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Questionnare Occupational Performance (QOP)

Ruim 40% van de Nederlandse bevolking ervaart ten minste eenmaal in het leven psychische problemen, waarvan het merendeel zorg in de vorm van ambulante begeleiding ontvangt. De noodzaak tot bezuinigingen op kosten voor geestelijke gezondheidszorg (GGZ) leidt ertoe dat het aantal bedden in de GGZ wordt gereduceerd. Hierom en vanwege het feit dat mensen steeds ouder worden, wordt een flinke toename verwacht van mensen met psychische problematiek, multimorbiditeit of dubbele diagnoseproblematiek die een beroep doet op de huisarts.Ergotherapeuten behandelen doorgaans niet de psychische aandoening als zodanig, maar richten zich met hun interventies op de gevolgen ervan voor hun dagelijks handelen, omdat juist daarin beperkingen worden ervaren. Omdat psychische problemen vaak lang aanhouden, kunnen zij van negatieve invloed zijn op de mate waarin mensen zich in staat voelen tot (maatschappelijke) participatie en het verrichten van dagelijkse handelingen. Onder participatie verstaan we een persoonlijke ervaring van betrokkenheid in een levenssituatie, door activiteiten uit te voeren en/of deel uit te maken van de context waarin mensen handelen. Sinds de wetswijzigingen in de zorg heeft op 1 januari 2015 de gemeente een belangrijke taak gekregen bij het oplossen van participatievraagstukken. De gemeente is verantwoordelijk voor het aanbieden van zorg op maat en werkt daarom waar nodig samen met eerstelijns zorgverleners. Vaak wordt echter vergeten dat mensen met psychische problematiek ook behoefte hebben aan zorg op maat om hun dagelijkse activiteiten uit te kunnen voeren. Eerstelijns ergotherapie kan hierin een zinvolle rol vervullen.

Research in Occupational Therapy and Occupational Science Foundation (ROTOS)

Introduction: The ROTOS Foundation, dedicated to Occupational Therapy (OT) and Occupational Science (OS) research, is one of three branches of OT-Europe, alongside education and practice. Its vision is to enhance the lives of European citizens by uniting OT and OS researchers under a single, influential voice to highlight the impact of their work.Objectives: To connect OT and OS researchers across Europe, fostering collaboration and maximizing the societal impact of their research.Approach: ROTOS is developing Research Interest Groups (RIGs), specialized networks that bring together professionals with shared research interests. These groups aim to integrate OT and OS perspectives into impactful research benefiting individuals and communities.Practice Implications: RIGs are led by committed researchers who voluntarily coordinate activities within their expertise areas. Each RIG serves as a hub for knowledge exchange, supporting members in sharing ongoing projects, inspiring innovation, and fostering collaboration on research initiatives and grant applications.Contribution to the OT Profession: ROTOS plays a pivotal role in advancing OT and OS research in Europe. By establishing RIGs, it cultivates a collaborative and dynamic research environment, promotes the dissemination of cutting-edge knowledge, and advocates for the societal benefits of OT. Strengthening the research network ensures that OT and OS research continues to drive meaningful change, ultimately enhancing the well-being of individuals and communities across Europe.

Occupational therapy in cancer rehabilitation

Migration and human displacement: Global dialogue on the contribution of occupational science

Global issues, including the current pandemic and ongoing climate change, shape voluntary and forced international migration flows in inequitable ways. Anti-immigrant discourses in the Global North seek to capitalize on public concerns about border control. Meanwhile, the greatest immigration challenges are borne by countries in the Global South. The majority of refugees who are forcibly displaced by war, political violence, poverty, and environmental disasters seek refuge in neighbouring regions where many states lack the capacity to adequately support them. Given these challenges, it is imperative for occupational scientists to work collaboratively to support equitable occupational possibilities for immigrants, refugees, and internally displaced persons. During this dialogic session we will 1) outline useful theoretical approaches for understanding how migration shapes engagement in occupations; 2) discuss specific ethical considerations and methods for studying migration and its occupational implications; and 3) share promising practices for working with people from migration backgrounds. Each topic will be introduced through a brief presentation from one of the co-authors sharing vignettes from their own research and professional experiences to ignite discussions. Following each of the three presentations, participants will be grouped strategically to build networks among those with similar interests. This may include grouping participants who share a language.>What are the gaps in occupation-based research on global migration, and how can these be collaboratively addressed?>How can occupational science contribute to discussions within migration studies?>What occupational concepts are most useful for studying different migrant populations?

