School of Health Professionshttps://pearl.plymouth.ac.uk/handle/10026.1/147632024-03-29T06:02:03Z2024-03-29T06:02:03ZEvidencing occupational therapy in primary careCunningham, MWakley, SWarren, ACollinson, AHickson, Mhttps://pearl.plymouth.ac.uk/handle/10026.1/222172024-03-22T02:15:47ZEvidencing occupational therapy in primary care
Cunningham, M; Wakley, S; Warren, A; Collinson, A; Hickson, M
A group of lecturers and researchers, from occupational therapy
and dietetics, look at the evidence base for the effectiveness of
occupational therapy interventions in primary care. They argue
that this is in its infancy and call for further service evaluation and
research.
Prevalence and associated clinical characteristics of walking-related motor, and cognitive, fatigability in progressive multiple sclerosis: baseline results from the CogEx studyFreeman, Jhttps://pearl.plymouth.ac.uk/handle/10026.1/221152024-03-08T13:27:03ZPrevalence and associated clinical characteristics of walking-related motor, and cognitive, fatigability in progressive multiple sclerosis: baseline results from the CogEx study
Freeman, J
Abstract
Background:
People with progressive multiple sclerosis (PMS) present motor (eg, walking) and cognitive impairments, and report fatigue. Fatigue encompasses fatigability which is objectively measured by the capacity to sustain a motor or cognitive task.
Objective:
To investigate the prevalence of walking and cognitive fatigability (CF) and the associated clinical characteristics in a large sample of PMS patients.
Methods:
PMS patients (25-65 years old) were included from 11 sites (Europe and North America), having cognitive impairment (1.28 standard deviation below normative data for the symbol digit modality test [SDMT]). Walking fatigability (WF) was assessed using the distance walk index (DWI) and CF using the SDMT (scores from the last 30 seconds compared to the first 30 seconds). Additional measures were: cognitive assessment—Brief International Cognitive Assessment for multiple sclerosis (MS), cardiorespiratory fitness, 6-minute walk, physical activity, depressive symptoms, perceived fatigue—Modified Fatigue Impact Scale (MFIS), MS impact—MSIS-29, and walking ability.
Results:
Of 298 participants, 153 (51%) presented WF (DWI = −28.9 ± 22.1%) and 196 (66%) presented CF (−29.7 ± 15%). Clinical characteristics (EDSS, disease duration, and use of assistive device) were worse in patients with versus without WF. They also presented worse scores on MSIS-29 physical, MFIS total and physical and reduced physical capacity. CF patients scored better in the MSIS-29 physical and MFIS psychosocial, compared to non-CF group. Magnitude of CF and WF were not related.
Conclusions:
Half of the cognitively-impaired PMS population presented WF which was associated with higher disability, physical functions, and fatigue. There was a high prevalence of CF but without strong associations with clinical, cognitive, and physical functions.
Trial Registration Number:
The “CogEx-study,” www.clinicaltrial.gov identifier number: NCT03679468.
Examining the feasibility and acceptability of an online mindfulness-based stress reduction program for frontline child protection social workers in EnglandBeer, OWJMcInroy, LBHefner, JBeer, SEhttps://pearl.plymouth.ac.uk/handle/10026.1/220522024-02-15T02:11:37ZExamining the feasibility and acceptability of an online mindfulness-based stress reduction program for frontline child protection social workers in England
Beer, OWJ; McInroy, LB; Hefner, J; Beer, SE
This study explores the feasibility and acceptability of an online mindfulness-based intervention (O-MBI) for stress prevention and reduction among frontline child protection social workers (F-CPSWs) in England. In Phase I, a non-randomized, one-arm feasibility study (N=104) demonstrated post-O-MBI reductions in perceived stress and increased mindfulness. Phase II employed a phenomenological approach using semi-structured interviews (n=7). Participants suggested adjustments to content, delivery, and design, highlighting the need for customization. Despite promising results, the study underscores the importance of tailoring interventions to individual needs and circumstances. Future research should delve into O-MBI effectiveness with a more diverse F-CPSW sample.
Stroke survivors’ experiences and perceptions of post-stroke fatigue education in the subacute phase of stroke. The FASE qualitative studyElizabeth Tremayne, JFreeman, JCoppola, Ahttps://pearl.plymouth.ac.uk/handle/10026.1/220442024-02-14T02:05:13Z2021-02-01T00:00:00ZStroke survivors’ experiences and perceptions of post-stroke fatigue education in the subacute phase of stroke. The FASE qualitative study
Elizabeth Tremayne, J; Freeman, J; Coppola, A
Abstract
Introduction
Post-stroke fatigue significantly impacts stroke survivors’ rehabilitation, morbidity and quality of life. The evidence-base of post-stroke fatigue education is scarce and inconsistently translated to practice. Research is necessary to understand the current provision, impact and perceptions of post-stroke fatigue education from the stroke survivor’s perspective. The aim of this study is to develop an understanding of stroke survivors’ current experiences and perceptions of fatigue and the role of post-stroke fatigue education in subacute stroke.
Methods
A United Kingdom-based qualitative inquiry using semi-structured interviews involving 10 participants who had experienced subacute stroke was conducted using thematic data analysis.
Findings
The overarching theme of acceptance and adaptation reflected possible mechanisms in how stroke survivors manage post-stroke fatigue. Theme one highlighted the individual and diverse nature of post-stroke fatigue. Theme two, the variability of stroke survivors’ current experiences, reflected variability in content and context of post-stroke fatigue education. Theme three, the role of stroke services, described perceived responsibility and ability of stroke services to provide post-stroke fatigue education.
Conclusions
Post-stroke fatigue education is variable in practice. The results suggest further investigation of a stroke pathway approach for post-stroke fatigue education, involving core aspects suitable for a spectrum of stroke survivors with additional components tailored to individual needs.
2021-02-01T00:00:00Z