rated application packages, consisting of statements of intent, reference letters, resumé, and undergraduate grade point average, have been collected from five cohorts. Using a quasi-experimental ex post facto design, these components will be analyzed and then correlated with midterm, final, and overall fieldwork evaluation scores from four practicum placements. Practice Implications: The predictors of practicum competence identified can inform admissions committees to accept the most qualified students who will excel as future occupational therapists. Conclusion: As the interest to pursue a career in occupational therapy grows, exploring factors capable of predicting practicum success will help to advance the profession by improving admission procedures.
Day: Thursday, Time: 15:30-15:55, Session: T97
Introduction: There is an increasing number of qualified applicants for a limited number of positions in occupational therapy programs. Currently, undergraduate grade point averages, reference letters, personal statements, and interviews represent commonly used tools to select applicants (Siu & Rieter, 2009). While grade point averages are consistently correlated with academic success, there remains a lack of clarity with admission factors predictive of practicum success. Applicants with strengths that are required in practicums, such as professionalism and clinical reasoning, could inadvertently be omitted from occupational therapy programs if specific non-academic-related application components are not identified and given commensurate attention. Objectives: This study aims to determine which admission factors predict competency-based fieldwork evaluation scores among students of a Canadian Master of Science in Occupational Therapy program. Methods: A sample of 450 admitted Master of Science in Occupational Therapy students’ rated application packages, consisting of statements of intent, reference letters, resumé, and undergraduate grade point average, have been collected from five cohorts. Using a quasi-experimental ex post facto design, these components will be analyzed and then correlated with midterm, final, and overall fieldwork evaluation scores from four practicum placements. Practice Implications: The predictors of practicum competence identified can inform admissions committees to accept the most qualified students who will excel as future occupational therapists. Conclusion: As the interest to pursue a career in occupational therapy grows, exploring factors capable of predicting practicum success will help to advance the profession by improving admission procedures.
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Determining the Need for 24-Hour Supervision: A Cross-sectional Survey of the Clinical Decision Making Process of Canadian Occupational Therapists in the Private Practice Sector
Ricky Ferri, Kendra Flemming, Emily Nalder, Avelino (Jun) Maranan, Mathew Rose
Day: Thursday, Time: 13:30-13:55, Session: T62
Rationale: Occupational therapists (OTs) in private practice have an established role in assessing the amount of care an individual may need. Determining the need for 24-hour supervision is one of the most economically significant recommendations an OT can make, yet there are no established guidelines regarding how to determine the need for 24-hour supervision. This results in inconsistencies in utilized formal assessments, modes of clinical reasoning, and OT’s confidence levels. This may affect the quality of OTs’ testimonies when their determinations are contested in court. Currently there is no research describing how OTs assess the need for 24-hour supervision, which is required to guide future research and inform guideline development. Objective: This study will explore how OTs are assessing the need for 24-hour supervision including assessments used, clinical reasoning styles, and confidence levels. Methods: This study uses a quantitative descriptive design. A cross-sectional, anonymous, online self-report survey will be distributed nationwide to OTs working in private practice. Descriptive statistics will be used to characterize the sample, the modes of clinical reasoning utilized, and confidence levels of OTs. Practice Implications: An understanding of how OTs are assessing for 24-hour supervision can inform practitioners about what is currently happening in the field, and provide researchers with foundational information to guide practice evaluations, and consensus building exercises regarding best practices for assessing the need for 24-hour supervision. Conclusions: Information collected can be used to inform future research directions that will seek to develop guidelines and resources for determining the need for 24-hour supervision.
Day: Thursday, Time: 13:30-13:55, Session: T62
Rationale: Occupational therapists (OTs) in private practice have an established role in assessing the amount of care an individual may need. Determining the need for 24-hour supervision is one of the most economically significant recommendations an OT can make, yet there are no established guidelines regarding how to determine the need for 24-hour supervision. This results in inconsistencies in utilized formal assessments, modes of clinical reasoning, and OT’s confidence levels. This may affect the quality of OTs’ testimonies when their determinations are contested in court. Currently there is no research describing how OTs assess the need for 24-hour supervision, which is required to guide future research and inform guideline development. Objective: This study will explore how OTs are assessing the need for 24-hour supervision including assessments used, clinical reasoning styles, and confidence levels. Methods: This study uses a quantitative descriptive design. A cross-sectional, anonymous, online self-report survey will be distributed nationwide to OTs working in private practice. Descriptive statistics will be used to characterize the sample, the modes of clinical reasoning utilized, and confidence levels of OTs. Practice Implications: An understanding of how OTs are assessing for 24-hour supervision can inform practitioners about what is currently happening in the field, and provide researchers with foundational information to guide practice evaluations, and consensus building exercises regarding best practices for assessing the need for 24-hour supervision. Conclusions: Information collected can be used to inform future research directions that will seek to develop guidelines and resources for determining the need for 24-hour supervision.
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Evidence-based assessments and interventions in sexual rehabilitation after a stroke
Rochette, Annie; Auger, Louis-Pierre; Grondin, Myrian; Marois, Audrey
Day: Thursday, Time: 13:30-13:55, Session: T61
Introduction: Sexuality is a poorly addressed domain in stroke rehabilitation, despite the fact that about half of patients will experiment sexual challenges. One of the main barriers for occupational therapists is their perceived lack of knowledge regarding evidence-based practices. Objective: Review the literature addressing assessments and interventions related to sexuality after a stroke. Methods: a systematic review is being conducted using Medline, Psycinfo, Embase and Cinahl with keywords linking stroke and sexual concepts. Inclusion criteria: stroke, sexuality; every study published before October 1st 2018. Data extraction and analysis are being conducted by two blinded coders, including a specialized librarian. Studies meeting the inclusion criteria will be categorized with validated scales. Preliminary results: A total of 2021 articles have been screened with a total of 82 studies included after applying inclusion criteria. Of the 93 different means of assessment, 29% were qualitative, 23.7% were homegrown questionnaires and 18% were quantitative tests reported only once. Erectile function (13/93) and quality of life (6/93) were the domains most quantitatively assessed. Six studies addressed intervention: sexual counselling (3/6), use of a penile pump and counselling (1/6), pelvic floor muscles training (1/6) and implementation of sexuality in clinical practices (1/6). The interventions were reported to be mostly positive in improving sexuality outcomes. Conclusions: Assessment of sexuality varies widely among studies and few interventions have been assessed for their effectiveness, especially for occupational therapists. Anyhow, this review can guide occupational therapists with an access to evidence-based knowledge and tools when addressing sexuality with stroke patients. Experience level: Intermediate
Day: Thursday, Time: 13:30-13:55, Session: T61
Introduction: Sexuality is a poorly addressed domain in stroke rehabilitation, despite the fact that about half of patients will experiment sexual challenges. One of the main barriers for occupational therapists is their perceived lack of knowledge regarding evidence-based practices. Objective: Review the literature addressing assessments and interventions related to sexuality after a stroke. Methods: a systematic review is being conducted using Medline, Psycinfo, Embase and Cinahl with keywords linking stroke and sexual concepts. Inclusion criteria: stroke, sexuality; every study published before October 1st 2018. Data extraction and analysis are being conducted by two blinded coders, including a specialized librarian. Studies meeting the inclusion criteria will be categorized with validated scales. Preliminary results: A total of 2021 articles have been screened with a total of 82 studies included after applying inclusion criteria. Of the 93 different means of assessment, 29% were qualitative, 23.7% were homegrown questionnaires and 18% were quantitative tests reported only once. Erectile function (13/93) and quality of life (6/93) were the domains most quantitatively assessed. Six studies addressed intervention: sexual counselling (3/6), use of a penile pump and counselling (1/6), pelvic floor muscles training (1/6) and implementation of sexuality in clinical practices (1/6). The interventions were reported to be mostly positive in improving sexuality outcomes. Conclusions: Assessment of sexuality varies widely among studies and few interventions have been assessed for their effectiveness, especially for occupational therapists. Anyhow, this review can guide occupational therapists with an access to evidence-based knowledge and tools when addressing sexuality with stroke patients. Experience level: Intermediate
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Sexuality after a stroke: Bringing up the topic for patients
