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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)
[article]
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
in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 450-459[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 Exemplaires (1)
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Exclu du prêtOutcomes for older adults in inpatient specialist neurorehabilitation / Teng Cheng Khoo in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : Outcomes for older adults in inpatient specialist neurorehabilitation Type de document : texte imprimé Auteurs : Teng Cheng Khoo ; Alasdair FitzGerald ; Elizabeth MacDonald ; Lloyd Bradley Année de publication : 2020 Article en page(s) : p. 340-343 Note générale : doi.org/10.1016/j.rehab.2019.05.001 Langues : Anglais (eng) Mots-clés : Neurorehabilitation Rehabilitation Rehabilitation potential Older adults UK FIM + FAM Résumé : Background
Inpatient specialist neurorehabilitation in the United Kingdom is based on providing a service to “working-age” adults (<65 years), with little evidence for outcomes for older adults involved with these services.
Objective
The aim of this study is to determine any difference in outcome after inpatient neurorehabilitation between younger and older adults assessed as having rehabilitation potential.
Methods
A two-centre retrospective review was performed comparing patients aged < 65 and ≥ 65 years by diagnostic group in terms of length of stay, changes in UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) scores and discharge destination.
Results
Six hundred and sixteen patients (32% ≥ 65 years) were included. The 2 age groups did not differ in length of stay (median difference 7 days, 95% confidence interval [CI] −2 to 15, P = 0.112), but both UK FIM + FAM change and efficiency were higher for the older than younger group (median difference 7, 95% CI 2–13, P = 0.006 and 0.10, 0.01–0.19, P = 0.031 respectively). Older age was associated with discharge to long-term care (6% < 65 years; 11% ≥ 65 years, x2 = 4.10, P = 0.043). Results and trends were similar in patients with acquired brain injury (n = 429), spinal cord injury (n = 59) and peripheral neuropathy (n = 34) but not progressive neurological disorders (n = 70).
Conclusion
Older adults considered to have rehabilitation potential may have greater functional gains from inpatient specialist inpatient rehabilitation than younger adults. Age alone should not exclude admission to inpatient specialist neurorehabilitation.Permalink : ./index.php?lvl=notice_display&id=90880
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 340-343[article] Outcomes for older adults in inpatient specialist neurorehabilitation [texte imprimé] / Teng Cheng Khoo ; Alasdair FitzGerald ; Elizabeth MacDonald ; Lloyd Bradley . - 2020 . - p. 340-343.
doi.org/10.1016/j.rehab.2019.05.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 340-343
Mots-clés : Neurorehabilitation Rehabilitation Rehabilitation potential Older adults UK FIM + FAM Résumé : Background
Inpatient specialist neurorehabilitation in the United Kingdom is based on providing a service to “working-age” adults (<65 years), with little evidence for outcomes for older adults involved with these services.
Objective
The aim of this study is to determine any difference in outcome after inpatient neurorehabilitation between younger and older adults assessed as having rehabilitation potential.
Methods
A two-centre retrospective review was performed comparing patients aged < 65 and ≥ 65 years by diagnostic group in terms of length of stay, changes in UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) scores and discharge destination.
Results
Six hundred and sixteen patients (32% ≥ 65 years) were included. The 2 age groups did not differ in length of stay (median difference 7 days, 95% confidence interval [CI] −2 to 15, P = 0.112), but both UK FIM + FAM change and efficiency were higher for the older than younger group (median difference 7, 95% CI 2–13, P = 0.006 and 0.10, 0.01–0.19, P = 0.031 respectively). Older age was associated with discharge to long-term care (6% < 65 years; 11% ≥ 65 years, x2 = 4.10, P = 0.043). Results and trends were similar in patients with acquired brain injury (n = 429), spinal cord injury (n = 59) and peripheral neuropathy (n = 34) but not progressive neurological disorders (n = 70).
Conclusion
Older adults considered to have rehabilitation potential may have greater functional gains from inpatient specialist inpatient rehabilitation than younger adults. Age alone should not exclude admission to inpatient specialist neurorehabilitation.Permalink : ./index.php?lvl=notice_display&id=90880 Exemplaires (1)
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Exclu du prêtSelf-regulation when using a mobility scooter: The experiences of older adults with visual impairments / Keri McMullan in The British Journal of Occupational Therapy, Vol. 82 Issue 8 (Août 2019)
[article]
Titre : Self-regulation when using a mobility scooter: The experiences of older adults with visual impairments Type de document : texte imprimé Auteurs : Keri McMullan ; Mary Butler Année de publication : 2019 Article en page(s) : p. 512-521 Note générale : doi.org/10.1177/0308022619853528 Langues : Anglais (eng) Mots-clés : Older adults mobility scooter visual impairment community mobility community participation mobility impairment occupational therapy Résumé : Introduction
Individuals with visual impairment may choose to use a mobility scooter for meaningful community mobility. This study investigated what self-regulation strategies older adults with visual impairment employed to ensure effective mobility scooter use.
Method
This interpretive description study used multiple methods, including participant observation and semi-structured interviews. Among the 15 participants, a variety of visual impairments was represented.
Results
Participants described the various reasons for getting a scooter. They also detailed risks and barriers that warranted self-regulation strategies including the environment, the visual impairment and the attitudinal approaches.
Conclusion
Barriers to community participation are common for people with visual impairment. This study adds detailed accounts of strategies for the competent management of such barriers using self-regulation practices. These practices can be applied in the community to maintain/improve infrastructure accessibility, address public understanding of scooter use and educate individuals with visual impairment of strategies to improve their scooter use.Permalink : ./index.php?lvl=notice_display&id=84622
in The British Journal of Occupational Therapy > Vol. 82 Issue 8 (Août 2019) . - p. 512-521[article] Self-regulation when using a mobility scooter: The experiences of older adults with visual impairments [texte imprimé] / Keri McMullan ; Mary Butler . - 2019 . - p. 512-521.
doi.org/10.1177/0308022619853528
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 8 (Août 2019) . - p. 512-521
Mots-clés : Older adults mobility scooter visual impairment community mobility community participation mobility impairment occupational therapy Résumé : Introduction
Individuals with visual impairment may choose to use a mobility scooter for meaningful community mobility. This study investigated what self-regulation strategies older adults with visual impairment employed to ensure effective mobility scooter use.
Method
This interpretive description study used multiple methods, including participant observation and semi-structured interviews. Among the 15 participants, a variety of visual impairments was represented.
Results
Participants described the various reasons for getting a scooter. They also detailed risks and barriers that warranted self-regulation strategies including the environment, the visual impairment and the attitudinal approaches.
Conclusion
Barriers to community participation are common for people with visual impairment. This study adds detailed accounts of strategies for the competent management of such barriers using self-regulation practices. These practices can be applied in the community to maintain/improve infrastructure accessibility, address public understanding of scooter use and educate individuals with visual impairment of strategies to improve their scooter use.Permalink : ./index.php?lvl=notice_display&id=84622 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtThe environmental factors that influence technology adoption for older adults with age-related vision loss / Colleen McGrath in The British Journal of Occupational Therapy, Vol. 82 Issue 8 (Août 2019)
[article]
Titre : The environmental factors that influence technology adoption for older adults with age-related vision loss Type de document : texte imprimé Auteurs : Colleen McGrath ; Ann Marie Corrado Année de publication : 2019 Article en page(s) : p. 493-501 Note générale : doi.org/10.1177/0308022618813247 Langues : Anglais (eng) Mots-clés : Older adults vision loss low-vision assistive devices environmental influences technology adoption qualitative research occupational therapy Résumé : Introduction
With the increasing proportion of older adults aging with vision loss, low-vision assistive devices can help to support occupational engagement; however, such devices are grossly underused among this population. The overarching purpose of this project was to examine the environmental factors that influence technology adoption for older adults with age-related vision loss.
Methods
A one-day workshop, which utilized a variety of hands-on methods including Show & Tell, Technology Interaction, and an “App” Assessment activity, was conducted. A total of 19 participants attended the workshop, including 10 older adults with age-related vision loss, six caregivers, one healthcare provider, and two technology industry professionals.
Results
A total of four themes emerged, including: (1) making life harder; (2) relying on support networks; (3) factoring in the pragmatics; and (4) not me, not yet. These themes illustrate the various ways that environmental factors, including physical, social, cultural, and institutional/political factors, influence decision-making regarding technology adoption by older adults with age-related vision loss.
Conclusion
This paper demonstrates several environmental factors that influence low-vision assistive device adoption among older adults with age-related vision loss. With their holistic view of clients, including an appreciation for environmental influences, occupational therapists are well positioned to help identify those environmental barriers limiting low-vision assistive device adoption and use.Permalink : ./index.php?lvl=notice_display&id=84619
in The British Journal of Occupational Therapy > Vol. 82 Issue 8 (Août 2019) . - p. 493-501[article] The environmental factors that influence technology adoption for older adults with age-related vision loss [texte imprimé] / Colleen McGrath ; Ann Marie Corrado . - 2019 . - p. 493-501.
doi.org/10.1177/0308022618813247
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 8 (Août 2019) . - p. 493-501
Mots-clés : Older adults vision loss low-vision assistive devices environmental influences technology adoption qualitative research occupational therapy Résumé : Introduction
With the increasing proportion of older adults aging with vision loss, low-vision assistive devices can help to support occupational engagement; however, such devices are grossly underused among this population. The overarching purpose of this project was to examine the environmental factors that influence technology adoption for older adults with age-related vision loss.
Methods
A one-day workshop, which utilized a variety of hands-on methods including Show & Tell, Technology Interaction, and an “App” Assessment activity, was conducted. A total of 19 participants attended the workshop, including 10 older adults with age-related vision loss, six caregivers, one healthcare provider, and two technology industry professionals.
Results
A total of four themes emerged, including: (1) making life harder; (2) relying on support networks; (3) factoring in the pragmatics; and (4) not me, not yet. These themes illustrate the various ways that environmental factors, including physical, social, cultural, and institutional/political factors, influence decision-making regarding technology adoption by older adults with age-related vision loss.
Conclusion
This paper demonstrates several environmental factors that influence low-vision assistive device adoption among older adults with age-related vision loss. With their holistic view of clients, including an appreciation for environmental influences, occupational therapists are well positioned to help identify those environmental barriers limiting low-vision assistive device adoption and use.Permalink : ./index.php?lvl=notice_display&id=84619 Exemplaires (1)
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Exclu du prêtMeaningful occupation with iPads: Experiences of residents and staff in an older person’s mental health setting / Jodie Swan in The British Journal of Occupational Therapy, Vol.81 Issue 11 (Novembre 2018)
[article]
Titre : Meaningful occupation with iPads: Experiences of residents and staff in an older person’s mental health setting Type de document : texte imprimé Auteurs : Jodie Swan ; Danielle Hitch ; Ruth Pattison ; Angela Mazur ; Samantha Loi ; Alissa Westphal ; Kate Bolton Année de publication : 2018 Article en page(s) : p. 649-656 Note générale : doi.org/10.1177/0308022618767620 Langues : Anglais (eng) Mots-clés : Touchscreen technology dementia mental health older adults iPad Pan Occupational Paradigm meaningful engagement lived experience Résumé : Introduction
This study aimed to explore the experience of staff and residents of mental health residential care facilities, using iPads as a medium to engage in meaningful occupation.
Method
A mixed method was used, which combined descriptive quantitative and thematic qualitative analysis. The Pan Occupational Paradigm was used as a theoretical framework, to maintain an occupational perspective. Residents participated in semi-structured interviews, and staff completed surveys and participated in a focus group or individual interview. The responses were then coded and analysed for their description of ‘doing’, ‘being’, ‘becoming’ and ‘belonging’ experiences.
Findings
Analysis found that residents engaged in personally meaningful occupations with the iPads, often with staff facilitation. The study also found that staff and residents responded positively to the iPads, particularly regarding developing positive connections and opportunities for growth and mastery. However, barriers associated with resource availability (particularly hardware and infrastructure) were also identified.
Conclusion
The use of iPads in these facilities provided opportunities for residents to engage in meaningful occupation, and overcome the occupational limitations inherent in the service setting. iPad use also enabled residents to engage in the community outside the facility.Permalink : ./index.php?lvl=notice_display&id=80279
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 649-656[article] Meaningful occupation with iPads: Experiences of residents and staff in an older person’s mental health setting [texte imprimé] / Jodie Swan ; Danielle Hitch ; Ruth Pattison ; Angela Mazur ; Samantha Loi ; Alissa Westphal ; Kate Bolton . - 2018 . - p. 649-656.
doi.org/10.1177/0308022618767620
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 11 (Novembre 2018) . - p. 649-656
Mots-clés : Touchscreen technology dementia mental health older adults iPad Pan Occupational Paradigm meaningful engagement lived experience Résumé : Introduction
This study aimed to explore the experience of staff and residents of mental health residential care facilities, using iPads as a medium to engage in meaningful occupation.
Method
A mixed method was used, which combined descriptive quantitative and thematic qualitative analysis. The Pan Occupational Paradigm was used as a theoretical framework, to maintain an occupational perspective. Residents participated in semi-structured interviews, and staff completed surveys and participated in a focus group or individual interview. The responses were then coded and analysed for their description of ‘doing’, ‘being’, ‘becoming’ and ‘belonging’ experiences.
Findings
Analysis found that residents engaged in personally meaningful occupations with the iPads, often with staff facilitation. The study also found that staff and residents responded positively to the iPads, particularly regarding developing positive connections and opportunities for growth and mastery. However, barriers associated with resource availability (particularly hardware and infrastructure) were also identified.
Conclusion
The use of iPads in these facilities provided opportunities for residents to engage in meaningful occupation, and overcome the occupational limitations inherent in the service setting. iPad use also enabled residents to engage in the community outside the facility.Permalink : ./index.php?lvl=notice_display&id=80279 Exemplaires (1)
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Exclu du prêtTreating the Ageing in a Psychiatric Hospital in Barbados - The Occupational Therapy Programme / Cyd Birch-Prescott in WFOT Bulletin, N°43 (01/05/2001)
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