Pub Date : 2021-07-07DOI: 10.1080/02703181.2021.1942392
Edoardo Bianchini, F. Della Gatta, Miriam Virgilio, M. Alborghetti, M. Salvetti, Franco Giubilei, F. Pontieri
Abstract Aims To assess internal consistency, validity and test–retest reliability of Italian version of Canadian Occupational Performance Measure (COPM) in Parkinson’s disease (PD) clients. Methods Sixty-one subjects completed COPM at baseline, 45 attended re-test within 10 days. Internal consistency and test–retest reliability were determined on average satisfaction and performance scores. Hoehn and Yahr (H&Y) scale and MDS-Unified-Parkinson’s-Disease-Rating-Scale-part III (MDS-UPDRS-III) were used to evaluate disease severity and construct validity. Results COPM showed moderate-high internal consistency (Cronbach’s alpha 0.684 for performance and 0.805 for satisfaction). Test–retest reliability was moderate for both performance and satisfaction scores (ICC values 0.545 – CI95% 0.307–0.720, and 0.693 – CI 95% 0.506–0.819, respectively). COPM did not demonstrate significant correlation with H&Y nor MDS-UPDRS-III. Conclusions COPM is a valid and reliable tool promoting client-centered approach in PD. The role of the client in assessing needs and defining priority outcomes may increase compliance to intervention and awareness of occupational performance.
{"title":"Validation of the Canadian Occupational Performance Measure in Italian Parkinson’s Disease Clients","authors":"Edoardo Bianchini, F. Della Gatta, Miriam Virgilio, M. Alborghetti, M. Salvetti, Franco Giubilei, F. Pontieri","doi":"10.1080/02703181.2021.1942392","DOIUrl":"https://doi.org/10.1080/02703181.2021.1942392","url":null,"abstract":"Abstract Aims To assess internal consistency, validity and test–retest reliability of Italian version of Canadian Occupational Performance Measure (COPM) in Parkinson’s disease (PD) clients. Methods Sixty-one subjects completed COPM at baseline, 45 attended re-test within 10 days. Internal consistency and test–retest reliability were determined on average satisfaction and performance scores. Hoehn and Yahr (H&Y) scale and MDS-Unified-Parkinson’s-Disease-Rating-Scale-part III (MDS-UPDRS-III) were used to evaluate disease severity and construct validity. Results COPM showed moderate-high internal consistency (Cronbach’s alpha 0.684 for performance and 0.805 for satisfaction). Test–retest reliability was moderate for both performance and satisfaction scores (ICC values 0.545 – CI95% 0.307–0.720, and 0.693 – CI 95% 0.506–0.819, respectively). COPM did not demonstrate significant correlation with H&Y nor MDS-UPDRS-III. Conclusions COPM is a valid and reliable tool promoting client-centered approach in PD. The role of the client in assessing needs and defining priority outcomes may increase compliance to intervention and awareness of occupational performance.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1942392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43383390","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 : 2021-06-20DOI: 10.1080/02703181.2021.1936340
Cristiane Meirelles, Sidra Dhiraprasiddhi, Adannaya E. Nzeogu, Sara Clements, Colleen Wallace, D. Nunley
Abstract We report a case of a 68-year-old female with idiopathic pulmonary fibrosis who underwent bilateral lung transplantation with concurrent Covid-19 infection. Physical and Occupational therapy were initiated immediately following transplantation. Physical therapy interventions included bed mobility, functional transfers, ambulation, balance training, aerobic and breathing exercises. Occupational therapy interventions worked on cognitive and grooming tasks, total body dressing, anxiety reduction and energy conservation. Despite the presence of respiratory and physical impairments, the patient achieved significant improvements in functional mobility and ADLs. The patient improved her activity tolerance and was discharged to an inpatient rehabilitation facility. Rehabilitation management of lung transplant recipients with Covid-19 has not been studied and therefore it is crucial to investigate the effects of early evaluation and treatment of impairments exhibited by these patients, as they will likely require acute and long-term rehabilitation. Further research is needed to provide clinical practice guidelines for lung transplant recipients with Covid-19.
