How Occupational Therapists Assess and Address the Occupational Domain of Sleep: A Survey Study

Author:

Ludwig Rebecca1,Eakman Aaron2,Bath-Scheel Carrie3,Siengsukon Catherine4

Affiliation:

1. Rebecca Ludwig, OTR/L, is PhD candidate, Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City; rludwig2@kumc.edu

2. Aaron Eakman, PhD, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, Colorado State University, Fort Collins.

3. Carrie Bath-Scheel, PhD, OT/L, is Professor Emeritus, Department of Occupational Therapy, Concordia University Wisconsin, Mequon, and Director of Ergonomics, OccuPro, Kenosha, WI.

4. Catherine Siengsukon, PhD, PT, is Associate Professor, Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City.

Abstract

Abstract Importance: Sleep is a foundational occupation in the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), yet little is known about how occupational therapists assess and address sleep in practice. Objective: To survey practicing occupational therapists’ comfort with their level of knowledge about sleep, how they are assessing and addressing sleep in clinical practice, and the amount of sleep-related education they have received. Design: Cross-sectional survey study. Setting: Electronic survey. Participants: Practicing occupational therapists were invited to participate in November 2020. Survey invitations were sent via email targeting occupational therapists serving as clinical instructors. Outcomes and Measures: The survey consisted of 41 items assessing comfort with sleep knowledge, occupation of sleep, and sleep education received. This survey was modified from a previous survey and tailored to the occupational therapy profession. Results: A total of 169 occupational therapists completed the survey. Most (87%) agreed that sleep was an occupation, but only 44% evaluated their clients’ sleep, and 30% established treatment goals pertaining to sleep. In addition, 66% reported not receiving education about sleep in their entry-level occupational therapy program, and 78% reported receiving no continuing education about sleep in the past 2 yr. Most (92%) reported that occupational therapists should be better prepared to evaluate and treat sleep after graduation. Conclusions and Relevance: Most occupational therapists identified sleep as an area of occupation but had limited knowledge of how to assess and address sleep in practice. Entry-level occupational therapy education programs must enhance sleep-related curricula, and continuing education programs tailored to sleep issues within occupational therapists’ practice are needed. What This Article Adds: The results of this study indicate gaps in occupational therapists’ knowledge regarding how best to assess and treat sleep problems. We offer next steps to improve the profession’s capacity to address the occupation of sleep.

Funder

the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health

Publisher

AOTA Press

Subject

Occupational Therapy

Reference27 articles.

1. Occupational therapy practice framework: Domain and process (2nd ed.);American Occupational Therapy Association;American Journal of Occupational Therapy,2008

2. American Occupational Therapy Association. (2010). Workforce trends in occupational therapy. https://www.aota.org/-/media/Corporate/Files/EducationCareers/Prospective/Workforce-trends-in-OT.PDF

3. American Occupational Therapy Association. (2020a). AOTA 2019 workforce and salary survey. AOTA Press. https://library.aota.org/AOTA-Workforce-Salary-Survey-2019-members/1

4. American Occupational Therapy Association. (2020b). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy,74(Suppl. 2), 7412410010. https://doi.org.10.5014/ajot.2020.74S2001

5. Validation of the Insomnia Severity Index as an outcome measure for insomnia research;Bastien;Sleep Medicine,2001

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