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Special issue: The ageing population – challenges and opportunities (II) / Susanne Iwarsson in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 553-554 Titre : Special issue: The ageing population – challenges and opportunities (II) Type de document : texte imprimé Auteurs : Susanne Iwarsson Année de publication : 2018 Article en page(s) : p. 553-554 Note générale : doi.org/10.1177/0308022618799624 Langues : Anglais (eng) Résumé : This issue of the British Journal of Occupational Therapy is the second part of a two-part special issue addressing the ageing population and the opportunities and challenges for occupational therapy research and practice for which I have been guest editor. Since there were more accepted contributions than it was possible to include in the special issue itself (others will be published in regular issues of the journal), I decided to focus in this second part of the special issue on research relating to people ageing with different types and severities of cognitive decline. Five papers explicitly relate to older people with some form of cognitive decline, ranging from memory problems or mild cognitive impairment to dementia; interestingly, several of them include digital technology use, making this somewhat of a subsidiary theme for this collection. Permalink : ./index.php?lvl=notice_display&id=80267 [article] Special issue: The ageing population – challenges and opportunities (II) [texte imprimé] / Susanne Iwarsson . - 2018 . - p. 553-554. doi.org/10.1177/0308022618799624 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 553-554 Résumé : This issue of the British Journal of Occupational Therapy is the second part of a two-part special issue addressing the ageing population and the opportunities and challenges for occupational therapy research and practice for which I have been guest editor. Since there were more accepted contributions than it was possible to include in the special issue itself (others will be published in regular issues of the journal), I decided to focus in this second part of the special issue on research relating to people ageing with different types and severities of cognitive decline. Five papers explicitly relate to older people with some form of cognitive decline, ranging from memory problems or mild cognitive impairment to dementia; interestingly, several of them include digital technology use, making this somewhat of a subsidiary theme for this collection. Permalink : ./index.php?lvl=notice_display&id=80267

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Technology use to improve everyday occupations in older persons with mild dementia or mild cognitive impairment: A scoping review / Ann-Helen Patomella in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 555-565 Titre : Technology use to improve everyday occupations in older persons with mild dementia or mild cognitive impairment: A scoping review Type de document : texte imprimé Auteurs : Ann-Helen Patomella ; Meryl Lovarini ; Eva Lindqvist ; Anders Kottorp ; Louise Nygard Année de publication : 2018 Article en page(s) : p. 555-565 Note générale : doi.org/10.1177/0308022618771533 Langues : Anglais (eng) Mots-clés : Assistive technology  learning  intervention Résumé : Introduction Technology use is a highly relevant part of everyday occupations and difficulties can lead to challenges among older adults with cognitive impairments. The aim of this study was to review empirical studies reporting on the use of technology for improving performance in everyday occupations and evaluate the effect of training strategies in technology use in older people with mild-stage dementia or mild cognitive impairment. Method A scoping review methodology was used. Key databases were searched, covering January 2000 to October 2016, to identify studies, which were screened and assessed for inclusion. Results In total, 14 studies were included. Most studies used quantitative designs with small sample sizes. The methods used to measure performance in everyday occupations differed. Six studies focussed on the use of technology for improving performance. Eight studies evaluated the effect of training strategies in technology use. Conclusion Although positive effects of technology use and training in technology use have been reported for instrumental activities of daily living outcomes, the evidence supporting the use of technology in enhancing performance in occupations in people with mild-stage dementia or mild cognitive impairment is limited. Future studies should focus specifically on people with mild cognitive impairment, use more rigorous designs and include standardised methods. Permalink : ./index.php?lvl=notice_display&id=80268 [article] Technology use to improve everyday occupations in older persons with mild dementia or mild cognitive impairment: A scoping review [texte imprimé] / Ann-Helen Patomella ; Meryl Lovarini ; Eva Lindqvist ; Anders Kottorp ; Louise Nygard . - 2018 . - p. 555-565. doi.org/10.1177/0308022618771533 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 