Auger, Louis-Pierre; Pituch, Evelina; Filiatrault, Johanne; Courtois, Frédérique; Rochette, Annie
Day: Friday, Time: 13:00-13:25, Session: F53
Introduction: A stroke can interfere with a person’s sex life and intimacy. However, sexuality issues are poorly addressed by occupational therapists and other health professionals during stroke rehabilitation. Innovative strategies are thus required to promote the integration of sexuality in stroke rehabilitation. Objective: This study aimed to assess the feasibility and acceptability of implementing a screening test of sexual dysfunction (STSD) in a stroke rehabilitation setting. Methods: This prospective qualitative study involved the implementation of the STSD from March to September 2018. Clinicians (n = 18) were trained on how to implement the STSD. After the implementation phase, individual interviews were conducted among a sample of screened stroke patients (n=5) and the neurology program coordinator. Fifteen of the trained clinicians participated to a focus group. Results: All participants considered the STSD relevant for stroke rehabilitation. Among the total amount of STSD conducted (n=27), 13 were positive, indicating an expressed need of patients to address sexuality during their rehabilitation. Therapeutic relationship, privacy and timing were identified by patients and clinicians as key factors for a successful implementation of the STSD. However, the lack of clinical resources regarding sexuality was among the most important barriers to the implementation of the STSD, according to clinicians and the coordinator. Conclusion: Even though it was well accepted by participants, some barriers influenced the implementation of the STSD. Future studies addressing the integration of sexuality in stroke rehabilitation should consider these barriers in order to optimize the results and improve the quality of rehabilitation for patients. Experience level: Intermediate
Day: Friday, Time: 13:00-13:25, Session: F53
Introduction: A stroke can interfere with a person’s sex life and intimacy. However, sexuality issues are poorly addressed by occupational therapists and other health professionals during stroke rehabilitation. Innovative strategies are thus required to promote the integration of sexuality in stroke rehabilitation. Objective: This study aimed to assess the feasibility and acceptability of implementing a screening test of sexual dysfunction (STSD) in a stroke rehabilitation setting. Methods: This prospective qualitative study involved the implementation of the STSD from March to September 2018. Clinicians (n = 18) were trained on how to implement the STSD. After the implementation phase, individual interviews were conducted among a sample of screened stroke patients (n=5) and the neurology program coordinator. Fifteen of the trained clinicians participated to a focus group. Results: All participants considered the STSD relevant for stroke rehabilitation. Among the total amount of STSD conducted (n=27), 13 were positive, indicating an expressed need of patients to address sexuality during their rehabilitation. Therapeutic relationship, privacy and timing were identified by patients and clinicians as key factors for a successful implementation of the STSD. However, the lack of clinical resources regarding sexuality was among the most important barriers to the implementation of the STSD, according to clinicians and the coordinator. Conclusion: Even though it was well accepted by participants, some barriers influenced the implementation of the STSD. Future studies addressing the integration of sexuality in stroke rehabilitation should consider these barriers in order to optimize the results and improve the quality of rehabilitation for patients. Experience level: Intermediate
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Collaboratively Moving Knowledge into Practice: Best Practice Tools for Occupational Therapists working in Stroke Care
Fatima Quraishi, Michelle Mohan, Vicky Cheung, Nicola Tahair, Elizabeth Linkewich
Day: Thursday, Time: 14:00-14:25, Session: T76
Background: Evidence-based practices in stroke care are well established, however, gaps in knowledge translation and variations in practice exist across Canada1. The Stroke OT Leadership Committee (previously known as Toronto/GTA Acute Stroke OT Best Practice group) founded in 2012, comprising of 10 organizations, collaboratively developed discipline-specific best practice tools including a 2-page Initial Assessment Checklist. With the goal of increasing utilization and long-term sustainability, the checklist was recently converted to an initial assessment form. Objective: To share the process of standardizing and implementing an Acute Stroke OT Initial Assessment form across 10 organizations. Methods: An Initial assessment form was derived from the previously developed Initial Assessment Checklist. The draft initial assessment form was reviewed by Regional Stroke Program Directors to ensure system priority alignment. The form was piloted for 2 weeks across member organizations, feedback obtained was incorporated. One site was selected to undergo local processes for official approval of a new form. Results: Development of a standardized stroke OT initial assessment form, derived from the CSBPRs and aligned with regional stroke network priorities, that can be utilized across all acute care sites. Conclusions: The Acute Stroke OT Initial Assessment form will facilitate standardization of OT practice across the region. This tool can be further applied nationally with some adaptation to meet local context given the tool is grounded in and directly derived from the CSBPRs. Moving forward the group's aim is to create an education plan and identify additional opportunities to share the tool more widely.
Day: Thursday, Time: 14:00-14:25, Session: T76
Background: Evidence-based practices in stroke care are well established, however, gaps in knowledge translation and variations in practice exist across Canada1. The Stroke OT Leadership Committee (previously known as Toronto/GTA Acute Stroke OT Best Practice group) founded in 2012, comprising of 10 organizations, collaboratively developed discipline-specific best practice tools including a 2-page Initial Assessment Checklist. With the goal of increasing utilization and long-term sustainability, the checklist was recently converted to an initial assessment form. Objective: To share the process of standardizing and implementing an Acute Stroke OT Initial Assessment form across 10 organizations. Methods: An Initial assessment form was derived from the previously developed Initial Assessment Checklist. The draft initial assessment form was reviewed by Regional Stroke Program Directors to ensure system priority alignment. The form was piloted for 2 weeks across member organizations, feedback obtained was incorporated. One site was selected to undergo local processes for official approval of a new form. Results: Development of a standardized stroke OT initial assessment form, derived from the CSBPRs and aligned with regional stroke network priorities, that can be utilized across all acute care sites. Conclusions: The Acute Stroke OT Initial Assessment form will facilitate standardization of OT practice across the region. This tool can be further applied nationally with some adaptation to meet local context given the tool is grounded in and directly derived from the CSBPRs. Moving forward the group's aim is to create an education plan and identify additional opportunities to share the tool more widely.
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Collaboratively Advancing Occupational Therapy Practice in Stroke Care
Michelle Mohan, Fatima Quraishi, Nicola Tahair, Elizabeth Linkewich
Day: Thursday, Time: 13:00-13:25, Session: T53
In November 2012, a best practice initiative was established to improve patient outcomes in stroke care. Occupational Therapists, working in multiple acute organizations across the city, known as the Stroke OT Leadership Committee, began meeting regularly, to lead implementation of best practice initiatives. Objectives: To share how a well-established community of stroke Occupational Therapy leaders can influence practice and inform larger system changes. Approach: The Stroke OT Leadership Committee was developed and a shared vision was created. Group chairs met with Regional Program Directors to ensure groups initiatives aligned with system priorities. The group regularly collaborated with the regional stroke educators and coordinators to inform system work. Annual updates were sent to leaders of member organizations to promote ongoing engagement. Practice Implications: 1) Strong community of practice formed and leadership skills of group members strengthened 2) Creation of standardized tools to bridge best practice knowledge translation and facilitate consistency. 3) Collaborative relationships with leadership developed to inform and better align group initiatives with system priorities. Conclusion: Having a well-established community of clinicians can positively influence practice and system changes. These benefits may be expanded further to other areas of practice.
Day: Thursday, Time: 13:00-13:25, Session: T53
In November 2012, a best practice initiative was established to improve patient outcomes in stroke care. Occupational Therapists, working in multiple acute organizations across the city, known as the Stroke OT Leadership Committee, began meeting regularly, to lead implementation of best practice initiatives. Objectives: To share how a well-established community of stroke Occupational Therapy leaders can influence practice and inform larger system changes. Approach: The Stroke OT Leadership Committee was developed and a shared vision was created. Group chairs met with Regional Program Directors to ensure groups initiatives aligned with system priorities. The group regularly collaborated with the regional stroke educators and coordinators to inform system work. Annual updates were sent to leaders of member organizations to promote ongoing engagement. Practice Implications: 1) Strong community of practice formed and leadership skills of group members strengthened 2) Creation of standardized tools to bridge best practice knowledge translation and facilitate consistency. 3) Collaborative relationships with leadership developed to inform and better align group initiatives with system priorities. Conclusion: Having a well-established community of clinicians can positively influence practice and system changes. These benefits may be expanded further to other areas of practice.
