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Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis

Yıl 2022, Cilt: 7 Sayı: 1, 65 - 74, 21.03.2022
https://doi.org/10.52881/gsbdergi.986231

Öz

Background: Individuals with Multiple Sclerosis (MS) experience problems in the level of perceived occupational performance and satisfaction in activities of daily living due to the negative effects of factors such as physical, cognitive, social and environmental.
Aims: This study was planned to examine the effectiveness of the client-centered training for people with MS on perceived occupational performance and satisfaction.
Methods: Fourteen MS individuals, 10 females and 4 males participated to the study. According to Canadian Occupational Performance Measure (COPM), a training program designed according to the occupations that indicated by participants. A training program consists of 24 sessions of 45 minutes, 4 days a week for 6 weeks.
Results: The mean COPM performance of people with MS before the training was 3.5±0.65 (min.2.5-max.4.5), COPM satisfaction was 3.07±1.29 (min.1-max.5.33). After the training, COPM performance mean was 7.34±0.7 (min.6.2-max.8.33), and COPM satisfaction mean was 7.7±0.98 (min.6-max9.4) points. Before and after training COPM performance and COPM satisfaction statistically increased (p<0.01). The occupations distributions examined, it is determined that self-care 55.17%, productivity 24.13% and leisure 20.68%.
Conclusions: Client-centered training for individuals with MS had positive effects on perceived occupational performance and satisfaction. It is thought that client-centered training can be used effectively to increase the occupational performance and satisfaction determined by individuals with MS.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

  • Confavreux C, Vukusic S. The clinical course of multiple sclerosis. Handb Clin Neurol. 2015;122:343-69.
  • Hauser SL, Cree BA. Treatment of multiple sclerosis: a review. Am J Med. 2020;133:1380-90
  • Quinn E, Hynes SM. Occupational therapy interventions for multiple sclerosis: A scoping review. Scand J Occup Ther. 2021;28:399-414.
  • Torpil B, Ekici Çağlar G, Bumin G, Pekçetin S. Validity and Reliability of the Turkish Canadian Occupational Performance Measure (COPM-TR) for People with Multiple Sclerosis. Occupational Therapy In Health Care. 2021;5:306-317. DOI: 10.1080/07380577.2021.1933673.
  • Baum CM, Law M. Occupational therapy practice: Focusing on occupational performance. Am J Occup Ther. 1997;51:277-288.
  • Law M, Baptiste S, McColl M, Polatajko H, Pollock N. The Canadian Occupational Performance Measure. 5th ed. Canadian. Ottawa, Ont. Canadian Association of Occupational Therapy publications. 2014.
  • Kielhofner G. Conceptual foundations of occupational therapy practice. In G. Kielhofner (Eds.), The Nature and Role of Conceptual Practice Models, (First Edition, pp.60-67). Philadelphia: FA Davis. 2009.
  • Yu CH, Mathiowetz V. Systematic review of occupational therapy–related interventions for people with multiple sclerosis: Part 1. Activity and participation. Am J Occup Ther. 2014;68:27-32.
  • Yu CH, Mathiowetz V. Systematic review of occupational therapy–related interventions for people with multiple sclerosis: Part 2. Impairment. Am J Occup Ther. 2014;68:33-38.
  • Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33:1444.
  • Folstein MF, Robins LN, Helzer JE. The mini-mental state examination. Arch Gen Psychiatry. 1983;40:812-812.
  • Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental Durum Test’inin Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Turk Psikiyatri Derg. 2002;13:273-281.
  • American Occupational Therapy Association. Occupational Therapy Practice Framework: Domain and Process-Fourth Edition. Am J Occup Ther. 2020;74(Supplement_2):7412410010. https://doi.org/10.5014/ajot.2020.74S2001
  • Enemark Larsen A, Rasmussen B, Christensen JR. Enhancing a client-centred practice with the Canadian Occupational Performance Measure. Occup Ther Int. 2018.
  • De Vriendt P, Peersman W, Florus A, Verbeke M, Van de Velde D. Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program. A pragmatic randomized controlled trial. J Nutr Health Aging. 2016;20(1):35-40.
  • Law M, Baptiste S, Mills J. Client-centred practice: What does it mean and does it make a difference? Can J Occup. 1995;62:250-257.
  • Lewin S, Skea Z, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. 2001;4.
  • Fearing VG, Law M, Clark J. An occupational performance process model: Fostering client and therapist alliances. Can J Occup. 1997;64:7-15.
  • Stewart M. Towards a global definition of patient centred care- The patient should be the judge of patient centred care. BMJ. 2001;322:444-445.
  • George S, White J. Strong evidence exists that multidisciplinary rehabilitation and fatigue management courses improve function and participation in people with multiple sclerosis. Aust Occup Ther J. 2004;61:288-289.
  • Mansson E, Lexell J. Performance of activities of daily living in multiple sclerosis. Disabil Rehabil. 2004;26:576-585.
  • McDonnell G, Hawkins S. An assessment of the spectrum of disability and handicap in multiple sclerosis: a population-based study. Mult Scler J. 2001;7:111-117.
  • Glanz BI, Dégano IR, Rintell DJ, Chitnis T, Weiner HL, Healy BC. Work productivity in relapsing Multiple Sclerosis: associations with disability, depression, fatigue, anxiety, cognition, and health-related quality of life. Value Health. 2012;15:1029-1035.
  • Raggi A, Covelli V, Schiavolin S, Scaratti C, Leonardi M, Willems M. Workrelated problems in multiple sclerosis: a literature review on its associates and determinants. Disabil Rehabil. 2016;38:936-944.
  • Finlayson M. Health and social profile of older adults with MS: Findings from three studies. Int. J. MS Care. 2002;4:139-51.
  • Hubbard EA, Motl RW, Manns PJ. The descriptive epidemiology of daily sitting time as a sedentary behavior in multiple sclerosis. Disabil Health J. 2015;8:594-601.
  • Vanner EA, Block P, Christodoulou CC, Horowitz BP, Krupp LB. Pilot study exploring quality of life and barriers to leisure-time physical activity in persons with moderate to severe multiple sclerosis. Disabil Health J. 2008;1:58-65.

