Pub Date : 2020-05-14DOI: 10.1080/02703181.2020.1762824
Rosanne DiZazzo-Miller, F. Pociask, D. Adamo
Abstract Objective: A lack of confidence directly impacts caregiver distress, thereby having a tremendous influence on the overall health of caregivers. The purpose of this study examined how The Family Caregiver Training Program impacts caregiver confidence. Method: A delayed-intervention, randomized design with control group and three month follow up examined confidence with 36 family caregivers of people with dementia. Participants completed the nine-item Caregiver Confidence Scale pretest, posttest, and three months posttest; the last five-items included a program evaluation subscale administered only at posttest. Results: Caregiver confidence, regardless of group assignment, improved; however, was not maintained three months posttest. Both groups reported favorable program evaluation scores, with 83% requesting the availability of online training. Conclusion: Findings provide new evidence in caregiver literature on caregiver confidence from ADL and standard care training. Clinical implications suggest implementation of training programs that include follow-up visits to maintain confidence, and trainings in an online format.
{"title":"The Role of Confidence in Family Caregiving for People with Dementia","authors":"Rosanne DiZazzo-Miller, F. Pociask, D. Adamo","doi":"10.1080/02703181.2020.1762824","DOIUrl":"https://doi.org/10.1080/02703181.2020.1762824","url":null,"abstract":"Abstract Objective: A lack of confidence directly impacts caregiver distress, thereby having a tremendous influence on the overall health of caregivers. The purpose of this study examined how The Family Caregiver Training Program impacts caregiver confidence. Method: A delayed-intervention, randomized design with control group and three month follow up examined confidence with 36 family caregivers of people with dementia. Participants completed the nine-item Caregiver Confidence Scale pretest, posttest, and three months posttest; the last five-items included a program evaluation subscale administered only at posttest. Results: Caregiver confidence, regardless of group assignment, improved; however, was not maintained three months posttest. Both groups reported favorable program evaluation scores, with 83% requesting the availability of online training. Conclusion: Findings provide new evidence in caregiver literature on caregiver confidence from ADL and standard care training. Clinical implications suggest implementation of training programs that include follow-up visits to maintain confidence, and trainings in an online format.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"355 - 369"},"PeriodicalIF":0.9,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1762824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41523868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-13DOI: 10.1080/02703181.2020.1762825
Kelsey L. Piersol, B. Riemann
Abstract Aims: To assess the specificity of assistance provided by a sit-to-stand training device compared to unassisted sit-to-stand by quantifying the change in kinematic strategies and joint kinetic demands with decreasing assistance. Methods: Participants completed the sit-to-stand transfer at 5 randomized assistance levels (unassisted; 40%, 50%, 60%, and 70% body mass) using a sit-to-stand trainer while kinematic and ground reaction force data were collected. Results: Increasing assistance significantly increased total movement time (P = .009, 95% CIdiff = .46 to1.2s), shifted key events earlier (P < .002, 95% CIdiff = 2.0 to10.4%), decreased joint flexion angles (P < .001, 95% CIdiff = 2.4 to 8.2°), and decreased trunk flexion angular momentum (P < .001, 95% CIdiff = .01 to .09 kg•m2/s).). Increasing assistance had the greatest effect on the hip joint, with decreases in peak net joint moment (P < .001, d = 1.8) and angular work (P < .001, d = 2.2). Conclusions: As assistance decreased, mechanics while using the device became more similar to an unassisted sit-to-stand, suggesting promising use for progressive rehabilitation.
