المؤلفون: Collins, Bethan, O’Mahony, Paul

المصدر: OTJR: Occupation, Participation & Health; Jul2015, Vol. 35 Issue 3, p160-168, 9p

مصطلحات موضوعية: AUTONOMY (Psychology), INTERVIEWING, RESEARCH methodology, PEOPLE with disabilities, SELF-perception, QUALITATIVE research, DATA analysis, HUMAN research subjects, PATIENT selection

مصطلحات جغرافية: IRELAND

مستخلص: Despite the prominence of the concept of autonomy in the UN Convention on the Rights of Persons With Disabilities and within disability theory, the relevance of autonomy to occupational engagement is unclear. Using a qualitative, narrative approach, eight adults with significant physical disabilities engaged in iterative interviews exploring their life history and perception of autonomy in daily life. Interviews were transcribed verbatim and themed. Key themes that emerged were that participants valued autonomy differently; their perception of their own personal autonomy influenced both occupational choices and the meaning derived from occupational engagement. While some participants actively sought occupations in which they could make decisions, others preferred more supportive environments, yet all participants avoided situations in which their autonomy was undermined. Awareness of an individual’s values regarding autonomy could assist occupational therapists to both select appropriate occupations for intervention and discuss the meaning derived from occupations, thereby enhancing client-centered practice. [ABSTRACT FROM AUTHOR]

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المؤلفون: Spirtos, Michelle, O'Mahony, Paul, Malone, Jeni

المصدر: American Journal of Occupational Therapy; Jul/Aug2011, Vol. 65 Issue 4, p378-383, 6p, 1 Chart

مصطلحات موضوعية: MOTOR ability, ANALYSIS of variance, CEREBRAL palsy, COMPUTER software, CONFIDENCE intervals, STATISTICAL correlation, HEMIPLEGIA, RESEARCH methodology, MEDICAL needs assessment, OCCUPATIONAL therapy services, RESEARCH funding, STATISTICAL sampling, STATISTICS, VIDEO recording, DATA analysis, TASK performance, INTER-observer reliability, RESEARCH methodology evaluation, EVALUATION, CHILDREN

مستخلص: OBJECTIVE. We examined the interrater reliability of the Melbourne Assessment of Unilateral Upper Limb Function. METHOD. Three occupational therapists independently scored 34 videotaped assessments of children with hemiplegic cerebral palsy aged 6 yr, 1 mo, to 14 yr, 5 mo. Intraclass correlation coefficients (ICCs) at a 95% confidence interval were calculated for total scores, category scores, and item scores. RESULTS. The correlation between raters' total scores was high (ICC = .961). The highest correlation for test components between raters was found for fluency (ICC = .902), followed by range of movement (ICC = .866), and the lowest correlation was found for quality of movement (ICC = .683). The ICCs for individual test item scores varied and ranged from .368 to .899. CONCLUSION. This study demonstrated high interrater reliability for total scores, with scoring of some individual components and items requiring further consideration from both a clinical and a research perspective. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Occupational Therapy is the property of American Occupational Therapy Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)