EFFECTIVENESS OF CLIENT-CENTERED INTERVENTION ON PERCIEVED OCCUPATIONAL PERFORMANCE AND SATISFACTION IN PEOPLE WITH MULTIPLE SCLEROSIS

Yıl 2022, Cilt: 7 Sayı: 1, 65 - 74, 21.03.2022
https://doi.org/10.52881/gsbdergi.986231

Öz

Giriş: Multipl Skleroz’lu (MS) bireyler, fiziksel, bilişsel, sosyal, çevresel gibi faktörlerin olumsuz etkilenmesi nedeniyle günlük yaşam aktivitelerinde algılanan aktivite performans ve memnuniyet düzeyinde problem yaşamaktadır.
Amaç: Bu çalışma, MS bireylere yönelik kişi merkezli eğitimin algılanan aktivite performans ve memnuniyet üzerine etkisinin incelenmesi amacıyla planlandı.
Gereç ve Yöntem: Çalışmaya 10’u kadın 4’ü erkek olmak üzere 14 MS’li birey katıldı. Eğitim öncesi ve sonrası algılanan aktivite performans ve memnuniyet düzeyi Kanada Aktivite Performans Ölçümü (KAPÖ) ile değerlendirildi. KAPÖ’de belirtilen aktivitelere göre eğitim programı çizildi. Program, 6 Hafta, haftada 4 gün 45 dakika olacak şekilde 24 seanstan oluşmaktadır.
Bulgular: Çalışmaya katılan MS’li bireylerin eğitim öncesi KAPÖ performans ortalaması 3,5±0,65 (min.2,5-maks.4,5), KAPÖ memnuniyet ortalaması 3,07±1,29 (min.1-maks.5,33) puandır. Eğitim sonrası KAPÖ performans ortalaması 7,34±0,7 (min.6,2-maks.8,33), KAPÖ memnuniyet ortalaması 7,7±0,98 (min.6-maks9,4) puan olmuştur. Eğitim öncesi ve sonrası KAPÖ performans ve memnuniyet skorlarında istatistiksel olarak anlamlı artış saptanmıştır (p<0,01). Aktivite dağılımları incelendiğinde; kendine bakım %55,17’sini, üretkenlik %24,13’ünü ve serbest zaman %20,68’ini oluşturduğu belirlenmiştir.
Sonuç: MS’li bireylere yönelik kişi merkezli eğitimin bireylerin algılanan aktivite performansı ve memnuniyeti üzerinde olumlu etkileri olmuştur. MS’li bireylerin aktivite performanslarını ve memnuniyetlerini arttırmakta kişi merkezli eğitimlerin etkin bir şekilde kullanılabileceği düşünülmüştür.