555-565 Mots-clés : Assistive technology  learning  intervention Résumé : Introduction Technology use is a highly relevant part of everyday occupations and difficulties can lead to challenges among older adults with cognitive impairments. The aim of this study was to review empirical studies reporting on the use of technology for improving performance in everyday occupations and evaluate the effect of training strategies in technology use in older people with mild-stage dementia or mild cognitive impairment. Method A scoping review methodology was used. Key databases were searched, covering January 2000 to October 2016, to identify studies, which were screened and assessed for inclusion. Results In total, 14 studies were included. Most studies used quantitative designs with small sample sizes. The methods used to measure performance in everyday occupations differed. Six studies focussed on the use of technology for improving performance. Eight studies evaluated the effect of training strategies in technology use. Conclusion Although positive effects of technology use and training in technology use have been reported for instrumental activities of daily living outcomes, the evidence supporting the use of technology in enhancing performance in occupations in people with mild-stage dementia or mild cognitive impairment is limited. Future studies should focus specifically on people with mild cognitive impairment, use more rigorous designs and include standardised methods. Permalink : ./index.php?lvl=notice_display&id=80268

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The contribution of occupational therapy to building a dementia-positive community / Yohko Maki in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 566-570 Titre : The contribution of occupational therapy to building a dementia-positive community Type de document : texte imprimé Auteurs : Yohko Maki ; Hidetoshi Endo Année de publication : 2018 Article en page(s) : p. 566-570 Note générale : doi.org/10.1177/0308022618774508 Langues : Anglais (eng) Mots-clés : Dementia  dementia-positive community  social instrumental activities of daily living  social participation  raising awareness  quality of life Résumé : Statement of context In this practice analysis, occupational therapists analysed the difficulties of social instrumental activities of daily living in people with dementia based on examples from their individual practice, and then developed a practical tool to support people with dementia in various settings. Critical reflection on practice People with dementia should be recognised as equal contributors to society. The results of this study can be used as an educational tool for raising awareness of dementia and expanding community support for people living with dementia. Implications for practice Occupational therapists can contribute to building dementia-positive communities, and this will empower people with dementia to reconnect to society. Permalink : ./index.php?lvl=notice_display&id=80269 [article] The contribution of occupational therapy to building a dementia-positive community [texte imprimé] / Yohko Maki ; Hidetoshi Endo . - 2018 . - p. 566-570. doi.org/10.1177/0308022618774508 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 566-570 Mots-clés : Dementia  dementia-positive community  social instrumental activities of daily living  social participation  raising awareness  quality of life Résumé : Statement of context In this practice analysis, occupational therapists analysed the difficulties of social instrumental activities of daily living in people with dementia based on examples from their individual practice, and then developed a practical tool to support people with dementia in various settings. Critical reflection on practice People with dementia should be recognised as equal contributors to society. The results of this study can be used as an educational tool for raising awareness of dementia and expanding community support for people living with dementia. Implications for practice Occupational therapists can contribute to building dementia-positive communities, and this will empower people with dementia to reconnect to society. Permalink : ./index.php?lvl=notice_display&id=80269

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Development and validation of the Measure of Supporting Co-occupation for family caregivers / Kenichi Ono in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 571-581 Titre : Development and validation of the Measure of Supporting Co-occupation for family caregivers Type de document : texte imprimé Auteurs : Kenichi Ono ; Yuri Kanayama ; Keiko Tsuchiya ; Miyuki Iwata ; Kenji Yabuwaki Année de publication : 2018 Article en page(s) : p. 571-581 Note générale : doi.org/10.1177/0308022618771539 Langues : Anglais (eng) Mots-clés : Caregiving  dementia  outcome assessment Résumé : Introduction It is important to understand the experiences of elderly people with dementia and their family caregivers. Moreover, the maintenance of family caregivers’ satisfaction with