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'Ms-Understandings'? : Troubling Assumptions of Older Single Women
Rona Macdonald & Pia Kontos
Day: Friday, Time: 11:00-11:25, Session: F40
‘Ms-Understandings’? : Troubling Stereotypical Assumptions of Older Single Women
Rationale
More Canadians are living ‘single’ than ever before, but singleness for women remains a stigmatized and marginalized position. In occupational therapy, single women stereotypes (e.g., lonely, sad, and vulnerable) have not been problematized as a gendered phenomenon with concomitant political and ideological dimensions that play out at interactional and systems levels. Drawing on findings from completed doctoral research that explored the identity negotiation strategies of older single women, previously unexplored aspects of the social dynamics around singleness for women are outlined.
Objectives
To examine the talk of older life-long single women for the range of interpretive resources drawn upon and how those resources were employed in singleness identity negotiation.
Approach
Using discourse analysis, talk data from repeat interviews with four women was examined for patterns in the resources drawn upon and how those resources were employed.
Results: Singleness talk was strongly polarized into two repertoires: the ‘deficit’ (failure, loneliness) repertoire that undermined the relatively weak ‘singleness-as-freedom’ (to do and be) repertoire. Deficit discourses were strongly refuted, but positive claims about singlehood were weakly upheld. Identity negotiation strategies included distancing from the category ‘single’, and using rhetorical maneuvers to close down conversations, rendering singleness an invisible identity.
Conclusions:
The study demonstrates that singleness for older women is an identity of difference and a ‘troubled’ identity (i.e. difficult to be aligned with), thus exposing a previously unidentified equity and social justice ‘blind-spot’ within OT.
Abstract Summary (50 words)
An unprecedented numbers of Canadians today are ‘single’, yet in occupational therapy, older single women stereotypes (e.g., lonely, sad, and vulnerable) are commonly assumed and not questioned. Drawing on findings from doctoral research that explored the identity negotiation strategies of older single women, OT’s are invited to re-evaluate existing ‘Ms-Understandings’.
Day: Friday, Time: 11:00-11:25, Session: F40
‘Ms-Understandings’? : Troubling Stereotypical Assumptions of Older Single Women
Rationale
More Canadians are living ‘single’ than ever before, but singleness for women remains a stigmatized and marginalized position. In occupational therapy, single women stereotypes (e.g., lonely, sad, and vulnerable) have not been problematized as a gendered phenomenon with concomitant political and ideological dimensions that play out at interactional and systems levels. Drawing on findings from completed doctoral research that explored the identity negotiation strategies of older single women, previously unexplored aspects of the social dynamics around singleness for women are outlined.
Objectives
To examine the talk of older life-long single women for the range of interpretive resources drawn upon and how those resources were employed in singleness identity negotiation.
Approach
Using discourse analysis, talk data from repeat interviews with four women was examined for patterns in the resources drawn upon and how those resources were employed.
Results: Singleness talk was strongly polarized into two repertoires: the ‘deficit’ (failure, loneliness) repertoire that undermined the relatively weak ‘singleness-as-freedom’ (to do and be) repertoire. Deficit discourses were strongly refuted, but positive claims about singlehood were weakly upheld. Identity negotiation strategies included distancing from the category ‘single’, and using rhetorical maneuvers to close down conversations, rendering singleness an invisible identity.
Conclusions:
The study demonstrates that singleness for older women is an identity of difference and a ‘troubled’ identity (i.e. difficult to be aligned with), thus exposing a previously unidentified equity and social justice ‘blind-spot’ within OT.
Abstract Summary (50 words)
An unprecedented numbers of Canadians today are ‘single’, yet in occupational therapy, older single women stereotypes (e.g., lonely, sad, and vulnerable) are commonly assumed and not questioned. Drawing on findings from doctoral research that explored the identity negotiation strategies of older single women, OT’s are invited to re-evaluate existing ‘Ms-Understandings’.
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Horses in Occupational Therapy: Client and Therapist Perspectives
Daniela Kovacevic, Alanah Delaney, Sandra VanderKaay
Day: Friday, Time: 16:00-16:25, Session: F105
Rationale: Occupational therapists incorporate horses in rehabilitation with diverse populations across the lifespan. Strategies for utilizing horses in occupational therapy include supported riding, grooming, stable management, and animal companionship. Currently, a limited body of research indicates the physical, mental, and emotional benefits of using horses in occupational therapy. However, there is a necessity for qualitative research exploring the experiences of occupational therapists and their clients engaged in horse-related therapies. Objectives: To explore the experiences of occupational therapists and their clients involved in horse-related therapy. Methods: A phenomenological approach will be used to guide a minimum of six in-depth semi-structured interviews. Occupational therapists who use horses in practice will be interviewed, as well as clients and caregivers. Convenience sampling will inform selection of these participants within Canada. Participants will be asked to describe their experiences with horses in occupational therapy, including perceived advantages and shortcomings. Interview transcripts will be analyzed using a systematic process of coding and thematic analysis to develop overarching themes. Practice Implications: This research study provides an enriched understanding of the use of horses as a therapeutic medium in occupational therapy. Findings will enhance clinical knowledge regarding how horses can be used, and will provide insight regarding its suitability within different client populations. Conclusions: This study will advance existing knowledge by contributing client and therapist perspectives to current literature on the use of horses in occupational therapy. A holistic understanding can guide occupational therapists in considering horses as a therapeutic medium in their practice.
Day: Friday, Time: 16:00-16:25, Session: F105
Rationale: Occupational therapists incorporate horses in rehabilitation with diverse populations across the lifespan. Strategies for utilizing horses in occupational therapy include supported riding, grooming, stable management, and animal companionship. Currently, a limited body of research indicates the physical, mental, and emotional benefits of using horses in occupational therapy. However, there is a necessity for qualitative research exploring the experiences of occupational therapists and their clients engaged in horse-related therapies. Objectives: To explore the experiences of occupational therapists and their clients involved in horse-related therapy. Methods: A phenomenological approach will be used to guide a minimum of six in-depth semi-structured interviews. Occupational therapists who use horses in practice will be interviewed, as well as clients and caregivers. Convenience sampling will inform selection of these participants within Canada. Participants will be asked to describe their experiences with horses in occupational therapy, including perceived advantages and shortcomings. Interview transcripts will be analyzed using a systematic process of coding and thematic analysis to develop overarching themes. Practice Implications: This research study provides an enriched understanding of the use of horses as a therapeutic medium in occupational therapy. Findings will enhance clinical knowledge regarding how horses can be used, and will provide insight regarding its suitability within different client populations. Conclusions: This study will advance existing knowledge by contributing client and therapist perspectives to current literature on the use of horses in occupational therapy. A holistic understanding can guide occupational therapists in considering horses as a therapeutic medium in their practice.
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Stakeholders’ Perspectives on Individual Placement and Support: A Scoping Review
Ningru Chen and Shalini Lal
Day: Saturday, Time: 09:00-09:25, Session: S16
Introduction: Individual Placement and Support (IPS) is an evidence-based vocational rehabilitation intervention that has demonstrated effectiveness in achieving competitive employment for people with severe mental illness. Research has been conducted to better understand the experiences and perceptions of key stakeholder groups (e.g., clients, employment specialists, employers, program directors and healthcare professionals) on factors that contribute to the quality and impact of IPS through qualitative methodology. Yet, limited efforts have been made to synthesise this knowledge, which could be helpful for occupational therapists, given their role in supporting clients in their process of returning to work and achieving optimal work-related performance. Objectives: Synthesise the qualitative literature on IPS, for adults with severe mental illness, to gain a better understanding of how stakeholders experience and perceive this intervention. A secondary objective is to determine the implications of the reviewed literature for occupational therapists working in IPS programs or seeking to implement these initiatives. Method: A scoping review methodology guided the development and implementation of the review. We conducted an electronic search (MEDLINE, Embase, Cinhal, PsycINFO, Business Source Premier and Proquest) of qualitative and mixed-method studies on IPS. Results: 36 articles have been retrieved and the data are currently being analysed. Final results will be ready for presentation at the time of the conference. Conclusions: Understanding stakeholder’s experiences and perceptions will help guide service providers and professionals optimize this intervention. The findings will also inform occupational therapists about the existing evidence base in vocational rehabilitation and implications for future practice in this field.
