Mulligan Shelley, White Barbara Prudhomme, Arthanat Sajay
OTJR (Thorofare N J). 2014 Spring;34(2):106-16. doi: 10.3928/15394492-20140226-01. Epub 2014 Mar 6.
This study surveyed occupational therapy practitioners to gain a better understanding of the nature of occupational therapy practices in the State of New Hampshire. A questionnaire was developed and distributed to a sample of practitioners working in New Hampshire to gather information regarding the extent to which occupation-based, client-centered, evidence-based services were being provided. Results suggested that practitioners highly value these service delivery attributes. However, day-to-day practice decisions regarding evaluation methods, where to conduct intervention sessions, goal writing, and choices of intervention activities suggest a stronger emphasis on the evaluation and remediation of specific performance skill and body function deficits, rather than on client performance of desired occupations. In light of the findings, the discrepancy between practitioner values and daily clinical practices is discussed, along with the challenges inherent in providing authentic, evidence-based occupational therapy.
本研究对职业治疗从业者进行了调查，以更好地了解新罕布什尔州职业治疗实践的性质。开发了一份问卷并分发给在新罕布什尔州工作的从业者样本，以收集有关基于职业、以客户为中心、循证服务的提供程度的信息。结果表明，从业者高度重视这些服务提供属性。然而，关于评估方法、干预 sessions 的地点、目标撰写和干预活动选择的日常实践决策表明，更加强调对特定表现技能和身体功能缺陷的评估和补救，而不是客户对期望职业的表现。根据研究结果，讨论了从业者价值观与日常临床实践之间的差异，以及提供真实、循证职业治疗所固有的挑战。
