ABSTRACT #14 Abstract title: Stigma: A barrier to healthy
Transcription
ABSTRACT #14 Abstract title: Stigma: A barrier to healthy
ABSTRACT #14 Abstract title: Stigma: A barrier to healthy occupation Abstract focus: Practice Session type: Paper Category: Non specific to client group Author: Joyce Tryssenaar Introduction: In Goffman’s (1963) work, stigma is conceived as a mark that communicates something unusual and bad about the moral status of an individual or group. Stigma spoils identity, narrowing others’ attention to a single undesirable attribute. This paper will examine stigma as a barrier to healthy occupation and how it affects the lives and choices of persons with disabilities. Objectives: Participants will understand the concepts of stigma and discrimination and learn about methods of combating stigma. Recognition of stigma in occupational therapy practice will also be considered. Approach: Demoralization, limited employment and inadequate income, social isolation, low self esteem, and restricted quality of life often are consequences of the negative sequelae of stigma and/or discrimination. Current theories of stigma will be explored situated in clients’ stories and experiences from research and practice. Practice Implications: One important aspect of eliminating barriers to healthy occupations for the individuals with whom we work is that of reducing stigma in our workplaces and our personal and/or professional lives. Conclusions: Understanding stigma, considering our own biases, and developing action oriented strategies to eradicate stigmatizing environments are essential components of client-centred occupational therapy practice. Reference List 1) Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice-Hall. Strengths Comments for Improvement • Well written – clear. • Good/appropriate use of references. The work of Goffman is central to the conceptualization of stigma. • Takes an established topic area and applies it in a new way – and links it to occupation. • Introduction is particularly strong. Defines the concept and provides a context for the description of the presentation content. • Good use of specific objectives. • Practice implications are well written. • Strong finish – pulls all content together. • Use of personal pronouns • Use of passive voice. Active voice is stronger. Tips for Preparing Abstracts ABSTRACT #54 Abstract title: Cognitive changes in multiple sclerosis: An interactive case discussion Abstract focus: Practice Session type: Extended discussion Category: Adult physical health Author: Eynat Shevil Introduction: Cognitive changes occur in up to 70% of persons diagnosed with multiple sclerosis (MS) [1]. These changes have a significant impact on performance areas across multiple life roles [2-4]. The clinical presentation of cognitive changes in MS is unique given the progressive nature of the disease and the interaction between cognitive impairments and other MS symptoms. Objectives: To provide evidence-based information on the evaluation and treatment of cognitive changes in MS. Approach: The presentation will include a description of the cognitive profile seen in MS clients and MS-specific assessments that can be used by occupational therapists to evaluate the impact of cognitive changes on occupational performance. Illustration of this content along with application of cognitive intervention strategies for MS clients will be discussed through interactive case samples. Practice Implications: Although clients with MS are referred to occupational therapy, cognitive changes may go undetected and untreated. During this session participants will become familiar with cognitive evaluation tools and treatment methods that can be used with MS clients to guide client-centred interventions and increase independent functioning. Conclusions: This session will facilitate understanding of cognitive changes in MS and the application of evidence-based practice to address these challenges. Reference List 1) Brassington, J.C., & Marsh, N.V. (1998). Neuropsychological aspects of multiple sclerosis. Neuropsychology Review, 8(2), 43-72. 2) Rao, S.M., Leo, G.J., Bermardin, L., & Unverzegt, F. (1991). Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns and prediction. Neurology, 41, 685-691. 3) Mansson, E., & Lexell, J. (2004). Performance of activities of daily living in multiple sclerosis. Disability and Rehabilitation, 26(10), 576-585. 4) Shevil, E., & Finlayson, M. (2006). The experience of managing cognitive impairments among persons with multiple sclerosis. Israeli Journal of Occupational Therapy, 15(1), E5-E22. Strengths Comments for Improvement • Effective introduction. Provides specific information and links concepts. • Practice implications are clear – practically oriented session. • Session objectives (how it will be facilitated) is indicated. Are specific and clear. • Clearly written, easy to understand. • Conclusion is direct. • Use of references to support the importance of this issue • Referencing style and number. Should try to keep references to a minimum of 2-3. • Passive voice. • Would be helpful to have more information on methods used to develop cognitive profile of clients. Tips for Preparing Abstracts ABSTRACT #154 Abstract title: On-line communities of practice: An innovative way to