Day: Saturday, Time: 09:00-09:25, Session: S16
Introduction: Individual Placement and Support (IPS) is an evidence-based vocational rehabilitation intervention that has demonstrated effectiveness in achieving competitive employment for people with severe mental illness. Research has been conducted to better understand the experiences and perceptions of key stakeholder groups (e.g., clients, employment specialists, employers, program directors and healthcare professionals) on factors that contribute to the quality and impact of IPS through qualitative methodology. Yet, limited efforts have been made to synthesise this knowledge, which could be helpful for occupational therapists, given their role in supporting clients in their process of returning to work and achieving optimal work-related performance. Objectives: Synthesise the qualitative literature on IPS, for adults with severe mental illness, to gain a better understanding of how stakeholders experience and perceive this intervention. A secondary objective is to determine the implications of the reviewed literature for occupational therapists working in IPS programs or seeking to implement these initiatives. Method: A scoping review methodology guided the development and implementation of the review. We conducted an electronic search (MEDLINE, Embase, Cinhal, PsycINFO, Business Source Premier and Proquest) of qualitative and mixed-method studies on IPS. Results: 36 articles have been retrieved and the data are currently being analysed. Final results will be ready for presentation at the time of the conference. Conclusions: Understanding stakeholder’s experiences and perceptions will help guide service providers and professionals optimize this intervention. The findings will also inform occupational therapists about the existing evidence base in vocational rehabilitation and implications for future practice in this field.
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Evaluating Functionality and Satisfaction with Adaptive Coat for Hemiparetic Women
Stephanie Venema, Imran Ghaznawi, Rosalie Wang & Debbie Hebert
Day: Thursday, Time: 10:00-10:25, Session: T26
Day: Thursday, Time: 10:00-10:25, Session: T26
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Where to from here? CAOT Draft Strategic Plan 2019-2022 / On est notre l’avenir? Projet de plan stratégique du CAOT 2019-2022
Catherine Backman, Helene Sabourin
Day: Thursday, Time: 11:00-11:25, Session: T39
The vision of the Canadian Association of Occupational Therapists is that occupational therapy be valued and accessible in Canada. Working toward that vision requires a continuous planning process to periodically establish strategic directions and evaluate progress. The current strategic plan concludes September 30, 2019. Over the past few months, the CAOT Board of Directors has engaged in a strategic planning process to set the course for 2019-2022. This poster, in the form of an infographic, illustrates the process to date and presents three strategic pillars for the new plan: 1. Awareness of occupational therapy, 2. Access to occupational therapy, and 3. Organizational strength, each with one key goal and corresponding measurement or success indicator. Members are invited to discuss these draft directions and influence the final plan by stopping by the Town Hall (8:00 am Thursday) or poster session (11:00 am Thursday). Feedback is always welcomed by contacting the CAOT Board of Directors at board@caot.ca.
La vision de l’Association canadienne des ergothérapeutes est que l’ergothérapie soit valorisée et accessible partout Canada. Travailler à cette vision nécessite un processus de planification continue pour établir périodiquement des orientations stratégiques et évaluer les progrès accomplis. Le plan stratégique actuel conclut le 30 septembre 2019. Au cours des derniers mois, le Conseil d’administration de l’ACE s’est engagé dans un processus de planification stratégique pour établir la direction pour 2019-2022. Cette affiche, sous la forme d’une infographie, illustre le processus à ce jour et présente trois piliers stratégiques pour le nouveau plan: 1. sensibilisation à l’ergothérapie, 2. accès à l’ergothérapie, et 3. force organisationnelle, chacun avec un objectif clé et indicateur de mesure ou de réussite correspondant. Les membres sont invités à discuter de ces projets d’orientations et à influencer le plan final en participant au Séance de discussion ouverte (8:00 h jeudi) ou à la séance d’affiches (11 h 00 jeudi). Les commentaires sont toujours les bienvenus en contactant le Conseil d’administration de l’ACE à board@caot.ca.
Day: Thursday, Time: 11:00-11:25, Session: T39
The vision of the Canadian Association of Occupational Therapists is that occupational therapy be valued and accessible in Canada. Working toward that vision requires a continuous planning process to periodically establish strategic directions and evaluate progress. The current strategic plan concludes September 30, 2019. Over the past few months, the CAOT Board of Directors has engaged in a strategic planning process to set the course for 2019-2022. This poster, in the form of an infographic, illustrates the process to date and presents three strategic pillars for the new plan: 1. Awareness of occupational therapy, 2. Access to occupational therapy, and 3. Organizational strength, each with one key goal and corresponding measurement or success indicator. Members are invited to discuss these draft directions and influence the final plan by stopping by the Town Hall (8:00 am Thursday) or poster session (11:00 am Thursday). Feedback is always welcomed by contacting the CAOT Board of Directors at board@caot.ca.
La vision de l’Association canadienne des ergothérapeutes est que l’ergothérapie soit valorisée et accessible partout Canada. Travailler à cette vision nécessite un processus de planification continue pour établir périodiquement des orientations stratégiques et évaluer les progrès accomplis. Le plan stratégique actuel conclut le 30 septembre 2019. Au cours des derniers mois, le Conseil d’administration de l’ACE s’est engagé dans un processus de planification stratégique pour établir la direction pour 2019-2022. Cette affiche, sous la forme d’une infographie, illustre le processus à ce jour et présente trois piliers stratégiques pour le nouveau plan: 1. sensibilisation à l’ergothérapie, 2. accès à l’ergothérapie, et 3. force organisationnelle, chacun avec un objectif clé et indicateur de mesure ou de réussite correspondant. Les membres sont invités à discuter de ces projets d’orientations et à influencer le plan final en participant au Séance de discussion ouverte (8:00 h jeudi) ou à la séance d’affiches (11 h 00 jeudi). Les commentaires sont toujours les bienvenus en contactant le Conseil d’administration de l’ACE à board@caot.ca.
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Surf Therapy: What are the benefits for children with disabilities
Karina Cristea, Lise Poissant
Day: Thursday, Time: 10:30-10:55, Session: T33
Introduction: Over the last years, there has been an important diversification in the types of therapies that have shown to be effective in the context of occupational therapy interventions for children with special needs. Surf therapy is an emerging therapy that has generated a lot of interest recently. A growing number of organizations use surf as a form of therapy for children with special needs or disabilities, like autism. The goal of this study was to explore the benefits of multiple periodical surf therapy events on children with special needs as perceived by their parents. Methods: This qualitative study used an exploratory design. Semi-structured interviews were conducted in person after each surf therapy session with parents of children who attended 3 or more Surf Therapy events in 2018. A parent-reported observation grid of the child was also completed prior to the first surf therapy event and after each subsequent event. Analyses were performed using a deductive approach. Results: Ten parents participated and were each interviewed on three occasions. The majority were parents of a child with an autism spectrum disorder (n= 7). Parents mostly reported benefits on the person and on occupations, as they noted seeing an improvement in the social interaction and communication skills of their child as well as seeing concrete demonstrations of enjoyment or pleasure during and after the activity. Conclusions: This exploratory study highlights the benefits of Surf Therapy from an occupational therapy perspective and supports the need for future research.
