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defined as the arousal of physical and psychological responses in the individual that occur in reaction to daily experiences that make life difficult or create discomfort
can be a cause and an effect |
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can trigger symptoms such as depression, headaches, back pain or anxiety |
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demands on a job, pressure from family members to achieve, illness, or divorce can trigger a stress reaction |
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pressures and demands on the individual such as from a job, school, family or from within the individual
specific to an individual
there are external stressors and internal stressors |
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stress management strategies in which an individual engages to reduce the stress, such as walking, meditation or music |
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along with smoking, obesity, lack of exercise and poor nutrition, stress increases the probability of the initial onset of a disease and the chances of recurrence. |
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mild to moderate amounts of stress can be motivating force in an individual |
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severe, adverse, or negative stress |
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can impair one's thinking and disrupt one's emotions can have immediate physiological effects and if prolonged stress |
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Stress Management Questionnaire (SMQ) |
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stress management instrument identifying stressors, symptoms and copers
self administered paper and pencil test
purpose is to gain insight into one's stress, how it triggers symptoms and the activities or occupations that can be used in managing the stress reaction |
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three versions over 20 years with with help of undergraduate and graduate OT students at the University of Wisconsin-Milwaukee and U of SD
administered in a group or individually
supposed to help the client identify the 1. symptoms and problems precipitated by stress 2. stressors in the individual's life that cause a stress response and 3. coping activities that the individual currently uses to manage or alleviate stress |
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there is a computer version with a printout of the client's stress profile and a client database of scores obtained. |
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the Sorting Out Stress cards was devised at the U of SD and published in 2003 three decks of color-coded cards representing symptoms, stressors and copers that can be used by OTs in a clinical setting.
can be used with a variety of populations to ID activities that promote healthy adjustment, lower anxiety and to increase quality of life. Similar to the Q-sort technique |
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lists the symptoms I experience the following symptoms, feelings or problems physiological cognitive emotional behavioral
second set IDs situations that cause the stress response interpersonal intrapersonal time demands etc. |
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AOTF gave grant for this in eighty five criterian referenced based on modern test and measurement theory to use the user should have a solid understaning of both traditional and newer measurement theories functional assessment approach that is designed into software three aspects fist is the taxonomy of questions and theory in which it is framed second is the software uses methodolgy called trichotomous tailored sub branching scoring (TTSS) good for training new OTs
the third aspect is the OT FACT software which includes a number of features to assist in data collection for patient-progress docuamentation, program evaluation and outcomes research |
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HOPPIT Human Occupational Performance Practice Integration Theory |
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model organized as a hierarchy of four levels that depict the individual's functional areas
first level: integrated roles of performance -includes such itmes as role balance, continuity of roles across time and meeting role expectations of others and is at the top of the hierarchy second level: activities of performance- personal care activities, occupational role related activities third level: integrated skills of performance fourth level: underlying components of performance-neuromuscular components, sensory awareness components, coognitive components, social components, psychological componens |
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acknowleges that individual function is dependent on outside influences outside the four levels lies the environment therapeutic interventions can be any therapeutic method both the environment and the therapeutic interventions can targe any of the four levels of individual performance
co-variate domain to the HOPPIT model is that functional performance can be scored by OT FACT for any give co-variate. A component such as an individual's delusional or hallucinatory processes can be viewed as a skill component co-variate. The result of this co-variate scoreing is the percent contribution of a thought process impairment to functional performance deficits. |
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OT FACT integrates this HOPPIT model and makes each of these co-variates scorable assessments in themselves |
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trichotomous scale 2 if all criteria 1 if some 0 if none questions are specific to person category can be omitted from the total scoring process when it is irrelevant. Not one set of standardized questions does sub branching-next question based on how you answered this question the scoring is called TTSS every question is a screening question may end up asking less than 100 questions or more than 1000 |
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data can be merged into reports data can be used using various frames of reference can be used for initial assessments progress assessments discharge assessments goal setting or other data collection |
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collects data and obtains distributions of data to which an individual's score is compared |
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does not depend on prior data relies heavily on subjective information, subjective weighting of question items and adaptive interrogation |
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type of dynamic scaling not an instrument for which we can confirm or reject reliability. Scaling approach decision based theory method |
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Occupational Wellness Assessment OWA |
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interview divided into three categories control occupation values |
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