Occupational therapists perspectives of factors influencing chronic pain management.

Abstract:

AIM:This article explores factors that contribute to clients' chronic pain management from an occupational therapy perspective. METHOD:Nine occupational therapists from Australia and New Zealand who worked in this practice area were interviewed. Qualitative method of narrative inquiry was used to analyse the therapists' practice narratives to determine their view of how clients manage their chronic pain. RESULTS:Among many themes, significant agentic (positive management) themes and victimic (negative themes related to non-management) emerged. Agentic themes were related to conceptual categories of being: the importance of maintaining valued roles and having good social support; to knowing: accepting the long-term nature of pain and being ready to change thinking about pain, and to doing. These categories included strategies such as setting realistic goals, pacing activity and using relaxation. Victimic themes were also related to being: losing valued roles, having depression and receiving compensation and to knowing: being fearful, looking for a cure or not knowing what to expect. Victimic doing themes related to: being unable to set goals and being unable to use strategies. These themes and categories form the basis of proposed agentic and victimic conceptual models of factors for occupational therapists to address in pain management programmes. CONCLUSIONS:As acceptance and readiness for change were consistently mentioned in all narratives, the place of contextual cognitive-behavioural approaches to pain management is also raised as a viable alternative to standard cognitive-behavioural therapy, currently used in most chronic pain practice.

journal_name

Aust Occup Ther J

authors

van Huet H,Innes E,Stancliffe R

doi

10.1111/1440-1630.12011

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

56-65

issue

1

eissn

0045-0766

issn

1440-1630

journal_volume

60

pub_type

杂志文章
  • Musculoskeletal disorders and comorbid depression: implications for practice.

    abstract:BACKGROUND:  The physical demands of work have a substantial impact on the incidence of work-related musculoskeletal disorders. Depression is often associated with work-related injuries and may influence a person's success or otherwise return to work. There is pressure for occupational rehabilitation providers to produ...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1630.2006.00624.x

    authors: Lloyd C,Waghorn G,McHugh C

    更新日期:2008-03-01 00:00:00

  • Comparison of a traditional and non-traditional residential care facility for persons living with dementia and the impact of the environment on occupational engagement.

    abstract:BACKGROUND:Dementia residential facilities can be described as traditional or non-traditional facilities. Non-traditional facilities aim to utilise principles of environmental design to create a milieu that supports persons experiencing cognitive decline. This study aimed to compare these two environments in rural Aust...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12243

    authors: Richards K,D'Cruz R,Harman S,Stagnitti K

    更新日期:2015-12-01 00:00:00

  • Knowledge, skills and professional behaviours required by occupational therapist and physiotherapist beginning practitioners in work-related practice: a systematic review.

    abstract:BACKGROUND/AIM:Occupational therapists and physiotherapists have established roles in work-related practice. However, there is limited information about the attributes required by these professions for competent practice in this field. The aim of this systematic review was to evaluate the research literature to determi...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章,评审

    doi:10.1111/1440-1630.12006

    authors: Adam K,Peters S,Chipchase L

    更新日期:2013-04-01 00:00:00

  • An exploratory study into the application of psychological theories and therapies in Australian mental health occupational therapy practice: Challenges to occupation-based practice.

    abstract:BACKGROUND:While legitimate practice tools have been the subject of debate within the profession, little attention has been paid to psychological frames of reference (PFsOR). Hence, this article explores the ways psychological theories and therapies shape occupation-based practice in mental health settings. METHODOLOG...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12302

    authors: Ashby S,Gray M,Ryan S,James C

    更新日期:2017-02-01 00:00:00

  • Comparison of equipment prescriptions in the toilet/bathroom by occupational therapists using home visits and digital photos, for patients in rehabilitation.

    abstract:BACKGROUND/AIM:Home visits, used by occupational therapists to facilitate independence and enhance safety, are effective but costly and time consuming. This research aims to establish the level of agreement in equipment prescribed by occupational therapists using: digital photographs only, and using home visits and dig...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12121

    authors: Sim S,Barr CJ,George S

    更新日期:2015-04-01 00:00:00

  • Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population-based study in remote Australia.

