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Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations / Stanley John Winser in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)
[article]
Titre : Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations Type de document : texte imprimé Auteurs : Stanley John Winser ; Hei Tung Fion Chan ; Lam Ho ; Lau Sze Chung ; Lau Tsz Ching ; Tom Kin Lok Felix ; Priya Kannan Année de publication : 2020 Article en page(s) : p. 69-80 Note générale : doi.org/10.1016/j.rehab.2019.06.012 Langues : Anglais (eng) Mots-clés : Physical exercise Dosage Falls prevention Older people Cost-effectiveness. Résumé : Abstract
Background
Falls in older people is a global public health concern. Physical exercise is a useful and potentially cost-saving treatment option to prevent falls in older people.
Objectives
We aimed to (1) summarize the research literature regarding the cost-effectiveness of exercise-based programs for falls prevention in older people and (2) discuss the implications of the review's findings for clinical practice and future research on the dosage of cost-effective exercise-based falls prevention programs for older people.
Methods
Multiple databases were searched from inception until February 2019. Studies were included if they (1) were randomized controlled trials with an economic evaluation of exercise-based falls prevention programs for people ≥ 60 years old and (2) assessed the incremental cost-effectiveness ratios, cost per quality-adjusted life year, incremental cost per fall and benefit-to-cost ratio of programs. Methodological quality was assessed with the Physiotherapy Evidence Database scale and quality of economic evaluation with the Quality of Health Economic Studies.
Results
We included 12 studies (3668 older people). Interventions for falls prevention were either exercise-only or multifactorial programs. Five studies of high economic quality and 2 of high methodological quality provided evidence supporting exercise-only programs as cost-effective for preventing falls in older people. Specifically, a tailored exercise program including strengthening of lower extremities, balance training, cardiovascular exercise, stretching and functional training of moderate intensity performed twice per week with each session lasting 60 min for ≥ 6 months delivered in groups of 3 to 8 participants with home-based follow-up appears to be cost-effective in preventing falls in older people.
Conclusion
There is evidence to support exercise-based interventions as cost-effective treatment for preventing falls. Further research is needed to fully establish the cost-effectiveness of such programs, especially in both developing and underdeveloped countries.Permalink : ./index.php?lvl=notice_display&id=90768
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 69-80[article] Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations [texte imprimé] / Stanley John Winser ; Hei Tung Fion Chan ; Lam Ho ; Lau Sze Chung ; Lau Tsz Ching ; Tom Kin Lok Felix ; Priya Kannan . - 2020 . - p. 69-80.
doi.org/10.1016/j.rehab.2019.06.012
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 69-80
Mots-clés : Physical exercise Dosage Falls prevention Older people Cost-effectiveness. Résumé : Abstract
Background
Falls in older people is a global public health concern. Physical exercise is a useful and potentially cost-saving treatment option to prevent falls in older people.
Objectives
We aimed to (1) summarize the research literature regarding the cost-effectiveness of exercise-based programs for falls prevention in older people and (2) discuss the implications of the review's findings for clinical practice and future research on the dosage of cost-effective exercise-based falls prevention programs for older people.
Methods
Multiple databases were searched from inception until February 2019. Studies were included if they (1) were randomized controlled trials with an economic evaluation of exercise-based falls prevention programs for people ≥ 60 years old and (2) assessed the incremental cost-effectiveness ratios, cost per quality-adjusted life year, incremental cost per fall and benefit-to-cost ratio of programs. Methodological quality was assessed with the Physiotherapy Evidence Database scale and quality of economic evaluation with the Quality of Health Economic Studies.
Results
We included 12 studies (3668 older people). Interventions for falls prevention were either exercise-only or multifactorial programs. Five studies of high economic quality and 2 of high methodological quality provided evidence supporting exercise-only programs as cost-effective for preventing falls in older people. Specifically, a tailored exercise program including strengthening of lower extremities, balance training, cardiovascular exercise, stretching and functional training of moderate intensity performed twice per week with each session lasting 60 min for ≥ 6 months delivered in groups of 3 to 8 participants with home-based follow-up appears to be cost-effective in preventing falls in older people.