network Abstract focus: Professional issues Session type: Poster Category: Non specific to client group Author: Brenda Head Introduction: Online communities of practice connect occupational therapists who share a passion or common interest in a topic. Therapists exchange information, discuss clinical issues, share expertise and develop scholarly practice by interacting on a regular basis using web based technology. Objectives: To share our experience to date with establishing and evaluating online communities of practice and to stimulate interest in communities of practice as a way to enhance scholarly practice through the use of web based technology. Approach: The rationale, objectives, benefits and challenges as well as the process and technology used to establish online communities of practice will be presented in the poster presentation. Practice implications: Communities of practice are an innovative way to network with individuals who share a common interest about a topic, provide mutual support, and develop knowledge and expertise by interacting regularly. Communities of practice support best practice by mapping knowledge and identifying gaps within an environment of mutual support. Communities of practice are based on collegial relationships and these relationships help support professional confidence and best practice. Conclusions: Online communities of practice are an ideal structure to facilitate the exchange and development of knowledge within a virtual practice group. Strengths Comments for Improvement • Clearly written. Introduces a new term “communities of practice” but defines what these are within the first couple of sentences. • Objectives are clear. • Approach is well described. • New/emerging area of interest - addresses issues of evidence based practice, networking, etc. • Appropriate for poster as would allow discussion on topic • Applicable to wide area of practice – could replicate this process in any area • Communities of practice could have been better defined – is this an email distribution group? • Use of personal pronouns Tips for Preparing Abstracts ABSTRACT #172 Abstract title: Proposal for a multi-sensory handwriting study Abstract focus: Research Session type: Poster Category: Child/adolescent general Author: Alanna Derkach, Gwen Roberts, and Melissa Myers Introduction: Handwriting difficulties are one of the most frequent reasons for referral to school-based occupational therapy. Several occupational therapists and teachers are using, Handwriting Without Tears® (Olsen, 2003), a multi-sensory handwriting program. However there are no published studies examining it’s effectiveness. Objectives: The purpose of the proposed study is to determine if the program Handwriting Without Tears® is effective in improving the quality and speed of printing in grade one students. Furthermore, the study will determine if students perceive gains in their printing skills. Methods: This quasi-experimental study will use a crossover design whereby two groups of grade one students receive intervention at different times. The intervention consists of an inservice to teachers on Handwriting Without Tears®, followed by teacher instruction using this program. Data will be collected at three periods using the Minnesota Handwriting Assessment and a modified version of the Canadian Occupational Performance Measure. Practice Implications: The proposed study will provide information on whether Handwriting Without Tears is an effective tool and the implications for occupational therapy intervention. Conclusions: Occupational therapists need to evaluate the efficacy of the tools used and recommended within their pratice. Results may help develop health promotion and influence educational system policies. Reference List 1) Olsen, Jan. (2003). Handwriting Without Tears®. Cabin John, MD. Strengths Comments for Improvement • Appropriate use of reference. • Clearly written, objectives of study are clear. Methods are well described. Link to practice is outlined. • This is entirely a proposed project rather than one in progress or completed, however the authors are upfront about this. Tips for Preparing Abstracts ABSTRACT #292 Abstract title: Pursuing post-professional graduate studies while practicing: Factors to consider Abstract focus: Education Session type: Extended discussion Category: Non specific to client group Author: Mary Clark, Sue Stanton and Joyce Tryssenaar Introduction: Many factors influence practicing occupational therapists’ decisions to pursue postgraduate studies. Careful examination of needs, learning styles and barriers assists therapists considering graduate work to choose a program that fulfills their objectives for advanced studies. Objectives: Participants will become aware of factors affecting a decision to pursue graduate education, consider and reflect upon their learning needs, and consider ways to overcome barriers to continuing their studies. Methods: The session will begin with brief presentations from current graduate students and faculty involved in curriculum development and learner support for three different programs. In small groups participants will analyse and discuss their interest and suitability for research-focused, practice-based and/or online programs. Practice Implications: With a move to