Zoekresultaten

Instructions for Administering the Canadian Occupational Performance Measure with Children Themselves

AIMS: The Canadian Occupational Performance Measure (COPM) can be used to support children to clarify their needs themselves. However, for pediatric occupational therapists it is not sufficiently clear how to effectively use the COPM with children from 8 years of age.This study aimed to formulate specific instructions for using the COPM with children themselves, based on the experience of children, parents, and occupational therapists. In addition, professional consensus on the instructions was reached.METHODS: A multi-stage approach was used to develop the instructions. Triangulation of methods was used to gather knowledge of how the COPM with children themselves is performed in daily practice: interviews with 23 children, questionnaires completed by 30 parents, interviews with 13 therapists, and 10 video recordings of COPM administration. Specific instructions were derived from this knowledge and consensus for these instructions was reached by Delphi method.RESULTS: The data were analyzed and resulted in 40 specific instructions. Consensus of at least 80% amongst 10 occupational therapists, who regularly use the COPM with children, was achieved on each instruction.CONCLUSION: There is consensus on 40 specific instructions for administering the COPM with children. Following these instructions might help children to formulate their own goals for intervention.

Developing a mathematical model for scheduling of turnaround operations (low cost airline as a case study)

On-time departure performance is important for airlines that seek the highest satisfaction of their passengers. The main component of achieving on-time departure is being able to complete the turnaround operations of an aircraft within the scheduled time. To address this problem, the present paper examined planning and scheduling of turnaround operations in the low cost airline industry. A mathematical model, named 'TurnOper_LP' was developed for a low-cost Turkish airline to identify the critical path of turnaround operations and the optimal turnaround time. The results of the model in terms of optimised turnaround times are then analysed and an example of schedule of turnaround operations is presented.

Existing barriers and suggested solutions for dealing with air passengers with specific access requirements: A systematic literature review

This paper reviews the existing literature concerned with air passengers with specific access requirements, often referred as passengers with disabilities (PwDs) or passengers with reduced mobility (PRMs). While accessibility in air transport is an emerging field of research, the literature lacks a more in-depth understanding of the barriers that air passengers face, which can guide future research and help practitioners in improving the services to this passenger segment. To this end, we conducted a systematic review of 50 peer-reviewed articles to explore how these challenges have been addressed in existing literature. The analysis expanded upon the established primary barrier categories (architectural, transport, communication and information, attitudinal, and technological). Within these categories, novel sub-groups of barriers were identified and proposed. The analysis further revealed the most suggested solutions to overcoming those barriers: i) legal obligations and standard operational procedures; ii) improving airport facilities and services; iii) digitalization of operations and services; iv) recommendations for improving cabin safety and accessibility; and v) training for airport and airline staff. This study emphasizes the importance of gaining a thorough understanding of the challenges faced by PwDs and calls for more collaborative efforts from various stakeholders to enhance the accessibility and inclusivity of air travel.

Implementation, Mechanisms of Effect and Context of an Integrated Care Intervention for Vulnerable Families in Central Sydney Australia

Introduction: In March 2014, the New South Wales (NSW) Government (Australia) announced the NSW Integrated Care Strategy. In response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The initiative was called Healthy Homes and Neighbourhoods. A realist translational social epidemiology programme of research and collaborative design is at the foundation of its evaluation. Theory and Method: The UK Medical Research Council (MRC) Framework for evaluating complex health interventions was adapted. This has four components, namely 1) development, 2) feasibility/piloting, 3) evaluation and 4) implementation. We adapted the Framework to include: critical realist, theory driven, and continuous improvement approaches. The modified Framework underpins this research and evaluation protocol for Healthy Homes and Neighbourhoods. Discussion: The NSW Health Monitoring and Evaluation Framework did not make provisions for assessment of the programme layers of context, or the effect of programme mechanism at each level. We therefore developed a multilevel approach that uses mixed-method research to examine not only outcomes, but also what is working for whom and why.

Inclusive aviation: uncovering staff training needs emerging from travel experiences of ‘Passengers with Reduced Mobility’ (PRMs).