co-occupation is important to ensure that they intend to continue providing care. This study developed and validated the Measure of Supporting Co-occupation, which assesses co-occupation involving elderly people with dementia and their family caregivers. Method This study used a cross-sectional design and questionnaire survey. Participants were recruited from 21 institutions. Descriptive statistics were calculated for the following domains: ‘evocation of the story of co-occupation’, ‘intention to continue co-occupation’ and ‘preferred co-occupation’. The construct validity and reliability of the ‘intention to continue co-occupation’ domain were examined using exploratory factor analysis, confirmatory factor analysis and Cronbach’s alpha. The criterion-related validity of the ‘intention to continue co-occupation’ was examined by means of correlations with other scales. Results There were 115 pairs of participants. Good criterion-related validity and internal consistency were confirmed for the ‘intention to continue co-occupation’ domain. However, confirmatory factor analysis showed insufficient model fitness. Conclusion The ‘intention to continue co-occupation’ domain is not ready for clinical application due to insufficient model fitness, it is necessary to revise the Measure of Supporting Co-occupation. Permalink : ./index.php?lvl=notice_display&id=80270 [article] Development and validation of the Measure of Supporting Co-occupation for family caregivers [texte imprimé] / Kenichi Ono ; Yuri Kanayama ; Keiko Tsuchiya ; Miyuki Iwata ; Kenji Yabuwaki . - 2018 . - p. 571-581. doi.org/10.1177/0308022618771539 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 571-581 Mots-clés : Caregiving  dementia  outcome assessment Résumé : Introduction It is important to understand the experiences of elderly people with dementia and their family caregivers. Moreover, the maintenance of family caregivers’ satisfaction with co-occupation is important to ensure that they intend to continue providing care. This study developed and validated the Measure of Supporting Co-occupation, which assesses co-occupation involving elderly people with dementia and their family caregivers. Method This study used a cross-sectional design and questionnaire survey. Participants were recruited from 21 institutions. Descriptive statistics were calculated for the following domains: ‘evocation of the story of co-occupation’, ‘intention to continue co-occupation’ and ‘preferred co-occupation’. The construct validity and reliability of the ‘intention to continue co-occupation’ domain were examined using exploratory factor analysis, confirmatory factor analysis and Cronbach’s alpha. The criterion-related validity of the ‘intention to continue co-occupation’ was examined by means of correlations with other scales. Results There were 115 pairs of participants. Good criterion-related validity and internal consistency were confirmed for the ‘intention to continue co-occupation’ domain. However, confirmatory factor analysis showed insufficient model fitness. Conclusion The ‘intention to continue co-occupation’ domain is not ready for clinical application due to insufficient model fitness, it is necessary to revise the Measure of Supporting Co-occupation. Permalink : ./index.php?lvl=notice_display&id=80270

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Occupation-based metacognitive group intervention for older adults experiencing memory problems: Feasibility study / Shlomit Rotenberg in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 582-590 Titre : Occupation-based metacognitive group intervention for older adults experiencing memory problems: Feasibility study Type de document : texte imprimé Auteurs : Shlomit Rotenberg ; Adina Maeir Année de publication : 2018 Article en page(s) : p. 582-590 Note générale : doi.org/10.1177/0308022618760787 Langues : Anglais (eng) Mots-clés : Subjective memory complaints  metamemory  geriatrics Résumé : Introduction Subjective memory complaints in older adults are associated with adverse emotions and functional deficits. This feasibility study evaluated an occupation-based metacognitive group intervention for older adults with subjective memory complaints, and examined post-intervention changes on occupational goal attainment and metamemory. Method Twenty-three older adults participated in the study. A quantitative pre-post test design was used, and short qualitative interviews were performed following the intervention. The 15-week intervention used metacognitive methods within an occupation-based approach. Metacognitive learning was embedded in a social leisure book club, and mediation was provided to support attainment of individualized occupational goals in everyday life. Quantitative measures of goal attainment and metamemory were used, as well as qualitative interviews. Findings Most (68%) targeted occupational goals were obtained, with very little transfer to untrained goals. Significant improvements were found in perceived memory ability in daily life. No changes were found regarding memory beliefs or