Proje Numarası

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Kaynakça

  • Confavreux C, Vukusic S. The clinical course of multiple sclerosis. Handb Clin Neurol. 2015;122:343-69.
  • Hauser SL, Cree BA. Treatment of multiple sclerosis: a review. Am J Med. 2020;133:1380-90
  • Quinn E, Hynes SM. Occupational therapy interventions for multiple sclerosis: A scoping review. Scand J Occup Ther. 2021;28:399-414.
  • Torpil B, Ekici Çağlar G, Bumin G, Pekçetin S. Validity and Reliability of the Turkish Canadian Occupational Performance Measure (COPM-TR) for People with Multiple Sclerosis. Occupational Therapy In Health Care. 2021;5:306-317. DOI: 10.1080/07380577.2021.1933673.
  • Baum CM, Law M. Occupational therapy practice: Focusing on occupational performance. Am J Occup Ther. 1997;51:277-288.
  • Law M, Baptiste S, McColl M, Polatajko H, Pollock N. The Canadian Occupational Performance Measure. 5th ed. Canadian. Ottawa, Ont. Canadian Association of Occupational Therapy publications. 2014.
  • Kielhofner G. Conceptual foundations of occupational therapy practice. In G. Kielhofner (Eds.), The Nature and Role of Conceptual Practice Models, (First Edition, pp.60-67). Philadelphia: FA Davis. 2009.
  • Yu CH, Mathiowetz V. Systematic review of occupational therapy–related interventions for people with multiple sclerosis: Part 1. Activity and participation. Am J Occup Ther. 2014;68:27-32.
  • Yu CH, Mathiowetz V. Systematic review of occupational therapy–related interventions for people with multiple sclerosis: Part 2. Impairment. Am J Occup Ther. 2014;68:33-38.
  • Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33:1444.
  • Folstein MF, Robins LN, Helzer JE. The mini-mental state examination. Arch Gen Psychiatry. 1983;40:812-812.
  • Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental Durum Test’inin Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Turk Psikiyatri Derg. 2002;13:273-281.
  • American Occupational Therapy Association. Occupational Therapy Practice Framework: Domain and Process-Fourth Edition. Am J Occup Ther. 2020;74(Supplement_2):7412410010. https://doi.org/10.5014/ajot.2020.74S2001
  • Enemark Larsen A, Rasmussen B, Christensen JR. Enhancing a client-centred practice with the Canadian Occupational Performance Measure. Occup Ther Int. 2018.
  • De Vriendt P, Peersman W, Florus A, Verbeke M, Van de Velde D. Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program. A pragmatic randomized controlled trial. J Nutr Health Aging. 2016;20(1):35-40.
  • Law M, Baptiste S, Mills J. Client-centred practice: What does it mean and does it make a difference? Can J Occup. 1995;62:250-257.
  • Lewin S, Skea Z, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. 2001;4.
  • Fearing VG, Law M, Clark J. An occupational performance process model: Fostering client and therapist alliances. Can J Occup. 1997;64:7-15.
  • Stewart M. Towards a global definition of patient centred care- The patient should be the judge of patient centred care. BMJ. 2001;322:444-445.
  • George S, White J. Strong evidence exists that multidisciplinary rehabilitation and fatigue management courses improve function and participation in people with multiple sclerosis. Aust Occup Ther J. 2004;61:288-289.
  • Mansson E, Lexell J. Performance of activities of daily living in multiple sclerosis. Disabil Rehabil. 2004;26:576-585.
  • McDonnell G, Hawkins S. An assessment of the spectrum of disability and handicap in multiple sclerosis: a population-based study. Mult Scler J. 2001;7:111-117.
  • Glanz BI, Dégano IR, Rintell DJ, Chitnis T, Weiner HL, Healy BC. Work productivity in relapsing Multiple Sclerosis: associations with disability, depression, fatigue, anxiety, cognition, and health-related quality of life. Value Health. 2012;15:1029-1035.
  • Raggi A, Covelli V, Schiavolin S, Scaratti C, Leonardi M, Willems M. Workrelated problems in multiple sclerosis: a literature review on its associates and determinants. Disabil Rehabil. 2016;38:936-944.
  • Finlayson M. Health and social profile of older adults with MS: Findings from three studies. Int. J. MS Care. 2002;4:139-51.
  • Hubbard EA, Motl RW, Manns PJ. The descriptive epidemiology of daily sitting time as a sedentary behavior in multiple sclerosis. Disabil Health J. 2015;8:594-601.
  • Vanner EA, Block P, Christodoulou CC, Horowitz BP, Krupp LB. Pilot study exploring quality of life and barriers to leisure-time physical activity in persons with moderate to severe multiple sclerosis. Disabil Health J. 2008;1:58-65.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Berkan Torpil 0000-0002-0322-5163