{"title":"Effect of Unweighting Assistance on Sit-to-Stand Mechanics in Healthy Older Adults","authors":"Kelsey L. Piersol, B. Riemann","doi":"10.1080/02703181.2020.1762825","DOIUrl":"https://doi.org/10.1080/02703181.2020.1762825","url":null,"abstract":"Abstract Aims: To assess the specificity of assistance provided by a sit-to-stand training device compared to unassisted sit-to-stand by quantifying the change in kinematic strategies and joint kinetic demands with decreasing assistance. Methods: Participants completed the sit-to-stand transfer at 5 randomized assistance levels (unassisted; 40%, 50%, 60%, and 70% body mass) using a sit-to-stand trainer while kinematic and ground reaction force data were collected. Results: Increasing assistance significantly increased total movement time (P = .009, 95% CIdiff = .46 to1.2s), shifted key events earlier (P < .002, 95% CIdiff = 2.0 to10.4%), decreased joint flexion angles (P < .001, 95% CIdiff = 2.4 to 8.2°), and decreased trunk flexion angular momentum (P < .001, 95% CIdiff = .01 to .09 kg•m2/s).). Increasing assistance had the greatest effect on the hip joint, with decreases in peak net joint moment (P < .001, d = 1.8) and angular work (P < .001, d = 2.2). Conclusions: As assistance decreased, mechanics while using the device became more similar to an unassisted sit-to-stand, suggesting promising use for progressive rehabilitation.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"370 - 384"},"PeriodicalIF":0.9,"publicationDate":"2020-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1762825","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59276457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-22DOI: 10.1080/02703181.2020.1755410
S. Perry, B. Billek-Sawhney, Jodi Schreiber
Abstract Aims: Describe the frequency of common stroke prevention education topics provided by occupational and physical therapists (OTs/PTs) to individuals at risk for stroke; summarize barriers to such education Methods: OT/PT professional association subgroups were surveyed regarding prevention education for individuals with risk factors, transient ischemic attack, and stroke, and barriers to such education. Results: A total of 293 therapists completed the survey, 11% OTs and 89% PTs. Education about risk/symptoms (61% of respondents) and activity/exercise (60%) was most commonly provided. The most frequently cited barriers to education were compromised health literacy of the patient/caregiver (62%), lack of interest by the patient/caregiver (51%), and lack of time (46%). Conclusion: The proportion of OTs/PTs providing stroke prevention education appears to be suboptimal. Therapist knowledge, patient characteristics, and institutional constraints were common barriers. Since stroke risk increases with age, reducing risk by identifying and eliminating barriers may help improve health of older adults.
{"title":"Stroke Prevention: Education and Barriers for Physical and Occupational Therapists Caring for Older Adults","authors":"S. Perry, B. Billek-Sawhney, Jodi Schreiber","doi":"10.1080/02703181.2020.1755410","DOIUrl":"https://doi.org/10.1080/02703181.2020.1755410","url":null,"abstract":"Abstract Aims: Describe the frequency of common stroke prevention education topics provided by occupational and physical therapists (OTs/PTs) to individuals at risk for stroke; summarize barriers to such education Methods: OT/PT professional association subgroups were surveyed regarding prevention education for individuals with risk factors, transient ischemic attack, and stroke, and barriers to such education. Results: A total of 293 therapists completed the survey, 11% OTs and 89% PTs. Education about risk/symptoms (61% of respondents) and activity/exercise (60%) was most commonly provided. The most frequently cited barriers to education were compromised health literacy of the patient/caregiver (62%), lack of interest by the patient/caregiver (51%), and lack of time (46%). Conclusion: The proportion of OTs/PTs providing stroke prevention education appears to be suboptimal. Therapist knowledge, patient characteristics, and institutional constraints were common barriers. Since stroke risk increases with age, reducing risk by identifying and eliminating barriers may help improve health of older adults.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"338 - 354"},"PeriodicalIF":0.9,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1755410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44403988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-17DOI: 10.1080/02703181.2020.1748788
A. Boolani, Jenna Ryan, Trang N. N. Vo, Brandon Wong, N. Banerjee, Sean Banerjee, G. Fulk, Matthew Lee Smith, Rebecca H. Martin
Abstract Using a crossover-design, we assessed changes in 30-second chair stand test (30 s-CST), Timed Up-and-Go (TUG) and Berg Balance Scale (BBS) and energy and fatigue in older adults (N = 11) after performance of mental tasks. A Wilcoxon Sign Rank Test and a Friedman’s rank test were used to assess changes in 30 s-CST, TUG, BBS and energy and fatigue respectively. A linear mixed model was used to assess joint variance and random forest classifier and support vector machine (SVM) algorithms were used to verify results. Statistically significant declines in feelings of energy (p=.003), specifically mental energy (p=.015), and BBS (p<.001), specifically during the “standing with eyes closed” (SEC), was noted for participants on days when they completed mental tasks compared to days they did not. The random-forest and SVM algorithms predicted with 79% and 80% accuracy respectively whether the SEC item of the BBS was performed after a decline a mental energy.
