Research Design

Running head: RESEARCH DESIGN 1
Research Design
(Author’s name)
(Institutional Affiliation)

RESEARCH DESIGN 2
Response to the client
Regarding the occupational therapy discussion on online or telehealth therapy option with
James, first I will request him to come accompanied by the caregiver from the family member,
either his wife or one of his children. This is due to his current body condition as his muscular
and physical body has not enough stamina. During the discussion, I will welcome James politely,
introduce myself and ask about his current condition. This will help in determining the best
options and setting goals for the therapy. After familiarizing with James and his caregiver, I will
then explain to him what is online occupational therapy, and why it is important for him. Online
and telehealth therapy is a type of psychological therapy where patients and the therapist will be
operating through a computer and a telephone to convey healthy education therapy and give
advice on interventions and appropriate ways to cope with either anxiety, depression or sleeping
symptoms while the patient is at home.
From his current symptoms, James cannot be able to perform many tasks and thus he will
need to start with performing activities that he can and those that prevent risks for falling. Other
than that, James needs to learn what kind of activities he will be doing and the need for self-
management together with his caregiver. I will teach James how to use the online internet base
and provide a telephone number in case of an emergency. The program will include daily
physiotherapy updates, encouragement quotes, and relevant interventions such as meditation and
standards sleep hygiene. I will explain the expectations James is required to do in his daily
activities setting priorities and respect to possible choices he made. In relevant to his current
body executive functions, I will encourage him to believe in himself in order to boost his esteem
that it is not too late to give up.
Research Question

RESEARCH DESIGN 3
How can telehealth and online cognitive behavior therapy be used in the management of lack of
sleep anxiety, and depression in patients with PD staying at longer distances from the mental
health rehabilitation center?
Person, environment and occupation factors
Person
James, 67 years old suffering from PD and have a previous health history of postural
hypertension gout and angina. James has both, mental, and physiological problems. Physically,
he might be having a head injury due to a fall brought by postural hypotension nine days ago.
Other than that, from the basic assessment tests, James is obviously having increased postural
instability, fewer arms, cannot stand properly, increase fatigue, dysphagia, plus limited clarity in
his speech. These factors are contributing to his other personal problems like difficulties in
walking and inability to perform daily activities such as bathing, toileting, and dressing.
Environment
James is not comfortable in the rehabilitation environment and it seems to have
aggravated his anxiety and depression symptoms. James needs to go home in order to stay with
his family and work on woodwork. Other than that, he does not feel okay due to the fact that he
cannot do ADLs on his own. However, he is surrounded by supporting staff who are helping
him in his daily activities. His family especially his wife is fully supportive. Other environmental
factors include age and sex. Parkinson disease is more prevalence in aged male patients over 60
years(Parkinson’s Foundation, 2019). Other than that, the presence of head injury after a fall acts
as an aggravating factor. A comprehensive assessment of home surroundings will be effective to
prevent risks for falls, promote a conducive exercise environment of available tasks and to create
friendly surroundings that minimize risks for anxiety and stress.

RESEARCH DESIGN 4
Occupational
James is currently retired from inventory manager with Telstra from the past two years
where he has been working in the previous 25 years. This means James has been a very hard
working person with intending to care for his family who includes a wife and two children
currently adults. Other than that, he is currently interested in a new woodwork occupation despite
his current situation. To support, his occupational activities such as exercises and daily activity a
self-management care including the help of a caregiver will be appropriate. Such intervention
can be directed through frequent telephone reminders and time regulated activities to avoid
spending more time in therapeutic communication. Due to his levels of stamina, activities such
as assisted walking, and encouragement to perform simple chores and tasks can be helpful until
he regains enough strength. This requires modification of available tasks at home in order to get
the most appropriate and manageable one.
Article One Summary
Kraepelin, M., Svenningsson, P., Lindefors, N., & Kaldo, V. (2015). Internet-based
cognitive behavioral therapy for depression and anxiety in Parkinson's disease - a pilot
study.
The above study was conducted to determines the impacts of Internet Cognitive Behavioral
Therapy (ICBT) for anxiety and depression on patients with Parkinson Disease (PD). The results
of the above article show ICBT is a successful depression management intervention in PD. This
method of treatment was highly associated with minimizing the Hospital Anxiety Depression
Scale (HADS) to acceptable levels(Kraepelien, Svenningsson, Lindefors, & Kaldo, 2015).