{"title":"Acute Rehabilitation in a Lung Transplant Recipient Infected with Covid-19: Case Report","authors":"Cristiane Meirelles, Sidra Dhiraprasiddhi, Adannaya E. Nzeogu, Sara Clements, Colleen Wallace, D. Nunley","doi":"10.1080/02703181.2021.1936340","DOIUrl":"https://doi.org/10.1080/02703181.2021.1936340","url":null,"abstract":"Abstract We report a case of a 68-year-old female with idiopathic pulmonary fibrosis who underwent bilateral lung transplantation with concurrent Covid-19 infection. Physical and Occupational therapy were initiated immediately following transplantation. Physical therapy interventions included bed mobility, functional transfers, ambulation, balance training, aerobic and breathing exercises. Occupational therapy interventions worked on cognitive and grooming tasks, total body dressing, anxiety reduction and energy conservation. Despite the presence of respiratory and physical impairments, the patient achieved significant improvements in functional mobility and ADLs. The patient improved her activity tolerance and was discharged to an inpatient rehabilitation facility. Rehabilitation management of lung transplant recipients with Covid-19 has not been studied and therefore it is crucial to investigate the effects of early evaluation and treatment of impairments exhibited by these patients, as they will likely require acute and long-term rehabilitation. Further research is needed to provide clinical practice guidelines for lung transplant recipients with Covid-19.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1936340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47031857","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 : 2021-06-14DOI: 10.1080/02703181.2021.1936341
Mehmet Özkeskin, Fatih Özden, Serap Tuna
Abstract Aims To demonstrate the reliability and validity of the modified four-square step test (mFSST) and the step test (ST) in community-dwelling older adults. Methods Fifty older adults were recruited. The test-retest reliability of the mFSST and ST was evaluated with one-hour-interval. The mFSST and ST was compared with Timed up and Go Test (TUG) and Five Times Sit to Stand Test (FTST) to demonstrate concurrent validity. Results The mean age of the participants was 72.0 ± 5.7 years. The test-retest reliability of mFSST and ST was excellent (ICC = 0.971 and 0.938, respectively). In concurrent validity analysis, the mFSST was strongly correlated with TUG and FTST (r1=0.755,r2=0.575,p < 0.001). Both the ST (right) and ST (left) were highly correlated with TUG and FTST (r= −0.527 to −0.578, p < 0.001). In addition, the ST (right) and ST (left) were highly correlated with FTST (r1= −0.533,r2= −0.527,p < 0.001). Conclusions mFSST and ST was proven to be valid and reliable in older adults.
{"title":"The Reliability and Validity of Modified Four-Square-Step-Test and Step-Test in Older Adults","authors":"Mehmet Özkeskin, Fatih Özden, Serap Tuna","doi":"10.1080/02703181.2021.1936341","DOIUrl":"https://doi.org/10.1080/02703181.2021.1936341","url":null,"abstract":"Abstract Aims To demonstrate the reliability and validity of the modified four-square step test (mFSST) and the step test (ST) in community-dwelling older adults. Methods Fifty older adults were recruited. The test-retest reliability of the mFSST and ST was evaluated with one-hour-interval. The mFSST and ST was compared with Timed up and Go Test (TUG) and Five Times Sit to Stand Test (FTST) to demonstrate concurrent validity. Results The mean age of the participants was 72.0 ± 5.7 years. The test-retest reliability of mFSST and ST was excellent (ICC = 0.971 and 0.938, respectively). In concurrent validity analysis, the mFSST was strongly correlated with TUG and FTST (r1=0.755,r2=0.575,p < 0.001). Both the ST (right) and ST (left) were highly correlated with TUG and FTST (r= −0.527 to −0.578, p < 0.001). In addition, the ST (right) and ST (left) were highly correlated with FTST (r1= −0.533,r2= −0.527,p < 0.001). Conclusions mFSST and ST was proven to be valid and reliable in older adults.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1936341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46720702","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 : 2021-05-18DOI: 10.1080/02703181.2021.1920654
