#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Jamie Cardell @OTJme Question 1. What top down and bottom up approaches are you currently using within your settings? #OTalk @BeccaSheltonOT @LyndsayCourtOT |
 | Bill Wong, OTD, OTR/L @BillWongOT Hello folks! #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTJme @BeccaSheltonOT @LyndsayCourtOT Top down approach- I use that when I get to know the patient for evaluation before setting treatment goals for other OT staff to follow. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTJme @BeccaSheltonOT @LyndsayCourtOT Bottom up- sometimes I use this strategy to target weaknesses of placement students when they come to my work setting. Role play is now a favorite trick of mine. #otalk |
 | #OTalk @OTalk_ First question 😁 (also, everyone feel free to introduce yourself and tell us why you're interested in tonight's chat!) #OTalk |
 | Sherlyn 🤔⭐️(she/her) @sherlynmelody I’m late tonight. Hey everyone 👋🏾I’m back #otalk |
| #OTalk @OTalk_ @OT_rach Glad you could join us!😊 #OTalk |
| Jamie Cardell @OTJme Question 2. What are your thoughts on top down versus bottom up approaches in Occupational Therapy and how effective do you find these? #OTalk @BeccaSheltonOT @LyndsayCourtOT |
| Bill Wong, OTD, OTR/L @BillWongOT RT @LyndsayCourtOT: @OTalk_ In our Paediatric setting, we use a combination of both: |
| #OTalk @OTalk_ @OT_rach I'll leave it up to @OTJme and co. to give their own definition but my understanding is that it's about focusing on occupations (top-down) vs. focusing on skills/functions (bottom-up) https://t.co/YnogHoTv9a #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody I’m definitely lurking tonight have not read the blog for today. #topdown #bottomup #lostinjargon 🤦🏾♀️#OTalk |
 | Becca Shelton @BeccaSheltonOT RT @OTalk_: @OT_rach I'll leave it up to @OTJme and co. to give their own definition but my understanding is that it's about focusing on occupations (top-down) vs. focusing on skills/functions (bottom-up) https://t.co/YnogHoTv9a #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody RT @OTalk_: @OT_rach I'll leave it up to @OTJme and co. to give their own definition but my understanding is that it's about focusing on occupations (top-down) vs. focusing on skills/functions (bottom-up) https://t.co/YnogHoTv9a #OTalk |
| #OTalk @OTalk_ @OT_rach @OTJme So for example in assessments, something like the Child Occupational Self-Assessment would be top-down (looking at occupational performance) while the Movement ABC would be bottom-up (looking at motor skills specifically) #OTalk |
| Jamie Cardell @OTJme @OTalk_ @OT_rach @OT_rach this is exactly what we’re talking about. So top approaches we use are COOP and task focused interventions. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTJme @BeccaSheltonOT @LyndsayCourtOT In an ideal world, I prefer top down. I think getting to know the patients holistically first before determining appropriate treatment goals are important. #otalk |
| #OTalk @OTalk_ @EllieOTforKids @SusanGriffiths5 Hi Ellie! It's #OTalk (with only one t) - just letting you know so your tweets don't get lost! |
| #OTalk @OTalk_ RT @SusanGriffiths5: |
| #OTalk @OTalk_ RT @BillWongOT: @OTJme @BeccaSheltonOT @LyndsayCourtOT In an ideal world, I prefer top down. I think getting to know the patients holistically first before determining appropriate treatment goals are important. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTalk_ @OT_rach @OTJme I know in US- I think BOT-2, VMI, and PDMS 2 are also bottom up as well. #otalk |
| #OTalk @OTalk_ Second question - what are people's preferences? Does it depend on the client, the type of setting, or something else? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SusanGriffiths5: |
| #OTalk @OTalk_ RT @HollyGtheOT: |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ @OT_rach @OTJme @BeccaSheltonOT I know we are looking paeds today. But just so im sure. I’ve had a self referral for a stairlift today as service user wants to manage stairs better how would this fit in #topdown #bottomup #otalk |
| #OTalk @OTalk_ RT @HollyGtheOT: |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody RT @BillWongOT: @OTJme @BeccaSheltonOT @LyndsayCourtOT In an ideal world, I prefer top down. I think getting to know the patients holistically first before determining appropriate treatment goals are important. #otalk |
