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Dickerson AE, Wu Q, Houston H, Cassidy T, Touchinsky S. Establishing the Predictive Validity of the Assessment of Motor and Process Skills for Driving Performance Outcomes. Am J Occup Ther 2024; 78:7805205040. [PMID: 39141779 DOI: 10.5014/ajot.2024.050687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/16/2024] Open
Abstract
IMPORTANCE Although the Assessment of Motor and Process Skills (AMPS) is an excellent tool for evaluating the functional performance of instrumental activities of daily living (IADLs), a limited number of studies have used the AMPS for decisions regarding the IADL of fitness to drive and community mobility. OBJECTIVE To determine the specificity and sensitivity of the AMPS as a tool for determining a person's fitness to drive. DESIGN Cross-sectional observational design. SETTING Three driving rehabilitation programs in three states. PARTICIPANTS Participants were 388 community-living adults (M age = 68.74 yr, SD = 11.53); 196 adults were recruited before completing a comprehensive driving evaluation, and 192 were recruited in two other studies of older drivers. OUTCOME AND MEASURES AMPS and results of comprehensive driving evaluation or on-road assessment. RESULTS Using a logistical regression, AMPS Motor and Process Skills scores yielded a sensitivity of 84.6% and a specificity of 88.8%. The odds ratio of the AMPS Motor Skills score was .347; for the AMPS Process Skills score, it was .014. Using cross-validations, the model with AMPS Motor and Process scores produced a cross-validation area under the curve of .918, with sensitivity and specificity of 84.6% and 88.4%, respectively, and a probability greater than .334 was used for predicting a fail or drive-with-restriction evaluation. CONCLUSIONS AND RELEVANCE The AMPS Motor and Process Skills scores revealed significant differences between those who failed or had driving restrictions and with those who passed the driving evaluation, which supported the AMPS as an effective tool for predicting fitness to drive. Plain-Language Summary: This study demonstrates how the Assessment of Motor and Process Skills (AMPS), as a top-down occupational therapy assessment tool, can be used to differentiate between medically at-risk drivers who are likely to pass a comprehensive driving evaluation and those who are likely to fail or need restrictions. AMPS will assist occupational therapy practitioners in determining who is most appropriate to receive driving rehabilitation services and/or when to refer a person for a comprehensive driving evaluation.
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Affiliation(s)
- Anne E Dickerson
- Anne E. Dickerson, PhD, OTR/L, SCDCM, FAOTA, FGSA, is Professor and Director, Research for Older Adult Driver Initiative (ROADI), Department of Occupational Therapy, East Carolina University, Greenville, NC;
| | - Qiang Wu
- Qiang Wu, PhD, is Professor, Department of Public Health, East Carolina University, Greenville, NC
| | - Helen Houston
- Helen Houston, MS, OTR/L, is Occupational Therapy Clinical Specialist, ECU Health Medical Center, Greenville, NC
| | - Therese Cassidy
- Therese Cassidy, OTD, OTR/L, CDRS, is CEO, Fitness to Drive-Health Promotions Partners, Colorado Springs, CO
| | - Susan Touchinsky
- Susan Touchinsky, OTR/L, SCDCM, CDRS, is Owner, Adaptive Mobility Services, LLC, Orwigsburg, PA
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Mitterfellner R, D'Cunha NM, Isbel S. Occupation-Based Interventions to Improve Occupational Performance Among Older Adults Living in Long-Term Care: A Systematic Review. Am J Occup Ther 2024; 78:7801205140. [PMID: 38231082 DOI: 10.5014/ajot.2024.050441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2024] Open
Abstract
IMPORTANCE Evidence for the positive effects of occupation-based interventions on occupational performance is increasing; however, little is known about the impacts of occupation-based interventions on older adults living in long-term care. OBJECTIVE To consolidate the evidence on the effectiveness of occupation-based interventions for improving occupational performance among older adults living in long-term care. DATA SOURCES MEDLINE, CINAHL, PsycINFO, SCOPUS, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from journal-database inception to February 2023. STUDY SELECTION AND DATA COLLECTION This systematic review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included articles were peer-reviewed studies published in English that evaluated occupation-based interventions for older adults living in long-term care and used validated tools to measure occupational performance. FINDINGS Seventeen articles, with 2,974 participants, were identified. The reviewed studies included 6 Level 1b randomized controlled trials, 5 Level 2b studies of various study designs, and 5 Level 3b studies with quasi-experimental designs. Across studies, heterogeneous measures were used to assess occupational performance. All studies implemented client-centered, occupation-based interventions designed and/or delivered by occupational therapists. Interventions were tailored to residents' goals, interests, or abilities to improve occupational performance and participation, and inconsistent effects were reported. CONCLUSIONS AND RELEVANCE Moderate evidence supports the use of occupation-based interventions tailored to individual residents and incorporation of physical activities for improving the occupational performance of older adults living in long-term care. Currently, evidence for care partner involvement and multilevel occupation-based interventions is limited. Plain-Language Summary: This study adds to the evidence base indicating that occupation-based interventions have the potential to promote the occupational performance of older adults living in long-term care. High-quality randomized controlled trials with longer term follow-up and assessment of clinically meaningful outcomes are critical for developing the evidence base in this practice setting.