frequency of strategy use. Conclusion The results suggest that this intervention was feasible and has the potential to promote attainment of occupational goals and reduce memory-related mistakes in daily life. Permalink : ./index.php?lvl=notice_display&id=80271 [article] Occupation-based metacognitive group intervention for older adults experiencing memory problems: Feasibility study [texte imprimé] / Shlomit Rotenberg ; Adina Maeir . - 2018 . - p. 582-590. doi.org/10.1177/0308022618760787 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 582-590 Mots-clés : Subjective memory complaints  metamemory  geriatrics Résumé : Introduction Subjective memory complaints in older adults are associated with adverse emotions and functional deficits. This feasibility study evaluated an occupation-based metacognitive group intervention for older adults with subjective memory complaints, and examined post-intervention changes on occupational goal attainment and metamemory. Method Twenty-three older adults participated in the study. A quantitative pre-post test design was used, and short qualitative interviews were performed following the intervention. The 15-week intervention used metacognitive methods within an occupation-based approach. Metacognitive learning was embedded in a social leisure book club, and mediation was provided to support attainment of individualized occupational goals in everyday life. Quantitative measures of goal attainment and metamemory were used, as well as qualitative interviews. Findings Most (68%) targeted occupational goals were obtained, with very little transfer to untrained goals. Significant improvements were found in perceived memory ability in daily life. No changes were found regarding memory beliefs or frequency of strategy use. Conclusion The results suggest that this intervention was feasible and has the potential to promote attainment of occupational goals and reduce memory-related mistakes in daily life. Permalink : ./index.php?lvl=notice_display&id=80271

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Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment / Emily Nalder in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 591-600 Titre : Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment Type de document : texte imprimé Auteurs : Emily Nalder ; Elsa Marziali ; Deirde Dawson ; Kelly Murphy Année de publication : 2018 Article en page(s) : p. 591-600 Note générale : doi.org/10.1177/0308022618760786 Langues : Anglais (eng) Mots-clés : Chronic disease  ageing  self-management  telerehabilitation  cognition  cardiovascular disease Résumé : Introduction This exploratory qualitative study assessed the feasibility of transitioning three face-to-face, cognitive behavioural interventions for adults with chronic health conditions to online delivery, by examining clinician and clients' satisfaction with intervention training and delivery. Method The interventions adapted for online delivery were: ‘Managing Chronic Disease’, a programme for individuals who were nonadherent to prescribed rehabilitation regimens; ‘Real-World Strategy Training’, an occupation-based intervention for individuals with subjective cognitive decline; and ‘Learning the Ropes’, a memory programme for persons with mild cognitive impairment. Two occupational therapists and one nurse received training in, and then delivered one of the three interventions. Qualitative feedback interviews with participants, and archived video recordings of intervention sessions were analysed thematically. Results Key features of each manualised intervention were evident in the online sessions and perceived by clients as enhancing engagement (for example, peer support and strategy training). Clinicians felt that meeting individually with intervention experts was helpful to problem-solve technical issues and ensure adherence to protocols. Conclusion Three cognitive behavioural interventions transitioned to online delivery were acceptable to older adults and clinicians. A next step would be to complete randomised controlled trials investigating whether the interventions yield equivalent health benefits, using online and face-to-face delivery. Permalink : ./index.php?lvl=notice_display&id=80272 [article] Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment [texte imprimé] / Emily Nalder ; Elsa Marziali ; Deirde Dawson ; Kelly Murphy . - 2018 . - p. 591-600. doi.org/10.1177/0308022618760786 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 591-600 Mots-clés : Chronic disease  ageing  self-management  telerehabilitation  cognition  cardiovascular disease Résumé : Introduction This exploratory qualitative study assessed the feasibility of transitioning three face-to-face, cognitive behavioural interventions for adults with chronic health conditions to online delivery, by examining clinician and clients' satisfaction with intervention training and delivery. Method The interventions adapted for online delivery were: ‘Managing Chronic Disease’, a programme for individuals who were nonadherent to prescribed rehabilitation