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Special issue: The ageing population – challenges and opportunities (I) / Susanne Iwarsson in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 425-426 Titre : Special issue: The ageing population – challenges and opportunities (I) Type de document : texte imprimé Auteurs : Susanne Iwarsson Année de publication : 2018 Article en page(s) : p. 425-426 Langues : Anglais (eng) Résumé : This is the first of a two-part special issue addressing the ageing population and the opportunities and challenges for occupational therapy research and practice. Traditionally, and as has been well developed in many countries around the world, occupational therapy targeting older people delivers qualified programmes for preventive home visits, community-based rehabilitation, fall prevention, lifestyle redesign, assistive technology provision, and so forth. Research findings are increasingly transferred to practice contexts and serve to strengthen the quality of occupational therapy practices (Iwarsson, 2013). With population ageing already identified as a grand challenge at the international policy level a decade ago (European Commission, 2009), this special issue is timely and not only serves to highlight the potential of occupational therapy to contribute to much-required knowledge development, but also identifies demands facing our profession and discipline. Permalink : ./index.php?lvl=notice_display&id=80191 [article] Special issue: The ageing population – challenges and opportunities (I) [texte imprimé] / Susanne Iwarsson . - 2018 . - p. 425-426. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 425-426 Résumé : This is the first of a two-part special issue addressing the ageing population and the opportunities and challenges for occupational therapy research and practice. Traditionally, and as has been well developed in many countries around the world, occupational therapy targeting older people delivers qualified programmes for preventive home visits, community-based rehabilitation, fall prevention, lifestyle redesign, assistive technology provision, and so forth. Research findings are increasingly transferred to practice contexts and serve to strengthen the quality of occupational therapy practices (Iwarsson, 2013). With population ageing already identified as a grand challenge at the international policy level a decade ago (European Commission, 2009), this special issue is timely and not only serves to highlight the potential of occupational therapy to contribute to much-required knowledge development, but also identifies demands facing our profession and discipline. Permalink : ./index.php?lvl=notice_display&id=80191

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Occupational therapists' contributions to fostering older adults' social participation: A scoping review / Pier-Luc Turcotte in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 427-449 Titre : Occupational therapists' contributions to fostering older adults' social participation: A scoping review Type de document : texte imprimé Auteurs : Pier-Luc Turcotte ; Annie Carrier ; Vanessa Roy ; Mélanie Levasseur Année de publication : 2018 Article en page(s) : p. 427-449 Langues : Anglais (eng) Mots-clés : Occupational therapy  community health services  ageing  health promotion  social isolation Résumé : Introduction To promote active and healthy ageing, it is important to foster social participation. Although well positioned to do so, few community occupational therapists intervene to address social participation, and no review of promising and current practices is available. This study synthesised knowledge on community occupational therapy practices fostering older adults' social participation. Method A scoping review involved searches in eight databases using 49 keywords. Studies were selected by two reviewers and content-analysed following PRISMA guidelines. Results Of the 32 selected studies, most involved descriptive (n = 11; 34%), randomised controlled trial (n = 9; 28%) or quasi-experimental (n = 7; 22%) designs, and were conducted mainly in the USA (n = 8; 25%), Canada (n = 6; 19%) and Sweden (n = 6; 19%). Twenty promising practices combined multi-component interventions (n = 11; 55%), or involved group (n = 5; 25%) or individual (n = 4; 20%) sessions. Promising practices improved participation in social activities (n = 13; 65%), social interactions (n = 6; 30%), self-rated health (n = 6; 30%) and quality of life (n = 6; 30%), and reduced health-care costs (n = 4; 20%). Facing organisational and systemic barriers, current practices rarely incorporated these possibilities. Conclusion Efforts to foster older adults' social participation appear to be cost-effective but need to be further incorporated into practice. Research should engage community stakeholders in implementing these possibilities. Permalink : ./index.php?lvl=notice_display&id=80192 [article] Occupational therapists' contributions to fostering older adults' social participation: A scoping review [texte imprimé] / Pier-Luc Turcotte ; Annie Carrier ; Vanessa Roy ; Mélanie Levasseur . - 2018 . - p. 427-449. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 427-449 Mots-clés : Occupational therapy  community health services  ageing  health promotion  social isolation Résumé : Introduction To promote active and healthy ageing, it is important to foster social participation. Although well positioned to do so, few community occupational therapists intervene to address social participation, and no review of promising and current practices is available. This study synthesised knowledge on community occupational therapy practices fostering older adults' social participation. Method A scoping review involved searches in eight databases using 49 keywords. Studies were selected by two reviewers and content-analysed following PRISMA guidelines. Results Of the 32 selected studies, most involved descriptive (n = 11; 34%), randomised controlled trial (n = 9; 28%) or quasi-experimental (n = 7; 22%) designs, and were conducted mainly in the USA (n = 8; 25%), Canada (n = 6; 19%) and Sweden (n = 6; 19%). Twenty promising practices combined multi-component interventions (n = 11; 55%), or involved group (n = 5; 25%) or individual (n = 4; 20%) sessions. Promising practices improved participation in social activities (n = 13; 65%), social interactions (n = 6; 30%), self-rated health (n = 6; 30%) and quality of life (n = 6; 30%), and reduced health-care costs (n = 4; 20%). Facing organisational and systemic barriers, current practices rarely incorporated these possibilities. Conclusion Efforts to foster older adults' social participation appear to be cost-effective but need to be further incorporated into practice. Research should engage community stakeholders in implementing these possibilities. Permalink : ./index.php?lvl=notice_display&id=80192

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Older adults’ experiences and expectations after discharge from home-based occupational therapy / Tove Lise Nielsen in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 450-459 Titre : Older adults’ experiences and expectations after discharge from home-based occupational therapy Type de document : texte imprimé Auteurs : Tove Lise Nielsen ; Merete Bjerrum ; Claus Vinther Nielsen ; Kristen Schultz Petersen Année de publication : 2018 Article en page(s) : p. 450-459 Langues : Anglais (eng) Mots-clés : Content analysis  elderly  home  occupational performance  occupational therapy  older adults Résumé : Introduction Home-based occupational therapy can improve older adults’ occupational performance, but maintaining improvements presents challenges, and service development is needed. In this study, older adults’ experiences and expectations concerning their occupational performance after discharge from home-based occupational therapy were examined and used to develop suggestions for improved practice. Method Semi-structured qualitative interviews were conducted with 11 older adults living alone or with a spouse. The interviews were analysed using inductive qualitative content analysis. Findings The older adults still strove to improve and maintain their occupational performance using various strategies; their desire for independence was strong, but some could accept a lesser degree of independence. Conclusion From the findings and existing literature, ideas were developed to improve home-based occupational therapy and support maintenance of occupational performance after discharge. These ideas include: (a) finding strategies to achieve satisfactory occupational performance that does not necessarily entail full independence, (b) increased focus on the use and transfer of problem-solving strategies, (c) acknowledging and addressing possible reluctance to use assistive devices, and (d) individually scheduled follow-up visits post occupational therapy. Future research should examine the effectiveness and applicability of these ideas. Permalink : ./index.php?lvl=notice_display&id=80193 [article] Older adults’ experiences and expectations after discharge from home-based occupational therapy [texte imprimé] / Tove Lise Nielsen ; Merete Bjerrum ; Claus Vinther Nielsen ; Kristen Schultz Petersen . - 2018 . - p. 450-459. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 450-459 Mots-clés : Content analysis  elderly  home  occupational performance  occupational therapy  older adults Résumé : Introduction Home-based occupational therapy can improve older adults’ occupational performance, but maintaining improvements presents challenges, and service development is needed. In this study, older adults’ experiences and expectations concerning their occupational performance after discharge from home-based occupational therapy were examined and used to develop suggestions for improved practice. Method Semi-structured qualitative interviews were conducted with 11 older adults living alone or with a spouse. The interviews were analysed using inductive qualitative content analysis. Findings The older adults still strove to improve and maintain their occupational performance using various strategies; their desire for independence was strong, but some could accept a lesser degree of independence. Conclusion From the findings and existing literature, ideas were developed to improve home-based occupational therapy and support maintenance of occupational performance after discharge. These ideas include: (a) finding strategies to achieve satisfactory occupational performance that does not necessarily entail full independence, (b) increased focus on the use and transfer of problem-solving strategies, (c) acknowledging and addressing possible reluctance to use assistive devices, and (d) individually scheduled follow-up visits post occupational therapy. Future research should examine the effectiveness and applicability of these ideas. Permalink : ./index.php?lvl=notice_display&id=80193