Day: Thursday, Time: 10:30-10:55, Session: T33
Introduction: Over the last years, there has been an important diversification in the types of therapies that have shown to be effective in the context of occupational therapy interventions for children with special needs. Surf therapy is an emerging therapy that has generated a lot of interest recently. A growing number of organizations use surf as a form of therapy for children with special needs or disabilities, like autism. The goal of this study was to explore the benefits of multiple periodical surf therapy events on children with special needs as perceived by their parents. Methods: This qualitative study used an exploratory design. Semi-structured interviews were conducted in person after each surf therapy session with parents of children who attended 3 or more Surf Therapy events in 2018. A parent-reported observation grid of the child was also completed prior to the first surf therapy event and after each subsequent event. Analyses were performed using a deductive approach. Results: Ten parents participated and were each interviewed on three occasions. The majority were parents of a child with an autism spectrum disorder (n= 7). Parents mostly reported benefits on the person and on occupations, as they noted seeing an improvement in the social interaction and communication skills of their child as well as seeing concrete demonstrations of enjoyment or pleasure during and after the activity. Conclusions: This exploratory study highlights the benefits of Surf Therapy from an occupational therapy perspective and supports the need for future research.
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Exploring Youth's Implementation of Sleep Hygiene Strategies
Valerie Gendron, Rose Martini
Day: Friday, Time: 13:00-13:25, Session: f52
Day: Friday, Time: 13:00-13:25, Session: f52
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Wearable robotic glove to optimize hand recovery following a stroke
Proulx C, Higgins J, Klug F, Paradis P-O, Gagnon DH
Day: Friday, Time: 11:00-11:25, Session: F41
Introduction: For individuals with hand hemiparesis following a stroke, engaging into intensive task-specific rehabilitation to regain optimal hand-related functional abilities and participate in every-day activities remains challenging. To overcome this problem, a new low-technology, low-cost wearable soft-robotic glove (WSRG) represents a promising solution. Objectives: 1) evaluate the design, usability, and acceptability of the prototype of the WSRG, and 2) co-create an exercise protocol to optimize neurorecovery of the hand in individuals with hand hemiparesis following a stroke. Methods: For objective 1, 15 rehabilitation professionals and 10 individuals with hand hemiparesis will participate to individual interviews during which the WSRG and its attributes will be presented. A standardized questionnaire including semi-structured questions, focusing on technology (i.e., perceived usefulness, ease of use) and its potential for implementation in clinical practice (i.e., needs, barriers, facilitators), will be completed. For objective 2, supported by the previous process, an intensive task-specific training protocol to optimize recovery of hand function during the early phase of intensive functional rehabilitation will be co-created. This protocol will be presented to and validated by 14 rehabilitation professionals and individuals with hand hemiparesis (n=7) during focus groups. Results: Results may enrich the WSRG design optimization process, confirm its usability and utility for hand rehabilitation, and lead to the creation of an exercise protocol meeting stakeholder needs. Conclusion: The WSRG may allow individuals with hand hemiparesis following a stroke to rapidly engage into intensive, task-specific hand exercise protocol. This study will inform the development of future feasibility, safety and preliminary effectiveness studies.
Day: Friday, Time: 11:00-11:25, Session: F41
Introduction: For individuals with hand hemiparesis following a stroke, engaging into intensive task-specific rehabilitation to regain optimal hand-related functional abilities and participate in every-day activities remains challenging. To overcome this problem, a new low-technology, low-cost wearable soft-robotic glove (WSRG) represents a promising solution. Objectives: 1) evaluate the design, usability, and acceptability of the prototype of the WSRG, and 2) co-create an exercise protocol to optimize neurorecovery of the hand in individuals with hand hemiparesis following a stroke. Methods: For objective 1, 15 rehabilitation professionals and 10 individuals with hand hemiparesis will participate to individual interviews during which the WSRG and its attributes will be presented. A standardized questionnaire including semi-structured questions, focusing on technology (i.e., perceived usefulness, ease of use) and its potential for implementation in clinical practice (i.e., needs, barriers, facilitators), will be completed. For objective 2, supported by the previous process, an intensive task-specific training protocol to optimize recovery of hand function during the early phase of intensive functional rehabilitation will be co-created. This protocol will be presented to and validated by 14 rehabilitation professionals and individuals with hand hemiparesis (n=7) during focus groups. Results: Results may enrich the WSRG design optimization process, confirm its usability and utility for hand rehabilitation, and lead to the creation of an exercise protocol meeting stakeholder needs. Conclusion: The WSRG may allow individuals with hand hemiparesis following a stroke to rapidly engage into intensive, task-specific hand exercise protocol. This study will inform the development of future feasibility, safety and preliminary effectiveness studies.
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Discharge planning for criminalized persons with traumatic brain injury
Sonia John, Alexandra Saffran, Flora Matheson, Catherine Wiseman-Hakes, Hyun (Jeff) Ryu, Angela Colantonio
Day: Friday, Time: 09:00-09:25, Session: F18
Introduction: Traumatic brain injury (TBI) is becoming recognized as a leading cause of death and disability. The prevalence of individuals with TBIs are particularly high within the criminal justice involvement. Providing appropriate resources prior to being discharged from prison can facilitate successful reintegration into the community, and reduce the risk of homelessness, addictions, recidivism, and re-incarceration. This population would benefit from a comprehensive resource booklet to address their basic needs once released from prison. Objective: The objective of this project is to explore the methods of developing a resource booklet for front-line staff to assist persons with lived experience using an occupational therapy framework. Methods: An environmental scan was conducted utilizing three approaches: (1) academic and grey literature, (2) content specific websites, and (3) consultations with experts. We developed a data extraction tool to screen websites. Practice Implications: The material developed from this research may assist in facilitating successful community reintegration. Conclusions: This research identified the resources currently available in Toronto to assist this population with community reintegration. An OT framework was used to develop a comprehensive resource booklet, which may inform future community reintegration planning for this population.
Day: Friday, Time: 09:00-09:25, Session: F18
Introduction: Traumatic brain injury (TBI) is becoming recognized as a leading cause of death and disability. The prevalence of individuals with TBIs are particularly high within the criminal justice involvement. Providing appropriate resources prior to being discharged from prison can facilitate successful reintegration into the community, and reduce the risk of homelessness, addictions, recidivism, and re-incarceration. This population would benefit from a comprehensive resource booklet to address their basic needs once released from prison. Objective: The objective of this project is to explore the methods of developing a resource booklet for front-line staff to assist persons with lived experience using an occupational therapy framework. Methods: An environmental scan was conducted utilizing three approaches: (1) academic and grey literature, (2) content specific websites, and (3) consultations with experts. We developed a data extraction tool to screen websites. Practice Implications: The material developed from this research may assist in facilitating successful community reintegration. Conclusions: This research identified the resources currently available in Toronto to assist this population with community reintegration. An OT framework was used to develop a comprehensive resource booklet, which may inform future community reintegration planning for this population.
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Healthcare Students’ Knowledge, Attitudes, and Behavioural Responses Towards Mental Illnesses
Taylor Riffel, Shu-Ping Chen
Day: Friday, Time: 14:30-14:55, Session: F85
Introduction: The knowledge, behaviours, and attitudes that many health professionals hold towards individuals with mental illnesses, shape the quality of care that they receive. Mental illness stigma can contribute to why people delay in help-seeking, discontinue treatment, or have compromised therapeutic relationships with their healthcare providers. By understanding the views and conceptions of mental illnesses from future healthcare professionals, we can work to determine the necessary imminent steps to diminish potential mental illness stigma in the healthcare system. Objectives: The aim of this study is to improve the overall understanding of the knowledge, attitudes, and behavioural responses that healthcare students hold towards mental illnesses through an indepth qualitative inquiry. Methods: Using purposeful sampling, eighteen students from nine healthcare programs at a Canadian University were recruited to participate in onehour, individual, and semistructured interviews. Participants were asked questions regarding their knowledge, attitudes, and behavioural responses towards individuals with mental illnesses. The thematic content analysis approach is used to guide the data analysis. Results: A variety of themes are expected to emerge from the data and will be reported on at the conference. Conclusions: This project uses qualitative interviews to understand the knowledge, attitudes, and behavioural responses of healthcare students towards individuals with mental illnesses. The study results can help to improve our understanding of the stigmatizing attitudes towards mental illnesses in the healthcare system and can contribute to shaping the mental health education that pre-healthcare professionals receive.
