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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The content of reablement: Exploring occupational and physiotherapy interventions / Magnus Zingmark 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. 122-126 Titre : The content of reablement: Exploring occupational and physiotherapy interventions Type de document : texte imprimé Auteurs : Magnus Zingmark ; Bodil Evertsson ; Maria Haak Année de publication : 2019 Article en page(s) : p. 122-126 Note générale : doi.org/10.1177/0308022618792188 Langues : Anglais (eng) Mots-clés : Reablement  assessment  intervention design  rehabilitation  home care  occupational therapy Résumé : Statement of context Occupational therapists and physiotherapists in a Swedish municipality answered a web-based survey about their reablement interventions. Critical reflection on practice There were overlapping areas as well as differences regarding the focus of occupational and physiotherapy interventions. Regarding the duration of interventions, occupational therapy was implemented over a short time span in contrast to physiotherapy, which had a longer duration. Both professions used valid and reliable instruments to a very limited extent. Implications for practice If other areas than self-care and mobility are to be addressed within reablement there is a need to critically reflect on the focus, content and duration of reablement interventions. Valid and reliable assessments can be utilised to a greater extent to guide goal-setting, the focus of interventions and to evaluate effects. Permalink : ./index.php?lvl=notice_display&id=80402 [article] The content of reablement: Exploring occupational and physiotherapy interventions [texte imprimé] / Magnus Zingmark ; Bodil Evertsson ; Maria Haak . - 2019 . - p. 122-126. doi.org/10.1177/0308022618792188 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 122-126 Mots-clés : Reablement  assessment  intervention design  rehabilitation  home care  occupational therapy Résumé : Statement of context Occupational therapists and physiotherapists in a Swedish municipality answered a web-based survey about their reablement interventions. Critical reflection on practice There were overlapping areas as well as differences regarding the focus of occupational and physiotherapy interventions. Regarding the duration of interventions, occupational therapy was implemented over a short time span in contrast to physiotherapy, which had a longer duration. Both professions used valid and reliable instruments to a very limited extent. Implications for practice If other areas than self-care and mobility are to be addressed within reablement there is a need to critically reflect on the focus, content and duration of reablement interventions. Valid and reliable assessments can be utilised to a greater extent to guide goal-setting, the focus of interventions and to evaluate effects. Permalink : ./index.php?lvl=notice_display&id=80402

Exemplaires (2)

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Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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