[Validity and reliability of WHOQOL-DIS questionnaire in Iranian older people with disability]

Objective: The main purpose of the present study was to evaluate psychometric properties of Persian version of WHOQOL-DIS questionnaire in elderly people with disability

Materials and Methods: A classical psychometric method was used to evaluate validity and reliability of WHOQOL-DIS questionnaire in elderly people with disability. Lawshe, and Waltz and Bausell methods were used for assessing content validity. During convenient sampling, 205 elderly, whose score in WHOQOL-DIS questionnaire was more than 4, completed the SF-12 questionnaire in order to assess convergent validity and criterion validity [using known group's comparison]. Reliability was estimated using internal consistency and test-retest reliability was determined by means of Intraclass Correlation Coefficients [ICC]

Results: According to Lawshe, and Waltz and Bausell methods of content validity, acceptable scores were obtained for all items. Correlation between the WHOQOL-DIS questionnaire and the SF-12 scales was satisfactory except for social domain [P=0.13]. The Intraclass Correlation Coefficients for score of questionnaire dimensions and total score was higher than 0.70. Cronbach's alpha for investigating Intraclass Correlation was higher than 0.70 except for social domain. Comparing known groups revealed distinctions in sex and health and disability status between elderly people [P<0.001]

Conclusion: In general, the findings suggested that the WHOQOL-DIS questionnaire is a reliable and valid measure of health related quality of life among elderly people with disabilities. Therefore, the questionnaire can be used in the investigation on the quality of life of elderly people

[Concept analysis of occupational therapy handling in the children with cerebral palsy: a hybrid model]

Objective: This study aimed to analyze the concept of occupational therapy handling in the children with cerebral palsy from the perspective of occupational therapy instructors and clinicians in Iran

Materials and Methods: In this qualitative study, using hybrid model to clarify the concept of handling through three phases. For the theoretical phase, attributes of handling were recognized through a review of the literature [until February 2014], and six in-depth semi - structured interviews, two observations and one panel of experts were conducted for the fieldwork to develop attributes from the data and to verify those identified from the literature review. In the third phase attributes and final analysis of handling were extracted from the first and second phase

Results: The results were classified in five main categories that were identified as: [1] care of child, [2] management of treatment, [3] manual techniques, [4] education of activities of daily living [ADL], and [5] lifting and carrying. Core attributes of handling include [control, safety, transfer and positioning]

Conclusion: It seems that the results of this study may help in clarifying the concept of handling in children with CP. In addition, by identifying the process, barriers and facilitative factors, and the concept of handling, occupational therapy instructors and therapists will be able to design and run their educational activities based on scientific findings which can provide them with the necessary conditions for education, learning and proper execution of handling in occupational therapy

[Validity and reliability of the Persian version of measurement of the quality of life of people with disabilities]

Improving disabled quality of life is considered as one of the goals of rehabilitation and maintaining and ameliorating quality of life has become an important aim of medical systems. This study aims at investigating psychometric properties of measurement of the quality of life of people with disabilities, which is developed by World Health Organization [WHO]. The questionnaire was translated based on the International Quality of Life Assessment Project [IQOLA]. 160 individuals over 18 years old with disability in Tehran [age average=50] performed in this study. Socio-demographic inventory, SF12 inventory, and finally WHOQOL-D were given to participants respectively. Validity, concurrent validity with quality of life questionnaire [short form 12] by using correlation coefficients pearson, face validity, content validity and discriminant validity with spearman correlation coefficients of internal consistency and stability by calculating Cronbach's alpha and determining the intraclass correlation coefficients [ICC] was assessed. Version 19 SPSS was used to perform statistical tests. Face and content validity of the questionnaire, simplicity, and clarity were approved phrases. Over 90% of scores with a correlation of each question with the scores of related subtest was significant and positive. These results indicate an appropriate discriminative validity of the test items. Estimating Cronbach's alpha [0.90] confirms high internal consistency of the inventory with the exception of social communication area [0.61]. The results of evaluating reliability using within subject correlation coefficient estimation show that there is a high correlation coefficient between different subtests of the inventory. Results indicate reliability and validity of Persian-version of mentioned inventory. Therefore, its utilization in research studies is highly recommended

Standardization of connor-davidson resilience scale in Iranian subjects with cerebrovascular accident

Background: Resilience is a personal trait that can influence the stroke subjects' attitudes toward future opportunities and facilitate the transitional process and adaptation in them. Assessment of this trait in stroke subjects with a standardized tool would promote the rehabilitation protocols and occupational therapy interventions. Therefore, the objective of this study was to standardize the Connor-Davidson Resilience Scale [CD-RISC] for Persian Iranian people who have had strokes

Methods: A descriptive observational study was adopted in order to standardize the CD-RISC in stroke population. The population was comprised of 34 female and 29 male subjects with a mean age of 51.4 +/- 10.6 years and the history of ischemic or hemorrhagic cerebrovascular accidents. Subjects were recruited based on inclusion criteria within the period of two months between May and July of 2014. Descriptive statistics were calculated along with the Cronbach's alpha to determine reliability. Standard multiple regression analyses searched for any correlation between variables and resilience

Results: Statistical parameters revealed a mean of 58.4 +/- 15.5 for CD-RISC raw scores. Percentile ranks were also calculated from raw data. Cronbach's alpha of 0.892 revealed that the CD-RISC had high reliability for the population of this study. Multiple regression analyses showed that the functional status was the only variable that uniquely predicted subjects' resilience [beta=0.41; P<0.01]