| Jamie Cardell @OTJme @HollyGtheOT @BeccaSheltonOT @LyndsayCourtOT Definitely agree. I find that using top down approaches are refreshing to use and children respond to this. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @LyndsayCourtOT @OTalk_ @OT_rach @OTJme Peabody Developmental Motor Scale. #otalk |
| Jamie Cardell @OTJme Question 3. Has the Novak (2019) systematic review changed your practice or thoughts about using approaches such as Ayres Sensory Integration and Bobath for certain client groups? #OTalk @BeccaSheltonOT @LyndsayCourtOT |
| Bill Wong, OTD, OTR/L @BillWongOT RT @hchadwickOT: |
| Becca Shelton @BeccaSheltonOT @OT_rach Any assessment aimed at body functions level ie sensory processing would be considered bottom up #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @hchadwickOT @OTJme @BeccaSheltonOT @LyndsayCourtOT bobath is versatile... since you can also carry it over to geriatric and rehab settings, too! #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTJme @BeccaSheltonOT @LyndsayCourtOT I work for social services some services users have an idea about what they would like to achieve: transfers, access, I normally solve the problems but not sure what approach I’m using. No standardised assessments - functional assessments mainly. Observing performance #otalk |
| #OTalk @OTalk_ Question 3! Getting our evidence-based practice hats on... #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @EllieOTforKids @OTJme @BeccaSheltonOT @LyndsayCourtOT I think so- because you got to spend more individual time with them... hence you got to know the child better. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @EllieOTforKids @OTJme @BeccaSheltonOT @LyndsayCourtOT I have seen handwriting groups during my placements- that's bottom up because I know handwriting was the skill that every child was working on during this particular time. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @sherlynmelody: @OTJme @BeccaSheltonOT @LyndsayCourtOT I work for social services some services users have an idea about what they would like to achieve: transfers, access, I normally solve the problems but not sure what approach I’m using. No standardised assessments - functional assessments mainly. Observing performance #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @BeccaSheltonOT @OT_rach Would this include observing someone’s occupational performance? For equipment provision or simply change in technique? #otalk |
| Jamie Cardell @OTJme @hchadwickOT @BeccaSheltonOT @LyndsayCourtOT No worries Hannah. #otalk |
| Becca Shelton @BeccaSheltonOT @OT_rach An assessment aimed at the occupation/task level ie getting someone to perform the task they are struggling with rather than working on the underlying skills #OTalk |
| Jamie Cardell @OTJme Question 4. How do you stay up to date with the latest evidence and how do you apply this evidence to practice? #OTalk @BeccaSheltonOT @LyndsayCourtOT |
| #OTalk @OTalk_ For anyone who missed it, the Novak paper was a review of literature on OT interventions and graded different interventions as green, yellow or red based on the evidence for how effective they are - some of the findings potentially controversial... #OTalk https://t.co/sgukC1MN1n https://t.co/r9FHp0jxRr |
| #OTalk @OTalk_ RT @SusanGriffiths5: |
| #OTalk @OTalk_ RT @HollyGtheOT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SusanGriffiths5: |
| Becca Shelton @BeccaSheltonOT @sherlynmelody @OT_rach If your observing someone completing the actual occupation they want to work on you are using a top down approach to assessment and intervention #Otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OT_rach @BeccaSheltonOT @OT_rach I’m still waiting for the penny to drop #ALWAYSlearning 🤦🏾♀️ #otalk |
| Jamie Cardell @OTJme @RobTheOT @LyndsayCourtOT @EllieOTforKids @BeccaSheltonOT @HillingdonPlays Hi @RobTheOT fantastic that you’ve changed to being more top down. Has there been a reason for this change #OTalk |
| #OTalk @OTalk_ We're on to question 4 already! I wonder if Twitter/other social media is important for people staying up to date with evidence at the moment? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SusanGriffiths5 @OTalk_ I definitely read a lot about ABA controversy with autistic adults, too! There are threads regularly talking about this on #actuallyautistic hashtag. (I CAN use this hashtag, but majority of us in the OT community can't.) #otalk |
