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Improving Driving Ability After Stroke : A scoping review of interventions within occupational therapyBacke, Karoline January 2022 (has links)
Stroke is a leading cause of disability in the world and cognitive impairments post stroke are common. Driving is an occupation of great importance to many individuals and enables participation in society but due to cognition deficits after stroke it can be a difficult task to perform adequately. The aim of this study was to review and map interventions used to improve driving ability after stroke within occupational therapy practice. A literature search was conducted using Arksey and O’Malley's six-stage framework [1], and a search was made in four different databases. Seven articles were found and used for further analysing. Results showed two main categories of interventions. Task-specific training consisting of either simulator-based training or behind the wheel training in real traffic, and training of raw cognitive functions focused on driving related abilities. Both interventions overall showed improvement of driving ability, with task specific training being somewhat superior. Considering the easy implementation possibilities, cognitive training with specific focus on driving skills could be used in current occupational therapy practices. Larger studies might prove task-specific training to be much more superior which can then motivate more simulator-based intervention possibilities. Future studies could also focus on improving self-awareness as a factor.
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Guided reflection in Simulator-Based Crisis Management Training : Examining the possibility to implement After Action Reviews in the CCRAAAFFFTING projectÅkerstedt, Zandra January 2019 (has links)
Reflection is an important team learning activity, allowing team members to process feedback and to learn from experiences. Debriefing methods such as the After Action Review (AAR), proved to increase learning, can be used to guide teams through the process of reflection. This thesis, commissioned by the Creating Collaborative Resilience Awareness, Analysis and Action for Finance, Food and Fuel Systems in INteractive Games (CCRAAAFFFTING) project, aims to investigating how current post-exercise discussions within the CCRAAAFFFTING project support reflection and whether or not AAR could be implemented. This study used an explorative, semi-experimental research design, containing two conditions - the current post-exercise discussions (condition 1) and AAR’s (condition 2). Data was collected through observations and questionnaires. Due to issues regarding validity, data from questionnaires given to participants, as well as comparisons of participants' subjective experiences between the two conditions, could not be used to provide any support for choosing one post-exercise discussion over the other. However, observations showed that the current post-exercise discussion did not support reflection, thus, making it beneficial to implement AAR. Proper implementation of AAR could not only support team learning, but also organizational learning by facilitating the transference of knowledge back to participants home organizations. This transferred knowledge, if used right by the organizations, could help increased resilience. However, AAR cannot simply be implemented, and this thesis concludes with a list of identified recommendations.
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