    abstract:BACKGROUND/AIM:Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). METHODS:Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using clinical observations...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12326

    authors: Doney R,Lucas BR,Jirikowic T,Tsang TW,Watkins RE,Sauer K,Howat P,Latimer J,Fitzpatrick JP,Oscar J,Carter M,Elliott EJ

    更新日期:2017-02-01 00:00:00

  • Fall prevention in primary care using chronic disease management plans: A process evaluation of provider and consumer perspectives.

    abstract:INTRODUCTION:Falls are an important issue in primary care. General practitioners (GPs) are in a key position to identify older people at risk of falls on their caseload and put preventative plans into action. Chronic Disease Management (CDM) plans allow GPs to refer to allied health practitioners (AHPs) for evidence-ba...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12618

    authors: Mackenzie L,Clemson L,Irving D

    更新日期:2020-02-01 00:00:00

  • Structural validity and internal consistency of an ecological observation-based assessment, the Activities of Daily Living Profile.

    abstract:INTRODUCTION:Direct observation of everyday task performance is considered the most accurate measure of independence for individuals with executive function impairments. However, few observation-based measures have been shown to have sound psychometric qualities and be clinically applicable. The objective of this study...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12654

    authors: Bottari C,Dutil É,Auger C,Lamoureux J

    更新日期:2020-10-01 00:00:00

  • Language, identity and representation: occupation and occupational therapy in acute settings.

    abstract:AIM:This article presents findings from a participatory action research study into the experience and use of occupation, theory and evidence in the everyday practice of a group of occupational therapists working in a large metropolitan hospital delivering a range of acute services, in Melbourne, Australia. METHODS AND...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2007.00678.x

    authors: Wilding C,Whiteford G

    更新日期:2008-09-01 00:00:00

  • Occupational performance and self-determination: the role of the occupational therapist as volunteer in two mountain communities.

    abstract:BACKGROUND/AIM:Occupational therapists involved in volunteer programmes do so as either a volunteer or as a professional working with volunteers. This study outlines two such programmes: one in regional Queensland, with refugees settling into a life in Australia, and one in Bhutan, with an organisation assisting famili...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12104

    authors: Boyle M

    更新日期:2014-02-01 00:00:00

  • Prospective study of the participation patterns of Grade 6 and Year 8 students in Victoria, Australia in activities outside of school.

    abstract:BACKGROUND:Positive participation outcomes are deemed the ultimate goal of health care and specifically of occupational therapy. Knowledge of the typical participation patterns of children in Australia will provide essential information to support our understanding of participation and the goal of maximising children's...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2012.01013.x

    authors: McMullan S,Chin R,Froude E,Imms C

    更新日期:2012-06-01 00:00:00

  • An evaluation of the construct validity of the Developmental Test of Visual-Motor Integration using the Rasch Measurement Model.

    abstract:BACKGROUND:One method of evaluating the construct validity of instruments is the Rasch Measurement Model (RMM), an increasingly popular method used for test construction and validation. AIM:The aim was to examine the construct validity of the Developmental Test of Visual-Motor Integration 5th Edition (VMI) by applying...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2009.00811.x

    authors: Brown T,Unsworth C,Lyons C

    更新日期:2009-12-01 00:00:00

  • Australian norms for handwriting speed in healthy adults aged 60-99 years.

    abstract:AIM:Normative adult handwriting speed data were last collected in Australia in 1982 using the Jebsen writing speed test. Updated norms are required by clinicians who measure and retrain handwriting. This study aimed to obtain and describe the range of normative scores for handwriting speed in healthy adults aged 60-99 ...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2011.00955.x

    authors: Burger DK,McCluskey A

    更新日期:2011-10-01 00:00:00

  • Exploring the reasons why adolescents participate in physical activity and identifying strategies that facilitate their involvement in such activity.

    abstract:BACKGROUND:Prompted by the dramatic rise in obesity and the decline in physical activity of adolescents aged 11-15 years, this study explored, from the participants' viewpoints, the influences contributing to the engagement of adolescents in physical activities and the strategies facilitating their participation in phy...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2007.00704.x

    authors: Ketteridge A,Boshoff K

    更新日期:2008-12-01 00:00:00

  • The Barthel Index and ADL Evaluation in Stroke Rehabilitation in Australia, Japan, the UK and the USA.