| #OTalk @OTalk_ RT @SusanGriffiths5: |
| Jamie Cardell @OTJme RT @OTalk_: For anyone who missed it, the Novak paper was a review of literature on OT interventions and graded different interventions as green, yellow or red based on the evidence for how effective they are - some of the findings potentially controversial... #OTalk https://t.co/sgukC1MN1n https://t.co/r9FHp0jxRr |
| Becca Shelton @BeccaSheltonOT RT @OTalk_: For anyone who missed it, the Novak paper was a review of literature on OT interventions and graded different interventions as green, yellow or red based on the evidence for how effective they are - some of the findings potentially controversial... #OTalk https://t.co/sgukC1MN1n https://t.co/r9FHp0jxRr |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @LyndsayCourtOT @OTalk_ @OT_rach @OTJme @BeccaSheltonOT Ok thaaaank you. I got it #pennydropped #otalk 🙌🏾🙌🏾 #feelingclever 🤓 |
| Bill Wong, OTD, OTR/L @BillWongOT @OTJme @BeccaSheltonOT @LyndsayCourtOT I will just go through potential articles I am interested to read every 6 months or so... when I am in the mood of conference abstract submissions. #otalk |
| #OTalk @OTalk_ @SusanGriffiths5 Yes, I was surprised to see it in the green light section considering a lot of what's been brought up by people in e.g. the #BetterWaysThanABA hashtag #OTalk |
| Jamie Cardell @OTJme We’re starting a journal club within our service, We’re getting involved with social media CPD, and we’re constantly networking and staying up today with the latest research that is happening within our specialism. @BeccaSheltonOT @LyndsayCourtOT #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SusanGriffiths5 @OTalk_ I wish this is better defined as well. Lifestyle redesign will be considered as outpatient MH from what I know. #otalk |
| #OTalk @OTalk_ RT @OT_rach: |
| #OTalk @OTalk_ RT @OTJme: We’re starting a journal club within our service, We’re getting involved with social media CPD, and we’re constantly networking and staying up today with the latest research that is happening within our specialism. @BeccaSheltonOT @LyndsayCourtOT #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTJme @BeccaSheltonOT @LyndsayCourtOT #otalk case by case. If I have a service user with a condition I will read about it. Not necessarily read papers or articles. Otalk helps esp where people share info #scie #nice #dignityincare few bits and pieces. |
| Bill Wong, OTD, OTR/L @BillWongOT @OTJme @BeccaSheltonOT @LyndsayCourtOT a couple hashtag comes to mind for lurking- #actuallyautistic and #actuallyadhd, to name a few. I also recently found out there's #autchat every Sunday also at 9-10 pm UK time. #otalk |
| Jamie Cardell @OTJme @LyndsayCourtOT @EllieOTforKids @BeccaSheltonOT @RobTheOT we would love to hear more about what you are doing in your groups so that we can be more top down focused #otalk |
| #OTalk @OTalk_ RT @hchadwickOT: |
| #OTalk @OTalk_ RT @sherlynmelody: @OTJme @BeccaSheltonOT @LyndsayCourtOT #otalk case by case. If I have a service user with a condition I will read about it. Not necessarily read papers or articles. Otalk helps esp where people share info #scie #nice #dignityincare few bits and pieces. |
| #OTalk @OTalk_ RT @OT_rach: |
| Bill Wong, OTD, OTR/L @BillWongOT @hchadwickOT @OTJme @BeccaSheltonOT @LyndsayCourtOT I know I am spoiled now with my AOTA membership... getting access to BJOT, AJOT, CJOT, and AOTJ. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @hchadwickOT @OTJme @BeccaSheltonOT @LyndsayCourtOT My thing about the BJOT- I felt that #autism is an area that is not addressed as much in comparison to AJOT and AOTJ. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OT_rach Happy for the company, believe me #otalk 🤩 |
| Jamie Cardell @OTJme @BillWongOT @hchadwickOT @BeccaSheltonOT @LyndsayCourtOT For those who don’t know. Those with RCOT membership can access all the above. #otalk |