Audrey-Ann Blais, Cynthia Tremblay, Laury Guarnaccia, Léane Tremblay, Sandrine Laflamme-Thibault, Sharlène Côté, P. Tremblay, J. Bouchard, R. D. da Silva
Abstract Aims: The assessment of the risk of falling in geriatric rehabilitation is often using standardized functional tests, which may be more complex but less representative in older adults with a neurocognitive disorder. The conceptual aim of this manuscript was thus to discuss the impact of adapted instructions on physical performance during standardized functional tests for older with neurocognitive disorders (NCD). Methods: Six topics were addressed: 1) current and global profile of falls in older, 2) fall assessment, 3) neurocognitive disorders in the older adults, 4) relationship between cognitive impairment and functional performance, 5) impact of the instructions on functional assessments in an older population, and finally 6) an overview of the future perspectives on possible adaptations for functional assessments in older adults with NCD. Conclusions: We believe that it is realistic and feasible to address adapted instructions to patients with NCD in clinical settings to optimize their assessment of their risk of falling.
{"title":"The Importance of Adapting Functional Test Instructions for Older Adults with Neurocognitive Disorders","authors":"Audrey-Ann Blais, Cynthia Tremblay, Laury Guarnaccia, Léane Tremblay, Sandrine Laflamme-Thibault, Sharlène Côté, P. Tremblay, J. Bouchard, R. D. da Silva","doi":"10.1080/02703181.2021.1920654","DOIUrl":"https://doi.org/10.1080/02703181.2021.1920654","url":null,"abstract":"Abstract Aims: The assessment of the risk of falling in geriatric rehabilitation is often using standardized functional tests, which may be more complex but less representative in older adults with a neurocognitive disorder. The conceptual aim of this manuscript was thus to discuss the impact of adapted instructions on physical performance during standardized functional tests for older with neurocognitive disorders (NCD). Methods: Six topics were addressed: 1) current and global profile of falls in older, 2) fall assessment, 3) neurocognitive disorders in the older adults, 4) relationship between cognitive impairment and functional performance, 5) impact of the instructions on functional assessments in an older population, and finally 6) an overview of the future perspectives on possible adaptations for functional assessments in older adults with NCD. Conclusions: We believe that it is realistic and feasible to address adapted instructions to patients with NCD in clinical settings to optimize their assessment of their risk of falling.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1920654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42979288","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 : 2021-05-03DOI: 10.1080/02703181.2021.1920655
Go Owari, K. Kono, Y. Nishida
Abstract Aims To determine prevalence of depressive symptoms and their associated factors in geriatric inpatient rehabilitation. Methods A cross-sectional study was conducted with 118 older adult inpatients ≥ 65 years using the Geriatric Depression Scale to assess depressive symptoms. Results Average age of participants was 78.9 years old. Depressive symptoms were found in 46.6% of study participants. Multinomial logistic regression analysis was conducted to confirm the association between presence of depressive symptoms and each factor. Malnutrition was significantly associated with depressive symptoms (OR = 0.90, 95% CI: 0.87–0.96, p < 0.001). Similar results were obtained in model 1 (OR = 0.91, 95% CI: 0.87–0.95, p < 0.001) with the addition of age and gender confounders and in model 2 with additional adjustment for underlying disease, Functional Independence Measure (FIM) exercise items, and FIM cognitive items (OR = 0.92, 95% CI: 0.88–0.96, p < 0.001). Conclusions Prevalence of depressive symptoms is high in geriatric rehabilitation patients and is associated with malnutrition.
