Can J Occup Ther. 2023 Mar;90(1):68-78. doi: 10.1177/00084174221115284. Epub 2022 Jul 29.
Despite local training opportunities for Cognitive Stimulation Therapy (CST) for occupational therapists, there has been limited evaluation of the feasibility of implementation in Canada. This study explored the feasibility of CST delivery by an occupational therapist in an Ontario health care setting and the impact it may have on self-efficacy and hope measures of individuals with dementia. A mixed-methods experimental pre/post design was used. Survey measures included hope, self-efficacy, feasibility, satisfaction, and individual session evaluation. Semistructured focus groups were held for participants and facilitators. Quantitative findings are summarized descriptively for the 10 participants. Qualitative findings were grouped into themes: social connectedness, knowledge gained and shared, tailored implementation adjustments, and need for long-term programing. Occupational therapists are well-positioned to implement CST and should be a part of further research to test the intervention rigorously for applicability within a range of Canadian health care settings.
尽管职业治疗师有机会参加认知刺激疗法(CST)的本地培训,但对其在加拿大实施的可行性评估却很有限。本研究探讨了在安大略省医疗保健环境中由职业治疗师提供 CST 的可行性,以及它对痴呆症个体的自我效能和希望措施可能产生的影响。研究采用了混合方法的实验前后设计。调查措施包括希望、自我效能、可行性、满意度和个别会议评估。为参与者和协调员举行了半结构式焦点小组。对 10 名参与者的定量发现进行了描述性总结。定性发现分为以下主题:社会联系、获得和分享的知识、定制的实施调整,以及对长期项目的需求。职业治疗师非常适合实施 CST,应该成为进一步研究的一部分,以严格测试该干预措施在一系列加拿大医疗保健环境中的适用性。