{"title":"Do Changes in Mental Energy and Fatigue Impact Functional Assessments Associated with Fall Risks? An Exploratory Study Using Machine Learning","authors":"A. Boolani, Jenna Ryan, Trang N. N. Vo, Brandon Wong, N. Banerjee, Sean Banerjee, G. Fulk, Matthew Lee Smith, Rebecca H. Martin","doi":"10.1080/02703181.2020.1748788","DOIUrl":"https://doi.org/10.1080/02703181.2020.1748788","url":null,"abstract":"Abstract Using a crossover-design, we assessed changes in 30-second chair stand test (30 s-CST), Timed Up-and-Go (TUG) and Berg Balance Scale (BBS) and energy and fatigue in older adults (N = 11) after performance of mental tasks. A Wilcoxon Sign Rank Test and a Friedman’s rank test were used to assess changes in 30 s-CST, TUG, BBS and energy and fatigue respectively. A linear mixed model was used to assess joint variance and random forest classifier and support vector machine (SVM) algorithms were used to verify results. Statistically significant declines in feelings of energy (p=.003), specifically mental energy (p=.015), and BBS (p<.001), specifically during the “standing with eyes closed” (SEC), was noted for participants on days when they completed mental tasks compared to days they did not. The random-forest and SVM algorithms predicted with 79% and 80% accuracy respectively whether the SEC item of the BBS was performed after a decline a mental energy.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"283 - 301"},"PeriodicalIF":0.9,"publicationDate":"2020-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1748788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41483338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-16DOI: 10.1080/02703181.2020.1750530
M. H. Aas, Vilde M. Austad, M. Ø. Lindstad, T. Bonsaksen
Abstract Introduction: Nursing home residents may have difficulty maintaining occupational balance. The study aimed to explore occupational balance in nursing home residents, and examine the association between occupational balance and quality of life in this group. Methods: Forty-six nursing home residents (age range 69-101 years) in Norway were recruited to participate. The data were analyzed descriptively and with independent t-tests and Spearman’s correlation coefficient rho (rs). Results: The participants’ occupational balance (M = 20.7) was in the higher end of the scale. In the total sample, occupational balance and quality of life were not significantly associated (rs = 0.18, p = 0.23). However, splitting the sample by gender revealed a positive association for men (rs = 0.61, p = 0.01), while it was absent for women (rs = −0.00, p = 0.99). Conclusion: When assessing occupational balance and its correlates in elderly nursing home residents, gender appears important to consider.
