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An overview on sexual behaviours among adolescent with special needs : a scoping review

2023-09-15, Psychouli, Pavlina, Ibrahim Z.A., A Rahman, Padma

Sexuality issues are rarely discussed in Malaysia and are considered taboo and culturally inappropriate. Sexuality is divided into three components; sexual behaviour, biological influences, and making sense of sexuality. Sexual behaviour is classed into non-coital sexual behaviour (e.g., fantasy, masturbation) and sexual intercourse (e.g., partners, sexual coercion). Note that sexual behaviour is individuals’ experiences of sexual feeling or expression, while any sexual activity that raises the possibility of getting pregnant or contracting a sexually transmitted diseases (STD) is referred to as risky sexual behaviour (RSB). This scoping review is conducted to determine sexual behaviours among adolescents with special needs, to investigate factors of their sexual behaviours, and to determine the need for sexuality education and the potential roles of occupational therapists (OTs) in managing their behaviours. The author independently searched through databases, for instance, Google Scholar, Science Direct, Web of Science, as well as PubMed, and 17 studies, met the criteria and were reviewed. Masturbation, inappropriate gestures and exhibitionism were common sexual behaviours among adolescents with special needs. Such behaviours were caused by a lack of sexual understanding, sexual knowledge and awareness, and pornography addiction. This review contributes to developing interventions that solve challenging sexual behaviour, rule OT roles in sexuality and guide parents with obligatory educational support in delivering sexual knowledge to their children.

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A Hand Motion Tracker Supporting Home-Based Rehabilitation for People with Hemiplegia due to Stroke

2022, Psychouli, Pavlina, Katzis, Konstantinos

Modern Wearable Medical Devices (WMDs), implement capabilities that have contributed significantly to patient outcomes, as well as quality of life. Using such devices can be beneficial for many patients, especially during the time of the pandemic where everyone had to isolate at home. This paper presents a proof of concept of a new low-cost technology-based approach to support home-based rehabilitation for people with hemiplegia aiming to assess the effectiveness of their home-based exercises thus making telerehabilitation sessions more effective.

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Development of the Refugees and Asylum Seekers Occupational Satisfaction (RASOS) Assessment Tool

2023, Ioulia Louta, Constantina Christodoulou, Psychouli, Pavlina

The objective of this study was to develop an occupation-centered and client-centered assessment tool for refugees and asylum seekers. A preliminary tool outline was produced based on a literature review, while considering previous published tools’ strengths and limitations. A qualitative study was undertaken via focus groups to improve on the tool’s design and adequacy for its purpose, resulting in the creation of a pilot version of the tool. Convenience sampling included 8 Greek and Cypriot professional and student occupational therapists with experience in the field, 8 international expert occupational therapists, 4 laypeople, 4 humanitarian professionals, and 5 refugees and asylum seekers. Basic qualitative content and thematic analysis led to topics regarding tool modifications that concerned categorization, formation/structure, wording, administration, and assessment scale. Corresponding tool revisions ensued. This study led to the development of the pilot version of the Refugees and Asylum Seekers Occupational Satisfaction (RASOS), which can also be used to identify underlying personal and environmental factors that contribute to self-perceived low satisfaction. A future quantitative study is required to establish the psychometric properties of the tool.

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An Exploration of the Effectiveness of Different Intensity Protocols of Modified Constraint-Induced Therapy in Stroke: A Systematic Review

2023, Psychouli, Pavlina, Ioannis Mamais, Charalambos Anastasiou, Jeffrey Jutai

Purpose. To examine the effectiveness of different modified Constraint-Inuced Therapy (mCIMT) protocol intensities on upper extremity motor function in adults with hemiplegia. Methods. A search was conducted in PubMed, Scopus, EBSCO, and Cochrane Library for articles published between April 2010 and December 2021. Only randomized controlled trials (RCTs) were included. Studies were excluded if they used a sample of less than five, mCIMT in combination with other therapy, and/or if they were not written in English. Methodologic quality was assessed using the Cochrane collaboration risk of bias tool-2. Results. Thirty-six RCTs with a total of 721 participants were included. Most researchers followed a moderate to low protocol intensity in terms of total treatment time and moderate to high intensity with regard to restriction time. Almost all of the upper limb motor function measures showed statistically significant improvements (p[removed]