Conclusion
There is evidence to support exercise-based interventions as cost-effective treatment for preventing falls. Further research is needed to fully establish the cost-effectiveness of such programs, especially in both developing and underdeveloped countries.Permalink : ./index.php?lvl=notice_display&id=90768 Exemplaires (1)
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Exclu du prêtAlcohol use amongst older adults: Knowledge and beliefs of occupational therapists working in physical health care settings / Fiona MACLEAN in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)
[article]
Titre : Alcohol use amongst older adults: Knowledge and beliefs of occupational therapists working in physical health care settings Type de document : texte imprimé Auteurs : Fiona MACLEAN, Auteur ; Jan GILL, Auteur ; Fiona O'MAY, Auteur Année de publication : 2015 Article en page(s) : p. 320-330 Langues : Anglais (eng) Mots-clés : Theory Assessment Education : Alcohol use Older people Physical health care Résumé : Introduction There is little discussion in the United Kingdom occupational therapy literature surrounding the topic of older people and alcohol, despite the growing prevalence of alcohol-related health problems in older adults resulting from an ageing population and changing patterns of consumption. Occupational therapists in physical health care settings are likely to work with older people whose drinking pattern may not be alcohol dependent, but may put their physical or psychological health at risk.
Method A survey methodology was employed using open and closed questions, recruiting occupational therapists (band 5 to 9) (n = 122) working with older people (65+ years) in physical health care settings across all, except one, National Health Service Regional Health Boards in Scotland.
Results Responses highlight gaps in occupational therapists’ knowledge around alternative ‘safe limits’ of alcohol intake for older people. Belief in professional role was evident, but the perception was that this was not supported by undergraduate education. Occupation focused theory and assessment were not prioritized when considering alcohol in the older adult.
Conclusion This study has highlighted a need to develop pre- and post-qualification education for occupational therapists, to enhance understanding of theory, assessment and knowledge of alcohol with older adults in physical health care settings.En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35954
in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 320-330[article] Alcohol use amongst older adults: Knowledge and beliefs of occupational therapists working in physical health care settings [texte imprimé] / Fiona MACLEAN, Auteur ; Jan GILL, Auteur ; Fiona O'MAY, Auteur . - 2015 . - p. 320-330.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 320-330
Mots-clés : Theory Assessment Education : Alcohol use Older people Physical health care Résumé : Introduction There is little discussion in the United Kingdom occupational therapy literature surrounding the topic of older people and alcohol, despite the growing prevalence of alcohol-related health problems in older adults resulting from an ageing population and changing patterns of consumption. Occupational therapists in physical health care settings are likely to work with older people whose drinking pattern may not be alcohol dependent, but may put their physical or psychological health at risk.
Method A survey methodology was employed using open and closed questions, recruiting occupational therapists (band 5 to 9) (n = 122) working with older people (65+ years) in physical health care settings across all, except one, National Health Service Regional Health Boards in Scotland.
Results Responses highlight gaps in occupational therapists’ knowledge around alternative ‘safe limits’ of alcohol intake for older people. Belief in professional role was evident, but the perception was that this was not supported by undergraduate education. Occupation focused theory and assessment were not prioritized when considering alcohol in the older adult.
Conclusion This study has highlighted a need to develop pre- and post-qualification education for occupational therapists, to enhance understanding of theory, assessment and knowledge of alcohol with older adults in physical health care settings.En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35954 Exemplaires (1)
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Exclu du prêtThe experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing / Fiona Mulholland in The British Journal of Occupational Therapy, Vol.81 Issue 11 (Novembre 2018)
[article]
Titre : The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing Type de document : texte imprimé Auteurs : Fiona Mulholland ; Jeanne Jackson Année de publication : 2018 Article en page(s) : p. 657-666 Note générale : doi.org/10.1177/0308022618777200 Langues : Anglais (eng) Mots-clés : Occupational identity occupational disruption wellbeing mental health anxiety depression older people Résumé : Introduction
As life expectancy grows so does the need for mental health services for older people. Occupational science and therapy literature demonstrates how occupation supports older adults' wellbeing, but there has been little research into the relationship between occupation and health for those with anxiety and depression. The aim of this study was to understand the occupational experience of Irish older adults with anxiety and depression so as to inform therapeutic programmes.
Method
A qualitative research design with a phenomenological framework was adopted. A total of five community-dwelling people with diagnoses of anxiety and/or depression were purposively selected to participate in semi-structured interviews. The interviews were analysed using thematic analysis.
Findings
The themes which emerged – ‘Occupation as a marker for wellness’ and ‘Sustaining a sense of occupational identity’ – support existing literature and reveal new information about interactions between occupational identity crisis and mental health. Personally meaningful occupation which connects a person to their life worlds and sense of self has the potential to consolidate recovery from anxiety and depression.
