Engagement of general practitioners in falls prevention and referral to occupational therapists / Anne McIntyre in The British Journal of Occupational Therapy, Vol. 82 Issue 2 (Février 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 71-79 Titre : Engagement of general practitioners in falls prevention and referral to occupational therapists Type de document : texte imprimé Auteurs : Anne McIntyre ; Lynette Mackenzie ; Michele Harvey Année de publication : 2019 Article en page(s) : p. 71-79 Note générale : doi.org/10.1177/0308022618804752 Langues : Anglais (eng) Mots-clés : Accidental falls  falls prevention  general practitioners  survey  occupational therapy Résumé : Introduction Falls prevention is a key activity for general practitioners, occupational therapists and other allied health professionals. Despite evidence for multidisciplinary community-based interventions, uptake of falls prevention is variable. General practitioners are crucial in identifying older people at risk of falls and referring for intervention. This research aims to identify the current practice of general practitioners in falls prevention and to identify opportunities for occupational therapists in particular to extend their role in falls prevention in primary care. Method A total of 4000 paper surveys were mailed to randomly selected general practitioners within 209 clinical commissioning groups in England. Online surveys were also distributed via clinical commissioning groups to approximately 3200 general practitioners. Descriptive analysis of the data was undertaken. Results A total of 152 general practitioners responded. More than half indicated they were familiar with the UK guidelines for falls risk screening, but less than a third implemented these. Only 31% routinely asked older people if they had fallen. Whilst 90% identified occupational therapists as providing evidence-based falls prevention, only 74% referred to occupational therapy. Conclusion There are gaps in general practitioners’ falls prevention referral practices to occupational therapists and allied health professionals. Better general practitioner pathways could enhance the quality of falls-prevention care for older people at risk. Permalink : ./index.php?lvl=notice_display&id=80397 [article] Engagement of general practitioners in falls prevention and referral to occupational therapists [texte imprimé] / Anne McIntyre ; Lynette Mackenzie ; Michele Harvey . - 2019 . - p. 71-79. doi.org/10.1177/0308022618804752 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 71-79 Mots-clés : Accidental falls  falls prevention  general practitioners  survey  occupational therapy Résumé : Introduction Falls prevention is a key activity for general practitioners, occupational therapists and other allied health professionals. Despite evidence for multidisciplinary community-based interventions, uptake of falls prevention is variable. General practitioners are crucial in identifying older people at risk of falls and referring for intervention. This research aims to identify the current practice of general practitioners in falls prevention and to identify opportunities for occupational therapists in particular to extend their role in falls prevention in primary care. Method A total of 4000 paper surveys were mailed to randomly selected general practitioners within 209 clinical commissioning groups in England. Online surveys were also distributed via clinical commissioning groups to approximately 3200 general practitioners. Descriptive analysis of the data was undertaken. Results A total of 152 general practitioners responded. More than half indicated they were familiar with the UK guidelines for falls risk screening, but less than a third implemented these. Only 31% routinely asked older people if they had fallen. Whilst 90% identified occupational therapists as providing evidence-based falls prevention, only 74% referred to occupational therapy. Conclusion There are gaps in general practitioners’ falls prevention referral practices to occupational therapists and allied health professionals. Better general practitioner pathways could enhance the quality of falls-prevention care for older people at risk. Permalink : ./index.php?lvl=notice_display&id=80397

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Exploring the role of occupation for spouse-carers before and after the death of a spouse with dementia / Sarah Mattock in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.69-77 Titre : Exploring the role of occupation for spouse-carers before and after the death of a spouse with dementia Type de document : texte imprimé Auteurs : Sarah Mattock ; Anne McIntyre Année de publication : 2016 Article en page(s) : p.69-77 Langues : Anglais (eng) Mots-clés : dementia spouse-carers  engaging occupations  post-care transition Résumé : Introduction When a person with dementia dies, their former spouse-carer can find their personal resources so depleted that re-engaging in life can be difficult, leaving their mental health vulnerable. This qualitative study aimed to explore whether the occupations of spouse-carers contribute in the transition to the post-care period. Method Purposive sampling was used to recruit nine spouse-carers, who were between 1 and 5 years post-bereavement, via two branches of the Alzheimer’s Society, in the United Kingdom. In-depth interviews collected data for this interpretative phenomenological study, which were subject to template analysis. Findings Exploration of the data produced themes of continuity, roles and occupations, support and change and transition. Many of the findings supported published literature. However, a new finding emerged, where spouse-carers’ engagement in a ‘sustaining occupation’ (researcher’s term) appeared to counter the effect of role overload. Conclusion Four key ways that occupations of spouse-carers contributed to the transition to post-care were identified: ‘sustaining occupations’; occupations that maintain spouse-carers’ identity; continuing bonds with the deceased care-recipient; developing new roles. The first two of these began before bereavement and assisted in equipping spouse-carers for the transition to post-care. The second two followed bereavement and enabled spouse-carers to build confidence and re-engage with life. Permalink : ./index.php?lvl=notice_display&id=42387 [article] Exploring the role of occupation for spouse-carers before and after the death of a spouse with dementia [texte imprimé] / Sarah Mattock ; Anne McIntyre . - 2016 . - p.69-77. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.69-77 Mots-clés : dementia spouse-carers  engaging occupations  post-care transition Résumé : Introduction When a person with dementia dies, their former spouse-carer can find their personal resources so depleted that re-engaging in life can be difficult, leaving their mental health vulnerable. This qualitative study aimed to explore whether the occupations of spouse-carers contribute in the transition to the post-care period. Method Purposive sampling was used to recruit nine spouse-carers, who were between 1 and 5 years post-bereavement, via two branches of the Alzheimer’s Society, in the United Kingdom. In-depth interviews collected data for this interpretative phenomenological study, which were subject to template analysis. Findings Exploration of the data produced themes of continuity, roles and occupations, support and change and transition. Many of the findings supported published literature. However, a new finding emerged, where spouse-carers’ engagement in a ‘sustaining occupation’ (researcher’s term) appeared to counter the effect of role overload. Conclusion Four key ways that occupations of spouse-carers contributed to the transition to post-care were identified: ‘sustaining occupations’; occupations that maintain spouse-carers’ identity; continuing bonds with the deceased care-recipient; developing new roles. The first two of these began before bereavement and assisted in equipping spouse-carers for the transition to post-care. The second two followed bereavement and enabled spouse-carers to build confidence and re-engage with life. Permalink : ./index.php?lvl=notice_display&id=42387

