Spalding Kaitlyn, Gustafsson Louise, Di Tommaso Amelia
Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Nathan, Queensland, Australia.
Occupational Therapy Department, Surgical Treatment and Rehabilitation Service, Brisbane, Queensland, Australia.
Aust Occup Ther J. 2023 Feb;70(1):32-42. doi: 10.1111/1440-1630.12829. Epub 2022 Jul 19.
Occupation-based groups are used in inpatient rehabilitation to enhance delivery and intensity of intervention; however, little research is available to understand their effectiveness. The aim of this study was to examine the process of an occupation-based group to understand mechanisms and success factors.
A mixed methods process evaluation using an evidence-based framework guided implementation and analysis. Participants were those involved in the 'LifeSkills' group run daily in an adult inpatient general rehabilitation ward. Quantitative administrative data, goal achievement outcome measures, group observations and qualitative semistructured interviews were conducted.
Thirty participants were recruited. Factors for success included consistency in group structure and support, using meaningful practise opportunities and facilitating a real-world experience. There was no significant relationship between patient outcomes and dose of training or patient demographics.
This evaluation contributes to a growing body of evidence for incorporating occupation-based approaches into rehabilitation and offers insights into practice implementation.
基于职业的小组活动被应用于住院康复治疗中，以提高干预的实施效果和强度；然而，关于其有效性的研究却很少。本研究的目的是考察基于职业的小组活动过程，以了解其作用机制和成功因素。
采用基于循证框架的混合方法进行过程评估，以指导实施和分析。参与者为在成人住院综合康复病房中每天参加“生活技能”小组活动的人员。收集了定量管理数据、目标达成结果测量数据、小组活动观察数据以及定性半结构化访谈数据。
招募了30名参与者。成功因素包括小组结构和支持的一致性、利用有意义的实践机会以及营造真实的体验。患者的治疗结果与训练剂量或患者人口统计学特征之间没有显著关系。
本评估为将基于职业的方法纳入康复治疗提供了越来越多的证据，并为实践实施提供了见解。
