Scielo RSS <![CDATA[South African Journal of Occupational Therapy]]> http://www.scielo.org.za/rss.php?pid=2310-383320180002&lang=en vol. 48 num. 2 lang. en <![CDATA[SciELO Logo]]> http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za <![CDATA[<b>Editorial Comment</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200001&lng=en&nrm=iso&tlng=en <![CDATA[<b>First-year students' experience of a WebQuest to explore the University's online resources and virtual learning environment</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200002&lng=en&nrm=iso&tlng=en First-year students present with diverse digital literacy skills. Orientation to online tools and resources via a WebQuest was introduced as a novel modality to allow students to work at their own pace. Occupational therapy and physiotherapy students (N=383) over three consecutive academic years completed the WebQuest. A descriptive survey design was used to investigate the students' electronic media preferences and their perceptions of the WebQuest. The students (n=250) reported preference for personal computing and home-based internet, and rated their electronic media proficiency as very good. The WebQuest was seen as beneficial to their learning and the difficulty level of the WebQuest was "just right". The majority of the students felt that the WebQuest made the learning process more interesting, but were more ambivalent regarding their enjoyment of the WebQuest, possibly due to technical issues and experiencing it as being time consuming. Overall the WebQuest was a successful modality for orientating the students to the online tools and resources of the University. <![CDATA[<b>The role of the occupational therapist in case management in South Africa</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200003&lng=en&nrm=iso&tlng=en INTRODUCTION: Case Management is fundamental in managed healthcare and has been identified as an established practice delivered by varied health professionals. The aim of the study was to identify the occupational therapist's role and scope of practice in case management in South Africa. METHOD: A questionnaire was developed and distributed via Surveymonkey which yielded quantitative and qualitative data. RESULTS: Occupational therapists are in involved in case manager functions and the extent and intensity of involvement depends on the practice area. More than half the respondents (n=43 i.e. 64%) indicated frequent involvement in case management. The majority of respondents indicated that academic preparation in case management would be beneficial at post-graduate level (64%) CONCLUSIONS: Case management has been implemented by occupational therapists operationally in disability management and as a component of vocational rehabilitation. A high percentage are involved in advocacy for the client, collaboration with the employer in transitioning the client back to work and the coordination of services to enable a work reintegration which are all recognised as case manager functions with an emphasis on occupational performance. Further research is suggested for formalised training in the field to strengthen the occupational therapist as case manager and for the use of a standard of practice in vocational rehabilitation. <![CDATA[<b>Digital apartheid and the effect of mobile technology during rural fieldwork</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200004&lng=en&nrm=iso&tlng=en Fourth year occupational therapy students at the University of the Witwatersrand attend a three-week rural fieldwork placement. During this time, they are in a resource-limited environment with limited access to their usual Virtual Learning Environment (VLE) in a blended learning curriculum, thereby contributing to 'digital apartheid' between students from different socioeconomic backgrounds. This study investigates the effect of mobile technology during rural fieldwork to address 'digital apartheid'. A self-reporting pre-test post-test survey design was used. Students self-evaluated their understanding of fieldwork learning objectives at the start of the year and again midyear. Rural fieldwork marks were collected midyear. The experimental group (n=l3) accessed the VLE via the mobile technology, whereas the control group (n0=7) did not. Data were analysed for significance and effect size. While there was no significant difference in the student marks (p=0.27), there was a significant effect on self-evaluated knowledge gain for the experimental group's rural fieldwork learning objectives (d=2.02) which was a notably larger effect size than their other fieldwork learning objectives (d=l.36) and that of the control group's learning objectives. The use of mobile technology during rural fieldwork was a successful strategy towards 'digital democracy' by allowing students equal access to access the VLE. <![CDATA[<b>A pilot study on high dosage intervention of children with CP using combined therapy approaches</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200005&lng=en&nrm=iso&tlng=en BACKGROUND: Neurodevelopmental Therapy (NDT) in conjunction with other therapy approaches offer a forward-looking interdisciplinary problem-solving approach to the treatment and management of any individual with a central nervous system disorder. AIM: The aim of the pilot study