Implementation of post-stroke handwriting toolkit for occupational therapy practitioners at the SSM Day Institute
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Currently there are limited available handwriting interventions appropriate for the adult post-stoke population (Israely & Carmeli, 2016). This gap is problematic because handwriting is a valued skill for occupation that patients want to regain. This project aims to answer the question: How does an evidence-based and occupation based handwriting toolkit impact occupational therapists' ability to address handwriting with patients? This project is a mixed methods study to investigate the impact of a handwriting toolkit in an outpatient setting with post-stroke patients. A handwriting toolkit was delivered to all ten SSM Day Institute clinics with pre-surveys and post-surveys administered to occupational therapy practitioners at those sites. Data was analyzed using descriptive statistics for quantitative data, comparing pre- and post-survey results. Qualitative data was analyzed looking for common themes. Results from this study show that occupational therapy practitioners at the SSM Day Institute reported addressing handwriting more frequently by .09 points on a 5-point scale. Respondents reported increased levels of comfort addressing handwriting evaluation and intervention by 1.01 points and reported higher levels of satisfaction with available handwriting resources by 1.16 points. Qualitative data from the post-survey indicated that the evaluation tools, cursive interventions, and adaptive equipment and utensils were useful and effective for addressing handwriting with post-stroke patients. Implications of these results include possible improved outcomes for patients at the SSM Day Institute who want to return to handwriting.
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