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Occupational therapists' assessments of adults with long-term pain: the Swedish experience
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
2002 (English)In: Occupational Therapy International, ISSN 0966-7903, Vol. 9, no 1, 1-23 p.Article in journal (Refereed) Published
Abstract [en]

The purposes of this study were to describe the needs for occupational therapy among people of working age with long-term pain, and to describe treatment interventions based on these assessments. Occupational therapists working in primary health care and/or with special interest in pain management (n=109) assessed 113 people aged 18-58 years with long-term pain with the Occupational Therapy Needs Assessment--Pain (OTNA--P) questionnaire. The occupational therapists recommended treatment interventions where appropriate. The results generated categories of needs that have implications for interventions: 1) need for patient education, 2) needs due to limitations in activity performance, 3) needs due to patient's discouragement, 4) need as a result of patient's dependency and 5) needs related to work. The suggested interventions focused on increased knowledge of how to handle daily occupations, mainly categorized as education and stress management' and behavioural' interventions. Significant correlations were found between the assessed needs and the suggested interventions. The results of this study could assist in developing guidelines for practitioners working in occupational therapy pain management programmes. It is recommended that further research is done on the effectiveness of occupational therapy interventions with patients with long-term pain.

Place, publisher, year, edition, pages
2002. Vol. 9, no 1, 1-23 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-89480DOI: 10.1002/oti.153PubMedID: 12375005OAI: oai:DiVA.org:uu-89480DiVA: diva2:160963
Available from: 2001-10-15 Created: 2001-10-15 Last updated: 2013-07-10Bibliographically approved
In thesis
1. Needs Assessment in Occupational Therapy: Studies of Persons with Long-Term/Recurrent Pain
Open this publication in new window or tab >>Needs Assessment in Occupational Therapy: Studies of Persons with Long-Term/Recurrent Pain
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to describe (1) needs for occupational therapy among persons with self-perceived activity limitations and/or participation restrictions due to long-term/recurrent pain, and (2) treatment interventions in occupational therapy to meet demonstrated needs. The Liss’ model for assessing health care needs was used as a structural scheme. A randomly selected sample (n=10,000) from the Swedish general population aged 18-58 years was the foundation for the study population with and without pain. In addition, occupational therapists were included (n=109). Data collection was made by postal questionnaires. The results showed a prevalence of 26 % and an incidence rate of 0.07. Demographic characteristics of the sample were female gender, ages 40-58 years and fewer years of education than those without pain. Pain in shoulders/lower back of searing/aching/gnawing character was the most frequently reported. A majority of the respondents reported affective/emo-tional effects of pain mainly of depressive character and they had previously been on sick leave due to pain. Women reported higher frequencies of self-perceived activity limitations/ participation restrictions due to pain, more difficulties with intermediate ADL, perceived higher job demands and had longer sick leave than men. Men perceived poorer social support than did women. Needs for occupational therapy were reported mainly as a consequence of activity and temporal imbalance. High health care consumers reported higher frequencies of needs/problems than did low health care consumers. The main goals and interventions suggested by occupational therapists to meet the needs in pain management focused on increased knowledge of handling daily occupations with the purpose to reduce pain, maintain competence/improve performance of home maintenance, reduce consequences of pain and increase knowledge how to handle effects of pain.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2001. 88 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1065
Keyword
Medical sciences, Needs assessment, occupational therapy, long-term/recurrent pain, activity limitations/participation restrictions, MEDICIN OCH VÅRD
National Category
Medical and Health Sciences
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-1434 (URN)91-554-5086-5 (ISBN)
Public defence
2001-09-28, universitetshusets lärosal X, Uppsala, 09:00
Opponent
Available from: 2001-10-15 Created: 2001-10-15Bibliographically approved

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