Occupational therapy in pulmonary rehabilitation programs: a scoping review

Detalhes bibliográficos
Autor(a) principal: Finch, Lian
Data de Publicação: 2022
Outros Autores: Frankel, Daniel, Gallant, Brooklyn, Landa, Chris, Snyder, Natalie, Wilson, Ria, Packham, Tara, Brooks, Dina, Oliveira, Ana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10773/40896
Resumo: Pulmonary rehabilitation (PR) is a multidisciplinary intervention forming the cornerstone of chronic respiratory disease management, improving individuals' exercise capacities and abilities to complete activities of daily living (ADLs). Although the occupational therapy (OT) scope of practice focuses on similar outcomes as PR, the tasks/roles and benefit of including OT in PR has not been reviewed. This scoping review synthesized the i) tasks/roles, ii) recommendations of guidelines, iii) prevalence and iv) effects of OT as part of PR programs. Searching of four databases (MEDLINE, EMBASE, CINAHL and Cochrane), OT association websites, and hand searching was performed, and 51 records were included. The OT tasks/roles most reported include teaching energy conservation techniques (n = 23), addressing ADLs (n = 17), and assisting with breathlessness management (n = 10). Using the Canadian Model of Occupational Performance and Engagement these tasks/roles were grouped into person (n = 16 unique tasks/roles), occupation (n = 6 tasks/roles), environment (n = 5 tasks/roles), and other (n = 3 tasks/roles) domains and were endorsed by two available practice guidelines addressing OT in PR programs. From 13 PR surveys across four continents, 17-92% of PR programs included OT. Inclusion of OT in PR resulted in positive effects on ADLs, pulmonary function, dyspnea, quality of life, and mortality. Although an increasing number of PR programs include occupational therapists in their multidisciplinary teams, there is a paucity of original studies and guidelines reporting on the tasks/roles and benefits of OT in PR. Further research is needed to clearly define the tasks/roles of OT in multidisciplinary PR teams and contributions to enhancing patient outcomes.
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spelling Occupational therapy in pulmonary rehabilitation programs: a scoping reviewRespiratory careOccupational performanceActivities of daily livingMultidisciplinaryPulmonary rehabilitation (PR) is a multidisciplinary intervention forming the cornerstone of chronic respiratory disease management, improving individuals' exercise capacities and abilities to complete activities of daily living (ADLs). Although the occupational therapy (OT) scope of practice focuses on similar outcomes as PR, the tasks/roles and benefit of including OT in PR has not been reviewed. This scoping review synthesized the i) tasks/roles, ii) recommendations of guidelines, iii) prevalence and iv) effects of OT as part of PR programs. Searching of four databases (MEDLINE, EMBASE, CINAHL and Cochrane), OT association websites, and hand searching was performed, and 51 records were included. The OT tasks/roles most reported include teaching energy conservation techniques (n = 23), addressing ADLs (n = 17), and assisting with breathlessness management (n = 10). Using the Canadian Model of Occupational Performance and Engagement these tasks/roles were grouped into person (n = 16 unique tasks/roles), occupation (n = 6 tasks/roles), environment (n = 5 tasks/roles), and other (n = 3 tasks/roles) domains and were endorsed by two available practice guidelines addressing OT in PR programs. From 13 PR surveys across four continents, 17-92% of PR programs included OT. Inclusion of OT in PR resulted in positive effects on ADLs, pulmonary function, dyspnea, quality of life, and mortality. Although an increasing number of PR programs include occupational therapists in their multidisciplinary teams, there is a paucity of original studies and guidelines reporting on the tasks/roles and benefits of OT in PR. Further research is needed to clearly define the tasks/roles of OT in multidisciplinary PR teams and contributions to enhancing patient outcomes.Elsevier2024-02-28T16:32:27Z2022-08-01T00:00:00Z2022-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10773/40896eng0954-611110.1016/j.rmed.2022.106881Finch, LianFrankel, DanielGallant, BrooklynLanda, ChrisSnyder, NatalieWilson, RiaPackham, TaraBrooks, DinaOliveira, Anainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-04T01:46:26Zoai:ria.ua.pt:10773/40896Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:12:37.930054Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Occupational therapy in pulmonary rehabilitation programs: a scoping review
title Occupational therapy in pulmonary rehabilitation programs: a scoping review
spellingShingle Occupational therapy in pulmonary rehabilitation programs: a scoping review
Finch, Lian
Respiratory care
Occupational performance
Activities of daily living
Multidisciplinary
title_short Occupational therapy in pulmonary rehabilitation programs: a scoping review
title_full Occupational therapy in pulmonary rehabilitation programs: a scoping review
title_fullStr Occupational therapy in pulmonary rehabilitation programs: a scoping review
title_full_unstemmed Occupational therapy in pulmonary rehabilitation programs: a scoping review
title_sort Occupational therapy in pulmonary rehabilitation programs: a scoping review
author Finch, Lian
author_facet Finch, Lian
Frankel, Daniel
Gallant, Brooklyn
Landa, Chris
Snyder, Natalie
Wilson, Ria
Packham, Tara
Brooks, Dina
Oliveira, Ana
author_role author
author2 Frankel, Daniel
Gallant, Brooklyn
Landa, Chris
Snyder, Natalie
Wilson, Ria
Packham, Tara
Brooks, Dina
Oliveira, Ana
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Finch, Lian
Frankel, Daniel
Gallant, Brooklyn
Landa, Chris
Snyder, Natalie
Wilson, Ria
Packham, Tara
Brooks, Dina
Oliveira, Ana
dc.subject.por.fl_str_mv Respiratory care
Occupational performance
Activities of daily living
Multidisciplinary
topic Respiratory care
Occupational performance
Activities of daily living
Multidisciplinary
description Pulmonary rehabilitation (PR) is a multidisciplinary intervention forming the cornerstone of chronic respiratory disease management, improving individuals' exercise capacities and abilities to complete activities of daily living (ADLs). Although the occupational therapy (OT) scope of practice focuses on similar outcomes as PR, the tasks/roles and benefit of including OT in PR has not been reviewed. This scoping review synthesized the i) tasks/roles, ii) recommendations of guidelines, iii) prevalence and iv) effects of OT as part of PR programs. Searching of four databases (MEDLINE, EMBASE, CINAHL and Cochrane), OT association websites, and hand searching was performed, and 51 records were included. The OT tasks/roles most reported include teaching energy conservation techniques (n = 23), addressing ADLs (n = 17), and assisting with breathlessness management (n = 10). Using the Canadian Model of Occupational Performance and Engagement these tasks/roles were grouped into person (n = 16 unique tasks/roles), occupation (n = 6 tasks/roles), environment (n = 5 tasks/roles), and other (n = 3 tasks/roles) domains and were endorsed by two available practice guidelines addressing OT in PR programs. From 13 PR surveys across four continents, 17-92% of PR programs included OT. Inclusion of OT in PR resulted in positive effects on ADLs, pulmonary function, dyspnea, quality of life, and mortality. Although an increasing number of PR programs include occupational therapists in their multidisciplinary teams, there is a paucity of original studies and guidelines reporting on the tasks/roles and benefits of OT in PR. Further research is needed to clearly define the tasks/roles of OT in multidisciplinary PR teams and contributions to enhancing patient outcomes.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-01T00:00:00Z
2022-08
2024-02-28T16:32:27Z
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10.1016/j.rmed.2022.106881
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dc.publisher.none.fl_str_mv Elsevier
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