This study examined therapists' fidelity to a manualized, multicomponent cognitive-behavioral intervention for posttraumatic stress disorder (PTSD), including exposure therapy, among public sector patients with a psychotic disorder. Independent raters assessed therapists' competence and adherence, rating 20% of randomly selected audio taped sessions (n=57 sessions, coded by two raters, with str...

BACKGROUND Stroke is a leading cause of disability worldwide, with upper limb deficits affecting an estimated 30% to 60% of survivors. The effectiveness of upper limb rehabilitation relies on numerous factors, particularly patient compliance to home programs and exercises set by therapists. However, therapists lack objective information about their patients' adherence to rehabilitation exercise...

In "What Is the Problem With ThirdParty Prescription for School-Based Practice" (AjOT, Ocrober 1996, pp. 750-751), Royeen discusses the difficulties of third-party therapists involved in me evaluation of a child receiving school-based occupational therapy. I agree with the author that an evaluation void of the school environment is problematic. Frequently, third-party therapists have little awa...

OBJECTIVE Unresolved questions exist concerning diagnosis of ADHD. First, some studies suggest a potential overdiagnosis. Second, compared with the male-female ratio in the general population (3:1), many more boys receive ADHD treatment compared with girls (6-9:1). We hypothesized that this occurs because therapists do not adhere to Diagnostic and Statistical Manual of Mental Disorders (4th ed....

BACKGROUND According to international study results, physical therapists are afflicted with work-related musculoskeletal, psychosocial and dermal disorders as well as infections. The few existing studies in German-speaking regions focus mainly on dermal and psychosocial exposures and resulting complaints. An overview of all relevant work-related exposures and complaints of physical therapists i...

OBJECTIVE To investigate whether the self-management intervention was implemented as intended. Additionally, we studied involvement in and satisfaction with the intervention among patients, their partners and therapists. DESIGN Mixed method, prospective study. SETTING Outpatient facilities of hospitals/rehabilitation centres. PARTICIPANTS Stroke patients, their partners and therapists fro...

STUDY DESIGN Longitudinal, prospective, observational cohort. OBJECTIVE To examine associations between McKenzie training, functional status (FS) at discharge, and number of physical therapy visits (utilization) in patients receiving physical therapy for low back pain. BACKGROUND The McKenzie method is commonly used in treating patients with low back pain. METHODS A McKenzie postgraduate ...