Pub Date : 2022-10-29DOI: 10.1080/02703181.2022.2138678
Taishirou Kamasaki, Hiroshi Otao, M. Hachiya, A. Kubo, Hiroyuki Okawa, K. Fujiwara, A. Sakamoto, Suguru Shimokihara, Michio Maruta, T. Tabira
Abstract Aim To examine the characteristics of social functions and life-related domains associated with cognitive frailty in community-dwelling older adults. Methods This study is cross-sectional study. One hundred twenty-one community-dwelling older adults (mean age ± SD: 77 ± 7 years) participated. Social functioning was assessed based on the Makizako-5 criteria and life-related domains based on the Kihon Checklist (KCL) questionnaire. Statistical analysis was performed based on binomial logistic regression analysis with the presence of cognitive frailty as the dependent variable. Results The social functioning and life-related domains associated with cognitive frailty were the Makizako-5 [OR: 0.25 (95%CI: 0.07–0.95)], and oral functioning [4.72 (1.03–21.56)] items. In particular, the characteristics revealed included less frequent visits to friends’ homes (p = 0.035), lower sense of self-usefulness (p = 0.011), and dry mouth (p = 0.011). Conclusions Low social functioning and poor oral function were found to be associated with cognitive frailty.
{"title":"Social Functioning and Life-Related Domains Associated with Cognitive Frailty in Older Adults","authors":"Taishirou Kamasaki, Hiroshi Otao, M. Hachiya, A. Kubo, Hiroyuki Okawa, K. Fujiwara, A. Sakamoto, Suguru Shimokihara, Michio Maruta, T. Tabira","doi":"10.1080/02703181.2022.2138678","DOIUrl":"https://doi.org/10.1080/02703181.2022.2138678","url":null,"abstract":"Abstract Aim To examine the characteristics of social functions and life-related domains associated with cognitive frailty in community-dwelling older adults. Methods This study is cross-sectional study. One hundred twenty-one community-dwelling older adults (mean age ± SD: 77 ± 7 years) participated. Social functioning was assessed based on the Makizako-5 criteria and life-related domains based on the Kihon Checklist (KCL) questionnaire. Statistical analysis was performed based on binomial logistic regression analysis with the presence of cognitive frailty as the dependent variable. Results The social functioning and life-related domains associated with cognitive frailty were the Makizako-5 [OR: 0.25 (95%CI: 0.07–0.95)], and oral functioning [4.72 (1.03–21.56)] items. In particular, the characteristics revealed included less frequent visits to friends’ homes (p = 0.035), lower sense of self-usefulness (p = 0.011), and dry mouth (p = 0.011). Conclusions Low social functioning and poor oral function were found to be associated with cognitive frailty.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44765728","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 : 2022-10-29DOI: 10.1080/02703181.2022.2138680
M. Ghaderian, G. Ghasemi, S. Lenjannejadian, Ebrahim Sadeghi Demneh
Abstract Aims: This study aimed to investigate the effect of combined turning and balance training on ground reaction force (GRF) characteristics during walking and turning in older men.Methods: Thirty older men were selected and randomly divided into two equal experimental (EG: age = 65.47 ± 2.50 years; BMI = 24.57 ± 0.68 kg/m2) and control (CG: age = 65.80 ± 2.34 years; BMI = 24.72 ± 0.64 kg/m2) groups. EG participants completed 12 weeks of training. Kinetic data were recorded using the force plate.Results: After the training, there was a significant difference between the EG and CG in the peak of GRF components and related time parameters as well as the required coefficient of friction in all directions. There was a significant decrease and increase in the stance time and loading rate respectively after the training in EG.Conclusions: The results showed improvement in gait and turning performance of older men. Therefore, combined exercises with emphasis on the turning components for older men are recommended.