    abstract::At present many of the activities of daily living indices used in Australia lack essential characteristics of an index yielding desirable results. This study argues that the Barthel Index as modified by Shah, Vanclay and Cooper (1989a) is robust and has the required biometric and psychometric qualities. It presents ev...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.1992.tb01729.x

    authors: Shah S,Cooper B,Maas F

    更新日期:1992-03-01 00:00:00

  • Reliability and validity of indices of hand-grip strength and endurance.

    abstract:BACKGROUND/AIM:Grip strength is useful in clinical practice for the assessment of disease and/or rehabilitation progression. Brief maximal gripping is seldom required in everyday occupations, with repeated or sustained gripping at sub-maximal power more commonly involved. It has been proposed that assessment of both ma...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2010.00888.x

    authors: Reuter SE,Massy-Westropp N,Evans AM

    更新日期:2011-04-01 00:00:00

  • Revisiting 1:1 and 2:1 clinical placement models: student and clinical educator perspectives.

    abstract:AIM:A recent systematic review suggests that more comparative research is required on the effectiveness of clinical placement models. This study explored perspectives of clinical educators and students who had participated in both the 1:1 (one student supervised by one clinical educator) and 2:1 (two students supervise...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2012.01025.x

    authors: O'Connor A,Cahill M,McKay EA

    更新日期:2012-08-01 00:00:00

  • A systematic review of the psychometric properties of the Action Research Arm Test in neurorehabilitation.

    abstract:BACKGROUND/AIM:The Action Research Arm Test (ARAT) measures upper limb activity limitations in people with acquired brain injuries. Evidence relating to the use of this test in neurorehabilitation is scattered. This review identifies, rates and synthesises evidence on the original 1981 ARAT use within neurorehabilitati...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12527

    authors: Pike S,Lannin NA,Wales K,Cusick A

    更新日期:2018-10-01 00:00:00

  • Organisational support for evidence-based practice: occupational therapists perceptions.

    abstract:BACKGROUND:Barriers to the use of evidence-based practice extend beyond the individual clinician and often include organisational barriers. Adoption of systematic organisational support for evidence-based practice in health care is integral to its use. This study aimed to explore the perceptions of occupational therapy...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12260

    authors: Bennett S,Allen S,Caldwell E,Whitehead M,Turpin M,Fleming J,Cox R

    更新日期:2016-02-01 00:00:00

  • Using the Work Behaviour Inventory and Work Environment Impact Scale to measure employment sustainability for people with severe mental illness in a vocational rehabilitation program.

    abstract:OBJECTIVE:People with severe mental illness often have difficulty sustaining employment. Work Behaviour Inventory and Work Environment Impact Scale are vocational assessments used by occupational therapists to evaluate the facilitators and barriers of work performance and work environment respectively. These factors ma...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12718

    authors: Soo Wei Qing D,Kwan Minh K,Chia Kai Xin K,Chai YanLin E,Chern A,Budihardjo V,Tan BL

    更新日期:2021-01-17 00:00:00

  • Predicting driving ability using DriveSafe and DriveAware in people with cognitive impairments: a replication study.

    abstract:BACKGROUND/AIM:Previously developed cut-off scores for off-road assessments, DriveSafe and DriveAware, were applied to data from a new sample. Our aim was to determine whether results from previous research are replicable in a different population, to further investigate the psychometric properties of the tools. METHO...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章,多中心研究

    doi:10.1111/1440-1630.12112

    authors: Hines A,Bundy AC

    更新日期:2014-08-01 00:00:00

  • Playfulness and prenatal alcohol exposure: a comparative study.

    abstract:BACKGROUND/AIM:South Africa carries a high burden of alcohol abuse. The effects of maternal alcohol consumption during pregnancy are most pronounced in poor, rural communities. Earlier research suggests that children with prenatal alcohol exposure have poor social behaviour; however, to date, no research has investigat...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12118

    authors: Pearton JL,Ramugondo E,Cloete L,Cordier R

    更新日期:2014-08-01 00:00:00

  • Occupational therapy practice in Australia with people with dementia: a profile in need of change.

