Browsing by Author "Fan, Chia-Wei"
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- ItemA Group Boxing Program for Young Adults with Autism Spectrum Disorder(2022) Fan, Chia-Wei
- ItemAssessing therapeutic communication during rehabilitation: The Clinical Assessment of Modes(2016) Fan, Chia-WeiOBJECTIVE. This study applied Rasch analysis to test four versions of the Clinical Assessment of Modes (CAM), an assessment based on Taylor’s Intentional Relationship Model: CAM–P, which assesses clients’ pretreatment preferences; CAM–E, clients’ treatment experience; CAM–T, therapists’ self-reported perspective; and CAM–O, an observer rating scale. METHOD. The CAM–P was administered to 63 inpatients. The CAM–E was administered to 110 inpatients and outpatients. Trained raters rated therapists’ modes with 59 inpatients and outpatients on the CAM–O. The CAM–T was administered to 38 therapists. Analyses of reliability and validity were conducted. RESULTS. The CAM demonstrated adequate construct validity. All versions showed acceptable internal consistency and unidimensionality within each of the subscales. Disorder between the 5 points on the ordinal rating scale was found for the client measures (CAM–P, CAM–E) and was resolved by modifying the ratings to encompass a 4-point scale. CONCLUSION. The four CAM versions are reliable and valid measures of therapeutic communication in rehabilitation.
- ItemAssociations Between Vaccination and Quality of Life Among Taiwan General Population: A Comparison Between Covid-19 Vaccines and Flu Vaccines(2022) Fan, Chia-WeiThe COVID-19 pandemic has profoundly impacted lives worldwide and has led to global vaccination against COVID-19. However, there are concerns about the adverse effects of such vaccines on individuals' health. Therefore, it is important to investigate the association between vaccination and holistic health outcome (i.e., quality of life [QoL]). The present study analyzed data from the Taiwan Social Change Survey (TSCS), a survey conducted utilizing stratified random sampling. More specifically, data (N = 1425; 47.44% males; mean age = 50.58 y) on their vaccinations (including COVID-19 and flu vaccines) and QoL (using the Short-Form 12) were used. Participants were separated into two age subgroups for analyses (those aged below 50 y, and those 50 y or above). For participants aged below 50 y, those who received COVID-19 vaccine and those who received both COVID-19 and flu vaccines had significantly better physical QoL than those who did not receive any vaccination. Mental QoL was not significantly associated with vaccinations for participants aged below 50 y. Moreover, neither mental nor physical QoL was significantly associated with vaccinations for those aged 50 y or above. The present study showed that not having COVID-19 and flu vaccinations is associated with poor QoL. This finding should be disseminated to the public to help aid vaccination promotion.
- ItemBurdens on Caregivers of Patients With Stroke During a Pandemic: Relationships With Support Satisfaction, Psychological Distress, and Fear of Covid-19(2022) Fan, Chia-WeiBackground Caregivers have faced unprecedented circumstances throughout the COVID-19 pandemic, but previous research only minimally addresses the caregivers' burden. Therefore, this study aimed to investigate the relationship between caregiver burden, psychological stress, satisfaction with support, and fear of COVID-19 in caregivers of patients with stroke during the pandemic. Methods A cross-sectional survey study with total of 171 caregivers of patients with stroke in a community hospital in Taiwan. All participants completed the Zarit Burden Interview, Depression, Anxiety, Stress Scale (DASS-21), satisfaction of support survey, and Fear of COVID-19 Scale. Pearson correlations were used to examine the bivariate correlations between study variables. Then, with the control of demographic confounders, a multiple linear regression model was applied with significant variables to construct and explain caregiver burden. Results The proposed model significantly explained the caregiver burden of caregivers of patients with stroke. Specifically, the caregiver burden was negatively correlated with satisfaction with family support, but positively with psychological distress and the fear of COVID-19. Conclusions Caregivers of patients with stroke will suffer a greater burden if they have lower satisfaction with family support, experienced higher psychological distress, and perceived more fear of the COVID-19 pandemic. Health professionals must address these concerns, support caregivers, and enhance available resources.
- ItemChanges of Health Outcomes, Healthy Behaviors, Generalized Trust, and Accessibility to Health Promotion Resources in Taiwan Before and During Covid-19 Pandemic: Comparing 2011 and 2021 Taiwan Social Change Survey (TSCS) Cohorts(2022) Fan, Chia-WeiPurpose: The present study compared two nationally representative cohort datasets concerning Taiwan residents’ healthy behaviors, subjective health outcomes, generalized trust, and accessibility to health promotion resources. Patients and Methods: The Taiwan Social Change Survey (TSCS) was conducted in two waves ten years apart: 2011 cohort (n = 1021; 48.4% males) and 2021 cohort (n = 1425; 47.4%) cohorts. Descriptive statistics were calculated to compare the two TSCS datasets. Then, multiple regression models were constructed with health outcome as the dependent variable, and demographics and other key components as independent variables. Results: The 2011 TSCS cohort showed higher prevalence for cigarette smoking (30.8% vs 25.2%; p=0.002), alcohol drinking (52.5% vs 24.3%; p< 0.001), exercise habits (52.7% vs 48.0%; p=0.02), and better fruit and vegetable accessibility (Mean=3.91 vs 3.82; p=0.04). The 2021 TSCS cohort reported higher body mass index (Mean=24.20 vs 23.63; p< 0.001), less residency in urban areas (22.4% vs 31.1%; p< 0.001), better jogging accessibility (4.14 vs 4.05; p=0.006), higher generalized trust (2.26 vs 2.17; p=0.001), and greater internet usage (3.43 vs 2.89; p< 0.001). The regression model showed that exercise habits (standardized coefficient=0.20 and 0.10; p< 0.001) and generalized trust (standardized coefficient=0.11 and 0.11; p=0.004 and < 0.001) were consistently associated with health outcomes in both cohorts. Additionally, internet use (standardized coefficient=− 0.07; p=0.026) and alcohol drinking behaviors (standardized coefficient=− 0.07; p=0.0022) were negatively associated with health outcomes in the 2021 cohort. Conclusion: The present study demonstrated the trends and changes over 10 years regarding multiple health-related components among Taiwan residents. The study’s findings provide insight into education promotion programs to reduce unhealthy behaviors as well as enhancing generalized trust building and developing healthy behaviors for Taiwan residents.
- ItemChinese Manual of the Model of Human Occupation Screening Tool (MOHOST)(School of Occupational Therapy, College of Medicine, National Taiwan University, 2009) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Outcomes Version (CAM-C2): Communicating with Your Therapist(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Outcomes Version (CAM-C2): Communicating with your Therapist (Mandarin Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Outcomes Version (CAM-C2): Communicating with Your Therapist (Spanish Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Preferences Version (CAM-C1): Communicating with Your Therapist(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Preferences Version (CAM-C1): Communicating with Your Therapist (Mandarin Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Client Preferences Version (CAM-C1): Communicating with Your Therapist (Spanish Version)(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes - Therapist Outcomes Version (CAM-T): Communicating with Your Client(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes—Observational Version (CAM-O): Communicating with Your Therapist—Observational Version(University of Illinois at Chicago, Department of Occupational Therapy, 2013) Fan, Chia-Wei
- ItemClinical Assessment of Modes—Patient Experiences Version (CAM–E), Version 2.0(University of Illinois at Chicago, Department of Occupational Therapy, 2015) Fan, Chia-Wei
- ItemClinical Assessment of Modes—Patient Preferences Version (CAM–P), version 2.0(University of Illinois at Chicago, Department of Occupational Therapy, 2015) Fan, Chia-Wei
- ItemCollege Students' Sleep Difficulty During Covid-19 and Correlated Stressors: A Large-scale Cross-sessional Survey Study(2021) Fan, Chia-WeiSleep difficulty is one of the main concerns during the COVID-19 pandemic. This study examined factors related to vaccination and physical and psychological health conditions, and sleep difficulty in college students in China. An online, cross-sectional, anonymous survey was used to investigate college students' perceived sleep difficulty and relevant components (i.e., physical health condition, psychological distress, knowledge of vaccine, and autonomy of vaccine uptake). Hierarchical ordinal logistic regression was conducted to examine the proposed model with the control of participants' demographics (i.e., gender and age). Valid data of 3,145 students from 43 universities in mainland China was collected in January 2021. The average age of participants was 20.8 years old (S. D. = 2.09). The majority were single (97.4%), and about half were male (49.8%). Results showed that participants had less psychological distress when they had more knowledge about the COVID-19 vaccine and more autonomy to decide whether to receive it. In addition, participants with better physical health experienced less sleep difficulty. In contrast, those with more psychological distress experienced more sleep difficulty. These findings can inform healthcare providers about the relationship between different factors and difficulty sleeping and aid them in developing interventions addressing sleep difficulties associated with the global pandemic. Health authorities also can improve vaccine uptake and reduce hesitancies in future vaccination campaigns based on the study results showing that greater vaccine knowledge and autonomy reduced psychological distress.
- ItemCorrelation between Therapeutic Use of Self and Clients’ Participation in Rehabilitation(2018) Fan, Chia-WeiDate Presented 4/20/2018 The Model of Human Occupation Screening Tool (MOHOST) and the Clinical Assessment of Modes were used to evaluate clients’ participation and paired therapists’ use of mode. Correlation analyses were conducted. The results show that the empathizing mode was significantly correlated to five subdomains of the MOHOST. Primary Author and Speaker: Chia-Wei Fan Additional Authors and Speakers: Renee Taylor
- ItemCorrelations Between Overall Health Status and Occupational Participation in Forensic Clients(2019) Fan, Chia-WeiDate Presented 04/06/19 OTs who worked at forensic settings in England were expected to use the MOHO-based forensic care pathway to guide their interventions. As part of their standard procedures, therapists administered the Model of Human Occupation Screening Tool (MOHOST) and the Health of Nation Outcome Scales (HoNOS) to represent clients’ participation and their health conditions. The study built up a picture for forensic patients with assessments that were already being used regularly in practice. Primary Author and Speaker: Chia-Wei Fan
- ItemDid Occupational Therapy Services Facilitate Forensic Patients’ Participation Over Time?(2015) Fan, Chia-WeiDate Presented 4/16/2015 Forensic patients’ occupational participation improved during the 2-yr hospitalization. Specifically, occupational therapy helped to improve their motivation for occupation, pattern of occupation, communication/interaction skills, process skills, and environment.