{"title":"Depressive Symptoms and Associated Factors in Older Rehabilitation Inpatients: A Cross-Sectional Study","authors":"Go Owari, K. Kono, Y. Nishida","doi":"10.1080/02703181.2021.1920655","DOIUrl":"https://doi.org/10.1080/02703181.2021.1920655","url":null,"abstract":"Abstract Aims To determine prevalence of depressive symptoms and their associated factors in geriatric inpatient rehabilitation. Methods A cross-sectional study was conducted with 118 older adult inpatients ≥ 65 years using the Geriatric Depression Scale to assess depressive symptoms. Results Average age of participants was 78.9 years old. Depressive symptoms were found in 46.6% of study participants. Multinomial logistic regression analysis was conducted to confirm the association between presence of depressive symptoms and each factor. Malnutrition was significantly associated with depressive symptoms (OR = 0.90, 95% CI: 0.87–0.96, p < 0.001). Similar results were obtained in model 1 (OR = 0.91, 95% CI: 0.87–0.95, p < 0.001) with the addition of age and gender confounders and in model 2 with additional adjustment for underlying disease, Functional Independence Measure (FIM) exercise items, and FIM cognitive items (OR = 0.92, 95% CI: 0.88–0.96, p < 0.001). Conclusions Prevalence of depressive symptoms is high in geriatric rehabilitation patients and is associated with malnutrition.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1920655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44377806","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 : 2021-04-03DOI: 10.1080/02703181.2020.1869138
A. Abit Kocaman, C. Demirci, S. Aydoğan Arslan, Tezel Yıldırım Şahan, Özge Vergili, M. Oral, Sabiha Bezgin, Kübra Uğurlu, Birol Önal, E. Keskin, M. Sertel
Abstract Aims The aim of this study is to determine a cutoff value of the calf-raise senior test and dual-calf-raise senior test according to fall history. Methods 150 elderly individuals participated in descriptive study. Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Calf-Raise Senior Test (CRST) and Calf-Raise Senior Test with additional cognitive task (dual- CRST) were applied. Results It was found to be high correlation between CRST and the BBS ,medium with TUG, and high with FRT . It was found to be high correlation dual-CRST and the BBS,medium with the TUG and high with FRT. According to the fall history, the cutoff value for the CRST was found 18.3 repetitions and 11.5 repetitions for the dual-CRST. Conclusion The present study has contributed significantly to the literature in terms of determining the cutoff value for fall risk in the CRST and dual-CRS.
{"title":"The Cutoff Value of the Calf-Raise Senior Test for Older Faller","authors":"A. Abit Kocaman, C. Demirci, S. Aydoğan Arslan, Tezel Yıldırım Şahan, Özge Vergili, M. Oral, Sabiha Bezgin, Kübra Uğurlu, Birol Önal, E. Keskin, M. Sertel","doi":"10.1080/02703181.2020.1869138","DOIUrl":"https://doi.org/10.1080/02703181.2020.1869138","url":null,"abstract":"Abstract Aims The aim of this study is to determine a cutoff value of the calf-raise senior test and dual-calf-raise senior test according to fall history. Methods 150 elderly individuals participated in descriptive study. Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Calf-Raise Senior Test (CRST) and Calf-Raise Senior Test with additional cognitive task (dual- CRST) were applied. Results It was found to be high correlation between CRST and the BBS ,medium with TUG, and high with FRT . It was found to be high correlation dual-CRST and the BBS,medium with the TUG and high with FRT. According to the fall history, the cutoff value for the CRST was found 18.3 repetitions and 11.5 repetitions for the dual-CRST. Conclusion The present study has contributed significantly to the literature in terms of determining the cutoff value for fall risk in the CRST and dual-CRS.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1869138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44024378","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 : 2021-04-03DOI: 10.1080/02703181.2020.1836110
D. Beavers, E. Ip, S. Rapp, S. Shumaker
Abstract Aim Identify common home environmental modifications used by aging women to preserve independence with latent class analysis (LCA). Methods A cross-sectional survey was collected from 71,257 women in the Women’s Health Initiative October 2013 to December 2014. Information was gathered regarding women’s health and use of common home modifications. Descriptive measures characterized the women, and LCA identified patterns of usage. Results Fifty-five percent of women, ages 64–98 years, reported home modifications; more commonly among older women reporting poorer function. The most common strategies included grab bars (31%) and decluttering (26%). Analyses indicated four latent groups: limited use (56%), hand rails and grab bars (21%), lighting and decluttering (18%), and multi-use (5%). Conclusions These findings identify patterns of home environmental modifications from a large cohort of aging women. Women most often used fall prevention devices and cleaned and brightened space to preserve independence at home.
