Effect of Home Modification Interventions on the Participation of Community-Dwelling Adults With Health Conditions: A Systematic Review. / Susan Stark in American Journal of Occupational Therapy, Vol. 71/2 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-11 Titre : Effect of Home Modification Interventions on the Participation of Community-Dwelling Adults With Health Conditions: A Systematic Review. Type de document : texte imprimé Auteurs : Susan Stark, Auteur ; Marian Keglovits, Auteur ; Marian Arbesman, Auteur Année de publication : 2017 Article en page(s) : pp.1-11 Langues : Américain (ame) Mots-clés : Accessibilité architecturale  ergothérapie Résumé : OBJECTIVE. This systematic review investigated the role of home modification interventions to improve participation outcomes for community-living adults and older adults. METHOD. Thirty-six articles met the inclusion criteria. The majority of the studies investigated older adult populations and used occupational therapists as interventionists. RESULTS. Strong evidence was found for home modification interventions to improve function for people with a variety of health conditions and for both single and multicomponent interventions that included home modifications to reduce the rate and risk of falls among older adults. Moderate evidence was found for improved caregiving for people with dementia. CONCLUSION. Comprehensive, higher intensity interventions demonstrated greater efficacy to improve occupational performance. Emerging evidence was also found for the role of occupational therapy in providing effective home modification interventions. Implications for occupational therapy practice, education, and research are discussed. Permalink : ./index.php?lvl=notice_display&id=49267 [article] Effect of Home Modification Interventions on the Participation of Community-Dwelling Adults With Health Conditions: A Systematic Review. [texte imprimé] / Susan Stark, Auteur ; Marian Keglovits, Auteur ; Marian Arbesman, Auteur . - 2017 . - pp.1-11. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-11 Mots-clés : Accessibilité architecturale  ergothérapie Résumé : OBJECTIVE. This systematic review investigated the role of home modification interventions to improve participation outcomes for community-living adults and older adults. METHOD. Thirty-six articles met the inclusion criteria. The majority of the studies investigated older adult populations and used occupational therapists as interventionists. RESULTS. Strong evidence was found for home modification interventions to improve function for people with a variety of health conditions and for both single and multicomponent interventions that included home modifications to reduce the rate and risk of falls among older adults. Moderate evidence was found for improved caregiving for people with dementia. CONCLUSION. Comprehensive, higher intensity interventions demonstrated greater efficacy to improve occupational performance. Emerging evidence was also found for the role of occupational therapy in providing effective home modification interventions. Implications for occupational therapy practice, education, and research are discussed. Permalink : ./index.php?lvl=notice_display&id=49267

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Feasibility of a novel intervention to improve participation after stroke / Susan Stark in The British Journal of Occupational Therapy, Vol.81 Issue 2 (February 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 2 (February 2018) . - p. 116-124 Titre : Feasibility of a novel intervention to improve participation after stroke Type de document : texte imprimé Auteurs : Susan Stark ; Marian Keglovits ; Emily Somerville ; [et al...] Année de publication : 2018 Article en page(s) : p. 116-124 Langues : Anglais (eng) Mots-clés : ergothérapie  accident vasculaire cérébral  domicile  adaptation  participation sociale Résumé : Introduction Stroke is a leading cause of serious, long-term disability in the United States. With shorter inpatient hospital stays, more time in rehabilitation is devoted to medical stabilization and less on skills to regain independence in daily activities. The transition home may be an opportunity for intervention focused on regaining independence. We propose an enhanced rehabilitation transition program called Community Participation Transition after Stroke. Method A prospective, randomized, single-blinded, parallel-group pilot study was completed with 15 participants to demonstrate feasibility. Findings Fidelity to the protocol was achieved: The Community Participation Transition after Stroke group received 81% of the planned minutes and 83% of the intervention visits. There was no difference between groups for healthcare utilization or falls. Adherence was 85% at three months and 71% at nine months for the home modification intervention. At 6 months, scores improved by 17.39 points for the Community Participation Transition after Stroke group, and 1.30 points for the control group. Environmental barriers decreased in both groups. Conclusion This pilot study demonstrated that it is feasible to implement a community participation intervention during the period of transitioning home from inpatient rehabilitation for stroke survivors. Additional studies are necessary to determine the efficacy of the intervention. Permalink : ./index.php?lvl=notice_display&id=57840 [article] Feasibility of a novel intervention to improve participation after stroke [texte imprimé] / Susan Stark ; Marian Keglovits ; Emily Somerville ; [et al...] . - 2018 . - p. 116-124. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 2 (February 2018) . - p. 116-124 Mots-clés : ergothérapie  accident vasculaire cérébral  domicile  adaptation  participation sociale Résumé : Introduction Stroke is a leading cause of serious, long-term disability in the United States. With shorter inpatient hospital stays, more time in rehabilitation is devoted to medical stabilization and less on skills to regain independence in daily activities. The transition home may be an opportunity for intervention focused on regaining independence. We propose an enhanced rehabilitation transition program called Community Participation Transition after Stroke. Method A prospective, randomized, single-blinded, parallel-group pilot study was completed with 15 participants to demonstrate feasibility. Findings Fidelity to the protocol was achieved: The Community Participation Transition after Stroke group received 81% of the planned minutes and 83% of the intervention visits. There was no difference between groups for healthcare utilization or falls. Adherence was 85% at three months and 71% at nine months for the home modification intervention. At 6 months, scores improved by 17.39 points for the Community Participation Transition after Stroke group, and 1.30 points for the control group. Environmental barriers decreased in both groups. Conclusion This pilot study demonstrated that it is feasible to implement a community participation intervention during the period of transitioning home from inpatient rehabilitation for stroke survivors. Additional studies are necessary to determine the efficacy of the intervention. Permalink : ./index.php?lvl=notice_display&id=57840