摘要简介:疗养院居民可能难以维持职业平衡。本研究旨在探讨疗养院居民的职业平衡，并检视职业平衡与生活品质的关系。方法:招募挪威46名养老院居民(年龄69-101岁)参与研究。对数据进行描述性分析，采用独立t检验和Spearman相关系数rho (rs)。结果:被试的职业平衡(M = 20.7)处于较高水平。在总样本中，职业平衡与生活质量无显著相关(rs = 0.18, p = 0.23)。然而，按性别划分样本显示，男性呈正相关(rs = 0.61, p = 0.01)，而女性则不存在(rs = - 0.00, p = 0.99)。结论:在评估养老院老人的职业平衡及其相关因素时，性别似乎是一个重要的考虑因素。
{"title":"Occupational Balance and Quality of Life in Nursing Home Residents","authors":"M. H. Aas, Vilde M. Austad, M. Ø. Lindstad, T. Bonsaksen","doi":"10.1080/02703181.2020.1750530","DOIUrl":"https://doi.org/10.1080/02703181.2020.1750530","url":null,"abstract":"Abstract Introduction: Nursing home residents may have difficulty maintaining occupational balance. The study aimed to explore occupational balance in nursing home residents, and examine the association between occupational balance and quality of life in this group. Methods: Forty-six nursing home residents (age range 69-101 years) in Norway were recruited to participate. The data were analyzed descriptively and with independent t-tests and Spearman’s correlation coefficient rho (rs). Results: The participants’ occupational balance (M = 20.7) was in the higher end of the scale. In the total sample, occupational balance and quality of life were not significantly associated (rs = 0.18, p = 0.23). However, splitting the sample by gender revealed a positive association for men (rs = 0.61, p = 0.01), while it was absent for women (rs = −0.00, p = 0.99). Conclusion: When assessing occupational balance and its correlates in elderly nursing home residents, gender appears important to consider.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"302 - 314"},"PeriodicalIF":0.9,"publicationDate":"2020-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1750530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43127252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-10DOI: 10.1080/02703181.2020.1749752
M. Kern, Christine L. Sheppard, S. Hitzig
Abstract Aims: Non-pharmacological interventions for dementia are gaining in popularity but require further scrutiny to identify the ideal conditions for their implementation in long-term care (LTC). The present scoping review maps the current literature concerning the implementation of cognitive interventions for persons with dementia in LTC. Methods: A scoping review methodology was employed, which included a search of the peer-reviewed literature (MEDLINE, CINAHL, EMBASE, and PsycINFO). Results: From the 28 articles included in the review, six areas were explored: (a) characteristics of participants; (b) potential benefits; (c) staff considerations; (d) cost-effectiveness; (e) delivery format; and (f) barriers to implementation. Conclusions: Findings from this review provide suggestions to support the implementation of cognitive interventions in LTC settings, which likely have promising benefits to LTC residents. Further research is needed to demonstrate their efficacy and cost-effectiveness.
{"title":"A Scoping Review on the Implementation Considerations of Cognitive Interventions for Long-Term Care Residents","authors":"M. Kern, Christine L. Sheppard, S. Hitzig","doi":"10.1080/02703181.2020.1749752","DOIUrl":"https://doi.org/10.1080/02703181.2020.1749752","url":null,"abstract":"Abstract Aims: Non-pharmacological interventions for dementia are gaining in popularity but require further scrutiny to identify the ideal conditions for their implementation in long-term care (LTC). The present scoping review maps the current literature concerning the implementation of cognitive interventions for persons with dementia in LTC. Methods: A scoping review methodology was employed, which included a search of the peer-reviewed literature (MEDLINE, CINAHL, EMBASE, and PsycINFO). Results: From the 28 articles included in the review, six areas were explored: (a) characteristics of participants; (b) potential benefits; (c) staff considerations; (d) cost-effectiveness; (e) delivery format; and (f) barriers to implementation. Conclusions: Findings from this review provide suggestions to support the implementation of cognitive interventions in LTC settings, which likely have promising benefits to LTC residents. Further research is needed to demonstrate their efficacy and cost-effectiveness.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"315 - 337"},"PeriodicalIF":0.9,"publicationDate":"2020-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1749752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44453815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-09DOI: 10.1080/02703181.2020.1748161
Justin T. Mierzwicki, Madelyn A. Fox, Kevin R. Griffith, Kelsey M. Harrison, Daryl K. Holstay, Nikki M. Singley
Abstract Aims: The purpose of this study was to determine if high-intensity resistance training or power training is more effective in improving strength and functional outcomes in pre-frail and frail older adults. Methods: Participants underwent a 10-week intervention, two times per week, performing either high-intensity resistance or power training programs. Strength and functional outcome measurements were performed pre and post-intervention, with statistical analyses completed to compare the relative impact of the two interventions. Results: High-intensity resistance training outperformed power training in 4/14 dependent variables; including one repetition maximum strength of three muscle groups, and 30 second sit to stand performance. Power training did not result in statistically greater change relative to high-intensity resistance training in any outcomes measured. Conclusions: Further research comparing the two training methods is necessary to determine which intervention is more effective in impacting frailty, and its associated impairments, in older adults.