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Affiliation(s)
- Rachael Mitterfellner
- Rachael Mitterfellner, MOT, BMedSc, is Occupational Therapist, Canberra Health Services, and Professional Associate, Centre for Ageing Research and Translation, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia. At the time of this research, Mitterfellner was Postgraduate Research Student, School of Exercise and Rehabilitation Sciences, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Nathan M D'Cunha
- Nathan M. D'Cunha, PhD(Health), BHumNutr(Hons), is Assistant Professor, Human Nutrition, School of Exercise and Rehabilitation Sciences, Faculty of Health, and Theme Lead (Dementia and Cognition), Centre for Ageing Research and Translation, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Stephen Isbel
- Stephen Isbel, HScD, MOT, MHA, BAppSc(OT), GCTE, is Professor, Occupational Therapy, School of Exercise and Rehabilitation Sciences, Faculty of Health, and Theme Lead (Innovative Care Models), Centre for Ageing Research and Translation, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia;
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3
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Johansson MM, Nätt M, Peolsson A, Öhman A. Frail community-dwelling older persons' everyday lives and their experiences of rehabilitation - a qualitative study. Scand J Occup Ther 2023; 30:65-75. [PMID: 35786360 DOI: 10.1080/11038128.2022.2093269] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
BACKGROUND The number of older persons with frailty is increasing, and rehabilitation to improve the consequences of frailty are important for both the individual and society. However, the perspective of older persons themselves in research and planning of interventions is scarce. AIM The aim of this study was to describe frail older persons' everyday lives and their experiences and views of rehabilitation. MATERIAL AND METHODS Twenty older persons were interviewed, and analyses were performed using a qualitative content analysis method. RESULTS The two main categories were 'Frailty impacts everyday lifé and 'Experiences and perceptions of rehabilitation'. The participants described that they had to adapt their everyday lives in line with their health conditions. They all used strategies and were dependent on support in their activities of daily living. Their social network had decreased. All participants strived to stay active and independent, and wanted rehabilitation and support from professionals, experiencing decreased access to rehabilitation. CONCLUSIONS AND SIGNIFICANCE Frail older persons are a vulnerable group who often need support in everyday life. There is room for improvement when it comes to helping frail older persons to stay active and facilitate participation in both individual and group interventions.
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Affiliation(s)
- Maria M Johansson
- Department of Activity and Health, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Department of Acute Internal Medicine and Geriatrics in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - Malin Nätt
- Department of Acute Internal Medicine and Geriatrics in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Department of Rehabilitation Medicine in Linköping, and Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, Linköping, Sweden
| | - Anneli Peolsson
- Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden.,Department of Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical medicine, Linköping University, Linköping, Sweden
| | - Annika Öhman
- Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Occupational Therapy, Linköping University, Norrköping, Sweden
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4
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Kokorelias KM, Cronin SM, Munce SEP, Eftekhar P, McGilton KS, Vellani S, Colella TJF, Kontos P, Grigorovich A, Furlan A, Salbach NM, Jaglal S, Chan B, Cameron JI. Conceptualization of frailty in rehabilitation interventions with adults: a scoping review. Disabil Rehabil 2023; 45:117-153. [PMID: 34889703 DOI: 10.1080/09638288.2021.2012844] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Purpose: We aimed to synthesize the literature that considered frailty in the evaluation of rehabilitation interventions for adults (aged ≥18) by answering: (1) how is frailty defined in rehabilitation intervention research?; (2) how is frailty operationalized in rehabilitation intervention research?; (3) what are the characteristics of rehabilitation interventions for frail adults and what frailty related outcomes are assessed?Materials and methods: A scoping review was conducted. Data were analyzed using descriptive statistics and qualitative content analysis.Results: 53 articles met the inclusion criteria. Most studies were conducted in Europe and involved randomized control trials. The included studies reported on rehabilitation interventions that only included individuals aged 50 or older. Thirteen studies used Fried's definition of frailty, but most (n = 27) did not use any definition. Many studies did not differentiate between the conceptualization (e.g., definition) and operationalization (e.g., use of inclusion/exclusion criteria, outcome measures) of frailty. Most interventions focused on exercise. Instrumental activities of daily living reported most frequently as outcomes (n = 11).Conclusions: There is an absence of consistent definitions of frailty in rehabilitation interventions and current definitions tend to focus on physical functioning. The authors suggest rehabilitation researchers consider an expanded definition of frailty informed by the International Classification of Functioning, Disability and Health framework.IMPLICATIONS FOR REHABILITATIONRehabilitation professionals should use an expanded definition of frailty, informed by the International Classification of Functioning, Disability and Health framework, should include physical, mental, personal, environmental, and social factors to decrease, delay, or prevent frailty in adults.Rehabilitation professionals should consider a broader operationalization of frailty that is not dependent on age and physical functioning.Rehabilitation professionals that consider a broader conceptualization of frailty should tailor interventions to the specific needs of frail adults.