Day: Friday, Time: 14:30-14:55, Session: F85
Introduction: The knowledge, behaviours, and attitudes that many health professionals hold towards individuals with mental illnesses, shape the quality of care that they receive. Mental illness stigma can contribute to why people delay in help-seeking, discontinue treatment, or have compromised therapeutic relationships with their healthcare providers. By understanding the views and conceptions of mental illnesses from future healthcare professionals, we can work to determine the necessary imminent steps to diminish potential mental illness stigma in the healthcare system. Objectives: The aim of this study is to improve the overall understanding of the knowledge, attitudes, and behavioural responses that healthcare students hold towards mental illnesses through an indepth qualitative inquiry. Methods: Using purposeful sampling, eighteen students from nine healthcare programs at a Canadian University were recruited to participate in onehour, individual, and semistructured interviews. Participants were asked questions regarding their knowledge, attitudes, and behavioural responses towards individuals with mental illnesses. The thematic content analysis approach is used to guide the data analysis. Results: A variety of themes are expected to emerge from the data and will be reported on at the conference. Conclusions: This project uses qualitative interviews to understand the knowledge, attitudes, and behavioural responses of healthcare students towards individuals with mental illnesses. The study results can help to improve our understanding of the stigmatizing attitudes towards mental illnesses in the healthcare system and can contribute to shaping the mental health education that pre-healthcare professionals receive.
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Mindfulness-Based Cognitive Therapy and Everyday Functioning in a Psychogeriatric Population
Sevia Raelson, Veronika Svistkova, Angélique Tran, William Maccaul, Allana Goodman, Patricia Belchior
Day: Saturday, Time: 10:00-10:25, Session: S47
Depression and anxiety are becoming increasingly common in the older adult population and can negatively impact level of functioning [1][2][3][4][5][6]. Mindfulness-Based Cognitive Therapy (MBCT) has shown preliminary evidence of its effectiveness in reducing symptoms of late life depression and anxiety. However, there is no evidence evaluating its effectiveness in improving everyday functioning in the older adult population with mental health diagnoses. Objectives: To explore whether older adults with mental health diagnoses of depression and/or anxiety perceive a subjective improvement in everyday functioning after participating in an 8-week MBCT group. Methods: Using qualitative methods, our study consisted of a two-hour focus group with 7 participants, with mental health diagnoses, who completed an 8-week MBCT group, facilitated by an occupational therapist. The group was audiotaped and transcribed verbatim. Thematic analysis was used to analyse the data. Practical implications: The experiences of older adults in MBCT courses were represented by three major themes; “perceived improvement in occupational engagement”, “perceived benefits of implementation of mindfulness foundations in daily life” and “perceived improvement in symptoms of depression and anxiety”. Our discussion reflects on how our results fit within the current literature and the use of MBCT as a potential tool to be incorporated during occupational therapy intervention. Conclusions: The 8- week MBCT intervention has the potential to promote activity engagement and decreased symptoms of anxiety and depression. Further research with more rigorous methodologies should be conducted to test MBCT’s effectiveness and its impact on everyday functioning of older adults with mental health diagnoses.
Day: Saturday, Time: 10:00-10:25, Session: S47
Depression and anxiety are becoming increasingly common in the older adult population and can negatively impact level of functioning [1][2][3][4][5][6]. Mindfulness-Based Cognitive Therapy (MBCT) has shown preliminary evidence of its effectiveness in reducing symptoms of late life depression and anxiety. However, there is no evidence evaluating its effectiveness in improving everyday functioning in the older adult population with mental health diagnoses. Objectives: To explore whether older adults with mental health diagnoses of depression and/or anxiety perceive a subjective improvement in everyday functioning after participating in an 8-week MBCT group. Methods: Using qualitative methods, our study consisted of a two-hour focus group with 7 participants, with mental health diagnoses, who completed an 8-week MBCT group, facilitated by an occupational therapist. The group was audiotaped and transcribed verbatim. Thematic analysis was used to analyse the data. Practical implications: The experiences of older adults in MBCT courses were represented by three major themes; “perceived improvement in occupational engagement”, “perceived benefits of implementation of mindfulness foundations in daily life” and “perceived improvement in symptoms of depression and anxiety”. Our discussion reflects on how our results fit within the current literature and the use of MBCT as a potential tool to be incorporated during occupational therapy intervention. Conclusions: The 8- week MBCT intervention has the potential to promote activity engagement and decreased symptoms of anxiety and depression. Further research with more rigorous methodologies should be conducted to test MBCT’s effectiveness and its impact on everyday functioning of older adults with mental health diagnoses.
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What are everyday ethical issues for Canadian occupational therapists?
Natalie Zizzo, Elizabeth Cruchley, Kevin Reel
Day: Friday, Time: 11:00-11:25, Session: F36
Rationale: Canadian occupational therapists (OTs) work in a variety of practice contexts where they commit to good clinical practice and adhere to the profession's values. However, ethical issues may challenge OTs’ abilities to promote good clinical practice. Identifying and understanding the types of ethical issues faced by practicing OTs is important to ensuring that OTs are adequately prepared to address these issues and to developing appropriate ethics education. If ethical issues are misunderstood or unaddressed, they can affect quality of client care and contribute to OT moral distress, burnout and attrition from the profession. Objectives: This research study aims to 1) describe the types and prevalence of ethical issues Canadian OTs encounter and 2) determine in what practice contexts they occur. Methods: An anonymous quantitative cross-sectional survey will be disseminated to Canadian OTs. Approximately 160 Canadian OTs are anticipated to respond to the survey’s questions on demographics, types and prevalence of ethical issues encountered, and in which practice contexts these issues occurred. Practice Implications: The results of this study may be used to improve ethics education to prepare OTs and student OTs for the ethical issues that arise within specific practice contexts and respond accordingly. Conclusions: Understanding the types of ethical issues experienced by Canadian OTs is important to ensuring that OTs are well-trained to address ethical issues and to developing appropriate ethics education. This study represents a first step in characterizing the ethical issues faced by OTs across Canada.
Day: Friday, Time: 11:00-11:25, Session: F36
Rationale: Canadian occupational therapists (OTs) work in a variety of practice contexts where they commit to good clinical practice and adhere to the profession's values. However, ethical issues may challenge OTs’ abilities to promote good clinical practice. Identifying and understanding the types of ethical issues faced by practicing OTs is important to ensuring that OTs are adequately prepared to address these issues and to developing appropriate ethics education. If ethical issues are misunderstood or unaddressed, they can affect quality of client care and contribute to OT moral distress, burnout and attrition from the profession. Objectives: This research study aims to 1) describe the types and prevalence of ethical issues Canadian OTs encounter and 2) determine in what practice contexts they occur. Methods: An anonymous quantitative cross-sectional survey will be disseminated to Canadian OTs. Approximately 160 Canadian OTs are anticipated to respond to the survey’s questions on demographics, types and prevalence of ethical issues encountered, and in which practice contexts these issues occurred. Practice Implications: The results of this study may be used to improve ethics education to prepare OTs and student OTs for the ethical issues that arise within specific practice contexts and respond accordingly. Conclusions: Understanding the types of ethical issues experienced by Canadian OTs is important to ensuring that OTs are well-trained to address ethical issues and to developing appropriate ethics education. This study represents a first step in characterizing the ethical issues faced by OTs across Canada.
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Promoting children’s participation through significant adults’ capacity building
Myriam Chrétien-Vincent, Marie Grandisson, Élise Milot, Chantal Desmarais
Day: Friday, Time: 16:00-16:25, Session: F101
Introduction: In a client-centered approach, occupational therapists aim to build the capacity of significant adults in the child’s life, so that they can support the child’s development and participation. The interventions used vary widely. Yet, there is limited guidance regarding how to best support these adults. Objective: The goal of this presentation is to describe the different occupational therapy interventions aimed at building capacity of significant adults to promote children’ participation. Methods: A scoping review was conducted to analyze the content and outcomes of these interventions. Interventions presented in 28 articles will be described with respect to their ability to support the individual needs of each adult. The way outcomes on children’ participation and adult’s sense of competency are measured will be discussed. Results: Analysis of the different interventions have enabled the development of a classification of seven types of interventions used by occupational therapists to build capacity of significant adults. Similarities and differences will be highlighted. A lot of studies have used a combination of these types of interventions. Their effects on children’ participation and adults’ sense of competency are mostly documented by interviews. Conclusion: This presentation clarifies the different options through which occupational therapists develop the capacities of significant adults when working to promote children’s participation. Participants will be able to question the relevance of these interventions for their clients and contexts, which will lead to discussion and reflection on their practice.
