Occupational Therapy Embedded Within Pulmonary Rehabilitation: A Process Evaluation
Bibliographic record
Abstract
Exploration of the impact and contributions of occupational therapy within multidisciplinary pulmonary rehabilitation (PR) is necessary to strengthen the clinical evidence-base. The objective of this study was to describe occupational therapy embedded within a community-based PR program and explore mechanisms of impact. A process evaluation of occupational therapy practice embedded within an 8-week multidisciplinary PR was conducted. Data sources included administrative and medical record data, intervention checklists, and semi-structured interviews incorporating the Canadian Occupational Performance Measure and Modified Borg Dyspnea Scale. Nine participants completed the PR program. The home visit and personalized, one-to-one, occupation-centered interventions were identified as key mechanisms of impact. Goal-directed training occurred within the home but not in community clinic environments. The repetitive, occupation-based training was important for learning and everyday application and promoted application of multidisciplinary learning. This evaluation highlighted that individualized occupational therapy assisted PR patients to apply knowledge, from occupational therapy and other disciplines, to real-life challenges.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".