{"title":"The Effect of Combined Training on Older Men’s Walking and Turning Kinetics","authors":"M. Ghaderian, G. Ghasemi, S. Lenjannejadian, Ebrahim Sadeghi Demneh","doi":"10.1080/02703181.2022.2138680","DOIUrl":"https://doi.org/10.1080/02703181.2022.2138680","url":null,"abstract":"Abstract Aims: This study aimed to investigate the effect of combined turning and balance training on ground reaction force (GRF) characteristics during walking and turning in older men.Methods: Thirty older men were selected and randomly divided into two equal experimental (EG: age = 65.47 ± 2.50 years; BMI = 24.57 ± 0.68 kg/m2) and control (CG: age = 65.80 ± 2.34 years; BMI = 24.72 ± 0.64 kg/m2) groups. EG participants completed 12 weeks of training. Kinetic data were recorded using the force plate.Results: After the training, there was a significant difference between the EG and CG in the peak of GRF components and related time parameters as well as the required coefficient of friction in all directions. There was a significant decrease and increase in the stance time and loading rate respectively after the training in EG.Conclusions: The results showed improvement in gait and turning performance of older men. Therefore, combined exercises with emphasis on the turning components for older men are recommended.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41564195","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 : 2022-10-29DOI: 10.1080/02703181.2022.2138679
Kang-Hyun Park, S. Nam, Ickpyo Hong, Ji-Hyuk Park
Abstract Objectives: This study aimed to validate the Yonsei Lifestyle Profie-BREF (YLP-BREF) and preliminarily investigate its psychometric properties. Methods: In total, 569 community-dwelling older adults were recruited. Confirmatory factor analysis was conducted. Also, convergent and divergent validity were assessed. Additionally, Cronbach’s alpha reliability was examined. Finally, an optimal cutoff score for the YLP-BREF was established using receiver operating characteristic curve analysis. Results: The one-factor model was the best fit. The 5 items of physical activity and the 4 items of activity participation illustrated an acceptable fit. All nutrition items showed an acceptable fit. Cronbach’s alpha reliability was good for the total score and nutrition and acceptable for physical activity, but insufficient for activity participation. Convergent and divergent validities were good. The optimal cutoff score for the YLP-BREF was 49. Conclusion: The YLP-BREF is a reliable and valid self-report questionnaire for measuring multifaceted lifestyle factors in older adults in South Korea.
{"title":"An Investigation of the Psychometric Properties of Lifestyle Profile-BREF","authors":"Kang-Hyun Park, S. Nam, Ickpyo Hong, Ji-Hyuk Park","doi":"10.1080/02703181.2022.2138679","DOIUrl":"https://doi.org/10.1080/02703181.2022.2138679","url":null,"abstract":"Abstract Objectives: This study aimed to validate the Yonsei Lifestyle Profie-BREF (YLP-BREF) and preliminarily investigate its psychometric properties. Methods: In total, 569 community-dwelling older adults were recruited. Confirmatory factor analysis was conducted. Also, convergent and divergent validity were assessed. Additionally, Cronbach’s alpha reliability was examined. Finally, an optimal cutoff score for the YLP-BREF was established using receiver operating characteristic curve analysis. Results: The one-factor model was the best fit. The 5 items of physical activity and the 4 items of activity participation illustrated an acceptable fit. All nutrition items showed an acceptable fit. Cronbach’s alpha reliability was good for the total score and nutrition and acceptable for physical activity, but insufficient for activity participation. Convergent and divergent validities were good. The optimal cutoff score for the YLP-BREF was 49. Conclusion: The YLP-BREF is a reliable and valid self-report questionnaire for measuring multifaceted lifestyle factors in older adults in South Korea.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46055882","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 : 2022-10-28DOI: 10.1080/02703181.2022.2138676
Patricia Briskie-Semeniuk, N. Bier, M. Couture, Brigitte Vachon, P. Belchior
Abstract Aims This study aimed to describe how occupational therapists evaluate older adults with cognitive impairments. Methods A descriptive qualitative study design was used. Four focus groups were conducted with 16 occupational therapists working with cognitively impaired older adults in institutional and community care settings. An inductive thematic analysis of the content of the interviews was applied. Results Occupational therapists described a three-stage assessment process that was predominantly occupation-based, linear and iterative: (a) gathering information from the older adult, their care network and family members to plan the assessment, (b) assessing cognitive impairment and occupational performance using non-standardized observations and standardized tests, and (c) applying clinical reasoning to predict further performance issues and safety. Despite using a predominantly occupation-based assessment process, occupational therapists reported a lack confidence to predict safety. Conclusion Occupational therapists may require additional knowledge, skills and tools to support them in assessing older adults with cognitive impairments.
