Asian Journal of Occupational Therapy
Online ISSN : 1347-3484
Print ISSN : 1347-3476
ISSN-L : 1347-3476
Current issue
Displaying 1-5 of 5 articles from this issue
  • Takuya Noguchi, Takahiro Yorozu, Suguru Hashizume, Takayuki Kawakami, ...
    2024 Volume 20 Issue 1 Pages 1-11
    Published: 2024
    Released on J-STAGE: January 30, 2024

    Objectives: This study aims to examine the treatment effects of Positive Occupation-Based Practice (POBP) in individuals with mental illness using the Engagement Estimation System (EES) of the Assessment of Positive Occupation 15 (APO-15) in a single-group, pre/post-comparison design in a multicenter study.

    Method: This study was a collaboration between day hospitals (two facilities) and psychiatric hospitals (three facilities). The sample consisted of a diverse group of participants, aged 20-80 years, diagnosed with psychiatric disorders and recruited with the consent of their treating physicians. This study examined the treatment effects of POBP with EES applied as an adjunct to day hospital or psychiatric occupational therapy in a single-group, pre/post-comparison design. Participants were asked to attend the standard program and the EES-applied POBP program at each facility. The intervention period was 5 months, starting from baseline, with an additional 1-month follow-up period after completion of the intervention. In this study, the Subjective Well-being Scale was used as the primary outcome measure. In addition, the Positive and Negative Affect Schedule and the APO-15 were used as secondary outcome measures.

    Results: The study included 18 participants. Basic participant information included diagnosis (12 schizophrenia, 5 depression, 1 organic psychosis), gender (9 male, 9 female), age (57.61 [±13.25]), and living environment (12 community, 6 hospital). EES-applied POBP showed a statistically significant therapeutic effect on 7 of the 9 factors in the three outcome measures.

    Conclusion: The EES-applied POBP may contribute to the effective enhancement of subjective well-being and positive emotions in individuals with mental illness.

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  • Kojiro Kawano, Masayoshi Kobayashi, Saori Haga, Ayako Takehara, Kenji ...
    2024 Volume 20 Issue 1 Pages 12-20
    Published: 2024
    Released on J-STAGE: February 28, 2024

    Background: This study aimed to identify factors correlating with the continued employment of people with mental disorders who were hired after the launch of the Employment Support Programme in Cooperation with the Public (ESPCP) employment service.

    Methods: A survey was conducted with 60 participants who were hired within 12 months after the launch of the ESPCP to determine whether they had retained that job or had changed jobs during the 12-month period after being hired. Factors relating to continued employment were then examined using binary logistic regression.

    Results: The participants were classified into two groups: the job-retention (n = 43) and job-turnover (n = 6) groups. Of the participants in the job-retention group, 79.07% used psychiatric day care after securing their jobs. Psychiatric day care was extracted as a predictive factor for continued employment in a logistic regression model, whose variables included psychiatric day care, outreach services, and agency-based counselling services (odds ratio = 1.02, 95% confidence interval = 1.00-1.04, p = 0.04). The job-turnover group included those who wanted to change jobs and those who quit owing to their condition worsening. Two of the four participants whose conditions worsened had adjusted their medication use based on their own judgment.

    Conclusions: The use of psychiatric day care is associated with job retention of people with mental disorders post-ESPCP. Preventing turnover requires paying attention to job satisfaction, desire to change jobs, medication adherence, and follow-up when unable to attend the psychiatric day-care centre.

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  • Takashi Kariya, Shinichi Noto
    2024 Volume 20 Issue 1 Pages 21-28
    Published: 2024
    Released on J-STAGE: February 28, 2024

    Purpose: To determine the relationship between qualitative factors of motivation for rehabilitation and participants' performance of and satisfaction with self-determined goals, healthrelated quality of life, and functional independence in first-episode stroke patients in a convalescent ward.