was to establish the effect of Combined Therapy Approaches (CTA) on the intervention of four children aged 48.1 months to 60 months with Cerebral Palsy (CP). Repetitive learning processes of CTA during task specificity activities provide an overview of the impact of high dosage intervention for children with CP. METHODOLOGY: A One-Group Pre-test-Post-test Design was followed. The pilot study included four children with active participation of the parents during frequent intervention sessions. The children were classified on the Gross Motor Function Classification System (GMFCS) at levels IV and V with some homogeneity. All children were evaluated before intervention, directly after intervention sessions and again at eight weeks after the initial testing using the Paediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) and Gross Motor Function Measure (GMFM). Goal Attainment Scaling (GAS) that involves careful prediction of expected outcomes enabled a thorough description of the children's level of performance in a target area RESULTS: The success of the intervention was confirmed by the positive results obtained on the Goal Attainment Scaling (GAS). CONCLUSION: Intensive task-specific training showed to be beneficial for the children, resulting in improved developmental domains for the child with CP These findings emphasize that evidence-based treatment-intervention approaches for children with CP should be applied including traditional NDT/Bobath. <![CDATA[<b>"We are the Peace Team": Exploring transformation among previously gang-involved young men in Cape Town</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200006&lng=en&nrm=iso&tlng=en INTRODUCTION: Many young men in South Africa belong to gangs which has negative consequences for individuals and society. Disengaging from a gang is difficult as it requires transformation; however, little is known about transformation in previously gang-involved youth. This study therefore aimed at exploring the experiences of transformation through occupational engagement in a group of young men who were previously involved in gangs. The objectives were to explore the young men's experiences of how occupational engagement facilitated, and sustained, their transformation to an ex-gang lifestyle, and the challenges which they faced METHODS: In this descriptive, qualitative study, ten young men who were previously involved in gangs and subsequently became part of a group called the "Peace Team" participated in four focus groups. Data obtained were analysed thematically FINDINGS: The first theme "There's that sense of change" depicted the participants' experiences and perceptions about their transformation out of gangs. The second theme "We are the Peace Team" showed that belonging to the Peace Team facilitated and sustained transformation as this provided opportunities to engage in non-deviant, pro-social occupations. The third theme "We will be the change" depicted the participants' perceptions that change started with themselves and then spread to others. Challenges included the social and emotional ties to the gang and threats to personal safety CONCLUSION: The study provided insight into the transformation that takes place as young men disengage from gangs. Occupational therapists could create opportunities for supportive development through occupational engagement to assist young men to disengage from gangs and transform their lives <![CDATA[<b>OTASA - A Remarkable Story</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332018000200007&lng=en&nrm=iso&tlng=en INTRODUCTION: Many young men in South Africa belong to gangs which has negative consequences for individuals and society. Disengaging from a gang is difficult as it requires transformation; however, little is known about transformation in previously gang-involved youth. This study therefore aimed at exploring the experiences of transformation through occupational engagement in a group of young men who were previously involved in gangs. The objectives were to explore the young men's experiences of how occupational engagement facilitated, and sustained, their transformation to an ex-gang lifestyle, and the challenges which they faced METHODS: In this descriptive, qualitative study, ten young men who were previously involved in gangs and subsequently became part of a group called the "Peace Team" participated in four focus groups. Data obtained were analysed thematically FINDINGS: The first theme "There's that sense of change" depicted the participants' experiences and perceptions about their transformation out of gangs. The second theme "We are the Peace Team" showed that belonging to the Peace Team facilitated and sustained transformation as this provided opportunities to engage in non-deviant, pro-social occupations. The third theme "We will be the change" depicted the participants' perceptions that change started with themselves and then spread to others. Challenges included the social and emotional ties to the gang and threats to personal safety CONCLUSION: The study provided insight into the transformation that takes place as young men disengage from gangs. Occupational therapists could create opportunities for supportive development through occupational engagement to assist young men to disengage from gangs and transform their lives