{"title":"Describing Occupational Therapy Practice for Evaluating Older Adults with Cognitive Impairments","authors":"Patricia Briskie-Semeniuk, N. Bier, M. Couture, Brigitte Vachon, P. Belchior","doi":"10.1080/02703181.2022.2138676","DOIUrl":"https://doi.org/10.1080/02703181.2022.2138676","url":null,"abstract":"Abstract Aims This study aimed to describe how occupational therapists evaluate older adults with cognitive impairments. Methods A descriptive qualitative study design was used. Four focus groups were conducted with 16 occupational therapists working with cognitively impaired older adults in institutional and community care settings. An inductive thematic analysis of the content of the interviews was applied. Results Occupational therapists described a three-stage assessment process that was predominantly occupation-based, linear and iterative: (a) gathering information from the older adult, their care network and family members to plan the assessment, (b) assessing cognitive impairment and occupational performance using non-standardized observations and standardized tests, and (c) applying clinical reasoning to predict further performance issues and safety. Despite using a predominantly occupation-based assessment process, occupational therapists reported a lack confidence to predict safety. Conclusion Occupational therapists may require additional knowledge, skills and tools to support them in assessing older adults with cognitive impairments.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46584507","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 : 2022-10-06DOI: 10.1080/02703181.2022.2129906
Yi-Ling Hu, Marian Keglovits, E. Somerville, Makenna Snyder, S. Stark
Abstract Aims The aim of this study was to test the feasibility of a fall prevention exercise program, Diverse Older Adults Doing the Lifestyle-integrated Functional Exercise program (DO LiFE). DO LiFE was developed for a diverse aging population and to improve low adherence to structured exercise. Methods Older adults with high fall risk and who resided in medically underserved (MU) U.S. zip codes were assigned to DO-LiFE or the control group. Feasibility outcomes of reach, adherence, fidelity, and acceptance were collected. Results DO LiFE established high reach/adherence, could be delivered with fidelity, and had high acceptance. Additional barriers were identified for a revision of DO LiFE before proceeding to a larger study. Conclusion Results of this study show that DO LiFE demonstrates good feasibility and lay the foundation for larger-scale studies. Although some unexpected issues may require a revision of DO-LiFE, this evidence-based program is feasible for in-need, diverse aging populations in real-world settings.
