Extended Occupational Therapy Reintegration Strategies for a Woman With Guillain-Barré Syndrome / Machiko R. TOMITA in American Journal of Occupational Therapy, Vol. 70/4 (juillet-août 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/4 (juillet-août 2016) Titre : Extended Occupational Therapy Reintegration Strategies for a Woman With Guillain-Barré Syndrome : Case Report Type de document : texte imprimé Auteurs : Machiko R. TOMITA ; Kathryn BUCKNER ; Sumandeep SAHARAN ; et al. Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Etude cas  Ergothérapie  Femme  Polyradiculoneuropathie Résumé : This case report describes a unique long-term functional recovery process to promote successful community reintegration for a woman with Guillain-Barré syndrome (GBS), a rare autoimmune disease. Her main symptoms were very limited mobility and depressive symptoms due to the unknown cause of and cure for the illness. Holistic occupational strategies helped the client stabilize her emotional state, create a safe home environment, improve a communication method, increase physical activity, and promote social participation. Participation in a fall prevention clinical trial lowered her risk of falling; at 9 mo, she reached 75% of the maximum Social Integration score; at 13 mo, she reached near-normal level for activities of daily living (ADLs) and her fastest time for the Timed Up and Go test; and at 2 yr, she achieved a 100% score in instrumental ADLs. For community integration of clients with GBS, a comprehensive strategic self-management approach should be prescribed for long-term recovery. Permalink : ./index.php?lvl=notice_display&id=44958 [article] Extended Occupational Therapy Reintegration Strategies for a Woman With Guillain-Barré Syndrome : Case Report [texte imprimé] / Machiko R. TOMITA ; Kathryn BUCKNER ; Sumandeep SAHARAN ; et al. . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/4 (juillet-août 2016) Mots-clés : Etude cas  Ergothérapie  Femme  Polyradiculoneuropathie Résumé : This case report describes a unique long-term functional recovery process to promote successful community reintegration for a woman with Guillain-Barré syndrome (GBS), a rare autoimmune disease. Her main symptoms were very limited mobility and depressive symptoms due to the unknown cause of and cure for the illness. Holistic occupational strategies helped the client stabilize her emotional state, create a safe home environment, improve a communication method, increase physical activity, and promote social participation. Participation in a fall prevention clinical trial lowered her risk of falling; at 9 mo, she reached 75% of the maximum Social Integration score; at 13 mo, she reached near-normal level for activities of daily living (ADLs) and her fastest time for the Timed Up and Go test; and at 2 yr, she achieved a 100% score in instrumental ADLs. For community integration of clients with GBS, a comprehensive strategic self-management approach should be prescribed for long-term recovery. Permalink : ./index.php?lvl=notice_display&id=44958

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Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to Prevent Falls in Community-Dwelling Older Adults / Machiko R. TOMITA in American Journal of Occupational Therapy, Vol. 68/6 (novembre/décembre 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/6 (novembre/décembre 2014) . - p. 711-718 Titre : Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to Prevent Falls in Community-Dwelling Older Adults Type de document : texte imprimé Auteurs : Machiko R. TOMITA ; Sumandeep SAHARAN ; Sheela RAJENDRAN ; et al. Année de publication : 2014 Article en page(s) : p. 711-718 Langues : Anglais (eng) Mots-clés : Personne âgée  Prévention  Chute  Psychométrie Résumé : OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults. METHOD. We tested content validity, test–retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change. RESULTS. The content validity index was .98, the intraclass correlation coefficient for test–retest reliability was .97, and the interrater reliability was .89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p = .005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r = .65), and discriminant validity with fear of falling was very low (r = .10). The responsiveness to change was moderate (standardized response mean = 0.57). CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety. Permalink : ./index.php?lvl=notice_display&id=34411 [article] Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to Prevent Falls in Community-Dwelling Older Adults [texte imprimé] / Machiko R. TOMITA ; Sumandeep SAHARAN ; Sheela RAJENDRAN ; et al. . - 2014 . - p. 711-718. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/6 (novembre/décembre 2014) . - p. 711-718 Mots-clés : Personne âgée  Prévention  Chute  Psychométrie Résumé : OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults. METHOD. We tested content validity, test–retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change. RESULTS. The content validity index was .98, the intraclass correlation coefficient for test–retest reliability was .97, and the interrater reliability was .89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p = .005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r = .65), and discriminant validity with fear of falling was very low (r = .10). The responsiveness to change was moderate (standardized response mean = 0.57). CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety. Permalink : ./index.php?lvl=notice_display&id=34411

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