Occupational Therapy in Haiti: A Pilot Study to Identify Intervention Methods Used during Short-Term Medical Missions

Due to the shortage of occupational therapists (OTs) in Haiti and over 800,000 individuals with disabilities, most occupational therapy assessments and interventions are provided by OTs on short-term medical missions (STMMs). Learning which methods OT use to provide assessments and interventions during these STMMs is the first step to understanding how to facilitate follow-up and carry-over for clients and ensure longevity for STMMs in Haiti. This study used a cross-sectional, descriptive design to gather data on methods used by OTs. Thirty-three OTs, who travelled to Haiti on STMMs, completed a 16-question, online survey. The most common method provided by OTs was education to patients, caregivers, and local providers. Training of Haitian rehabilitation technicians was also prevalent. There was an association between the years of the OTs' clinical experience and the effort of OTs to train local providers, but this result was not statistically significant. Further research should be implemented on specific methods that can be used in the absence or shortage of Haitian OTs to ensure follow-up for Haitian clients. The sharing of data regarding OT methods on STMMs will promote evidence-based, client-centered, and cost-effective therapy to enhance effective client outcomes.

[1]  M. Decamp,et al.  Ethical Obligations Regarding Short-Term Global Health Clinical Experiences: An American College of Physicians Position Paper , 2018, Annals of Internal Medicine.

[2]  M. Hunt,et al.  Expanding the Haitian rehabilitation workforce: employment situation and perceptions of graduates from three rehabilitation technician training programs , 2018, Disability and rehabilitation.

[3]  Sophia Garbutt,et al.  Volunteerism in developing communities: A descriptive study on barriers to providing services , 2017 .

[4]  J. Lasker,et al.  Short-term volunteer health trips: aligning host community preferences and organizer practices , 2017, Global health action.

[5]  Vision 2025. , 2017, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[6]  Henry C. Lin,et al.  Beyond Medical “Missions” to Impact-Driven Short-Term Experiences in Global Health (STEGHs): Ethical Principles to Optimize Community Benefit and Learner Experience , 2016, Academic medicine : journal of the Association of American Medical Colleges.

[7]  L. Letts,et al.  Occupational therapy in primary care: Results from a national survey , 2016, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[8]  K. Olson,et al.  The Ethics of Medical Volunteerism. , 2016, The Medical clinics of North America.

[9]  J. Burgon,et al.  Recommendations for the Improved Effectiveness and Reporting of Telemedicine Programs in Developing Countries: Results of a Systematic Literature Review. , 2015, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[10]  M. Caplin,et al.  Utilizing Teach-Back to Reinforce Patient Education: A Step-by-Step Approach. , 2015, Orthopedic nursing.

[11]  J. Murray Ethical Considerations: Pediatric Short-Term Medical Missions in Developing Countries , 2015, Issues in comprehensive pediatric nursing.

[12]  C. Shieh,et al.  The Impact of Cultural Competence Education on Short-Term Medical Mission Groups , 2015, Journal of transcultural nursing : official journal of the Transcultural Nursing Society.

[13]  K. Parker,et al.  Experience of People With Disabilities in Haiti Before and After the 2010 Earthquake: WHODAS 2.0 Documentation. , 2015, Archives of physical medicine and rehabilitation.

[14]  M. Hunt,et al.  Haitian and international responders' and decision-makers' perspectives regarding disability and the response to the 2010 Haiti earthquake , 2015, Global health action.

[15]  K. Randall,et al.  Telehealth and interprofessional education , 2015 .

[16]  J. Cason Telehealth and Occupational Therapy: Integral to the Triple Aim of Health Care Reform. , 2015, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[17]  Utilizing Teach-Back to Reinforce Patient Education: A Step-by-Step Approach. , 2015, Orthopedic nursing.

[18]  Kevin J. Sykes,et al.  Short-term medical service trips: a systematic review of the evidence. , 2014, American journal of public health.

[19]  S. Stark Stories from the field: reflections on occupational therapy experiences in Haiti following the earthquake , 2013 .

[20]  A. Naujokas Raising the quality of care during medical missions: a survey to assess the need for clinical and anatomic pathology services in international medical missions. , 2013, Archives of pathology & laboratory medicine.

[21]  Michel S. Laguerre,et al.  Information technology and development: the Internet and the mobile phone in Haiti , 2013, Inf. Technol. Dev..

[22]  J. Ziviani,et al.  Effectiveness of occupational performance coaching in improving children's and mothers' performance and mothers' self-competence. , 2013, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[23]  W. Chang,et al.  Exploring the Unknown , 2012 .

[24]  A. Zwi,et al.  Brain Gains: a literature review of medical missions to low and middle-income countries , 2012, BMC Health Services Research.

[25]  J. L. Arroyo,et al.  The VISYTER Telerehabilitation System for Globalizing Physical Therapy Consultation: Issues and Challenges for Telehealth Implementation , 2012 .

[26]  K. Blanchet,et al.  Evaluation of Post-Earthquake Physical Rehabilitation Response in Haiti, 2010 - a systems analysis , 2012 .

[27]  R. Quick,et al.  Cholera Prevention Training Materials for Community Health Workers, Haiti, 2010–2011 , 2011, Emerging infectious diseases.

[28]  Steve Bowkett,et al.  A coaching model , 2010 .

[29]  J. Bigelow Establishing a training programme for rehabilitation aides in Haiti: Successes, challenges, and dilemmas , 2010, Disability and rehabilitation.

[30]  S. Yeoman Occupation and Disability: A Role for Occupational Therapists in Developing Countries , 1998 .

[31]  J. Muñoz,et al.  The American Occupational Therapy Association , 1944 .