Next week's tasks ( 9 /28 - 10 / 2 )

Temporary schedules for this week :

• Continue revising the manuscript (first priority ; 1-2 hrs/ per day)
• Continue searching OT seeker database to locate relevent articles - Key words : "randomized control trials" and "stroke"
• Continue the reading and organization of the definitions of 3 perspectives of ADL assessments - don't confuse the "mode of administration" with "meaning of study"
• English class: twice per week. Date and time to be announced.
• Clinical setting : 9 /30 (Wed) - 亞東
• Scheduled to go to 台中 on Oct. 1st (Thu) - the purposes of going to 台中:

1. Introduce the self -perceived difficulty scale to 筱文 and discuss with her about how to administer this scale
2. Get the feedback and comments from her
3. Experience exchange

進展

** 本週 ( 9 /21 - 9 / 25) 收案進度:

Self-perceived difficulty scale:

• 9/22 萬芳 : 6 pts - 2 aphasia -1 in a rush = 3 pts
• 9/18 署北 : 7 pts - 1 aphasia - 1 refused - 2 in a rush = 3 pts

Subtotal for this week = 6 pts

Total : 132 pts

修改了部分量表的內容以及在 IADL 部分多增加了 病前有無從事 一欄 ，以便區分中風以前有從事的活動，現在因為中風而終止，和中風以前就沒有從事此項活動。

Please click here to see the lastest version of self-perceived difficulty scale.

The difficulties that I have faced when writing " this" manuscript

1. 事先沒有做好 literature review, 沒有掌握到現在其他相關研究上所缺少的或需要加強的地方，以至於現在有 data ，可是卻抓不到自己想研究要表達的重點。
2. Data 及相關資訊的不足: 當初拿到的資料有 raw data 以及 descriptive statistics 的數據，自己寫研究的 paper 資歷真的真的太淺了，真的不知該如何從只有這兩個資料去寫這個 study的 results。
3. 自己對做研究這條路的知識真的太缺乏了太不足了，該如何完整的規劃一個研究 ─ 基礎真的太重要了。
4. 其實很想跟老師說的是 : 這個 manuscript 可不可以用qualitative study 來呈現 instead of quantitative study. The reasons are as following:

• 記得老師說過此 mansucript 我們最主要的不是想探討這個量表，而是個案本身的看法，我覺得對 "看法" 這種 topics 如用 qualitative study 會比較貼切。
• 在此我們只針對我們得到的 data 用 descriptive statistics 去分析 ，自己本身對 descriptive statistics 的理解是 " Descriptive statistics are used to describe the main features of a collection of data in quantitative terms. "
• " Descriptive statistics are distinguished from inferential statistics (or inductive statistics), in that descriptive statistics aim to quantitatively summarize a data set, rather than being used to support inferential statements about the population that the data are thought to represent. "
• 所以一直 stuck 在這裡，不知道該如何從 descriptive statistics 分析出來的數據去匯整寫出 results ，及討論。

這是我小小的想法，也許不符合實際，也或許像老師常說的在研究上我還太新太不成熟，還要學習的地方還太多太多，現在的我真的需要老師您的指點阿。

　

寫 / 修改 manuscript 的心得

自己承認自己在逃避修改 manuscript 的事實。我知道這種想法很不對，可是就覺得沒有 motivation。尤其看到這些 comments 回來時自己對寫 manuscript 的信心及意念更為低落了。甚至問自己做研究一定要寫 paper 嗎? 的這種蠢問題。
不知不覺記起剛來上班沒幾天和謝老師討論，老師講到一句話 : "台灣的學生可能聽、說、讀可能沒有你好，可是寫的能力絕對不比你差。" 雖然當初對這句話並沒有那麼在意，現在想想自己是真的得去面對該面對的現實。人要能成長我想第一步也是最重要的一步就是勇敢的去承認面對自己的不足及失敗。看清楚也明白了自己的缺點，下一步就是得跨出那一步→去想辦法改善自己的不足。希望自己能真的做到。

"Brick walls are there for a reason : they let us prove how badly we want things." ~ Randy Pausch

Next week's tasks ( 9 / 21 - 9 / 25 )

Temporary schedules for this week :

1. Continue revising the manuscript (1-2 hrs/ per day)
2. Continue searching OT seeker database to locate relevent articles
3. Continue the reading and organization of the definitions of 3 perspectives of ADL assessments
4. English class: twice per week. Date and time to be announced.
5. Scheduled to go to 台中 on Nov. 1st (Thu)
6. Clinical setting : 9 / 22 (Tue) --->萬芳 ; 9 / 24 (Thu) ----> 亞東