master’s entry-level many baccalaureatelevel therapists are interested in acquiring the knowledge and skills that provide them with the same advanced credential as new therapists. Enabling therapists to determine preferences and suitability will encourage more therapists to pursue advanced studies and thereby advance the profession’s knowledge base and enhance practice outcomes. Conclusion: Committing to graduate studies takes careful consideration. Understanding the options available and matching them with one’s own needs can enhance decision-making. Strengths Comments for Improvement • Clearly written abstract • Wide spread appeal likely. • Excellent introduction. Introduces key concepts that are picked up later in abstract. • Objectives listed in a logical sequential manner. • Practice implications are strong and immediately relevant to the audience. • Methods of facilitating session are outlined – as an attendee I would have a good sense of what this session would entail. • Great conclusion. Links back to the introduction. Tips for Preparing Abstracts ABSTRACT #300 Abstract title: Floor time play with preschoolers with autism in a specialized daycare setting Abstract focus: Research Session type: Paper Category: Child/adolescent psychosocial health Author: Rose Martini Introduction: Floor time play (FTP) seeks to develop a child’s abilities to play and relate socially. FTP is used by occupational therapists, however little evidence exists as to its effectiveness. This study took place in a daycare that provides services to preschool children identified with Autism. Objectives: An ABA single subject design was used to determine whether FTP during occupational therapy intervention resulted in changes in i) awareness of others, ii) self-stimulation, iii) play level, iv) initiation of and v) response to a circle of communication, during free play in the daycare. Methods: Three children were videotaped during 10-minute free play periods. The phases comprised of 12 baseline, 17 intervention, and 7 return-to-baseline sessions. Pre-defined behaviors were identified for each child and coded from randomized videotapes. Excellent inter-rater reliability was obtained for each of these behaviors. Results: Visual analysis and the C-statistic were used to compare pre-defined behaviors in each phase. One child improved in all noted behaviors, except self-stimulation, while two children improved in at least one behavior. Conclusion: For all participants, FTP during occupational therapy intervention seemed to contribute to at least one behavior change during free play. Study limitations and anecdotal observations will also be discussed. Strengths Comments for Improvement • Clearly written abstract – very clear what this project was about - what they did and how they analyzed the data. Comprehensive. • Contribution to evidence based practice is evident. • Clearly describes population and setting so audience can judge relevance to their practice. • Main variables of study clearly defined. • Tidy results. Statistical method for comparison is listed and is appropriate for the design. • Statistics would fit better in Methods section. • The first sentence of “Objectives” should likely have been in the “Methods” section. • Conclusion could be stronger. Use of “seemed to” doesn’t inspire confidence. Last sentence is not a conclusion and is not necessary. Tips for Preparing Abstracts ABSTRACT # Abstract title: Validation française de la Mesure canadienne du rendement occupationnel Abstract focus: Recherche Session type: Conférence Category: Personnes âgées santé physique/Clinique Communauté Author: Martine Brousseau Introduction : Le besoin de validation des instruments de mesure utilisés autant pour la recherche et pour le travail clinique en ergothérapie est justifié depuis longtemps. Le Canadian Occupational Performance Measure n’échappe pas à ce processus de validation. L’introduction indique clairement l’importance de cette étude Objectif : L'objectif de cet exposé est de présenter les résultats empiriques de la validation française de cet instrument de mesure réalisée auprès de 2 échantillons de participants. Méthode/approche : La méthode utilisée se base sur les travaux de Vallerand (1989). Pour ce, l’exposé comprend notamment une brève recension des écrits sur la qualité métrologique de l'instrument, des explications quand aux étapes pour la validation française (traduction inversée, pré-test, etc.) et la méthode de cueillette de données auprès des participants. Résultats : Les coefficients de fidélité et de validité interne obtenus auprès des 2 échantillons retenus sont présentés. Conclusion : L’exposé fait valoir que l'instrument conserve des qualités acceptables au plan de la recherche et qu'au plan des interventions auprès de clientèles gériatriques en ergothérapie, elle présente certains avantages insoupçonnés. Une attention particulière est apportée au sens que revêt en clinique l’utilisation du vocabulaire auprès des clientèles. La direction générale des résultats/de la conclusion est bien résumée Reference List Ces references ne sont pas nécessaires – pas cite dans le texte 1) Bosch, J. (1995). The reliability and validity of the Canadian Occupational Performance Measure. Mémoire de maîtrise inédit, McMaster University, Hamilton, Ontario. 