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Ms. Joan Brangan
Assistant Professor, Occupational Therapy

Biography

Joan qualified as an occupational therapist in 1980 and worked in OT posts in Ireland, in mental health and acute care services. She spent several years in Vancouver, Canada in both acute and long term geriatric OT services. In 1991, she obtained her Master's degree in Community Health from Trinity College, before joining the Discipline of Occupational Therapy, Trinity College, as a lecturer in 1991.

Joan has been responsible for the development, delivery and assessment of various modules on the undergraduate degree programme. Her particular areas of expertise are in ageing and older adults, the environment, communications skills and contemporary practice issues. She has supervised both undergraduate and postgraduate students. Her research interests include: measuring engagement levels in residential care, occupational justice with older adults, engagement of adults ageing with intellectual disabilities, raising community awareness of dementia, evidence based practice in occupational therapy, assessment of falls risk, visual impairment with older adults.

Publications and Further Research Outputs

Peer-Reviewed Publications

Lombard,K., Desmond,L., Phelan,C., Brangan,J., Irish occupational therapist's use of evidence-based falls prevention programmes., Irish Journal of Occupational Therapy, 2019, p00 - 00 Journal Article, 2019 DOI

Morgan-Brown, Mark., Brangan, Joan., Murphy, B., McMahon, R., Engagement and social interaction in dementia care settings. A call for occupational and social justice, Health and Social Care in the Community, 27, (2), 2019, p400 - 408 Journal Article, 2019 DOI

Mark Morgan-Brown, Joan Brangan, Uncovering Occupational Justice in Residential Care Environments, Royal College of Occupational Therapists, Belfast, 11-13 June 2018, 2018 Conference Paper, 2018

Morgan-Brown, Mark., Brangan, Joan, Capturing interactive occupation and social engagement in a residential dementia and mental health setting using quantitative and narrative data, National Institute of Health Sciences (NIHS) Research Bulletin, 8, (1), 2018, p27- Journal Article, 2018 DOI

Joan Brangan, Mark Morgan-Brown, Evaluating Occupational and Social Engagement in Dementia Care Homes, Canadian Association of Occupational Therapy Conference, 2018, Vancouver, British Columbia, Canada, 20-23 June, 2018, 2018 Conference Paper, 2018

King E., O'Donovan M., Brangan, A., McCallion, P., McCarron, M, An Occupational Therapy Perspective on the Environment and Supporting Engagement for People Ageing with Intellectual Disabilities, IASSIDD Health Sirg, Belfast, 19 -21st. June, 2017, 2017 Poster, 2017

Morgan-Brown, M., Brangan, J., Occupational Justice in Congregate Environments., 1st. COTEC-ENOTHE Congress, NUI, Galway., 15-19 June 2016, 2016 Conference Paper, 2016

Brangan, J., Morgan-Brown, M., Quantitative measures informing occupational literacy., 1st. COTEC-ENOTHE Congress, NUI, Galway., 15-19 June 2016, 2016 Conference Paper, 2016

Morgan-Brown, M., Brangan, J., Capturing interactive occupation and social engagement in a residential dementia and mental health setting using quantitative and narrative data, Geriatrics, 1, (3), 2016, p1 - 15 Journal Article, 2016 DOI

Morgan-Brown, M., Brangan, J., Kearns,C., Quantifying occupational justice: Using the Assessment Tool for Occupation & Social Engagement (ATOSE). Workshop., 1st. COTEC-ENOTHE Congress, NUI, Galway., 15-19 June 2016, 2016 Conference Paper, 2016

Morgan-Brown, Mark., Brangan, Joan., O Raghallaigh, C., Real Life Comparison: Effects of Environmental Change on capability for Engagement, Irish Ageing Studies Review, International Association of Gerontology and Geriatrics - European Region 8th Congress, Dublin, Ireland, 23-26 April 2015, 6, (1), 2015, pp252- Poster, 2015