進展

** 本週 ( 9 /14 - 9 / 18) 收案進度:

Self-perceived difficulty scale:

• 9/16 亞東 : 10 pts - 2 aphasia = 8 pts
• 9/18 馬偕 : 5 pts - 1 refused - 1 in a rush = 3 pts

Subtotal for this week = 11 pts

Total : 126 pts

This week's tasks ( 9 / 14 - 9 / 18 ) - revised

This week's tasks : (revised one)

1. Revise the manuscript (1-2 hrs/ per day)(face the difficulties) ( due before 9 /25)
2. Translate the balance CAT (report back to Prof. Hsieh by Monday afternoon - 9/14 re : difficulties and progress)
3. Arrange the time to go to 台中 , re : Self - perceived difficulty scale (& meet with 劉筱文)
4. Start searching OT seeker database to locate relevent articles (1 - 2 times per week/ 1-2 hrs per time) (ask 姿誼 for assistance)
5. Contact 萬華張主任 re : when can we start to go there to collect data?
6. Clinical setting : 9 /15 (Tue) ----> 亞東醫院 (switch to 9 /16 Wed) ; 9 /18 (Fri ) ----> 馬偕

概念的理解和釐清

對 " 能力 " 和 "表現" 的概念的理解和釐清 :

• 能力 - 在沒有「情境因素」干預中，個案執行活動所表現的最佳程度。
• 表現 - 在真實環境中有「情境因素」，個案所能參與當下 (社會)的最大程度。

學習 searching strategy 的心得

雖然一開始來上班謝老師就要求要學 searching strategy and endnote ，可是自己對這兩還真是一知半解的，這1 ，2 星期來又有機會再接觸而且是真的的去了解、理解這兩個功能，才知道它們的好。
心得是 :

• 基礎真的很重要，知道基礎才能去運用，也才能提高工作效率。
• 不懂就要問 (這點真的很感謝佳苓的時間和用心)，多看多聽多學 ，試著去突破自己。
• 愈學才愈知道自己的不足，要更努力一點才行。

This week's tasks ( 9 / 14 - 9 / 18 )

Temporary schedules for this week :

1. Start searching OT seeker database to locate relevent articles
2. Read and organize the definitions of 3 perspectives of ADL assessments
3. Revise the manuscript
4. Contact 萬華張主任 re : when can we start to go there to collect data?
5. Clinical setting : 9 /15 (Tue) ----> 亞東醫院 ; 9 /18 (Fri ) ----> 馬偕

This was a challenge week for me

從小就知道自己對於 public speaking or speanking in front of people 就很害怕, 也知道這是自己一個非常嚴重的弱點，雖然已經歷了不少大大小小的報告，很多時候自己知道還是突破不了這個弱點。
Here, I would like to say Thank you to Prof. Hsieh...thank you for giving me this opportunity to try it out. Thanks for your encouragement. You have always been so supportive. The most important thing is Thank you for BELIEVEING IN ME.

這次我不知道我是否有突破，但至少我知道我勇敢的去面對了!!

• Something I have learned this weekend:
  
  Impossible or I ' M POSSIBLE : it depends how you see and interpret it.

回報 和 萬華張主任 談 的結果

Purpose:

• 了解該院的病人特性與人數 : (全為中風病患)

1. 中風整合 : 自費 - 大致上一天有 40 - 45 人次


2. 傳統健保己付 - 大致上一天 也有 40 - 45 人次


3. 大致上以自費病人為主

• 施測環境，空間 及院方之運作流程

1. OT 的 treatment room 位於地下 1 樓 (因有自費的復健診療，感覺上設備環境都比另一個健保復健好)
2. 自費空間還蠻寬廣；我們可以和他們的治療師 share 休息室


3. 運作流程 :

a . 因這次合作收案的對象會以自費為主，所以萬華醫院希望問卷時間是安排在個案在 treatment 跟 treatment 之間的空檔問個案。

b. 希望在過去收案前 1，2 天通知他們，萬華也會幫我們代約個案。

萬華所提出的 2 個問題 ?

1. 資源能否共享 ? 例如 : 研究結果出來有任何新的知識 (例如新的量表) 是否能告知對方或讓他們使用?
2. 在他們的 flyer or brochure 是否可刊登 例如 : 和台大合作 etc..等字眼?