Effectiveness of sensor monitoring in an occupational therapy rehabilitation program for older individuals after hip fracture, the SO-HIP trial

BACKGROUND: The performance of activities of daily living (ADL) at home is important for the recovery of older individuals after hip fracture. However, 20-90% of these individuals lose ADL function and never fully recover. It is currently unknown to what extent occupational therapy (OT) with coaching based on cognitive behavioral treatment (CBT) improves recovery. The same holds for sensor monitoring-based coaching in addition to OT. Here, we describe the design of a study investigating the effect of sensor monitoring embedded in an OT rehabilitation program on the recovery of ADL among older individuals after hip fracture.METHODS/ DESIGN: Six nursing homes will be randomized in a three-arm stepped wedge cluster randomized trial. All nursing homes will initially provide standard care. At designated time points, nursing homes, successively and in random order, will cross over to the provision of OT and at the next time point, to sensor monitoring-enhanced OT. A total of 288 older individuals, previously living alone in the community, who after a hip fracture were admitted to a geriatric rehabilitation ward for a short-term rehabilitation, will be enrolled. Individuals in the first intervention group (OTc) will participate in an OT rehabilitation program with coaching based on cognitive behavioral therapy (CBT) principles. In the sensor monitoring group, sensor monitoring is added to the OT intervention (OTcsm). Participants will receive a sensor monitoring system consisting of (i) an activity monitor during nursing home stay, (ii) a sensor monitoring system at home and a (iii) a web-based feedback application. These components will be embedded in the OT. The OT consists of a weekly session with an occupational therapist during the nursing home stay followed by four home visits and four telephone consultations. The primary outcome is patient-perceived daily functioning at 6 months, assessed using the Canadian Occupational Performance Measure (COPM).DISCUSSION: As far as we know, this study is the first large-scale stepped wedge trial, studying the effect of sensor monitoring embedded in an OT coaching program. The study will provide new knowledge on the combined intervention of sensor monitoring and coaching in OT as a part of a rehabilitation program to enable older individuals to perform everyday activities and to remain living independently after hip fracture.TRIAL REGISTRATION NUMBER: Netherlands National Trial Register, NTR 5716 Date registered: April 1 2016.

‘Doing’ integration: Occupational perspective on discursive power of citizen initiative’s with refugees

Citizens have responded to newcomers in the Netherlands with acts of solidarity and programmes to support integration, often in response to increasingly restrictive government policies. In a previously published study by the primary author, a critical discourse analysis was conducted of texts used in mandatory government integration programmes. Findings showed that texts discursively construct the “modern Us” the “unmodern Other” and a hierarchical relationship between the two, recreating in practice racialized categories reminiscent of colonial times. Considering the role citizen initiatives play in integration, it is important to also understand their discourse on integration. A critical discourse analysis using Bacchi’s What’s the Problem Represented to Be? approach was conducted on texts used in citizen initiatives for integration in the Netherlands. Additionally, as part of a larger institutional ethnography, ethnographic data was gathered on their day-to-day work. These data were analyzed through a theoretical lens inspired by occupational science, governmentality and post/decolonial studies. Initial findings show dominant discourses found in formal integration programmes being actively reproduced in citizen initiatives. Additionally, findings display concepts of ‘successful’ integration, the “Us”, and the “Other” being discursively shaped by promoting ‘modern’ occupations as part of ‘successful’ everyday life. Occupational science is a field with particular interest in social transformation projects, projects often based in the informal sector. Understanding how dominant discourses are reproduced in informal programmes provides important perspectives on their impact on everyday life, demonstrating the importance of remaining critical of discourses in projects operating in the peripheries.