2) Brousseau, M. (2001) Relations entre le rendement occupationnel subjectif, l’efficience cognitive et l’efficacité personnelle chez des personnes de 60 ans et plus aux prises avec des modifications abruptes de leurs capacités physiques. Thèse de doctorat en Éducation. Université du Québec à Trois-Rivières en collaboration avec erformance measure. Canadian Journal of Occupational Therapy, 67, 22-30. 6) Vallerand, R. (1989). Vers une méthodologie de validation trans-culturelle de questionnaires psychologiques: Implications pour la recherche en langue française. Canadian Psychology, 30, 662-680.rosis. Neuropsychology Review, 8(2), 43-72. 2) Rao, S.M., Leo, G.J., Bermardin, L., & Unverzegt, F. (1991). Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns and prediction. Neurology, 41, 685-691. 3) Mansson, E., & Lexell, J. (2004). Performance of activities of daily living in multiple sclerosis. Disability and Rehabilitation, 26(10), 576-585. 4) Shevil, E., & Finlayson, M. (2006). The experience of managing cognitive impairments among persons with multiple sclerosis. Israeli Journal of Occupational Therapy, 15(1), E5-E22. Tips for Preparing Abstracts 2007 - ABSTRACT #134 - 43.33 will be presented in English Abstract title: Participation sociale après un accident vasculaire cérébral : comparaison des perceptions patients-aidants Abstract focus: Recherche Session type: Affiche Category: Personnes âgées général Author:Valérie Poulin Introduction : Pour dresser le portrait complet du fonctionnement des personnes ayant subi un accident vasculaire cérébral (AVC), il est utile d’inclure une évaluation de leurs perceptions de leur participation sociale avec un questionnaire validé. Jusqu’à maintenant, les personnes ayant des problèmes cognitifs ont été exclues des études sur la participation, réduisant la généralisation des résultats. L’introduction présente clairement la pertinence de cette étude Objectif : Vérifier si les réponses d’un proche-aidant peuvent être utilisées avec confiance dans l’estimation de la participation des personnes avec un AVC. Objectif claire, simple, et directe Méthodologie : Quarante personnes de 50 ans ou plus, ayant subi un AVC et sans atteinte cognitive significative, ont été recrutées ainsi qu’un proche-aidant pour chacune. En entrevue individuelle, les participants répondaient au questionnaire Mesure des habitudes de vie(1), évaluant douze domaines d’activités courantes et de rôles sociaux du modèle Processus de production du handicap(2). La concordance des réponses des deux groupes de sujets était mesurée avec le coefficient de corrélation intraclasse (CCI). La méthodologie est clairement décrite, présentant assez de détails pour pouvoir évaluer la validité de l’étude Résultats: Une concordance modérée à très bonne a été obtenue [CCI: 0,82 pour le score total, 0,87 pour le sous-total des activités courantes et 0,73 pour celui des rôles sociaux]. Conclusion : Ces résultats appuient le recours au proche-aidant pour documenter la participation de personnes avec un AVC incapables de répondre elles-mêmes. Reference List 1. Fougeyrollas, P., Noreau, L., & St-Michel, G. (2002). Life Habits measure – Shortened version (LIFE-H 3.1). CQCIDIH: Lac St-Charles, Québec, Canada. 2. Fougeyrollas, P., Noreau, L., Bergeron, H., Cloutier, R., Dion, S.A., & St-Michel, G. (1998). Social consequences of long term impairments and disabilities: conceptual approach and assessment of handicap. International Journal of Rehabilitation Research, 21(2), 127-141. Tips for Preparing Abstracts 2007 - ABSTRACT #189 - 43.33 Abstract title: L’utilisation des centres de jour par les personnes âgées Abstract focus: Pratique Session type: Affiche Category: Personnes âgées générale Author: Jacinthe Savard Introduction : Les centres de jour visent le maintien à domicile des personnes âgées fragiles. Lorsque dirigé vers ce service, une grande partie de la clientèle participe avec assiduité, alors que d’autres quittent après quelques semaines seulement ou participent irrégulièrement, le service ne semblant pas répondre à leurs besoins. Une meilleure connaissance des caractéristiques des utilisateurs aidera à mieux répondre aux besoins. Objectif : Décrire les caractéristiques des utilisateurs de centre de jour parmi une clientèle âgée vulnérable, ainsi que les activités qui leur sont offertes. Méthodes : Analyse secondaire de données recueillies par le projet de démonstration Système intégré pour personnes âgées expérimenté de 1999 à 2001, incluant des analyses de régressions logistiques pour identifier les déterminants de l’utilisation. Résultats : On observe, entre autres, que le niveau d’éducation influence l’utilisation ; le coût des services crée une contrainte qui peut réduire l’accès au centre de jour ; les hommes et les femmes n’utilisent pas le service de la même façon. Le lien entre l’objectif de l’étude, la méthodologie choisie, et les résultats est évident et facile à suivre Conclusion : Ces résultats peuvent être utiles à l’ergothérapeute qui travaille en centre de jour ou qui y dirige des clients. Ils fournissent des pistes à explorer pour mieux comprendre les attentes des divers groupes d'utilisateurs. L’auteur redirige ici le lecteur à la pertinence de l’étude pour ceux travaillant avec cette population Tips for Preparing Abstracts