School of Occupational Therapy, University of Indianapolis, Indianapolis, IN, USA.
Department of Interprofessional Health & Aging Studies, University of Indianapolis, Indianapolis, IN, USA.
Occup Ther Health Care. 2022 Apr;36(2):168-183. doi: 10.1080/07380577.2021.1943595. Epub 2021 Aug 30.
Creating innovative community-based programs for those living with and beyond cancer has the potential to improve outcomes; however, little has been done to explore these programs with participants that have various cancer diagnoses. We evaluated the impact of a 4-week community Occupational Therapy Health and Wellness Program (OT-HAWP) on self-perceived satisfaction and performance of daily activities, health-related quality of life, sleep quality, and fatigue among adults living with and beyond various cancer diagnoses. An uncontrolled, prospective, one-group pretest-posttest design was used. Participants completed patient reported measures of occupational performance and satisfaction (Canadian Occupational Performance Measure [COPM]), global health related quality of life (Patient-Reported Outcomes Measurement Information System-Global Health [PROMIS® Global Health]), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), and the effect of fatigue on activities (Multidimensional Assessment of Fatigue [MAF]) before and after the program completion. Data was fully collected on 34 participants with various cancer diagnoses. For all outcomes, there was a statistically significant improvement after participating in the OT-HAWP program. Effect sizes range from small (0.46) to large (1.28). The OT-HAWP has the potential to improve self-reported occupational performance and satisfaction, global health-related quality of life, sleep quality, and fatigue in adults living with and beyond cancer in the community. Efficacy studies exploring community-based interventions are warranted to support legislation for improved access to care.
为癌症患者和康复者创建创新性的社区项目，有可能改善其治疗效果；然而，针对具有不同癌症诊断的参与者，很少有研究来探索这些项目。我们评估了为期 4 周的社区职业治疗健康与保健计划（OT-HAWP）对不同癌症诊断的患者的自我感知满意度、日常活动表现、健康相关生活质量、睡眠质量和疲劳的影响。采用无对照、前瞻性、单组前后测试设计。参与者在完成该计划前后完成了职业表现和满意度的患者报告测量（加拿大职业表现测量[COPM]）、全球健康相关生活质量（患者报告结果测量信息系统-全球健康[PROMIS®全球健康]）、睡眠质量（匹兹堡睡眠质量指数[PSQI]）和疲劳对活动的影响（多维疲劳评估[MAF]）。共有 34 名患有各种癌症的参与者完成了所有数据的收集。对于所有结果，在参加 OT-HAWP 计划后，均有统计学上的显著改善。效果大小范围从小（0.46）到中到大（1.28）。OT-HAWP 有可能改善社区中癌症患者和康复者的自我报告职业表现和满意度、全球健康相关生活质量、睡眠质量和疲劳。需要进行社区干预的疗效研究，以支持立法，改善患者的治疗机会。
