دورية أكاديمية
Whole Day Workload: Evaluation of a New Outcome Measure in Occupational Therapy for Adults With Type 1 Diabetes.
| العنوان: | Whole Day Workload: Evaluation of a New Outcome Measure in Occupational Therapy for Adults With Type 1 Diabetes. |
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| المؤلفون: | Hernandez R; Raymond Hernandez, PhD, OTR/L, is Research Associate, Center for Self-Report Science, Dornsife Center for Economic and Social Research, University of Southern California, Los Angeles; hern939@usc.edu., Schneider S; Stefan Schneider, PhD, is Senior Research Scientist, Center for Self-Report Science, Dornsife Center for Economic and Social Research, and Professor, Department of Psychology, University of Southern California, Los Angeles., Jin H; Haomiao Jin, PhD, is Assistant Professor, School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom., Hoogendoorn C; Claire Hoogendoorn, PhD, is Research Assistant Professor, Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, and Research Assistant Professor, Department of Medicine (Endocrinology), Albert Einstein College of Medicine, New York, NY., Lee PJ; Pey-Jiuan Lee, MS, is Biostatistician, Center for Self-Report Science, Dornsife Center for Economic and Social Research, University of Southern California, Los Angeles., Pham L; Loree Pham, MS, OTR/L, DipACLM, is PhD Candidate, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles., Pyatak EA; Elizabeth A. Pyatak, PhD, OTR/L, CDCES, FAOTA, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles. |
| المصدر: | The American journal of occupational therapy : official publication of the American Occupational Therapy Association [Am J Occup Ther] 2024 Sep 01; Vol. 78 (5). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Published For The American Occupational Therapy Association By AJOT Pub. Co Country of Publication: United States NLM ID: 7705978 Publication Model: Print Cited Medium: Print ISSN: 0272-9490 (Print) Linking ISSN: 02729490 NLM ISO Abbreviation: Am J Occup Ther Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Rockville, MD : Published For The American Occupational Therapy Association By AJOT Pub. Co Original Publication: Boston, Mass. : Published for the American Occupational Therapy Association by AJOT Pub. Co., c1947- |
| مواضيع طبية MeSH: | Diabetes Mellitus, Type 1*/rehabilitation , Occupational Therapy*/methods , Workload*, Humans ; Male ; Female ; Adult ; Cross-Sectional Studies ; Reproducibility of Results ; Middle Aged ; Ecological Momentary Assessment ; Outcome Assessment, Health Care ; Patient Reported Outcome Measures |
| مستخلص: | Importance: Typical whole day workload is a metric with potential relevance to the occupational balance and well-being of individuals with chronic conditions. Objective: To examine the reliability and validity of using multiple daily NASA Task Load Index measures (whole day TLX) as an indicator of typical whole day workload experienced by adults with Type 1 diabetes (T1D). Design: Participants with T1D completed cross-sectional measures and 2 wk of ecological momentary assessments (EMA) and daily diaries. Reliability was assessed across subgroups (e.g., workers vs. nonworkers); validity was evaluated with multilevel confirmatory factor analysis and with tests of convergent and divergent validity with patient-reported outcomes and blood glucose measures. Setting: Three outpatient endocrinology clinics in the United States. Participants: Data from 164 U.S. adults with T1D (42% Latino, 30% White). Outcomes and Measures: Measures used included the whole day TLX (assessed via 2 wk of daily diaries), time in target blood glucose range (assessed with a continuous glucose monitor), illness intrusiveness (measured cross-sectionally), and stress (measured cross-sectionally and with EMA). Results: Number of days required for at least 0.70 reliability of the average whole day TLX ranged between 2 and 6 days depending on the subgroup. Results supported convergent and divergent validity of the average of the whole day TLX, including associations with average stress (r = .63, p < .001) and time in target blood glucose range (r = -.25, p = .002). Conclusions and Relevance: The whole day TLX was a reliable and valid indicator of typical whole day workload. Plain-Language Summary: The health management responsibilities for Type 1 diabetes can be extremely burdensome. When these responsibilities are experienced, in addition to duties such as work and caregiving, the totality of demands experienced (i.e., whole day workload) can create further issues, such as unhealthy physiological changes and interference with self-care. We tested the psychometric properties of a measurement tool that assesses the typical level of workload people experience. This measure, referred to as the NASA Task Load Index (whole day TLX), was found to be a reliable and valid indicator of typical whole day workload. Occupational therapists may use the whole day TLX to track progress in interventions focused on reducing clients' whole day workload exposure to promote their health and well-being. Occupational therapists' expertise in areas such as activity analysis, task adaptation, and energy conservation makes them especially well-suited to intervene on whole day workload. (Copyright © 2024 by the American Occupational Therapy Association, Inc.) |
| تواريخ الأحداث: | Date Created: 20240719 Date Completed: 20240719 Latest Revision: 20240719 |
| رمز التحديث: | 20240720 |
| DOI: | 10.5014/ajot.2024.050527 |
| PMID: | 39029102 |
| قاعدة البيانات: | MEDLINE |
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