{"title":"Translating a Functional Exercise Program for Fall Prevention among Diverse Older Adults in Urban, Medically Underserved Areas: A Feasibility Study","authors":"Yi-Ling Hu, Marian Keglovits, E. Somerville, Makenna Snyder, S. Stark","doi":"10.1080/02703181.2022.2129906","DOIUrl":"https://doi.org/10.1080/02703181.2022.2129906","url":null,"abstract":"Abstract Aims The aim of this study was to test the feasibility of a fall prevention exercise program, Diverse Older Adults Doing the Lifestyle-integrated Functional Exercise program (DO LiFE). DO LiFE was developed for a diverse aging population and to improve low adherence to structured exercise. Methods Older adults with high fall risk and who resided in medically underserved (MU) U.S. zip codes were assigned to DO-LiFE or the control group. Feasibility outcomes of reach, adherence, fidelity, and acceptance were collected. Results DO LiFE established high reach/adherence, could be delivered with fidelity, and had high acceptance. Additional barriers were identified for a revision of DO LiFE before proceeding to a larger study. Conclusion Results of this study show that DO LiFE demonstrates good feasibility and lay the foundation for larger-scale studies. Although some unexpected issues may require a revision of DO-LiFE, this evidence-based program is feasible for in-need, diverse aging populations in real-world settings.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41884804","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 : 2022-10-03DOI: 10.1080/02703181.2022.2128972
J. Jeong, E. Yoo, Loree Pryor, Byoung-Ho Kang, Yae-Na Ha
Abstract Purpose To review the effectiveness of a tailored activity program (TAP) on neuropsychiatric symptoms (NPS), occupational performance, and quality of life among people with dementia and their caregiver burden. Methods A literature review was completed using the following inclusion criteria: published prior to May 2021 and written in either English or Korean. The following databases were searched Embase, ProQuest, PubMed, and RISS using keywords “tailored activity program” and “dementia.” Seven studies were identified and analyzed. Results The effect size of the increase in quality of life was 0.79, the decrease in caregiver burden was 0.68, the decrease in NPS was 0.62, and the increase in occupational performance was 0.51. There were no publication biases. Conclusions Participation in TAP resulted in decreased NPS, improved occupational performance and quality of life, and decreased caregiver burden. This study presents evidence supporting the active application of TAP for community-dwelling people with dementia.
{"title":"The Effects of a Tailored Activity Program for Dementia: A Systematic Review and Meta-Analysis","authors":"J. Jeong, E. Yoo, Loree Pryor, Byoung-Ho Kang, Yae-Na Ha","doi":"10.1080/02703181.2022.2128972","DOIUrl":"https://doi.org/10.1080/02703181.2022.2128972","url":null,"abstract":"Abstract Purpose To review the effectiveness of a tailored activity program (TAP) on neuropsychiatric symptoms (NPS), occupational performance, and quality of life among people with dementia and their caregiver burden. Methods A literature review was completed using the following inclusion criteria: published prior to May 2021 and written in either English or Korean. The following databases were searched Embase, ProQuest, PubMed, and RISS using keywords “tailored activity program” and “dementia.” Seven studies were identified and analyzed. Results The effect size of the increase in quality of life was 0.79, the decrease in caregiver burden was 0.68, the decrease in NPS was 0.62, and the increase in occupational performance was 0.51. There were no publication biases. Conclusions Participation in TAP resulted in decreased NPS, improved occupational performance and quality of life, and decreased caregiver burden. This study presents evidence supporting the active application of TAP for community-dwelling people with dementia.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45087532","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 : 2022-09-14DOI: 10.1080/02703181.2022.2121884
K. Frederiksen, B. Nørgaard, I. Bruun
Abstract Aims The study aims to explore (1) the perspectives of health professionals on increased attendance of physical therapists (PTs) and occupational therapists (OTs) in clearly defined work assignments in two in-hospital departments and (2) the perspectives of geriatric patients on physical activity during hospitalization. Methods A mixed-methods study using a focus group interview and a questionnaire in assessing the impact of an intervention on increased attendance of PTs and OTs in clearly defined work assignments. The patients’ perspectives on physical activity were explored in one-on-one interviews. Results The health professionals reported that the intervention led to a higher degree of patients’ mobilization, increased collaboration, improved the health professionals’ competencies, and provided more time for monodisciplinary assignments. The six patients stated that encouragements promoted physical activity. Conclusions Increased attendance of PTs showed a positive impact on both the patients’ level of physical activity and the health professionals’ monodisciplinary assignments.