Conclusion
The study contributes to knowledge on how occupation supports an older person's wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.Permalink : ./index.php?lvl=notice_display&id=80280
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 657-666[article] The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing [texte imprimé] / Fiona Mulholland ; Jeanne Jackson . - 2018 . - p. 657-666.
doi.org/10.1177/0308022618777200
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 657-666
Mots-clés : Occupational identity occupational disruption wellbeing mental health anxiety depression older people Résumé : Introduction
As life expectancy grows so does the need for mental health services for older people. Occupational science and therapy literature demonstrates how occupation supports older adults' wellbeing, but there has been little research into the relationship between occupation and health for those with anxiety and depression. The aim of this study was to understand the occupational experience of Irish older adults with anxiety and depression so as to inform therapeutic programmes.
Method
A qualitative research design with a phenomenological framework was adopted. A total of five community-dwelling people with diagnoses of anxiety and/or depression were purposively selected to participate in semi-structured interviews. The interviews were analysed using thematic analysis.
Findings
The themes which emerged – ‘Occupation as a marker for wellness’ and ‘Sustaining a sense of occupational identity’ – support existing literature and reveal new information about interactions between occupational identity crisis and mental health. Personally meaningful occupation which connects a person to their life worlds and sense of self has the potential to consolidate recovery from anxiety and depression.
Conclusion
The study contributes to knowledge on how occupation supports an older person's wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.Permalink : ./index.php?lvl=notice_display&id=80280 Exemplaires (1)
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Exclu du prêtThe experiences of peer leaders in a driving cessation programme / Jacki Liddle in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)
[article]
Titre : The experiences of peer leaders in a driving cessation programme Type de document : texte imprimé Auteurs : Jacki Liddle, Auteur ; Xinyu Liu, Auteur ; Tammy Aplin, Auteur Année de publication : 2015 Article en page(s) : p.383-390 Langues : Anglais (eng) Mots-clés : Qualitative Driving cessation Lay-led Older people Roles Résumé : Introduction: Peer leaders are increasingly involved in health-related programmes due to the perceived benefits that they bring to the group process. This exploratory study examined the experiences of peer leaders in the University of Queensland Driver Retirement Initiative, an educational support group for older people undergoing driving cessation.
Method: Semi-structured interviews were conducted with five peer leaders (two men, three women, age range: 67–81 years) regarding their role and involvement as a peer leader in the University of Queensland Driver Retirement Initiative programme as well as their positive and negative experiences.
Results: Inductive thematic analysis revealed three themes: diversity of peer leaders, drawing on personal strengths and experiences, and taking the middle ground.
Conclusion: This study revealed that peer leaders drew from their diverse range of personal resources and experiences to perform the role of peer leader, using varying approaches to perform the role successfully. The provision of broad guidelines in training allowed individual approaches to be developed and this contributed to a positive experience for peer leaders in the University of Queensland Driver Retirement Initiative. These findings have implications for the development of future peer-led driving cessation programmes and the selection of their peer leaders.En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36569
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.383-390[article] The experiences of peer leaders in a driving cessation programme [texte imprimé] / Jacki Liddle, Auteur ; Xinyu Liu, Auteur ; Tammy Aplin, Auteur . - 2015 . - p.383-390.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.383-390
Mots-clés : Qualitative Driving cessation Lay-led Older people Roles Résumé : Introduction: Peer leaders are increasingly involved in health-related programmes due to the perceived benefits that they bring to the group process. This exploratory study examined the experiences of peer leaders in the University of Queensland Driver Retirement Initiative, an educational support group for older people undergoing driving cessation.
Method: Semi-structured interviews were conducted with five peer leaders (two men, three women, age range: 67–81 years) regarding their role and involvement as a peer leader in the University of Queensland Driver Retirement Initiative programme as well as their positive and negative experiences.
Results: Inductive thematic analysis revealed three themes: diversity of peer leaders, drawing on personal strengths and experiences, and taking the middle ground.
Conclusion: This study revealed that peer leaders drew from their diverse range of personal resources and experiences to perform the role of peer leader, using varying approaches to perform the role successfully. The provision of broad guidelines in training allowed individual approaches to be developed and this contributed to a positive experience for peer leaders in the University of Queensland Driver Retirement Initiative. These findings have implications for the development of future peer-led driving cessation programmes and the selection of their peer leaders.En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36569 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt