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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)
[article]
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
in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162[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 Exemplaires (1)
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Exclu du prêtThe 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)
[article]
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
in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 474-481[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 Exemplaires (1)
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Exclu du prêtThe impact of a primary care stress management and wellbeing programme (RENEW) on occupational participation: A pilot study / Deirdre Connolly in The British Journal of Occupational Therapy, Vol. 82 Issue 2 (Février 2019)
[article]
Titre : The impact of a primary care stress management and wellbeing programme (RENEW) on occupational participation: A pilot study Type de document : texte imprimé Auteurs : Deirdre Connolly ; Melanie Anderson ; Mary Colgan ; Jennifer Montgomery ; Jennifer Clarke ; Marie Kinsella Année de publication : 2019 Article en page(s) : p. 112-121 Note générale : doi.org/10.1177/0308022618793323 Langues : Anglais (eng) Mots-clés : Stress stress management occupational participation primary care health promotion occupational therapy Résumé : Introduction
Stress has been identified as a risk factor in both physical and mental illness and can negatively impact on an individual’s ability to participate in daily occupations. There has been an increased emphasis on addressing mental health in a primary care context using a health promotion approach. The purpose of this pilot study was to explore the acceptability of a primary care 6-week stREss maNagemEnt and Well-being (RENEW) programme.
Method
This pilot study used a mixed methods convergent parallel design. Twelve individuals with self-reported experiences of stress participated in the programme. The Canadian Measure of Occupational Performance, Hospital Anxiety and Depression Scale, and visual analogue scales for stress, concentration, sleep and appetite were administered at three time points. A focus group and individual interviews explored participants’ experiences of the programme and impact on occupational participation.
Results
There were statistically significant improvements in occupational performance and satisfaction, anxiety and self-reported stress. Study participants reported that attendance at the programme increased their awareness of stress and gave them strategies to manage their stress.
Conclusion
The positive findings from this pilot study suggest that the RENEW programme has potential as a health promotion intervention in primary care that warrants further investigation.Permalink : ./index.php?lvl=notice_display&id=80401
in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 112-121[article] The impact of a primary care stress management and wellbeing programme (RENEW) on occupational participation: A pilot study [texte imprimé] / Deirdre Connolly ; Melanie Anderson ; Mary Colgan ; Jennifer Montgomery ; Jennifer Clarke ; Marie Kinsella . - 2019 . - p. 112-121.
doi.org/10.1177/0308022618793323
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 2 (Février 2019) . - p. 112-121
Mots-clés : Stress stress management occupational participation primary care health promotion occupational therapy Résumé : Introduction
Stress has been identified as a risk factor in both physical and mental illness and can negatively impact on an individual’s ability to participate in daily occupations. There has been an increased emphasis on addressing mental health in a primary care context using a health promotion approach. The purpose of this pilot study was to explore the acceptability of a primary care 6-week stREss maNagemEnt and Well-being (RENEW) programme.
Method
This pilot study used a mixed methods convergent parallel design. Twelve individuals with self-reported experiences of stress participated in the programme. The Canadian Measure of Occupational Performance, Hospital Anxiety and Depression Scale, and visual analogue scales for stress, concentration, sleep and appetite were administered at three time points. A focus group and individual interviews explored participants’ experiences of the programme and impact on occupational participation.
Results
There were statistically significant improvements in occupational performance and satisfaction, anxiety and self-reported stress. Study participants reported that attendance at the programme increased their awareness of stress and gave them strategies to manage their stress.
Conclusion
The positive findings from this pilot study suggest that the RENEW programme has potential as a health promotion intervention in primary care that warrants further investigation.Permalink : ./index.php?lvl=notice_display&id=80401 Exemplaires (2)
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Exclu du prêtFacilitants et obstacles à l’ergothérapie communautaire en France : vers l’élargissement du champ de pratique des ergothérapeutes / Cédrine Amandine Jouve in Revue Francophone de Recherche en Ergothérapie [périodique éléctronique], Vol.8, n°2 (21/12/2022)
[article]
Titre : Facilitants et obstacles à l’ergothérapie communautaire en France : vers l’élargissement du champ de pratique des ergothérapeutes Type de document : texte imprimé Auteurs : Cédrine Amandine Jouve ; Marie-Hélène Lévesque Année de publication : 2022 Langues : Français (fre) Mots-clés : Ergothérapie communautaire Promotion de la santé Participation occupationnelle Community-based occupational therapy Health promotion Occupational participation Résumé : Contexte. La réduction des inégalités sociales et de santé constitue une importante priorité de santé publique. Au-delà des conduites individuelles, et en raison de forces systémiques et structurelles plus vastes, certaines communautés présentent un risque accru de situations de précarité susceptibles d’entraver leurs possibilités occupationnelles et leur capacité à maintenir une bonne santé. Afin de réduire ces risques, il importe pour les ergothérapeutes d’utiliser les leviers de la promotion de la santé et de mieux comprendre les facteurs d’influence à la mise en oeuvre d’interventions à l’échelle de la communauté.
Objectif. Cette étude visait à identifier les éléments facilitant ou limitant le développement d’une pratique communautaire de l’ergothérapie en France.
Méthode. Une étude qualitative de type recherche clinique a été réalisée auprès de sept ergothérapeutes français intervenant en milieu communautaire au moyen d’entretiens individuels semi dirigés.
Résultats. Les éléments favorisant le développement de l’ergothérapie communautaire sont sa nouveauté, sa forte compatibilité de valeurs avec la santé communautaire, les politiques de santé s’orientant davantage vers des principes communautaires, ainsi que les connaissances et les compétences des ergothérapeutes dans cette pratique. Les éléments faisant obstacle au développement de l’ergothérapie communautaire sont la perception de la complexité de la pratique et la façon de la définir, le nombre limité de stages et les lacunes de la formation en ergothérapie, les difficultés de financement ainsi que le nombre restreint d’ergothérapeutes engagés dans ce domaine.
Conclusion. L’engagement envers la pratique communautaire élargirait le champ d’intervention des ergothérapeutes pour répondre aux défis sociaux émergents en France. Dans l’optique d’une éventuelle implantation de l’ergothérapie communautaire, il importe de poursuivre les études en explorant comment ces éléments favorisants peuvent être des leviers et les obstacles être réduits.En ligne : https://www.rfre.org/index.php/RFRE/article/view/204/246 Permalink : ./index.php?lvl=notice_display&id=109735
in Revue Francophone de Recherche en Ergothérapie [périodique éléctronique] > Vol.8, n°2 (21/12/2022)[article] Facilitants et obstacles à l’ergothérapie communautaire en France : vers l’élargissement du champ de pratique des ergothérapeutes [texte imprimé] / Cédrine Amandine Jouve ; Marie-Hélène Lévesque . - 2022.
Langues : Français (fre)
in Revue Francophone de Recherche en Ergothérapie [périodique éléctronique] > Vol.8, n°2 (21/12/2022)
Mots-clés : Ergothérapie communautaire Promotion de la santé Participation occupationnelle Community-based occupational therapy Health promotion Occupational participation Résumé : Contexte. La réduction des inégalités sociales et de santé constitue une importante priorité de santé publique. Au-delà des conduites individuelles, et en raison de forces systémiques et structurelles plus vastes, certaines communautés présentent un risque accru de situations de précarité susceptibles d’entraver leurs possibilités occupationnelles et leur capacité à maintenir une bonne santé. Afin de réduire ces risques, il importe pour les ergothérapeutes d’utiliser les leviers de la promotion de la santé et de mieux comprendre les facteurs d’influence à la mise en oeuvre d’interventions à l’échelle de la communauté.
Objectif. Cette étude visait à identifier les éléments facilitant ou limitant le développement d’une pratique communautaire de l’ergothérapie en France.
Méthode. Une étude qualitative de type recherche clinique a été réalisée auprès de sept ergothérapeutes français intervenant en milieu communautaire au moyen d’entretiens individuels semi dirigés.
Résultats. Les éléments favorisant le développement de l’ergothérapie communautaire sont sa nouveauté, sa forte compatibilité de valeurs avec la santé communautaire, les politiques de santé s’orientant davantage vers des principes communautaires, ainsi que les connaissances et les compétences des ergothérapeutes dans cette pratique. Les éléments faisant obstacle au développement de l’ergothérapie communautaire sont la perception de la complexité de la pratique et la façon de la définir, le nombre limité de stages et les lacunes de la formation en ergothérapie, les difficultés de financement ainsi que le nombre restreint d’ergothérapeutes engagés dans ce domaine.
Conclusion. L’engagement envers la pratique communautaire élargirait le champ d’intervention des ergothérapeutes pour répondre aux défis sociaux émergents en France. Dans l’optique d’une éventuelle implantation de l’ergothérapie communautaire, il importe de poursuivre les études en explorant comment ces éléments favorisants peuvent être des leviers et les obstacles être réduits.En ligne : https://www.rfre.org/index.php/RFRE/article/view/204/246 Permalink : ./index.php?lvl=notice_display&id=109735 Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire 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)
[article]
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
in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 427-449[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 Exemplaires (1)
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