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Feasibility Trial of Tailored Home Modifications: Process Outcomes. / Susan Stark in American Journal of Occupational Therapy, Vol. 72/1 (January/February 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/1 (January/February 2018) . - pp.1-10 Titre : Feasibility Trial of Tailored Home Modifications: Process Outcomes. Type de document : texte imprimé Auteurs : Susan Stark, Auteur ; Emily Somerville, Auteur ; Jane Conte, Auteur Année de publication : 2018 Article en page(s) : pp.1-10 Langues : Américain (ame) Mots-clés : Activités de la vie quotidienne  Sujet âgé  Chutes accidentelles  ergothérapie Résumé : OBJECTIVE. The aim of this study was to conduct a process evaluation to examine the implementation of a randomized controlled trial of home modifications designed to reduce the risk of falls and improve daily activity performance among community-dwelling older adults. METHOD. A process evaluation was conducted alongside a blinded, randomized sham-controlled trial (n = 92). Participants were followed for 1 yr after intervention. The process evaluation was framed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. RESULTS. The treatment group improved daily activity performance over 12 mo compared with the sham control group (F = 4.13; p = .024). The intervention elements and dose were delivered with greater than 90% accuracy. Participants reported a 91% adherence rate at 12 mo. CONCLUSION. The complex intervention of home modifications examined in this study is acceptable to older adults, is feasible, and can be delivered with high fidelity for frail, community-dwelling older adults. Permalink : ./index.php?lvl=notice_display&id=60731 [article] Feasibility Trial of Tailored Home Modifications: Process Outcomes. [texte imprimé] / Susan Stark, Auteur ; Emily Somerville, Auteur ; Jane Conte, Auteur . - 2018 . - pp.1-10. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/1 (January/February 2018) . - pp.1-10 Mots-clés : Activités de la vie quotidienne  Sujet âgé  Chutes accidentelles  ergothérapie Résumé : OBJECTIVE. The aim of this study was to conduct a process evaluation to examine the implementation of a randomized controlled trial of home modifications designed to reduce the risk of falls and improve daily activity performance among community-dwelling older adults. METHOD. A process evaluation was conducted alongside a blinded, randomized sham-controlled trial (n = 92). Participants were followed for 1 yr after intervention. The process evaluation was framed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. RESULTS. The treatment group improved daily activity performance over 12 mo compared with the sham control group (F = 4.13; p = .024). The intervention elements and dose were delivered with greater than 90% accuracy. Participants reported a 91% adherence rate at 12 mo. CONCLUSION. The complex intervention of home modifications examined in this study is acceptable to older adults, is feasible, and can be delivered with high fidelity for frail, community-dwelling older adults. Permalink : ./index.php?lvl=notice_display&id=60731

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