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Occupational therapy with older people

Public ISBD Titre : Occupational therapy with older people Type de document : texte imprimé Auteurs : Anne McIntyre, Editeur scientifique ; Anita Atwal, Editeur scientifique Editeur : Oxford : Blackwell Année de publication : 2005 Importance : XII-235 p. Format : 25 cm ISBN/ISSN/EAN : 978-1-4051-1409-7 Note générale : ISBN : 978-14051-1409-7 Langues : Anglais (eng) Index. décimale : E 619.3 Ergothérapie. Gériatrie Permalink : ./index.php?lvl=notice_display&id=531 Occupational therapy with older people [texte imprimé] / Anne McIntyre, Editeur scientifique ; Anita Atwal, Editeur scientifique . - Oxford : Blackwell, 2005 . - XII-235 p. ; 25 cm. ISBN : 978-1-4051-1409-7 ISBN : 978-14051-1409-7 Langues : Anglais (eng) Index. décimale : E 619.3 Ergothérapie. Gériatrie Permalink : ./index.php?lvl=notice_display&id=531

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The use of evidence-based guidance to enable reliable and accurate measurements of the home environment / Georgia Spiliotopoulou in The British Journal of Occupational Therapy, Vol.81 Issue 1 (January 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 1 (January 2018) . - p. 32-41 Titre : The use of evidence-based guidance to enable reliable and accurate measurements of the home environment Type de document : texte imprimé Auteurs : Georgia Spiliotopoulou ; Anita Atwal ; Anne McIntyre Année de publication : 2018 Article en page(s) : p. 32-41 Langues : Anglais (eng) Mots-clés : ergothérapie  personne âgée  domicile  environnement Résumé : Introduction High quality guidance in home strategies is needed to enable older people to measure their home environment and become involved in the provision of assistive devices and to promote consistency among professionals. This study aims to investigate the reliability of such guidance and its ability to promote accuracy of results when measurements are taken by both older people and professionals. Method Twenty-five health professionals and 26 older people participated in a within-group design to test the accuracy of measurements taken (that is, person’s popliteal height, baths, toilets, beds, stairs and chairs). Data were analysed with descriptive analysis and the Wilcoxon test. The intra-rater reliability was assessed by correlating measurements taken at two different times with guidance use. Results The intra-rater reliability analysis revealed statistical significance (P < 0.05) for all measurements except for the bath internal width. The guidance enabled participants to take 90% of measurements that they were not able to complete otherwise, 80.55% of which lay within the acceptable suggested margin of variation. Accuracy was supported by the significant reduction in the standard deviation of the actual measurements and accuracy scores. Conclusion This evidence-based guidance can be used in its current format by older people and professionals to facilitate appropriate measurements. Yet, some users might need help from carers or specialists depending on their impairments. Permalink : ./index.php?lvl=notice_display&id=57830 [article] The use of evidence-based guidance to enable reliable and accurate measurements of the home environment [texte imprimé] / Georgia Spiliotopoulou ; Anita Atwal ; Anne McIntyre . - 2018 . - p. 32-41. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 1 (January 2018) . - p. 32-41 Mots-clés : ergothérapie  personne âgée  domicile  environnement Résumé : Introduction High quality guidance in home strategies is needed to enable older people to measure their home environment and become involved in the provision of assistive devices and to promote consistency among professionals. This study aims to investigate the reliability of such guidance and its ability to promote accuracy of results when measurements are taken by both older people and professionals. Method Twenty-five health professionals and 26 older people participated in a within-group design to test the accuracy of measurements taken (that is, person’s popliteal height, baths, toilets, beds, stairs and chairs). Data were analysed with descriptive analysis and the Wilcoxon test. The intra-rater reliability was assessed by correlating measurements taken at two different times with guidance use. Results The intra-rater reliability analysis revealed statistical significance (P < 0.05) for all measurements except for the bath internal width. The guidance enabled participants to take 90% of measurements that they were not able to complete otherwise, 80.55% of which lay within the acceptable suggested margin of variation. Accuracy was supported by the significant reduction in the standard deviation of the actual measurements and accuracy scores. Conclusion This evidence-based guidance can be used in its current format by older people and professionals to facilitate appropriate measurements. Yet, some users might need help from carers or specialists depending on their impairments. Permalink : ./index.php?lvl=notice_display&id=57830

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