regimens; ‘Real-World Strategy Training’, an occupation-based intervention for individuals with subjective cognitive decline; and ‘Learning the Ropes’, a memory programme for persons with mild cognitive impairment. Two occupational therapists and one nurse received training in, and then delivered one of the three interventions. Qualitative feedback interviews with participants, and archived video recordings of intervention sessions were analysed thematically. Results Key features of each manualised intervention were evident in the online sessions and perceived by clients as enhancing engagement (for example, peer support and strategy training). Clinicians felt that meeting individually with intervention experts was helpful to problem-solve technical issues and ensure adherence to protocols. Conclusion Three cognitive behavioural interventions transitioned to online delivery were acceptable to older adults and clinicians. A next step would be to complete randomised controlled trials investigating whether the interventions yield equivalent health benefits, using online and face-to-face delivery. Permalink : ./index.php?lvl=notice_display&id=80272

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Older adults' experiences of daily life occupations as everyday technology changes / Charlotta Ryd in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 601-608 Titre : Older adults' experiences of daily life occupations as everyday technology changes Type de document : texte imprimé Auteurs : Charlotta Ryd ; Camilla Malinowsky ; Annika Öhman ; Anders Kottorp ; Louise Nygard Année de publication : 2018 Article en page(s) : p. 601-608 Note générale : doi.org/10.1177/0308022618774525 Langues : Anglais (eng) Mots-clés : Occupational therapy  technology use  elderly Résumé : Introduction Knowledge is lacking of how technological development has affected occupational engagement and performance. Changes in the environment, for example, new technology, are likely to create changes in the dynamics of occupations and exploring this among older adults is especially important. This study aimed to explore what can drive and hinder the incorporation of everyday technology into occupations and how new technology affects occupational engagement and performance among older adults. Method A constructivist grounded theory methodology was applied. Data were collected by individual interviews with six women and five men between the ages of 67 and 92 years old. Participants also varied as regards their cognitive function and living conditions. Results The findings concerned the match between technology and the participants' perceptions of occupational purposes, needs of control and safety, and the kind of technology user they strived to be. A good match was a driving force for technology usage and satisfaction with the altered occupations and vice versa. Conclusion Occupational engagement and performance in relation to technology use can be facilitated, which is useful knowledge for stakeholders developing and implementing new technology, as well as those who encounter older adults with the needs or desire to use technology in their daily occupations. Permalink : ./index.php?lvl=notice_display&id=80273 [article] Older adults' experiences of daily life occupations as everyday technology changes [texte imprimé] / Charlotta Ryd ; Camilla Malinowsky ; Annika Öhman ; Anders Kottorp ; Louise Nygard . - 2018 . - p. 601-608. doi.org/10.1177/0308022618774525 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 601-608 Mots-clés : Occupational therapy  technology use  elderly Résumé : Introduction Knowledge is lacking of how technological development has affected occupational engagement and performance. Changes in the environment, for example, new technology, are likely to create changes in the dynamics of occupations and exploring this among older adults is especially important. This study aimed to explore what can drive and hinder the incorporation of everyday technology into occupations and how new technology affects occupational engagement and performance among older adults. Method A constructivist grounded theory methodology was applied. Data were collected by individual interviews with six women and five men between the ages of 67 and 92 years old. Participants also varied as regards their cognitive function and living conditions. Results The findings concerned the match between technology and the participants' perceptions of occupational purposes, needs of control and safety, and the kind of technology user they strived to be. A good match was a driving force for technology usage and satisfaction with the altered occupations and vice versa. Conclusion Occupational engagement and performance in relation to technology use can be facilitated, which is useful knowledge for stakeholders developing and implementing new technology, as well as those who encounter older adults with the needs or desire to use technology in their daily occupations. Permalink : ./index.php?lvl=notice_display&id=80273

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