Day: Friday, Time: 16:00-16:25, Session: F101
Introduction: In a client-centered approach, occupational therapists aim to build the capacity of significant adults in the child’s life, so that they can support the child’s development and participation. The interventions used vary widely. Yet, there is limited guidance regarding how to best support these adults. Objective: The goal of this presentation is to describe the different occupational therapy interventions aimed at building capacity of significant adults to promote children’ participation. Methods: A scoping review was conducted to analyze the content and outcomes of these interventions. Interventions presented in 28 articles will be described with respect to their ability to support the individual needs of each adult. The way outcomes on children’ participation and adult’s sense of competency are measured will be discussed. Results: Analysis of the different interventions have enabled the development of a classification of seven types of interventions used by occupational therapists to build capacity of significant adults. Similarities and differences will be highlighted. A lot of studies have used a combination of these types of interventions. Their effects on children’ participation and adults’ sense of competency are mostly documented by interviews. Conclusion: This presentation clarifies the different options through which occupational therapists develop the capacities of significant adults when working to promote children’s participation. Participants will be able to question the relevance of these interventions for their clients and contexts, which will lead to discussion and reflection on their practice.
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Scoping Review on Occupational Patterns of Families with a Member Living with a Health Condition
Stéphanie Bossé, Marie-Christine Ranger and Rose Martini
Day: Saturday, Time: 11:30-11:55, Session: S89
Day: Saturday, Time: 11:30-11:55, Session: S89
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Exploring occupation in a prison setting: The OT student experience
Tammy Bickmore
Day: Saturday, Time: 09:30-09:55, Session: S25
Day: Saturday, Time: 09:30-09:55, Session: S25
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Exploring Perspectives on Weight-Related Communication Tools in Pediatrics: Study Protocol
Emma Allen, Shannon Bottrell, Kylie Homles, Laura Van Daele
Day: Saturday, Time: 10:30-10:55, Session: S63
Introduction. Childhood obesity is a significant public health challenge and there is a great need for obesity management and prevention. Despite knowledge that education and access to resources is vital, healthcare professionals (HCPs) experience barriers to positive weight-related discussions with children and their families. Communication tools may offer non-judgmental ways to facilitate such conversations. A recent narrative review identified nine published North American weight-related communication tools; however, further research is needed to conduct a user-centred needs assessment evaluating the acceptability and perceived value of these publicly available weight-related communication tools. Objective. To determine the acceptability and perceived value of weight-related conversation tools by children and parents with experience of weight-related conversations. Approach. This study will use a qualitative descriptive design. Children and their parents will be recruited from the KidFit Health and Wellness Clinic (treatment centre for children experiencing medical complications from overweight or obesity) in Ontario. Separate child and parent focus groups will be held to explore impressions of the tools and a sorting exercise to rank the ‘best’ tools. Focus group data will be transcribed verbatim and analyzed through thematic coding. Practice Implications. The findings of this study will provide HCPs with families’ perspectives of ‘best’ weight-related communication tools to facilitate positive clinical conversations. In addition, these perspectives can provide insights into the design of a future communication tool. Conclusions. Child and parent perceived value and acceptability of weight-related communication tools will provide insight into discussions around overweight and obesity, and will inform future research.
Day: Saturday, Time: 10:30-10:55, Session: S63
Introduction. Childhood obesity is a significant public health challenge and there is a great need for obesity management and prevention. Despite knowledge that education and access to resources is vital, healthcare professionals (HCPs) experience barriers to positive weight-related discussions with children and their families. Communication tools may offer non-judgmental ways to facilitate such conversations. A recent narrative review identified nine published North American weight-related communication tools; however, further research is needed to conduct a user-centred needs assessment evaluating the acceptability and perceived value of these publicly available weight-related communication tools. Objective. To determine the acceptability and perceived value of weight-related conversation tools by children and parents with experience of weight-related conversations. Approach. This study will use a qualitative descriptive design. Children and their parents will be recruited from the KidFit Health and Wellness Clinic (treatment centre for children experiencing medical complications from overweight or obesity) in Ontario. Separate child and parent focus groups will be held to explore impressions of the tools and a sorting exercise to rank the ‘best’ tools. Focus group data will be transcribed verbatim and analyzed through thematic coding. Practice Implications. The findings of this study will provide HCPs with families’ perspectives of ‘best’ weight-related communication tools to facilitate positive clinical conversations. In addition, these perspectives can provide insights into the design of a future communication tool. Conclusions. Child and parent perceived value and acceptability of weight-related communication tools will provide insight into discussions around overweight and obesity, and will inform future research.
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Brothers and Sisters Sharing Care of a Parent With Dementia
Yasmin Arfeen, Jennifer Machon, Kristina Kokorelias, Nira Rittenberg, Jill Cameron
Day: Saturday, Time: 10:30-10:55, Session: S60
Adult children play an important role in the care of a parent with dementia. The experience of caregiving to individuals with dementia can be shaped by the sharing of responsibilities between siblings. Research to date has not examined relationship dynamics and negotiation of care within brother and sister dyads when caring for a parent with dementia. The objective of the current research was to understand how brothers and sisters experience and negotiate sharing the responsibility of caring for a parent with dementia.
The current research was a qualitative descriptive study using semi-structured interviews and an online qualitative survey to explore the experience of brother-sister dyads caring for a parent with dementia. Interviews and surveys explored negotiation of division of caregiving responsibilities, resolution of associated conflict, and effects on sibling relationships. Thematic analyses of the data revealed five major themes: (1) the goal of shared caregiving is to meet the parents needs, (2) sisters often take the lead, (3) practice issues affect sharing of caregiving activities, (4) caregiving personal resources and skills affect division of responsibilities, and (5) sharing care influences the relationship quality between siblings. These themes highlight the unique features of mixed-gender sibling caregiver networks and how gender influences the experience and division of caregiving responsibilities. Occupational therapists may utilize these findings to better support individuals adult child caregivers in their experience of caregiving for a parent with dementia.
Day: Saturday, Time: 10:30-10:55, Session: S60
Adult children play an important role in the care of a parent with dementia. The experience of caregiving to individuals with dementia can be shaped by the sharing of responsibilities between siblings. Research to date has not examined relationship dynamics and negotiation of care within brother and sister dyads when caring for a parent with dementia. The objective of the current research was to understand how brothers and sisters experience and negotiate sharing the responsibility of caring for a parent with dementia.
The current research was a qualitative descriptive study using semi-structured interviews and an online qualitative survey to explore the experience of brother-sister dyads caring for a parent with dementia. Interviews and surveys explored negotiation of division of caregiving responsibilities, resolution of associated conflict, and effects on sibling relationships. Thematic analyses of the data revealed five major themes: (1) the goal of shared caregiving is to meet the parents needs, (2) sisters often take the lead, (3) practice issues affect sharing of caregiving activities, (4) caregiving personal resources and skills affect division of responsibilities, and (5) sharing care influences the relationship quality between siblings. These themes highlight the unique features of mixed-gender sibling caregiver networks and how gender influences the experience and division of caregiving responsibilities. Occupational therapists may utilize these findings to better support individuals adult child caregivers in their experience of caregiving for a parent with dementia.
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Further development of the Big Store Multiple Errands Test
F. Gallant, A. Leonardelli, K. Antoniak, J. Clores, M. Morton, J. Wilcox, D. Jensen, E. Nalder, S. Rotenberg, D. Dawson
Day: Saturday, Time: 10:00-10:25, Session: S45
Introduction: Individuals with acquired brain injury (ABI) can experience executive functioning impairments that impact their ability to engage in instrumental activities of daily living. The Multiple Errands Test (MET) is a tool that occupational therapists use to assess this construct with clients. The Big Store MET was created to increase availability for use across many clinical settings. This tool has not yet been validated with adults with ABI.
Objectives: This study aims to (1) further establish the inter-rater reliability of the Big Store MET and (2) to determine known group validity on performance on the Big Store MET between adults with ABI and matched healthy controls (HC).