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Dementia in prisons – enabling better care practices for those ageing in correctional facilities / Sanetta HJ du Toit in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 460-462 Titre : Dementia in prisons – enabling better care practices for those ageing in correctional facilities Type de document : texte imprimé Auteurs : Sanetta HJ du Toit ; Margaret McGarth Année de publication : 2018 Article en page(s) : p. 460-462 Langues : Anglais (eng) Mots-clés : Prisons  prisoners  dementia  ageing Résumé : The number of older people with dementia who are ‘ageing in place’ in prisons across the world is rapidly increasing. Within the broader prison population these older people are particularly vulnerable to poorer outcomes as a result of inadequate access to appropriate health services. There is an urgent need for occupational therapists to collaborate with prison services to develop evidence-based care practices that provide viable, cost-effective options for prisoners who are ageing with dementia. We identify priorities for research and practice and set out a call for action for occupational therapists worldwide to address this growing need. Permalink : ./index.php?lvl=notice_display&id=80194 [article] Dementia in prisons – enabling better care practices for those ageing in correctional facilities [texte imprimé] / Sanetta HJ du Toit ; Margaret McGarth . - 2018 . - p. 460-462. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 460-462 Mots-clés : Prisons  prisoners  dementia  ageing Résumé : The number of older people with dementia who are ‘ageing in place’ in prisons across the world is rapidly increasing. Within the broader prison population these older people are particularly vulnerable to poorer outcomes as a result of inadequate access to appropriate health services. There is an urgent need for occupational therapists to collaborate with prison services to develop evidence-based care practices that provide viable, cost-effective options for prisoners who are ageing with dementia. We identify priorities for research and practice and set out a call for action for occupational therapists worldwide to address this growing need. Permalink : ./index.php?lvl=notice_display&id=80194

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An evaluation of the fall prevention practice of community-based occupational therapists working in primary care / Lynette Mackenzie in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 463-473 Titre : An evaluation of the fall prevention practice of community-based occupational therapists working in primary care Type de document : texte imprimé Auteurs : Lynette Mackenzie ; Meryl Lovarini ; Thomas Price ; Lindy Clemson ; Amy Tan ; Claire O'Connor Année de publication : 2018 Article en page(s) : p. 463-473 Langues : Anglais (eng) Mots-clés : Accidental falls  allied health occupations  community-residing Résumé : Introduction Occupational therapy in primary care settings in Australia is developing. This study aimed to examine current practice in preventing falls among older people living in the community prior to attending a home safety workshop; explore the outcomes of the workshop on fall prevention practice; and investigate self-reported changes in practice 3 months after the workshop. Method The 3-hour workshop was focused on evidence-based home safety interventions and was offered to occupational therapists providing community-based services in the Sydney North Primary Health Network area. Knowledge surveys were used immediately pre and post workshop, and practice surveys were collected data at baseline and at 3-month follow-up. Results Three workshops were run in 2015–2016, with a total of 40 occupational therapists. At follow-up, a positive impact on confidence and knowledge was reported. Less impact was observed on identifying and reducing an older person’s fall risk, and on fall prevention services provided and referrals received. Changes in practice were reported by 48% (n = 16) of the 33 participants who returned surveys at 3 months. Conclusion These findings provide support for the benefit of professional development workshops to improve confidence and knowledge, but challenges remain in facilitating change in fall prevention service delivery. Further study on screening for fall risk and collaboration between community service providers in the primary care context is recommended. Permalink : ./index.php?lvl=notice_display&id=80195 [article] An evaluation of the fall prevention practice of community-based occupational therapists working in primary care [texte imprimé] / Lynette Mackenzie ; Meryl Lovarini ; Thomas Price ; Lindy Clemson ; Amy Tan ; Claire O'Connor . - 2018 . - p. 463-473. