The Ohio State University, Columbus, OH, USA.
Nationwide Children's Hospital, Columbus, OH, USA.
OTJR (Thorofare N J). 2020 Jan;40(1):50-56. doi: 10.1177/1539449219860583. Epub 2019 Jul 25.
Self-advocacy is a client's ability to represent one's interests when managing disease or disability. Self-advocacy may increase one's ability to seek, evaluate, and use information to promote health, yet little is known about the role of occupational therapy in promoting self-advocacy. This scoping review aims to identify interventions within occupational therapists' scope of practice to improve self-advocacy. A literature search was conducted through Academic Search Complete to identify interventions within the scope of occupational therapy that promote self-advocacy. All levels of evidence were included, and articles were reviewed for inclusion by two authors. Included articles were charted for level of evidence, objectives, participants, and results. Fourteen articles met the criteria. Interventions included interactive multimedia interventions, peer-led educational groups, writing interventions, job counseling and advocacy, and disease-specific advocacy programs. Occupational therapists are well-equipped to intervene and promote self-advocacy through workplace modification, utilizing assistive technologies, and facilitating peer-led educational groups.
自我倡导是指患者在管理疾病或残疾时表达自身利益的能力。自我倡导可能会提高患者寻求、评估和使用信息以促进健康的能力，但人们对职业治疗在促进自我倡导方面的作用知之甚少。本范围综述旨在确定职业治疗师实践范围内可改善自我倡导的干预措施。通过学术搜索综合数据库进行文献检索，以确定可促进自我倡导的职业治疗干预措施。纳入了所有证据水平的研究，由两名作者对文章进行了纳入审查。纳入的文章记录了证据水平、目标、参与者和结果。有 14 篇文章符合标准。干预措施包括互动多媒体干预、同伴主导的教育小组、写作干预、工作咨询和宣传，以及针对特定疾病的宣传计划。职业治疗师通过工作场所调整、使用辅助技术和促进同伴主导的教育小组，有能力进行干预并促进自我倡导。
