Management of patients with cognitive impairment after stroke: a survey of Australian occupational therapists.

Background/aim: Cognitive impairment is a common and often debilitating consequence of stroke. The current practice patterns of Australian occupational therapists who work in this area are not clearly known. The aim of this study was to investigate the theoretical approaches, assessments, interventi...

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Publicado en:Australian Occupational Therapy Journal Vol. 56; no. 5; pp. 324 - 332
Autores principales: Koh C, Hoffmann T, Bennett S, McKenna K
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2009
      vid: 56
      iid: 5
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        105327854
        2010442348
        10.1111/j.1440-1630.2008.00764.x
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        105327854
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        atl: Management of patients with cognitive impairment after stroke: a survey of Australian occupational therapists.
      aug:
        au:
          Koh C
          Hoffmann T
          Bennett S
          McKenna K
        affil: Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
      sug:
        subj:
          Cognition Disorders
          Occupational Therapy Practice
          Outcome Assessment Methods
          Stroke Rehabilitation
          Activities of Daily Living Evaluation
          Australia
          Barthel Index
          Clinical Assessment Tools Utilization
          Comorbidity
          Data Analysis Software
          Descriptive Statistics
          Questionnaires
          Scales
          Surveys
          World Wide Web
          Human
      ab: Background/aim: Cognitive impairment is a common and often debilitating consequence of stroke. The current practice patterns of Australian occupational therapists who work in this area are not clearly known. The aim of this study was to investigate the theoretical approaches, assessments, interventions and research evidence used by Australian occupational therapists who work with patients who have cognitive impairment poststroke. Methods: A self-administered, purpose-designed online survey was used. Results: Survey responses were received from 102 occupational therapists. The client-centred approach was the most commonly used theoretical approach, with 81.3% and 72% using it often or all of the time with inpatients and outpatients, respectively. Assessments that were most frequently used were the Mini Mental State Examination (63.7% of participants), the Lowenstein Occupational Therapy Cognitive Assessment (45.1%), the Functional Independence Measure (57.8%, and the Assessment of Living Skills and Resources (10.0%). Interventions involving functional activities were used more frequently than compensatory techniques, such as diaries, alarms, or other electronic devices, and paper and pencil remedial exercises. Few (16%) participants used computer programs specifically designed for cognitive rehabilitation. Although 60.8% of the participants reported using research literature when making decisions about interventions, a higher percentage reported relying on their past experience (88.3%) and colleagues' opinions (77.4%). Conclusion: This study provides an insight into the current practices of Australian occupational therapists who work with people who have cognitive impairment after stroke. Client-centredness is emphasised in current practice; however, the use of research evidence to inform practice appears to be limited.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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