| Jamie Cardell @OTJme @RobTheOT @BeccaSheltonOT @LyndsayCourtOT This will be a new initiative that we hope to implement but we want to ensure it’s both engaging and thought provoking. Possibly look at a different topic within our specialism every 6 weeks. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SusanGriffiths5 @OTalk_ and as an autistic OT, I sometimes will try to give my 2 cents on current evidence on #autism in our practice wherever I can through conference abstracts. #otalk |
| Becca Shelton @BeccaSheltonOT @RobTheOT @OTJme @LyndsayCourtOT Still early days of planning this! Trying to find a way of engaging the whole team in research without it adding too much to peoples workload.. tricky task. Hoping to run a short discussion group where people take it in turn to bring a current piece of research #OTalk |
 | Dr. Wendy Machalicek @drmachalicek RT @OTalk_: For anyone who missed it, the Novak paper was a review of literature on OT interventions and graded different interventions as green, yellow or red based on the evidence for how effective they are - some of the findings potentially controversial... #OTalk https://t.co/sgukC1MN1n https://t.co/r9FHp0jxRr |
| Becca Shelton @BeccaSheltonOT @RobTheOT @OTJme @LyndsayCourtOT Anyone else got any tips on how best to run a journal club? #OTalk |
| #OTalk @OTalk_ 5 minutes to go on tonight's #OTalk! Lots of learning happening tonight 😁 |
| #OTalk @OTalk_ RT @hchadwickOT: |
| Jamie Cardell @OTJme As we draw to a close we would like to thank everyone for taking part in tonight’s #otalk. It’s been an absolute pleasure discussing this topic with you all. @BeccaSheltonOT @LyndsayCourtOT |
| Bill Wong, OTD, OTR/L @BillWongOT See everyone later! #otalk |
| #OTalk @OTalk_ RT @OTJme: As we draw to a close we would like to thank everyone for taking part in tonight’s #otalk. It’s been an absolute pleasure discussing this topic with you all. @BeccaSheltonOT @LyndsayCourtOT |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @BeccaSheltonOT @RobTheOT @OTJme @LyndsayCourtOT We used to have a monthly journal club at our place. However the OT that ran it left to have a baby. So it stopped when she left. She would share an article to the group, ask us to reflect on it within the group so we all shared reflections and then complete a cpd log #otalk |
| #OTalk @OTalk_ And thank you for hosting, Jamie! (and Becca and Lyndsay 😁) #OTalk |
 | K-OT (she, her) 💙 @kalessandram @OTJme @BeccaSheltonOT @LyndsayCourtOT No, looked at a v broad range of interventions but didn't select & quantify what it includeded systematically. spoke about sensory Integration: instead of reviewing the significant emerging Ayres SI evidence it reviewed a random selection of unrelated sensory strategies #OTalk |
| Jamie Cardell @OTJme @OT_rach @theRCOT Agreed @theRCOT give you lots of resources and updates of events happening across the U.K. #otalk a fantastic way to keep up to date with the latest research #otalk |
| #OTalk @OTalk_ @BillWongOT Thanks for joining us Bill! #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody This was awesome considering I was lurking. Thank you to the hosts and my learning buddy @OT_rach 🤩#otalk |
| Jamie Cardell @OTJme @RobTheOT @EllieOTforKids @BeccaSheltonOT @LyndsayCourtOT @RCOT_CYPF Agreed. 🙌👍🏽 #otalk |
| #OTalk @OTalk_ Don’t forget that hashtag #otalk |
| #OTalk @OTalk_ That's it for tonight's chat, thanks everyone for your contributions! We'll have a transcript of this chat up on our website later in the week and we'll be back next Tuesday to talk about research 📚🔬 😁#OTalk |
| Jamie Cardell @OTJme #OTalk a v.interesting point made. I think as occupational therapists we all need to be constantly learning to develop our profession. Especially if we want the public to understand what we do. #occupationaltherapy |
| #OTalk @OTalk_ @OT_rach Enjoy! #OTalk https://t.co/FFHh3c8imo |
| Becca Shelton @BeccaSheltonOT Such an intersting chat tonight hosting #OTalk and more discussion to be had! Thanks everyone for joining in 😁 |
| #OTalk @OTalk_ RT @BeccaSheltonOT: Such an intersting chat tonight hosting #OTalk and more discussion to be had! Thanks everyone for joining in 😁 |
 | Drew Massey @DrewMasseyBx RT @OTalk_: For anyone who missed it, the Novak paper was a review of literature on OT interventions and graded different interventions as green, yellow or red based on the evidence for how effective they are - some of the findings potentially controversial... #OTalk https://t.co/sgukC1MN1n https://t.co/r9FHp0jxRr |
#OTalk content from Twitter.