{"title":"Latent Profiles of Home Environmental Modifications Use in the Women’s Health Initiative","authors":"D. Beavers, E. Ip, S. Rapp, S. Shumaker","doi":"10.1080/02703181.2020.1836110","DOIUrl":"https://doi.org/10.1080/02703181.2020.1836110","url":null,"abstract":"Abstract Aim Identify common home environmental modifications used by aging women to preserve independence with latent class analysis (LCA). Methods A cross-sectional survey was collected from 71,257 women in the Women’s Health Initiative October 2013 to December 2014. Information was gathered regarding women’s health and use of common home modifications. Descriptive measures characterized the women, and LCA identified patterns of usage. Results Fifty-five percent of women, ages 64–98 years, reported home modifications; more commonly among older women reporting poorer function. The most common strategies included grab bars (31%) and decluttering (26%). Analyses indicated four latent groups: limited use (56%), hand rails and grab bars (21%), lighting and decluttering (18%), and multi-use (5%). Conclusions These findings identify patterns of home environmental modifications from a large cohort of aging women. Women most often used fall prevention devices and cleaned and brightened space to preserve independence at home.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1836110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46476687","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 : 2021-02-18DOI: 10.1080/02703181.2021.1887431
Denise Goddard
Abstract Aims This study examines the impact and implications of moral distress on Physical Therapists and Occupational Therapists employed at two Skilled Nursing Facilities. Methods This study used a quantitative, cross-sectional, descriptive design. The target population included a convenience sample of OTs and PTs. The presence and intensity of moral distress was measured using the Moral Distress Scale-Revised-Occupational Therapy-Adult settings (MDS-R-OTA) tool. Results This study identified the highest-ranking cause of moral distress among therapists employed in two Skilled Nursing Facilities included the inability to provide optimal therapy services due to limited insurance coverage (mean intensity score1.95, with a range from 1.00 to 3.52 on a 0–4 scale). More than half had either considered or left a job due to moral distress. Conclusion Strong organizational support of therapists involved in making ethical dilemmas may be a key approach to reducing moral distress among therapists.
{"title":"Moral Distress among Physical and Occupational Therapists: A Case Study","authors":"Denise Goddard","doi":"10.1080/02703181.2021.1887431","DOIUrl":"https://doi.org/10.1080/02703181.2021.1887431","url":null,"abstract":"Abstract Aims This study examines the impact and implications of moral distress on Physical Therapists and Occupational Therapists employed at two Skilled Nursing Facilities. Methods This study used a quantitative, cross-sectional, descriptive design. The target population included a convenience sample of OTs and PTs. The presence and intensity of moral distress was measured using the Moral Distress Scale-Revised-Occupational Therapy-Adult settings (MDS-R-OTA) tool. Results This study identified the highest-ranking cause of moral distress among therapists employed in two Skilled Nursing Facilities included the inability to provide optimal therapy services due to limited insurance coverage (mean intensity score1.95, with a range from 1.00 to 3.52 on a 0–4 scale). More than half had either considered or left a job due to moral distress. Conclusion Strong organizational support of therapists involved in making ethical dilemmas may be a key approach to reducing moral distress among therapists.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1887431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48734661","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 : 2021-02-08DOI: 10.1080/02703181.2021.1880531
Carli Friedman, Laura VanPuymbrouck
Abstract Aims This study explored occupational therapy students’ implicit (unconscious) ageism. Because of the relationship between impairment and dependence, and ageism and ableism, we also explored if there was a relationship between occupational therapy students’ implicit ageism and their implicit ableism. Methods We conducted and analyzed implicit age and disability attitude data (i.e., Age Implicit Association Test; Disability Attitude Implicit Association Test) from 54 occupational therapy students. Results Most occupational therapy students in our study (70%) were ageist, with the majority strongly or moderately preferring younger adults over older adults. Our findings also suggest ableism plays a role in ageism – ableism accounted for almost 30% of variance in occupational therapy students’ ageism in our study. Conclusions Through attending to functional interdependence and home modifications occupational therapists can support older adults in the natural processes of aging, instead of reinforcing ageism and its influences on intervention and plan of care development.