{"title":"How to Improve Hospitalized Older Adults’ Activity Level: A Mixed Methods Study","authors":"K. Frederiksen, B. Nørgaard, I. Bruun","doi":"10.1080/02703181.2022.2121884","DOIUrl":"https://doi.org/10.1080/02703181.2022.2121884","url":null,"abstract":"Abstract Aims The study aims to explore (1) the perspectives of health professionals on increased attendance of physical therapists (PTs) and occupational therapists (OTs) in clearly defined work assignments in two in-hospital departments and (2) the perspectives of geriatric patients on physical activity during hospitalization. Methods A mixed-methods study using a focus group interview and a questionnaire in assessing the impact of an intervention on increased attendance of PTs and OTs in clearly defined work assignments. The patients’ perspectives on physical activity were explored in one-on-one interviews. Results The health professionals reported that the intervention led to a higher degree of patients’ mobilization, increased collaboration, improved the health professionals’ competencies, and provided more time for monodisciplinary assignments. The six patients stated that encouragements promoted physical activity. Conclusions Increased attendance of PTs showed a positive impact on both the patients’ level of physical activity and the health professionals’ monodisciplinary assignments.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44117885","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 : 2022-09-07DOI: 10.1080/02703181.2022.2119322
Najmeh Noghani, R. Sheikhhoseini, F. Babakhani
Abstract Aims: to investigate the effects of Pilates exercise on the anticipatory activation of selected lower limb muscles and balance in elderly women who had previous history of falling. Methods: In this randomized clinical trial study, 22 elderly women were divided into the control (n = 10) and the experimental (n = 12) groups. The Berg balance scale and Timed Up and Go Test and electrical activity of selected lower-limb muscles were collected before and after the intervention period. The experimental group performed the Pilates exercises for eight weeks (three sessions of one hour per week). Results: Pilates exercises had a significant effect on the Berg balance scale (p = 0.001), the timed up and go test (p < 0.001), the onset time of the tibialis anterior (p < 0.001), vastus lateralis (p = 0.004), vastus medialis (p = 0.033), and biceps femoris (p = 0.001). Conclusion: Pilates exercises can improve anticipatory activation of lower extremity muscles, balance and performance in elderly women with falling history.
摘要目的:探讨普拉提运动对有跌倒史的老年女性下肢部分肌肉预期激活和平衡的影响。方法:将22名老年妇女随机分为对照组(n = 10)和试验组(n = 12)。在干预前后采集Berg平衡量表、Timed Up and Go测试和选定下肢肌肉电活动。实验组进行了为期八周的普拉提练习(每周三次，每次一小时)。结果:普拉提运动对Berg平衡量表(p = 0.001)、timed up and go测试(p < 0.001)、胫骨前肌(p < 0.001)、股外侧肌(p = 0.004)、股内侧肌(p = 0.033)和股二头肌(p = 0.001)的起效时间有显著影响。结论:普拉提运动可以改善老年女性下肢肌肉的预期激活、平衡和运动表现。
{"title":"Pilates Exercises Improves Anticipatory Muscular Activation in Elderly Women: A RCT Study","authors":"Najmeh Noghani, R. Sheikhhoseini, F. Babakhani","doi":"10.1080/02703181.2022.2119322","DOIUrl":"https://doi.org/10.1080/02703181.2022.2119322","url":null,"abstract":"Abstract Aims: to investigate the effects of Pilates exercise on the anticipatory activation of selected lower limb muscles and balance in elderly women who had previous history of falling. Methods: In this randomized clinical trial study, 22 elderly women were divided into the control (n = 10) and the experimental (n = 12) groups. The Berg balance scale and Timed Up and Go Test and electrical activity of selected lower-limb muscles were collected before and after the intervention period. The experimental group performed the Pilates exercises for eight weeks (three sessions of one hour per week). Results: Pilates exercises had a significant effect on the Berg balance scale (p = 0.001), the timed up and go test (p < 0.001), the onset time of the tibialis anterior (p < 0.001), vastus lateralis (p = 0.004), vastus medialis (p = 0.033), and biceps femoris (p = 0.001). Conclusion: Pilates exercises can improve anticipatory activation of lower extremity muscles, balance and performance in elderly women with falling history.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48745964","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 : 2022-08-26DOI: 10.1080/02703181.2022.2115184
Shala Cunningham, Cynthia Cunningham, L. Foote
Abstract Aims The purpose of this pilot study was to explore differences in clinical diagnoses, clinical assessment data needed to support the diagnoses, and potential interventions using a case-based clinical learning activity involving a think-aloud process for nursing and physical therapy students. Methods This study utilized a sample of convenience of 40 physical therapy students and 60 nursing students from southwest Virginia. To assist the students with communication of their perspectives on patient care through the use of the think-aloud process, a clinical reasoning activity was instituted. Results By considering each other’s perspectives on care priorities, the students were able to collaborate in developing a care plan that holistically addressed the health conditions of a geriatric patient in the home health setting. Conclusions Providing healthcare students insight into the distinguishing perceptions of patient care associated with each profession may improve future communication, coordination, and collaboration to provide quality patient care.
