The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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This study investigated patterns of participation in daily living tasks by older adults with fear of falling. The relationship between reported participation in a broad set of daily living tasks and the risk of falling involved in task performance--or activity-related risk--as judged by occupational therapists was examined. Further, several characteristics of older adults that have been associated with fear of falling were examined to determine which older adults had patterns of participation most strongly associated with the activity-related risk. ⋯ Activity-related risk is an aspect of daily living tasks that relates to participation in activities by older adults with fear of falling. Knowledge of the activity-related risk involved in daily living tasks can be used to facilitate occupational performance in clients with fear of falling and associated activity restriction.
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This study provides a descriptive analysis of the factors affecting pressure garment adherence from the perspective of adult patients with burn injuries and occupational therapy clinicians. ⋯ Much of what is traditionally understood as "patient nonadherence" appeared to be largely because of rational choices made by patients in the face of several difficulties they experienced with the current form and nature of their pressure garment therapy. On the basis of these findings, a range of patient-centered interventions are indicated to enhance treatment efficacy and consumer satisfaction with this treatment regimen, including horizontal rather than vertical therapist-patient communication, closer interaction among members of the health care team, the facilitation of family and social support, and interactive health education interventions.
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Comparative Study Clinical Trial Controlled Clinical Trial
Children with burn injuries: purposeful activity versus rote exercise.
This study was designed to compare measures of pain when children with burn injuries were engaged in a purposeful activity, specifically a play activity, versus rote exercise. ⋯ This study supports the belief that purposeful activity can yield results equal to or better than those achieved using rote exercise. Replication of this study is warranted, and the development is indicated of a measure of overt behavioral distress that is more appropriate than those currently available for children with burn injuries.
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This study sought to understand the tasks and activities involved in the caring and nurturing work of mothering, a common and important occupation for many women. ⋯ These findings extend our awareness of mothering and the tasks and activities involved in the occupation of mothering at both the preschool stage and young-adult stage.