{"title":"Comparison of High-Intensity Resistance and Power Training Programs in Pre-Frail and Frail Older Adults","authors":"Justin T. Mierzwicki, Madelyn A. Fox, Kevin R. Griffith, Kelsey M. Harrison, Daryl K. Holstay, Nikki M. Singley","doi":"10.1080/02703181.2020.1748161","DOIUrl":"https://doi.org/10.1080/02703181.2020.1748161","url":null,"abstract":"Abstract Aims: The purpose of this study was to determine if high-intensity resistance training or power training is more effective in improving strength and functional outcomes in pre-frail and frail older adults. Methods: Participants underwent a 10-week intervention, two times per week, performing either high-intensity resistance or power training programs. Strength and functional outcome measurements were performed pre and post-intervention, with statistical analyses completed to compare the relative impact of the two interventions. Results: High-intensity resistance training outperformed power training in 4/14 dependent variables; including one repetition maximum strength of three muscle groups, and 30 second sit to stand performance. Power training did not result in statistically greater change relative to high-intensity resistance training in any outcomes measured. Conclusions: Further research comparing the two training methods is necessary to determine which intervention is more effective in impacting frailty, and its associated impairments, in older adults.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"271 - 282"},"PeriodicalIF":0.9,"publicationDate":"2020-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1748161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48096450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-02DOI: 10.1080/02703181.2019.1702134
L. Knecht-Sabres, Erica P. Del Rosario, Amanda K. Erb, Malgorzata Rozko, Rhonda Guzman
Abstract Aims: This retrospective study explored if there was a change in participation in leisure activities among older adults after transitioning into an assisted living facility. Supports and barriers to leisure and social engagement were also investigated. Methods: The Activity Card Sort (modified) was administered to explore and compare the participants’ engagement in leisure and social activities prior to and after moving into an assisted living facility. Semi-structured interviews were conducted to examine the participants’ perspectives regarding the current supports and barriers to engagement in their individual and meaningful interests. Results: Quantitative data gathered from the Activity Card Sort (modified) revealed the participants engaged in only 34.13% of the activities they participated in prior to moving into an assisted living facility; results also revealed that only 42% of the participants engaged in a new leisure activity after moving into an assisted living facility. Qualitative data revealed four themes concerning supports and barriers to participation: physical abilities, social supports, available resources, and personal influences. Conclusion: Older adults in assisted living facilities face a decline in engagement in leisure participation and may be at risk for occupational deprivation. Occupational therapists are well-suited to address these concerns.
{"title":"Are the Leisure and Social Needs of Older Adults Residing in Assisted Living Facilities Being Met?","authors":"L. Knecht-Sabres, Erica P. Del Rosario, Amanda K. Erb, Malgorzata Rozko, Rhonda Guzman","doi":"10.1080/02703181.2019.1702134","DOIUrl":"https://doi.org/10.1080/02703181.2019.1702134","url":null,"abstract":"Abstract Aims: This retrospective study explored if there was a change in participation in leisure activities among older adults after transitioning into an assisted living facility. Supports and barriers to leisure and social engagement were also investigated. Methods: The Activity Card Sort (modified) was administered to explore and compare the participants’ engagement in leisure and social activities prior to and after moving into an assisted living facility. Semi-structured interviews were conducted to examine the participants’ perspectives regarding the current supports and barriers to engagement in their individual and meaningful interests. Results: Quantitative data gathered from the Activity Card Sort (modified) revealed the participants engaged in only 34.13% of the activities they participated in prior to moving into an assisted living facility; results also revealed that only 42% of the participants engaged in a new leisure activity after moving into an assisted living facility. Qualitative data revealed four themes concerning supports and barriers to participation: physical abilities, social supports, available resources, and personal influences. Conclusion: Older adults in assisted living facilities face a decline in engagement in leisure participation and may be at risk for occupational deprivation. Occupational therapists are well-suited to address these concerns.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"107 - 128"},"PeriodicalIF":0.9,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2019.1702134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42426318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-18DOI: 10.1080/02703181.2020.1740374
C. Lee, Tracy Chippendale, Liz McLeaming
Abstract Postoperative delirium (POD) is common, especially among older adults, and can significantly impact health and rehabilitation outcomes. Research evidence suggests that a multicomponent intervention is most effective for delirium prevention. Given that this intervention includes diverse components, interdisciplinary collaboration among members of the healthcare team is essential. This paper presents how occupational therapists, as part of the interdisciplinary acute care team, contribute to preventing POD and embed their unique value, skills, and strengths in each component of the collaborative intervention. This paper also argues that POD preventive care should be standard practice for occupational therapy in the acute care setting.
{"title":"Postoperative Delirium Prevention as Standard Practice in Occupational Therapy in Acute Care","authors":"C. Lee, Tracy Chippendale, Liz McLeaming","doi":"10.1080/02703181.2020.1740374","DOIUrl":"https://doi.org/10.1080/02703181.2020.1740374","url":null,"abstract":"Abstract Postoperative delirium (POD) is common, especially among older adults, and can significantly impact health and rehabilitation outcomes. Research evidence suggests that a multicomponent intervention is most effective for delirium prevention. Given that this intervention includes diverse components, interdisciplinary collaboration among members of the healthcare team is essential. This paper presents how occupational therapists, as part of the interdisciplinary acute care team, contribute to preventing POD and embed their unique value, skills, and strengths in each component of the collaborative intervention. This paper also argues that POD preventive care should be standard practice for occupational therapy in the acute care setting.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"264 - 270"},"PeriodicalIF":0.9,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1740374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45574091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-09DOI: 10.1080/02703181.2020.1725217
O. Akinrolie, Ruth Barclay, S. Strachan, Akanksha Gupta, U. Jasper, Samuel U. Jumbo, N. Askin, R. Rabbani, R. Zarychanski, A. Abou-Setta
Abstract Aim: To determine the reported effect of randomized controlled trials (RCTs) using Motivational Interviewing (MI) to advance physical activity among older adults. Methods: We searched for RCTs in MEDLINE, EMBASE, CINAHL, AgeLine, PsycINFO and Cochrane Library from inception until March, 2019. Identified trials that used MI for improving physical activity in community-dwelling older adults (≥65 years). Results: From 5616 citations identified from the search, we included three trials (four publications). There was no evidence of a significant difference between the effect of MI and usual care on physical activity in older adults (Standard Mean Difference (SMD) -0.02, 95% Confidence Interval (CI) 0.05 to 0.46, I2 16%; 3 trials; 84 participants). Conclusion: There is insufficient evidence to support the effect of MI on improving physical activity among older adults. There is a need for more high quality trials to show that MI is beneficial in older adults who are physically inactive.
{"title":"The effect of motivational interviewing on physical activity level among older adults: a systematic review and meta-analysis","authors":"O. Akinrolie, Ruth Barclay, S. Strachan, Akanksha Gupta, U. Jasper, Samuel U. Jumbo, N. Askin, R. Rabbani, R. Zarychanski, A. Abou-Setta","doi":"10.1080/02703181.2020.1725217","DOIUrl":"https://doi.org/10.1080/02703181.2020.1725217","url":null,"abstract":"Abstract Aim: To determine the reported effect of randomized controlled trials (RCTs) using Motivational Interviewing (MI) to advance physical activity among older adults. Methods: We searched for RCTs in MEDLINE, EMBASE, CINAHL, AgeLine, PsycINFO and Cochrane Library from inception until March, 2019. Identified trials that used MI for improving physical activity in community-dwelling older adults (≥65 years). Results: From 5616 citations identified from the search, we included three trials (four publications). There was no evidence of a significant difference between the effect of MI and usual care on physical activity in older adults (Standard Mean Difference (SMD) -0.02, 95% Confidence Interval (CI) 0.05 to 0.46, I2 16%; 3 trials; 84 participants). Conclusion: There is insufficient evidence to support the effect of MI on improving physical activity among older adults. There is a need for more high quality trials to show that MI is beneficial in older adults who are physically inactive.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":"38 1","pages":"250 - 263"},"PeriodicalIF":0.9,"publicationDate":"2020-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1725217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44006488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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