Get Permissions Abstract Deep pressure stimulation has been used in therapeutic practice because of the assumption that it changes physiological arousal.
This is an open access article distributed under Study on the effects of occupational therapy Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract We aimed to evaluate the short-term effects of community-based occupational therapy on health-related quality of life and engagement in meaningful activities among women with breast cancer. An open label randomized controlled trial study design was applied.
The participants were members of various societies of women with cancer. In total, 22 women have participated in the study. Participants of the experimental group participated in a 6-week community-based occupational therapy program and the usual activities of various societies, whereas the control group women participated in the usual activities of the societies only.
Participants of both groups were assessed for health-related quality of life and the participants of the experimental group were assessed for engagement in meaningful activities. The evaluation was carried out during the nonacute period of the disease—at the beginning of the study and after 6 weeks.
Women of the experimental group demonstrated statistically significantly better scores in the global quality of life, role functions, physical, emotional, cognitive, and social functions, fatigue, insomnia, financial impact, systemic therapy side effects, and breast symptoms scales compared to the control group participants after the 6 weeks, as measured by the EORTC QLQ-C30 questionnaire and its breast cancer module QLQ-BR Furthermore, women of the experimental group demonstrated significant greater engagement in meaningful activities when applying community-based occupational therapyas measured by using the Engagement in Meaningful Activities Survey EMAS.
Introduction On the global scale, cancer causes one-seventh of all deaths. According to the most recent estimates, there have been over 14 million new cases of cancer and over 8 million deaths from cancer registered worldwide, and it is expected that, due to the increasing numbers and aging of the population, these numbers will increase to, accordingly, Breast cancer, defined by the National Cancer Institute as cancer forming in breast tissues, is the most common malignant tumor among women and in as many as 19 out of 21 regions it is the leading cause of death among women in both the developed and the developing countries [ 2 — 4 ].
In European countries, breast cancer is also the most frequently diagnosed malignant tumor in women, and the prevalence of this disease has been increasing in most countries over the last decades [ 36 ].
Despite the continuous improvement in the diagnostic and treatment techniques, breast cancer remains one of the most common cancers among women in Lithuania as well as in the rest of the world in Lithuania, breast cancer is currently the second most common cancer after skin cancer melanoma and is undoubtedly their most urgent health problem.
Even though survival rates in Lithuania are among the lowest, the overall situation is improving: Unfortunately, the completion of breast cancer treatment does not mean the end of the disease [ 8 ]. Healthcare institutions with all the necessary services and specialists ensure integrated assistance to breast cancer patients.
However, after discharge, women frequently experience emotional stress because of short-term or long-term adverse effects of the therapy, the risk of recurrence, difficulty getting information about their health status and its possible changes, financial problems, difficulty getting back to work, impaired sexual life, and so forth.
Improving survival rates and the risk of late-onset adverse reactions increase the need for healthcare and rehabilitation services on the community level [ 3910 ].
Consequently, quality of life questions related to the financial impact of the disease, concern about the future of the family, fear of disease recurrence, insufficient preparation for possible late-onset adverse reactions to the treatment, and possible changes in social support become increasingly relevant [ 11 ].
Today, it is the field of health-related quality of life that is being most actively developed in Lithuania as well as abroad [ 12 ]. The impact of the diagnosis and treatment of breast cancer differs depending on the patient, resulting in varying numbers and degrees of physical and psychological sequelae.
Despite the fact that the combined effect of breast cancer and its treatment may manifest themselves at any moment and last for a very long time, it is essential for the patients to resume their daily roles as soon as possible after the completion of the treatment and this is where the role of the occupational therapist is especially important [ 14 ].
According to Pergolotti et al. Engagement in purposeful activities contributes to the satisfaction of the need for the meaningfulness of life, but only if this activity motivates the person, is interesting, can be successfully completed, and helps to achieve other significant aims.
Purposeful activities have been recognized as directly affecting the quality of life, and thus an important task when working with a patient is to clarify which activities are important for him or her.
Occupational therapists strive to and can help cancer patients live a meaningful life, be self-sufficient, participate in activities, be able to manage themselves and others, engage in work, leisure, and health promotion activities, and be a part of social groups and the family [ 16 ].
No similar research was found and we were the first in Lithuania who made a study analyzing changes in health-related quality of life, engagement in meaningful activities, and its associations among breast cancer patients when applying occupational therapy in the field of community healthcare.
Consequently, all these reasons have affected the following aim of the study: The study was performed during May—June in Kaunas city, with the mediation of the chairwomen of two societies of women who either had overcome their breast cancer or were still fighting it on the community level.
Exclusion criteria were the following: All the participants who met the inclusion criteria were in advance familiarized with the study, its aims, objectives, and methods, the confidentiality of the data, and the possibility of withdrawing from the study at any time and provided a written consent to participate in the study.
The participants were randomly distributed into two groups: The distribution of the participants was equal in both groups. The participants were also distributed into two groups based on the analyzed characteristics: Detailed characteristics of the participants are presented in Table 1.
The methods used in the study were the following: Testing was conducted twice: The principal questionnaire, EORTC QLQ-C30, consists of 30 questions forming the global health status and quality of life scale, five functional scales, three symptom scales, and six separately evaluated components.
After the calculation of the results according to the formulas presented by the authors, the score intervals in all scales and separately evaluated components ranged from 0 to points. This survey has not been translated into Lithuanian and has not been adapted in Lithuania.
For this reason, studies for the evaluation of the reliability and validity of the survey should be conducted. Engagement in meaningful activities was evaluated by a sum score. There is a growing body of scientific literature validating the psychometric properties of this test.Mar 10, · Effects of occupational therapy on quality of life of patients with metastatic prostate cancer A randomized controlled study Meral Huri, PT, PhD, Emre Huri, MD, PhD, Hulya Kayihan, PT, and Onur Altuntas, PT, PhD.
Another study by Smith et al. () compared the “effects of occupational therapy using an SI approach and a control intervention of tabletop activities” (p.
). The self-stimulatory behaviors in the SI group significantly decreased.
A new study from the USC Chan Division of Occupational Science and Occupational Therapy shows that lifestyle-based occupational therapy treatment significantly improves the experiences of people. Deep pressure stimulation has been used in therapeutic practice because of the assumption that it changes physiological arousal.
The purpose of this study was to test the effects of deep pressure stimulation, applied with a Vayu Vest (Therapeutic Systems), on both autonomic arousal and performance in a normative adult sample.
The results of this study will be used to form the basis for subsequent research on the therapeutic influence of the weighted blanket with adults during an acute inpatient mental health admission. Exploring the Safety and Therapeutic Effects of Deep Pressure Stimulation Using a Weighted Blanket: Occupational Therapy in Mental Health: Vol 24, No 1.
This study used an observational design with baseline, post-test (at 3 months) and follow up (at 6 months) to measure the impact of occupational therapy intervention. Participants receiving the occupational therapy intervention had steady cognition scores and a .