Detecting differences in activities of daily living between children with and without mild disabilities / Brigitte E. GANTSCHNIG in American Journal of Occupational Therapy, Vol. 67/3 (mai-juin 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) . - p. 319-327 Titre : Detecting differences in activities of daily living between children with and without mild disabilities Type de document : texte imprimé Auteurs : Brigitte E. GANTSCHNIG ; Julie PAGE ; Anne G. Fisher ; Ingeborg Nilsson Année de publication : 2013 Article en page(s) : p. 319-327 Langues : Anglais (eng) Mots-clés : Activités vie quotidienne  Concentration  Enfant  Trouble apprentissage  Coordination sensorimotrice Résumé : OBJECTIVE:We evaluated whether the Assessment of Motor and Process Skills (AMPS) measures are valid for detecting differences in activities of daily living (ADL) ability among children with and without mild disabilities. METHOD:Retrospective data from the AMPS database were analyzed using many-facet Rasch analyses and forced regression analyses to evaluate for significant group differences. RESULTS:Regression analyses of data for 10,998 children ages 4-15 who met the inclusion criteria revealed significant Age * Group interaction effects (B ≥ 0.23, T ≥ 6.20, p ≤ .001). Post hoc t tests revealed significant group differences in ADL ability at all ages beyond age 4. ADL process ability effect sizes were moderate to large at all ages, and ADL motor ability was mostly moderate to large at ages 6 or older. CONCLUSION:These findings support the validity of the AMPS measures when used to identify ADL problems among children with mild disabilities. Permalink : ./index.php?lvl=notice_display&id=14032 [article] Detecting differences in activities of daily living between children with and without mild disabilities [texte imprimé] / Brigitte E. GANTSCHNIG ; Julie PAGE ; Anne G. Fisher ; Ingeborg Nilsson . - 2013 . - p. 319-327. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) . - p. 319-327 Mots-clés : Activités vie quotidienne  Concentration  Enfant  Trouble apprentissage  Coordination sensorimotrice Résumé : OBJECTIVE:We evaluated whether the Assessment of Motor and Process Skills (AMPS) measures are valid for detecting differences in activities of daily living (ADL) ability among children with and without mild disabilities. METHOD:Retrospective data from the AMPS database were analyzed using many-facet Rasch analyses and forced regression analyses to evaluate for significant group differences. RESULTS:Regression analyses of data for 10,998 children ages 4-15 who met the inclusion criteria revealed significant Age * Group interaction effects (B ≥ 0.23, T ≥ 6.20, p ≤ .001). Post hoc t tests revealed significant group differences in ADL ability at all ages beyond age 4. ADL process ability effect sizes were moderate to large at all ages, and ADL motor ability was mostly moderate to large at ages 6 or older. CONCLUSION:These findings support the validity of the AMPS measures when used to identify ADL problems among children with mild disabilities. Permalink : ./index.php?lvl=notice_display&id=14032

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Occupation-focused health promotion for well older people — A cost-effectiveness analysis / Magnus Zingmark in The British Journal of Occupational Therapy, Vol.79 N°3 (March 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162 Titre : Occupation-focused health promotion for well older people — A cost-effectiveness analysis Type de document : texte imprimé Auteurs : Magnus Zingmark ; Ingeborg Nilsson ; Anne G. Fisher Année de publication : 2016 Article en page(s) : p.153-162 Langues : Anglais (eng) Mots-clés : Occupational therapy  occupational engagement  activity limitations  participation restrictions  health promotion  self-rated health  quality-adjusted life years  cost effectiveness Résumé : Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained. Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group. Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention. Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective. Permalink : ./index.php?lvl=notice_display&id=42948 [article] Occupation-focused health promotion for well older people — A cost-effectiveness analysis [texte imprimé] / Magnus Zingmark ; Ingeborg Nilsson ; Anne G. Fisher . - 2016 . - p.153-162. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162 Mots-clés : Occupational therapy  occupational engagement  activity limitations  participation restrictions  health promotion  self-rated health  quality-adjusted life years  cost effectiveness Résumé : Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained. Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group. Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention. Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective. Permalink : ./index.php?lvl=notice_display&id=42948

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Sensitivity of the evaluation of social interaction measures among people with and without neurologic or psychiatric disorders / Mette SONDERGAARD in American Journal of Occupational Therapy, Vol. 66/3 (mai-juin 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/3 (mai-juin 2012) . - p. 356-632 Titre : Sensitivity of the evaluation of social interaction measures among people with and without neurologic or psychiatric disorders Type de document : texte imprimé Auteurs : Mette SONDERGAARD ; Anne G. Fisher Année de publication : 2012 Article en page(s) : p. 356-632 Langues : Anglais (eng) Mots-clés : Psychopathologie  Relation sociale  Système nerveux [pathologie] Résumé : OBJECTIVE. To determine whether the Evaluation of Social Interaction (ESI) is sensitive enough to differentiate between people without identified diagnoses and those with neurologic or psychiatric disorders in terms of their observed quality of social interaction. METHOD. Participants were age 16–69 and were without identified diagnoses (n = 304) or had neurologic (n = 77) or psychiatric (n = 104) disorders. They were evaluated using the ESI. RESULTS. Nonparametric Kruskal–Wallis tests and post hoc Mann–Whitney U tests revealed that the group without identified diagnoses had significantly better quality of social interaction than did either group with disabilities (Us = 3,172 and 3,189, respectively; p ≤ .001). CONCLUSION. The ESI is sensitive with regard to detecting differences in quality of social interaction among groups expected to differ, suggesting that it is valid for use when the desired purpose is to identify people with diminished quality of social interaction. Permalink : ./index.php?lvl=notice_display&id=14228 [article] Sensitivity of the evaluation of social interaction measures among people with and without neurologic or psychiatric disorders [texte imprimé] / Mette SONDERGAARD ; Anne G. Fisher . - 2012 . - p. 356-632. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/3 (mai-juin 2012) . - p. 356-632 Mots-clés : Psychopathologie  Relation sociale  Système nerveux [pathologie] Résumé : OBJECTIVE. To determine whether the Evaluation of Social Interaction (ESI) is sensitive enough to differentiate between people without identified diagnoses and those with neurologic or psychiatric disorders in terms of their observed quality of social interaction. METHOD. Participants were age 16–69 and were without identified diagnoses (n = 304) or had neurologic (n = 77) or psychiatric (n = 104) disorders. They were evaluated using the ESI. RESULTS. Nonparametric Kruskal–Wallis tests and post hoc Mann–Whitney U tests revealed that the group without identified diagnoses had significantly better quality of social interaction than did either group with disabilities (Us = 3,172 and 3,189, respectively; p ≤ .001). CONCLUSION. The ESI is sensitive with regard to detecting differences in quality of social interaction among groups expected to differ, suggesting that it is valid for use when the desired purpose is to identify people with diminished quality of social interaction. Permalink : ./index.php?lvl=notice_display&id=14228

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