Conclusion: The findings of this research confirmed applicability of CDRISC in Iranian people who have had strokes. The standardized CD-RISC was determined to be suitable for use in the clinic and for utilization in research studies in Iranian people status post-stroke

Perceived maternal parenting self-efficacy: translation and face validation with Iranian mothers of hospitalized preterm neonates

Mothers' perception of their ability to parenting [maternal parenting self-efficacy] is a critical issue that influences their interactions with their preterm neonates. For better support of these mothers, a robust tool is needed which can measure mothers' perception of their ability to understand and care for their preterm neonates as well as being sensitive to the various levels and tasks in parenting. This study aimed to translate and test the face validity of Persian version of Perceived Maternal Parenting Self-Efficacy [PMP S-E] tool with Iranian mothers of hospitalized preterm neonates. The translation and validation was done in some steps. Forward translated by three independent translators and backward translated by two other translators who were blind to source version. Then, the face validity was evaluated by 10 mothers and the expert panel. At last, the tool adapted and approved by an expert committee. The Persian version of PMP S-E tool demonstrated good face validity regarding its items' relevancy and clearance. The PMP S-E was successfully translated and adapted into Persian with good face validity. However, further study is needed for evaluating its reliability in Iran and for Iranian mothers of hospitalized preterm neonates

Parent's learning strategies: a qualitative study on parents of preterm infants

This study aimed to understand the learning strategies of parents of preterm infants, hospitalized in NICU. This study was performed by qualitative research approach. Twelve participants including nine parents whose infants were admitted in NICU, two nurses and one physician, all selected by purposive sampling method were interviewed by a female expert occupational therapist. Data were gathered by semi-structured interviews. Data were analyzed by inductive content analysis approach. Three subcategories emerged from data analysis expressed learning strategies of parents of preterm infants hospitalized in NICU. These subcategories were: Asking question, Getting help, Learning caring skills. Preterm infants' parents stated that they do not have enough ability and knowledge for managing their feelings and needs. So, they seek for resources of help and apply some special strategies for playing parental roles correctly

Environmental barriers to social participation of children with cerebral palsy in Tehran

Cerebral palsy is the most common type of permanent movement and posture disorder in children leading to activity limitations. Children's participation is influenced by their functional ability, skills, interests, and environmental factors. The objective of the study was to describe parent perception of environmental barriers to participation of children with cerebral palsy. Secondary data analysis of the study of psychometric properties of the Persian version of the Craig Hospital Inventory of Environmental Factors for use with children with cerebral palsy. The questionnaire was administered to a sample of convenience of 75 parents of children with cerebral palsy aged between 5 and 12 years. Barriers to participation most commonly reported by parents were in the services and assistance subscale and the policies subscale of the measure. Also, parents reported the greatest barriers encountered by their children were availability of transportation and availability of education and training. Findings from this study indicate the presence of multiple environmental barriers to participation of children with cerebral palsy. Enhancing participation of children with cerebral palsy by altering barriers and increasing facilitators requires further research concerning these factors. This study suggested that people with lower function in gross motor, manual ability, as well as cognition require further support to participate in social activities

Comparison of combination of CIMT and BIM training with CIMT alone on fine motor skills of children with hemiplegic cerebral palsy

This study aimed to compare the combination of CIMT and BIM training with CIMT in Fine Motor Skills of Children with Hemiplegic cerebral palsy. 24 children with hemiplegic cerebral palsy aged between 60 and 120 months participated in this RCT study. They were randomly assigned into CIMT and BIM training [n=12, four males, eight females; mean age+/-standard deviation =93.58+/-14.24] and CIMT alone [n=12, six males, six females; mean age+/-standard deviation = 94.00+/-18.97] groups. The children in the CIMT and BIM group were received a combination of CIMT and bi-manual training in addition to current occupational therapy. Each session was started with restraint on non-involved upper extremity and practicing with the involved upper extremity for three hours. This was followed with bi-manual training for another three hours. The children in CIMT group received CIMT. Each session was started with restraint on non-involved upper extremity and practicing with the involved upper extremity for six hours. This process lasted for 10 out of 12 consecutive days for both groups. Fine motor skills, upper limb function and muscle tone were assessed using Bruininks-Oseretsky Test of Motor Proficiency, Jebsen-Taylor Test of Hand Function and Modified Ashworth Scale respectively. Fine motor skills and upper limb function of these children in CIMT and HABIT and CIMT alone groups had significantly improved [P<0.05]. However, these changes were not significantly different between the two groups before and after intervention [P>0.05]. Results showed that these two treatment approaches improved fine motor skills in the hemiplegic children with cerebral palsy. None of the interventions are better than the other one. Therefore, it is suggested to use a combination of CIMT and BIM training instead of CIMT alone in order to make the tasks more attractive and easier for the children

Occupational therapy in Iran: historical review

Occupational therapy in Iran is relatively young - established in 1971 - with a fluctuated development due to the Iranian revolution in 1979, and eight years war from 1981 to 1989. Today, there are ten Bachelor programs across the country approved by World Federation of Occupational Therapists [WFOT]. Furthermore, occupational therapists have opportunities for further postgraduate training in both Master and PhD levels. Fast growing of occupational therapy due to social demands necessitated therapists to develop a professional organization. Therefore, Iranian Occupational Therapy Association [IROTA] was formally established in 1994. This paper aims to present an overview about occupational therapy in Iran. Iranian context including population, health status and culture is also reviewed. This follows with explanation about occupational therapy background, education and development. Finally, conception, development, purposes, and achievements of Iranian Occupational Therapy Association; present situation and future perspectives of occupational therapy are discussed