Brangan, J., Quinn,S., Spirtos,M., Impact of an Evidence Based Practice Course on Occupational Therapist's Confidence Levels and Goals, Occupational Therapy in Health Care,, Volume 29 , (No.1), 2015, p27 - 38 Journal Article, 2015 URL

Morgan-Brown, Mark., Brangan, Joan., O Raghallaigh, C., Thoughtful Design: Measuring Positive Changes in Engagement Levels in Residential Settings Following Design Change for Older Adults., Irish Ageing Studies Review, International Association of Gerontology and Geriatrics - European Region 8th Congress, Dublin, Ireland, 23-26 April 2015, 6, (1), 2015, pp251 - 252 Poster, 2015

Collins, B., Brangan, J., The impact of low vision on occupational participation: a scoping review and implications for research and practice., Occupational Science, Europe International Conference, 2015. Health and Wellbeing through Occupation, Bournemouth, UK., 3-4 September 2015, 2015 Conference Paper, 2015

Irwin,N., Mellerick,N., Farrell, R. Brangan,J, The Experience and Meaning of Leisure after experiencing a stroke. An Occupational Therapy Undergraduate Study, Irish Heart Foundation 16th Annual Stroke Study Day, Dublin, April 2013, 2013 Conference Paper, 2013

Tobin F., Brangan J., Can the Assessment of Motor and Process Skills (AMPS) be used as a predictor of overall safety in community dwelling older people admitted to a rehabilitation unit within an acute hospital. , Irish Journal of Medical Science, 60th Annual and Scientific Meeting of the Irish Gerontological Society, University College, Cork, 14-15th Sept.2012, 181, (Supplement 7), Springer, 2012, pp48 - 48 Poster, 2012

Brangan J.,MacCobb S., Fitzpatrick M., Auditing a new occupational therapy programme in a mental health facility using, 15th International Congress of World Federation of Occupational Therapists, Chile, 4-7 May 2010, 2010 Conference Paper, 2010

MacCobb S., Brangan J., Reporting on the impact of the introduction of an occupational therapy service to a rural psychiatric hospital: patient and staff perspectives., Physical Therapy Reviews, Vol.14, (3), 2009, p211- Journal Article, 2009

Brangan J., MacCobb S., Development and evaluation of a new occupational therapy service in a mental health facility in Ireland., World Federation of Occupational Therapy Bulletin, Vol. 60, 2009, p18 - 21 Journal Article, 2009

Brangan J., MacCobb S., The value of a new occupational therapy service as evidenced by service users and staff in a mental health service. Providing an audit of an occupational therapy service., Association of Occupational Therapy 43rd. Annual Conference, Kilkenny, Ireland, 2009, pp14- Conference Paper, 2009

Brangan J., Views of service users, nurses and other staff on the development and impact of a new occupational therapy service in an adult mental health facility. , 9th. Annual Interdisciplinary Research Conference., School of Nursing & Midwifery, Trinity College, Dublin., November 2008, 2008, pp28- Conference Paper, 2008

Livingstone S., Brangan J., Narratives of awareness and adjustment: a qualitative exploration of community life after brain injury., Physical Therapy Reviews, 13, (2), 2008, p137- Journal Article, 2008

Gogarty O., Brangan J., The lived body experience of women with eating disorders: A phenomonological study of the perceived impact of body image disturbance on occupational performance, Irish Journal of Occupational Therapy, Vol.33, (2), 2004, p11 - 19 Journal Article, 2004

Nolan C., Brangan J., Risk of Falling in Community Dwelling Older People and the research implications., Proceedings from VII World Federation of Occupational Therapy Conference., Stockholm, Sweden, June 2002, 2002 Conference Paper, 2002

Armstrong D., Brangan J., Are we trying to stop a haemorrhage with a band-aid? Use of the client's environments by Occupational Therapists working in Ireland in mental Health, Irish Journal of Occupational Therapy, Vol.30, (2), 2000, p24 - 31 Journal Article, 2000