    Methods: Participants were first-stroke patients admitted to the A Hospital during November 2022–August 2023. Training Motivation Scale score was used as an explanatory variable to assess motivation quality. Canadian Occupational Performance Measure (COPM), MOS 36-Item Short-Form Health Survey (SF-36), and Functional Independence Measure (FIM) scores at baseline and discharge evaluations were used as objective variables for comparison.

    Results: Significant differences were found on two factors related to the amount of change in the SF-36 role/social health component score: the controlled motivation score at baseline (p < 0.01) and the amount of change in the controlled motivation score (p < 0.05). Univariate logistic regression analysis showed a significant association between improvement above the minimum important change in COPM-P score and an increase in the controlled motivation score (odds ratio 6.67, 95% confidence interval 1.05-42.40, p = 0.04), but no increase in the non-motivation score (odds ratio 13, 95% confidence interval 1.27-133, p = 0.03). There was no relationship between motivation for rehabilitation and improvement in FIM score.

    Conclusions: These findings suggest that focusing on controlled motivation as a qualitative aspect of motivation for rehabilitation promotes patients' motivation to reacquire roles and social life activities, positively affects their goal performance, and improves quality of life.

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  • Ryu Kobayashi, Sho Maruyama, Takuya Hirose, Hiroaki Ishikawa, Norikazu ...
    2024 Volume 20 Issue 1 Pages 29-48
    Published: 2024
    Released on J-STAGE: May 07, 2024

    Objective: A comprehensive overview of prognosis prediction studies on activity and participation among stroke survivors in Japan is currently lacking. This scoping review aimed to identify outcome measures, study characteristics, gaps, and issues in prognosis prediction studies focusing on activity and participation among patients with stroke in Japan. The study sought to provide guidance for future research.

    Methods: The PubMed and Ichushi-web databases were searched. Two reviewers independently selected studies according to set inclusion and exclusion criteria. After study selection, author names, publication year, aims, study type, study design, study scale, setting, sample size, outcomes, main analysis methods, and main findings were extracted, categorized, and summarized.

    Results: Eighty-three articles were finally included. The most frequently covered outcomes were activity of daily living (ADL) scores, such as the Functional Independence Measure (34 studies, 39.5%), followed by walking (26 studies, 30.2%). On the other hand, only few studies covered outcomes related to instrumental ADL and social activities, such as return to work and driving resumption. Although the number of studies has been increasing in recent years, 85.5% of the studies were conducted at single centers. Furthermore, only approximately 15% of the studies examined the validity of prediction models and indicators using a validation group.

    Conclusions: In the future, prognosis prediction studies focusing on multiple aspects of activity and participation, such as instrumental ADL and social activities are required in Japan. Equally important is the generation of high-quality evidence, a goal achievable by promoting multicenter studies and validating existing predictive models and indicators.

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  • Hiromi Sawada, Yusuke Masuda, Keiichiro Shindo, Masahiro Tsujikawa, Ku ...
    2024 Volume 20 Issue 1 Pages 49-58
    Published: 2024
    Released on J-STAGE: July 09, 2024

    Background: There is a paucity of reports on task-oriented training in adult day-care centers for patients with chronic stroke.

    Purpose: This study aimed to compare upper-extremity performance pre-, post-implementation, and after 6 months of the program in patients with chronic stroke at our adult day-care center.

    Methods: Ten patients with chronic stroke underwent a voluntary upper-extremity functional training program comprising task-oriented training and transfer package. The frequency of training was 3 hours per day, 1 day per week, for 6 months. Main outcome measures included the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), Box and Block Test (BBT), and Motor Activity Log (MAL). Repeated measures of one-way ANOVA were conducted for pre-, post-intervention, and after 6 months of upper-extremity functional assessments.

    Results: There were significant improvements in all upper-extremity function assessments pre- and post-intervention (p < .05, effect size (f) = .75–1.04). Conversely, there was no significant improvement between post-intervention and after 6 months.

    Conclusion: Our functional training program affected motor function, performance of the paralyzed upper-extremity, and participation status of the paralyzed upper-extremity in daily life. These results highlight the effectiveness of this program in patients with chronic stroke who are less affected by spontaneous recovery.

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