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 463-473 Mots-clés : Accidental falls  allied health occupations  community-residing Résumé : Introduction Occupational therapy in primary care settings in Australia is developing. This study aimed to examine current practice in preventing falls among older people living in the community prior to attending a home safety workshop; explore the outcomes of the workshop on fall prevention practice; and investigate self-reported changes in practice 3 months after the workshop. Method The 3-hour workshop was focused on evidence-based home safety interventions and was offered to occupational therapists providing community-based services in the Sydney North Primary Health Network area. Knowledge surveys were used immediately pre and post workshop, and practice surveys were collected data at baseline and at 3-month follow-up. Results Three workshops were run in 2015–2016, with a total of 40 occupational therapists. At follow-up, a positive impact on confidence and knowledge was reported. Less impact was observed on identifying and reducing an older person’s fall risk, and on fall prevention services provided and referrals received. Changes in practice were reported by 48% (n = 16) of the 33 participants who returned surveys at 3 months. Conclusion These findings provide support for the benefit of professional development workshops to improve confidence and knowledge, but challenges remain in facilitating change in fall prevention service delivery. Further study on screening for fall risk and collaboration between community service providers in the primary care context is recommended. Permalink : ./index.php?lvl=notice_display&id=80195

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The efficacy of a multifactorial falls-prevention programme, implemented in primary health care / Erika Johansson in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 474-481 Titre : The efficacy of a multifactorial falls-prevention programme, implemented in primary health care Type de document : texte imprimé Auteurs : Erika Johansson ; Hans Jonsson ; Raymond Dahlberg ; Ann-Helen Patomella Année de publication : 2018 Article en page(s) : p. 474-481 Langues : Anglais (eng) Mots-clés : Accidental falls  health promotion  multi-disciplinary  occupational therapy  adult learning Résumé : Introduction A major threat to healthy ageing is accidental falls causing individual suffering as well as increasing costs for society. The aim of this study was to compare and evaluate a multifactorial falls-prevention programme, with ordinary falls prevention in primary healthcare. Method Eligible patients were community-dwelling older adults (+65) who had fallen within the last 6 months or were concerned about falling. Participants (n = 131) were randomized to an intervention or control group. The primary outcome was measure of falls and the secondary was fear of falling. Results There was a significant decrease in the risk of falls and fear of falling at 12 months in favour of the intervention group. When comparing groups over time, including baseline measures, only fear of falling remained significant. Conclusion Small-group learning environments in combination with learning by doing, could be an effective approach for the translation of knowledge into everyday life and valued activities leading to a decrease in falls and fear of falling. Multifactorial and multi-disciplinary approaches against falls in a small-group learning environment could be effective in preventing falls and reducing fear of falling among older adults at risk. Permalink : ./index.php?lvl=notice_display&id=80196 [article] The efficacy of a multifactorial falls-prevention programme, implemented in primary health care [texte imprimé] / Erika Johansson ; Hans Jonsson ; Raymond Dahlberg ; Ann-Helen Patomella . - 2018 . - p. 474-481. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 474-481 Mots-clés : Accidental falls  health promotion  multi-disciplinary  occupational therapy  adult learning Résumé : Introduction A major threat to healthy ageing is accidental falls causing individual suffering as well as increasing costs for society. The aim of this study was to compare and evaluate a multifactorial falls-prevention programme, with ordinary falls prevention in primary healthcare. Method Eligible patients were community-dwelling older adults (+65) who had fallen within the last 6 months or were concerned about falling. Participants (n = 131) were randomized to an intervention or control group. The primary outcome was measure of falls and the secondary was fear of falling. Results There was a significant decrease in the risk of falls and fear of falling at 12 months in favour of the intervention group. When comparing groups over time, including baseline measures, only fear of falling remained significant. Conclusion Small-group learning environments in combination with learning by doing, could be an effective approach for the translation of knowledge into everyday life and valued activities leading to a decrease in falls and fear of falling. Multifactorial and multi-disciplinary approaches against falls in a small-group learning environment could be effective in preventing falls and reducing fear of falling among older adults at risk. Permalink : ./index.php?lvl=notice_display&id=80196

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