Methods: Ten participants, including adults with ABI and healthy matched controls, were included in this cross-sectional study. Participants were administered a neuropsychological battery and the Big Store MET. Statistical analyses included descriptive statistics and a select two-way mixed effects model for ICC.
Results: This study found that the Big Store MET is able to discriminate between adults with ABI and healthy controls and that inter-rater reliability was excellent (ICC=>0.99) for most summary scores.
Day: Saturday, Time: 10:00-10:25, Session: S45
Introduction: Individuals with acquired brain injury (ABI) can experience executive functioning impairments that impact their ability to engage in instrumental activities of daily living. The Multiple Errands Test (MET) is a tool that occupational therapists use to assess this construct with clients. The Big Store MET was created to increase availability for use across many clinical settings. This tool has not yet been validated with adults with ABI.
Objectives: This study aims to (1) further establish the inter-rater reliability of the Big Store MET and (2) to determine known group validity on performance on the Big Store MET between adults with ABI and matched healthy controls (HC).
Methods: Ten participants, including adults with ABI and healthy matched controls, were included in this cross-sectional study. Participants were administered a neuropsychological battery and the Big Store MET. Statistical analyses included descriptive statistics and a select two-way mixed effects model for ICC.
Results: This study found that the Big Store MET is able to discriminate between adults with ABI and healthy controls and that inter-rater reliability was excellent (ICC=>0.99) for most summary scores.
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Cognitive stimulation therapy and quality of life: A critical review
Iris Chao, Mary Roduta Roberts
Day: Saturday, Time: 11:00-11:25, Session: S79
Day: Saturday, Time: 11:00-11:25, Session: S79
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Rhythmic movement-based interventions for acquired brain injuries: A systematic review
Madeleine Cox, Mark Lavoie, Deirdre R. Dawson
Day: Saturday, Time: 10:30-10:55, Session: S57
Summary: This work will investigate literature concerning the use of rhythm and movement occupation-based interventions, to determine whether they benefit activity and participation outcomes among adults experiencing acquired brain injuries. Following PRISMA guidelines, the results of this review will integrate information regarding the implementation of these interventions with acquired brain injuries.
Rationale. Individuals who experience acquired brain injuries often experience an array of symptoms, which can affect activity and participation in daily living. Evidence exists supporting the use of rhythm and movement occupation-based interventions in the rehabilitation of these issues, however this evidence has not been synthesized in any reviews. Objective. To determine whether rhythmic movement-based interventions have benefit for activity and participation outcomes among adults experiencing acquired brain injuries. Methods. Using a search strategy that follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five online databases will be searched using subject headings and text words related to population, interventions, and outcomes of interest. Abstracts and titles of the articles retrieved will then be reviewed for relevance by two reviewers, and information regarding the use of various rhythm and movement-based interventions will be gathered from selected articles, and synthesized using a narrative analysis. Practice Implications. The results of this review will integrate information regarding the implementation of rhythm and movement occupation-based interventions for acquired brain injuries. Conclusions. This will be the first review to examine the benefits of rhythm and movement occupation-based interventions on activity and participation outcomes in adults with acquired brain injury. The synthesized evidence will be a valuable resource for clinicians and researchers working with this population and will help to inform decisions on the use of these interventions in practice.
Day: Saturday, Time: 10:30-10:55, Session: S57
Summary: This work will investigate literature concerning the use of rhythm and movement occupation-based interventions, to determine whether they benefit activity and participation outcomes among adults experiencing acquired brain injuries. Following PRISMA guidelines, the results of this review will integrate information regarding the implementation of these interventions with acquired brain injuries.
Rationale. Individuals who experience acquired brain injuries often experience an array of symptoms, which can affect activity and participation in daily living. Evidence exists supporting the use of rhythm and movement occupation-based interventions in the rehabilitation of these issues, however this evidence has not been synthesized in any reviews. Objective. To determine whether rhythmic movement-based interventions have benefit for activity and participation outcomes among adults experiencing acquired brain injuries. Methods. Using a search strategy that follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five online databases will be searched using subject headings and text words related to population, interventions, and outcomes of interest. Abstracts and titles of the articles retrieved will then be reviewed for relevance by two reviewers, and information regarding the use of various rhythm and movement-based interventions will be gathered from selected articles, and synthesized using a narrative analysis. Practice Implications. The results of this review will integrate information regarding the implementation of rhythm and movement occupation-based interventions for acquired brain injuries. Conclusions. This will be the first review to examine the benefits of rhythm and movement occupation-based interventions on activity and participation outcomes in adults with acquired brain injury. The synthesized evidence will be a valuable resource for clinicians and researchers working with this population and will help to inform decisions on the use of these interventions in practice.
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Further development of the Big Store Multiple Errands Test
F. Gallant, A. Leonardelli, K. Antoniak, J. Clores, M. Morton, J. Wilcox, D. Jensen, E. Nalder, S. Rotenberg, D. Dawson
Day: Saturday, Time: 10:00-10:25, Session: S45
Day: Saturday, Time: 10:00-10:25, Session: S45
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Navigating changing social relationships: Seniors’ perceptions of occupational therapy’s role
Marisa Rostek, Hilary Walsh, Lynn Cockburn, Barry Trentham
Day: Saturday, Time: 11:00-11:25, Session: S75
Title: Navigating changing social relationships: Seniors’ perceptions of occupational therapy’s role.
Introduction: Socialization affects occupational wellbeing. People experience changes in the nature, meanings, and functions of social relationships as they age. Transitions to new occupational roles and identities may be required. For example, grandparenting, experiencing the loss of a loved one, and/or disability may change the way seniors build or maintain social relationships. This transition may put seniors at a greater risk for social isolation leading to poorer health outcomes. While occupational therapists have been active in enabling the socialization of seniors, there is limited understanding by occupational therapists as to how seniors perceive their enabling role.
Objectives: Informed by a life course perspective on aging, this study serves to better understand: 1) how seniors experience changes regarding the development and maintenance of their social relationships, and 2) how seniors perceive occupational therapy’s role in enabling their navigation through these social transitions.
Methods: Informed by narrative inquiry, using semi-structured interviews, and arts-informed strategies (e.g., story writing, photos) will be used to co-construct narratives of up to eight seniors. Findings will be thematically analyzed using NVivo for organizational purposes.
Practice Implications: Results from this study will better inform occupational therapists about ways to meaningfully articulate the occupational therapy role for seniors.
Conclusions: Preliminary reflection suggests that the relevance of occupational therapists role will become more evident with a greater explanation of how they support senior social relationship transitions. Findings also detail how therapists support seniors’ experiences of loss and barriers to building and maintaining social relationships.
Day: Saturday, Time: 11:00-11:25, Session: S75
Title: Navigating changing social relationships: Seniors’ perceptions of occupational therapy’s role.
Introduction: Socialization affects occupational wellbeing. People experience changes in the nature, meanings, and functions of social relationships as they age. Transitions to new occupational roles and identities may be required. For example, grandparenting, experiencing the loss of a loved one, and/or disability may change the way seniors build or maintain social relationships. This transition may put seniors at a greater risk for social isolation leading to poorer health outcomes. While occupational therapists have been active in enabling the socialization of seniors, there is limited understanding by occupational therapists as to how seniors perceive their enabling role.
Objectives: Informed by a life course perspective on aging, this study serves to better understand: 1) how seniors experience changes regarding the development and maintenance of their social relationships, and 2) how seniors perceive occupational therapy’s role in enabling their navigation through these social transitions.
Methods: Informed by narrative inquiry, using semi-structured interviews, and arts-informed strategies (e.g., story writing, photos) will be used to co-construct narratives of up to eight seniors. Findings will be thematically analyzed using NVivo for organizational purposes.
Practice Implications: Results from this study will better inform occupational therapists about ways to meaningfully articulate the occupational therapy role for seniors.
Conclusions: Preliminary reflection suggests that the relevance of occupational therapists role will become more evident with a greater explanation of how they support senior social relationship transitions. Findings also detail how therapists support seniors’ experiences of loss and barriers to building and maintaining social relationships.
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