    abstract:BACKGROUND/AIM:Dementia significantly impacts on the individual's and caregiver's quality of life. The aim of this study was to describe Australian occupational therapy practice with people with dementia. METHODS:A questionnaire was piloted and sent to occupational therapists in Australia working with people with deme...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2011.00930.x

    authors: Bennett S,Shand S,Liddle J

    更新日期:2011-06-01 00:00:00

  • Scoping review: Interventions that promote functional performance for adolescents and adults with Intellectual and Developmental Disabilities.

    abstract:INTRODUCTION:Individuals with Intellectual and Developmental Disabilities (IDD) experience broad impairments that affect their functional performance and consequently result in the need for supervision and assistance on a daily basis. The literature contains effectiveness studies of functional interventions provided to...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章,评审

    doi:10.1111/1440-1630.12577

    authors: Waldman-Levi A,Golisz K,Swierat RP,Toglia J

    更新日期:2019-08-01 00:00:00

  • Listening to the client voice - A constructivist grounded theory study of the experiences of client-centred practice after stroke.

    abstract:INTRODUCTION:Collaboration, choice and power-sharing are cornerstones of practice as occupational therapists support individuals to re-establish an occupational identity and reintegrate into the community following stroke. Yet evidence of unmet client needs suggests client-centred care is not optimal, and little is kno...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12627

    authors: Walder K,Molineux M

    更新日期:2020-04-01 00:00:00

  • The test-retest reliability and responsiveness to change for the Hand Function Survey during stroke rehabilitation.

    abstract:BACKGROUND/AIM:The Hand Function Survey (HFS) is a questionnaire designed to measure self-reported ability to use the affected hand during 13 everyday tasks in people with stroke. The HFS appears practical for clinical use and has established psychometric properties. This study aimed to investigate test-retest reliabil...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/j.1440-1630.2010.00884.x

    authors: Blennerhassett JM,Avery RM,Carey LM

    更新日期:2010-12-01 00:00:00

  • Listening to teachers: Views on delivery of a classroom based sensory intervention for students with autism.

    abstract:BACKGROUND/AIM:Occupational therapists consider the impact of autism spectrum disorder on occupational performance at school. Occupational therapists work with teachers to support student participation. Atypical sensory processing is common in children with autism. Therefore, collaborating with teachers to enable stude...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12381

    authors: Mills C,Chapparo C

    更新日期:2018-02-01 00:00:00

  • Recovery in the first six months after hand and upper limb burns: A prospective cohort study.

    abstract:BACKGROUND/AIM:Hands are commonly involved in burn trauma. Occupational therapy in the acute phase aims to reduce the risk of deformities and facilitate return to usual occupations. This study aimed to describe usual occupational therapy care at a major adult burns service, and measure recovery from hand burns in the f...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12538

    authors: Ghalayini G,O'Brien L,Bourke-Taylor HM

    更新日期:2019-04-01 00:00:00

  • The role of occupational therapy in the recovery stage of disaster relief: a report from earthquake stricken areas in China.

    abstract::Earthquakes and their destructive forces are unpredictable and difficult to prepare for. Unfortunately, another powerful earthquake of magnitude 7.2 had struck when this report was being prepared. The disabling events have long-term negative impacts on occupational performance of the individuals and communities being ...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12106

    authors: Lee HC

    更新日期:2014-02-01 00:00:00

  • What factors influence time-use of occupational therapists in the workplace? A systematic review.

    abstract:BACKGROUND:Health-care expenditure is rapidly increasing in Australia with increasing pressure on health-care services to review processes, improve efficiency and ensure equity in service delivery. The nursing profession have improved efficiency and patient care by investigating time-use to describe current practice an...

    journal_title:Australian occupational therapy journal

    pub_type: 杂志文章

    doi:10.1111/1440-1630.12466

    authors: Summers BE,Laver KE,Nicks RJ,Lannin NA

    更新日期:2018-06-01 00:00:00