{"title":"Use of a Clinical Reasoning Activity to Assist with Interprofessional Communication","authors":"Shala Cunningham, Cynthia Cunningham, L. Foote","doi":"10.1080/02703181.2022.2115184","DOIUrl":"https://doi.org/10.1080/02703181.2022.2115184","url":null,"abstract":"Abstract Aims The purpose of this pilot study was to explore differences in clinical diagnoses, clinical assessment data needed to support the diagnoses, and potential interventions using a case-based clinical learning activity involving a think-aloud process for nursing and physical therapy students. Methods This study utilized a sample of convenience of 40 physical therapy students and 60 nursing students from southwest Virginia. To assist the students with communication of their perspectives on patient care through the use of the think-aloud process, a clinical reasoning activity was instituted. Results By considering each other’s perspectives on care priorities, the students were able to collaborate in developing a care plan that holistically addressed the health conditions of a geriatric patient in the home health setting. Conclusions Providing healthcare students insight into the distinguishing perceptions of patient care associated with each profession may improve future communication, coordination, and collaboration to provide quality patient care.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43561816","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 : 2022-08-25DOI: 10.1080/02703181.2022.2116523
I. Bruun, K. Frederiksen, B. Nørgaard
Abstract Aims We hypothesized that the additional attendance of physical therapists (PTs) and occupational therapist (OTs) in clearly defined work assignments 1) increases the patients’ physical activity level, 2) broadens the patients’ environment by changing their location, 3) increases the time patients spend in the accompaniment of health professionals, and 4) changes the ongoing activity of patients.Methods This study utilized a time series design with regard to hospitalized adults 65 years of age and older. Observational behavioral mapping was used to assess the impact on the patients’ physical activity levels.ResultsThe study demonstrated that the additional attendance of PTs and OTs significantly increased the time the older adults’ spent sitting, standing/walking as compared to being bedridden. It also significantly increased the amount of time patients were accompanied by health professionals.Conclusions Additional attendance of PTs and OTs has a positive impact on older adults’ activity levels.
{"title":"Attendance of Physical and Occupational Therapists Improves Older Hospitalized Adults’ Activity Levels","authors":"I. Bruun, K. Frederiksen, B. Nørgaard","doi":"10.1080/02703181.2022.2116523","DOIUrl":"https://doi.org/10.1080/02703181.2022.2116523","url":null,"abstract":"Abstract Aims We hypothesized that the additional attendance of physical therapists (PTs) and occupational therapist (OTs) in clearly defined work assignments 1) increases the patients’ physical activity level, 2) broadens the patients’ environment by changing their location, 3) increases the time patients spend in the accompaniment of health professionals, and 4) changes the ongoing activity of patients.Methods This study utilized a time series design with regard to hospitalized adults 65 years of age and older. Observational behavioral mapping was used to assess the impact on the patients’ physical activity levels.ResultsThe study demonstrated that the additional attendance of PTs and OTs significantly increased the time the older adults’ spent sitting, standing/walking as compared to being bedridden. It also significantly increased the amount of time patients were accompanied by health professionals.Conclusions Additional attendance of PTs and OTs has a positive impact on older adults’ activity levels.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42207324","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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