Landa-Gonzalez Belkis, Molnar David
1Occupational Therapy Program, College of Health Sciences, Barry University , Miami, FL.
Occup Ther Health Care. 2012 Apr-Jul;26(2-3):109-19. doi: 10.3109/07380577.2011.644624. Epub 2012 Jan 4.
ABSTRACT The purpose of this pilot study was to compare the effectiveness of occupation-based and enabling/preparatory interventions on self-care, perceived performance, satisfaction, self-efficacy, and role function among older Hispanic females with arthritis. A pre- and post-outcome measures design with semi-structured interview and questionnaire/rating scales was used with matched participants assigned to one of two intervention groups or a control, non-intervention group. For measures of task-specific functioning and self-efficacy, there were no statistically significant differences in average gain scores between the two interventions. Average gain scores were higher for the enabling/preparatory intervention than for the control group. For the occupational intervention, the scores were higher than for the control group for self-care/activities of daily living (ADL) functioning and self-esteem/self-efficacy. The results suggest that client-centered occupational therapy intervention provided within the home environment is beneficial for occupational performance, participation, role competence, and quality of life.
摘要 这项初步研究的目的是比较基于职业的干预措施与赋能/预备性干预措施对患有关节炎的西班牙裔老年女性的自我护理、感知表现、满意度、自我效能感和角色功能的有效性。采用前后测设计，结合半结构化访谈以及问卷/评分量表，将匹配的参与者分配到两个干预组之一或一个对照非干预组。对于特定任务功能和自我效能感的测量，两种干预措施之间的平均增益得分没有统计学上的显著差异。赋能/预备性干预措施的平均增益得分高于对照组。对于职业干预措施，在自我护理/日常生活活动（ADL）功能以及自尊/自我效能感方面，得分高于对照组。结果表明，在家庭环境中提供以客户为中心的职业治疗干预对职业表现、参与度、角色能力和生活质量有益。