Serkan Pekçetin 0000-0001-5110-633X

Proje Numarası -
Erken Görünüm Tarihi 18 Mart 2022
Yayımlanma Tarihi 21 Mart 2022
Gönderilme Tarihi 24 Ağustos 2021
Kabul Tarihi 23 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 7 Sayı: 1

Kaynak Göster

APA Torpil, B., & Pekçetin, S. (2022). Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bilimleri Dergisi, 7(1), 65-74. https://doi.org/10.52881/gsbdergi.986231
AMA Torpil B, Pekçetin S. Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bil. Mart 2022;7(1):65-74. doi:10.52881/gsbdergi.986231
Chicago Torpil, Berkan, ve Serkan Pekçetin. “Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People With Multiple Sclerosis”. Gazi Sağlık Bilimleri Dergisi 7, sy. 1 (Mart 2022): 65-74. https://doi.org/10.52881/gsbdergi.986231.
EndNote Torpil B, Pekçetin S (01 Mart 2022) Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bilimleri Dergisi 7 1 65–74.
IEEE B. Torpil ve S. Pekçetin, “Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis”, Gazi Sağlık Bil, c. 7, sy. 1, ss. 65–74, 2022, doi: 10.52881/gsbdergi.986231.
ISNAD Torpil, Berkan - Pekçetin, Serkan. “Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People With Multiple Sclerosis”. Gazi Sağlık Bilimleri Dergisi 7/1 (Mart 2022), 65-74. https://doi.org/10.52881/gsbdergi.986231.
JAMA Torpil B, Pekçetin S. Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bil. 2022;7:65–74.
MLA Torpil, Berkan ve Serkan Pekçetin. “Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People With Multiple Sclerosis”. Gazi Sağlık Bilimleri Dergisi, c. 7, sy. 1, 2022, ss. 65-74, doi:10.52881/gsbdergi.986231.
Vancouver Torpil B, Pekçetin S. Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bil. 2022;7(1):65-74.