Brangan J., O'Neill G., Assessment practices of Irish Occupational Therapists: A study, British Journal of Therapy and Rehabilitation, Vol.5, (11), 1998, p565 - 566 Journal Article, 1998

Brangan J., O'Neill G., The use of assessments in clinical practice in Ireland., Proceedings from Vth. Congreso Europeo de Terapia Ocupacional, Madrid, Spain., 1997, pp395 - 40 Conference Paper, 1997

Brangan J., Accident Characteristics of Elderly Drivers in Ireland., Irish Journal of Medical Science, Vol.65, (Supp. 4), 1996, p42- Journal Article, 1996

O'Neill G., Brangan J., Canadian Occupational Performace Modal and Measure: A way forward for Irish Occupational Therapists., Irish Journal of Occupational Therapy, Vol.26, (2), 1996, p31 - 6 Journal Article, 1996

Joshi G., Brangan J., Kelly C., McCarroll S., Transfusion Therapy in Elective Total Hip Arthroplasty., Irish Journal of Medical Science, Vol.161, (6), 1992, p404 - 7 Journal Article, 1992

Brangan J., Utilization of Blood in Elective Total Hip Arthroplasty., Irish Journal of Medical Science, Vol.161, (2), 1992, p53- Journal Article, 1992

Brangan J., Quality Assurance in Occupational Therapy, Association of Occupational Therapists of Ireland Annual Conference., Trinity College, Dublin, 1992 Conference Paper, 1992

Non-Peer-Reviewed Publications

Brangan J., Impact of the Introduction of an Occupational therapy Service to an Irish Mental Health Setting., 2009 Report, 2009

Brangan J., Nolan C., Safety Hazards and Risk of Falling in Community-Dwelling Older People. Report on a survey of residents from Fingal and Dun Laoghaire Co. Councils and Dublin Corporation, 2000, 2000 Report, 2000

Research Expertise

Description

Research interests include measuring dementia engagement levels in residential care, occupational justice with older adults, engagement of adults ageing with intellectual disabilities, raising dementia awareness in the community, evidence based practice in occupational therapy, assessment and intervention of falls risk, visual impairment with older adults.