Articles found for each year

The exact number of articles found for each year since 2005 , please click here (Medline database)

This week plans (9 /7 - 9 /11)

9 /7 (Mon) :

Morning -

• Organize the selected articles from Medline database

1. Find the exact number of articles for each year since 2005 using current strategies (should be done by 9 / 7 morning : at noon) (Only Medline - Yes )
2. Ask 玉雲姊 to print out the related articles (year 2005 first)
3. Read articles and check articles content, re : (a) measures used, (b) purpose (primary or secondary), (c) perspectives adopted and also if relevent QOL questionnaires have been used (Report the results back to Prof. Hsieh by 9 /8 afternoon)

Noon - contact 萬華張主任

Afternoon -

• Summarize the findings of year 2005 : (a) measures used, (b) purpose (primary or secondary), (c) perspectives adopted
• Meeting with Karine at 3 pm re : Go over the PPT and practice the presentation

9 / 8 (Tue) :

Morning -

• Continuing "Summarize the findings of year 2005 : (a) measures used, (b) purpose (primary or secondary), (c) perspectives adopted " (should be done by 9 /8 morning : at noon)

Afternoon -

• Start search : " Check whether there is QOL questionnaire used as well to make sure whether perceived difficulty was also assessed " (Should be done by 9/8 afternoon : before 6 pm)

9 /9 (Wed) :

Morning -

• Final check up and prepare to go to 萬華醫院 with Karine ( plan to leave at 10 : 45 am ; the presentation is starting at 12 : 20 pm and finished at 1 :20 pm)

Afternoon -

• Find the definitions for the 3 perspectives of ADL assessments

9 / 10 (Thu) :

Morning -

• Continuing "Find the definitions for the 3 perspectives of ADL assessments " (should be done by 9/10 morning : at noon)
• Revising the manuscript

Afternoon -

• Clinical setting : NTUH

9 / 11 (Fri) :

• Clinical setting : 馬偕 (whole day)

The revised search strategies and results

The revised search strategies and results for Medline database, please click here

Next week's tasks ( 9 / 7 - 9 /11 )

Temporary schedules for this week :

A . Make appointments with Karine to discuss the search strategies for OT seeker database (Had discussed with Karine and some search's strategies re: Medline database's search strategies had been made --> will update soon)

B. Preparation for the 9 /9 ( Wed)'s presentation at 萬華醫院 :

1. go over the PPT and practice the presentation with Karine on Monday afternoon (3 pm)
2. will contact 萬華張主任 on Monday to discuss the details about the Wed's meeting , such as when / where to meet up
3. remember these purposes :

• 了解該院的病人特性與人數
• 施測環境，空間 及院方之運作流程
• 交通
• 認識醫院治療師及與院方人員洽談未來研究之收案事項
• "What they can do for us?"

C . Search OT seeker database to locate the articles

D. Revise the manuscript (Due Sep 13th)

E. Clinical setting : 9/ 10 (Thu) ---> NTUE ; 9/11 (Fri ) ----> 馬偕

進展

** 本週 ( 8 /31 - 9 / 4) 收案進度:

Self-perceived difficulty scale:

• 9/2 台大 : 4 pts - 1 refused - 1 aphasia = 2 pts
• 9/3 馬偕 : 5 pts - 1 refused - 1 in a rush = 3 pts
• 9/4 署北 : 6 pts - 1 refused - 2 aphasia = 3 pts

Subtotal for this week = 8 pts
Total : 115 pts

P. S. 署北張老師說關於 9 月中 要 的 "資料分析結果" 報告，可以以各種方式呈現，例如 曲線 、圖表 或是 數字 。

Tasks

Tasks:

1. Book an appointment with Karine to learn how to use OTseeker database and then check the OTseeker's results to see whether they are similar to medline or not
2. Work with new graduate student-吳姿誼 in grouping and labeling the articles
3. Download the PDF files
4. Prepare how to orgainze the results
5. Draw a flow chart for the procedure of searching and selecting the articles
6. Read the selected papers regarding the info that/what we want to obtain and organize

P.S. Book appointments with Karine to :

1. Check the accuracy of previous Medline search
2. Learn how to use OT seeker and CINAHL databases (do some researches first on Cochrane re: search stragegies)

Medline- combination strategies for all terms

Search strategies for combination of all terms, please click here