摘要目的探讨职业治疗学生的内隐(无意识)年龄歧视。鉴于损害与依赖、年龄歧视与残疾歧视之间的关系，本研究也探讨了职业治疗学生的内隐年龄歧视与内隐残疾歧视之间是否存在关系。方法采用年龄内隐关联测验(age implicit Association Test);对54名职业治疗学生进行残障态度内隐联想测验。结果在我们的研究中，大多数职业治疗学生(70%)有年龄歧视，大多数人强烈或适度地倾向于年轻人而不是老年人。我们的研究结果还表明，残疾歧视在年龄歧视中起着重要作用——在我们的研究中，残疾歧视占职业治疗学生年龄歧视差异的近30%。结论通过关注功能依赖和家庭改造，职业治疗师可以支持老年人的自然衰老过程，而不是强化年龄歧视及其对干预和护理计划发展的影响。
{"title":"Ageism and Ableism: Unrecognized Biases in Occupational Therapy Students","authors":"Carli Friedman, Laura VanPuymbrouck","doi":"10.1080/02703181.2021.1880531","DOIUrl":"https://doi.org/10.1080/02703181.2021.1880531","url":null,"abstract":"Abstract Aims This study explored occupational therapy students’ implicit (unconscious) ageism. Because of the relationship between impairment and dependence, and ageism and ableism, we also explored if there was a relationship between occupational therapy students’ implicit ageism and their implicit ableism. Methods We conducted and analyzed implicit age and disability attitude data (i.e., Age Implicit Association Test; Disability Attitude Implicit Association Test) from 54 occupational therapy students. Results Most occupational therapy students in our study (70%) were ageist, with the majority strongly or moderately preferring younger adults over older adults. Our findings also suggest ableism plays a role in ageism – ableism accounted for almost 30% of variance in occupational therapy students’ ageism in our study. Conclusions Through attending to functional interdependence and home modifications occupational therapists can support older adults in the natural processes of aging, instead of reinforcing ageism and its influences on intervention and plan of care development.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2021.1880531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45033147","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 : 2021-02-08DOI: 10.1080/02703181.2020.1867286
A. Alhagbani, Alison Williams
Abstract Aims To evaluate whether unsupervised home-based exergames can improve balance and reduce falls risk among older people, with the reported adverse events being considered as a secondary objective. Methods A systematic search of CINAHL, Medline Ovid, EMBASE Ovid, Ovid Emcare, AMED Ovid, PEDro, Cochrane and JBI was carried out. Each study was critically appraised using the JBI checklists. Results Of the 7 studies, a statistically significant improvement in balance outcomes was demonstrated in 5 studies. Of the 7 studies, 3 studies examined falls risk using the Physiological Profile Assessment (PPA), all of which showed a statistically significant reduction. Five studies revealed no adverse events, while 1 study reported neck and hip strain. Conclusion Current evidence indicates that unsupervised home-based exergames reduced falls risk. Balance improved within-group, but evidence remains inconclusive when compared to no intervention or exercises. Muscle strain was reported as a result of exergaming in an unsupervised environment.
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