Projects

  • Title
    • Engagement and social interaction in dementia care settings. A call for occupational and social justice
  • Summary
    • People with dementia are entitled as citizens to equal opportunities to engage in social and occupational activities of their choice. In residential care settings, people with dementia have limited opportunity for free choice and engagement. Limitation or deprivation of people's choice and experience of valued occupations have been described elsewhere as occupational injustice. This research examined levels of occupation and engagement in a sample of five residential care settings in Ireland which included 73 residents with dementia and/or enduring mental health diagnoses. Using the Assessment Tool for Occupational and Social Engagement (ATOSE), results showed low levels of engagement across the sample - residents spent between 17-45% of their time engaged versus 55-83% non-engaged while in their communal sitting rooms. These results highlight issues of occupational and social injustice within the residential care sector. A critical gerontology lens was employed to define and explore concepts of citizenship, as well as occupational and social justice, in the context of this research project.
  • Funding Agency
    • None
  • Date From
    • 2016
  • Date To
    • 2017
  • Title
    • Occupational Engagement of Adults Ageing with Intellectual Disabilities.
  • Summary
    • Data from the TILDA Intellectual Disability Supplement (IDS) dataset examined factors influencing engagement in daily occupations. Factors within the physical environment, and physical health were found to impact on engagement across all three domains of self-care, productivity and leisure occupations. Ability to get around the home and the local community, and physical health were the strongest predictors of engagement.
  • Funding Agency
    • IDS TILDA
  • Date From
    • 2016
  • Date To
    • 2017
  • Title
    • Measuring occupation and social engagement in a residential dementia and mental health setting
  • Summary
    • Objectives: Despite an abundance of research acknowledging the value of interactive occupation and social engagement for older people, and the limits to these imposed by many residential settings, there is a lack of research which measures and analyzes these concepts. This research provided a method for measuring, analysing and monitoring interactive occupation and social engagement levels of residents in a secure residential setting for older people with mental health problems and dementia. It proposed suggestions for changes to improve the well-being of residents in residential settings. Method: In this case study design, the Assessment Tool for Occupational and Social Engagement (ATOSE) provided a 'whole room' time sampling technique to observe resident and staff interactive occupation and social engagement within the communal sitting room over a five-week period. Researchers made contemporaneous notes to supplement the ATOSE data and to contextualise the observations. Results: Residents in the sitting room were passive, sedentary, and unengaged for 82.73% of their time. Staff, who were busy and active 98.84% of their time in the sitting room, spent 43.39% of this time in activities which did not directly engage the residents. The physical, social and occupational environments did not support interactive occupation or social engagement. Conclusions: The ATOSE assessment tool, in combination with narrative data, provided a clear measurement and analysis of interactive occupation and social engagement in this and other residential settings. Suggestions for change include a focus on the physical, social, occupational, and sensory environments and the culture of care throughout the organization.
  • Funding Agency
    • Not funded
  • Date From
    • 2015
  • Date To
    • 2016
  • Title
    • Raising Dementia Awareness in a Community
  • Summary
    • Evaluation of understanding and attitudes of transition year students and their families about dementia. Creating education and awareness about making a community 'dementia friendly'.
  • Date From
    • October 2013
  • Date To
    • October 2014
  • Title
    • Use of the Assessment of Motor and Process Skills as a predictor of safety of community dwelling older adults.
  • Summary
    • Evaluation of the AMPS assessment results obtained in a rehabilitation unit of an acute hospital as an accurate predictor of overall safety for community based older adults.
  • Date From
    • 2010
  • Date To
    • 2011
  • Title
    • Trinity Interdisciplinary Consortium for Health Education - TICHE
  • Summary
    • Collaborative educational project was provided to 103 health care professional participants - 26 dietitians, 32 Speech & language, 19 OTs, 26 PTs in Dublin, Galway and Cork. The tender called for interdisciplinary training in basic research skills to enable participants to use research to support Evidence Based Practice (EBP), within a framework that promotes interdisciplinary learning and future collaboration in research. Confidence levels in research skills was measured pre and post course attendance
  • Funding Agency
    • HSE
  • Date From
    • 2012
  • Date To
    • 2013
  • Title
    • Impact of an evidence based practice course on Occupational Therapists confidence levels and goals
  • Summary
    • A HSE supported initiative to provide 7 training courses to 137 OT's throughout Ireland delivered by myself and 2 colleagues, led to a research project evaluating the impact of the programmes on therapists confidence levels and their goals to integrate EBP within their clinical practice.
  • Date From
    • 2010
  • Date To
    • 2011

Keywords

Action Research, Practice Based Research,Ageing Research; AGEING; Ageing & Intellectual Disability - Changing Service Needs; Ageing, Older People and Healthcare; Mental Health and Ageing; Older Adults - dementia, human and technology supports

Recognition

Representations

Committee member, Older person's advisory group (OPAG), Association of Occupational Therapists of Ireland. Member World Federation of Occupational Therapists.

Awards and Honours

HSE Lenus award, 2017. Co-author of Overall Winner for best open access journal publication for 2017. Capturing Interactive Occupation and Social Engagement in a Residential Dementia and Mental Health Setting Using Quantitative and Narrative Data. http://www.mdpi.com/2308-3417/1/3/15 Dec. 2017

Memberships

Member, Association of Occupational Therapists of Ireland (AOTI). 2008 – 2017

Committee Member, AOTI advisory group on Older People 2009 – 2016

Member, Canadian Association of Occupational Therapists 1982-2002, 2017- – present

Member, World Federation of Occupational Therapists

Member CORU - Regulating Health and Social Care Professions 2017 – present