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Affiliation(s)
- Kristina M Kokorelias
- Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.,KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada
| | - Shawna M Cronin
- Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.,Department of Physical Therapy, University of Toronto, UHN, Toronto, Canada
| | - Sarah E P Munce
- Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.,KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.,Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Parvin Eftekhar
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada
| | - Katherine S McGilton
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Lawrence S Bloomberg, Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Shirin Vellani
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Lawrence S Bloomberg, Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Tracey J F Colella
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Lawrence S Bloomberg, Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Pia Kontos
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada
| | | | - Andrea Furlan
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Department of Medicine, University of Toronto, Toronto, Canada.,Institute for Work & Health, Toronto, Toronto, Canada
| | - Nancy M Salbach
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Department of Physical Therapy, University of Toronto, UHN, Toronto, Canada
| | - Susan Jaglal
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Department of Physical Therapy, University of Toronto, UHN, Toronto, Canada
| | - Brian Chan
- KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada
| | - Jill I Cameron
- Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.,KITE - Toronto Rehabilitation Institute - UHN, Toronto, Canada.,Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
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5
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Choji Y, Kobayashi R. Preliminary analysis of the clinical feasibility of a practice intervention derived from the occupational therapy intervention process model for patients with stroke in the convalescence stage. Br J Occup Ther 2022. [DOI: 10.1177/03080226221135373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Introduction: This study lays the groundwork for the Occupational Therapy Intervention Process Model (OTIPM) run by occupational therapy practitioners for patients with stroke. We explored the feasibility of a treatment approach based on the OTIPM for patients with stroke and the clinical feasibility of evaluating the degree of a collaborative relationship between patients and occupational therapists. Method: This pilot trial was conducted as a one-group pre-test–post-test study and two-group comparison on 16 patients with stroke in the convalescence stage. We used the Canadian Occupational Performance Measure (COPM), Assessment of Motor and Process Skills (AMPS), Functional Independence Measure, Japan Stroke Scale of Motor Function, and the Collaborative Relationship Scale between clients and occupational therapists to assess outcomes. Results: Patients demonstrated a significant improvement on the outcome measures after intervention. Moreover, the good collaborative relationship group demonstrated significantly higher process skills in AMPS and satisfaction in COPM than the poor collaborative relationship group. Conclusion: This preliminary study revealed that short-term OTIPM for patients with stroke may be a feasible clinical practice. In addition, evaluating the degree of the difference in the collaborative relationship between patients and occupational therapists would be a feasible clinical practice.
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Affiliation(s)
- Yuki Choji
- Department of Occupational Therapy, Faculty of Medicine, Niigata University of Rehabilitation, Niigata, Japan
| | - Ryuji Kobayashi
- Department of Occupational Therapy, School of Health Science, Tokyo Metropolitan University, Tokyo, Japan
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6
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Nielsen KT, Guidetti S, von Bülow C, Klokker L, Wæhrens EE. Feasibility of ABLE 1.0-a program aiming at enhancing the ability to perform activities of daily living in persons with chronic conditions. Pilot Feasibility Stud 2021; 7:52. [PMID: 33602338 PMCID: PMC7891027 DOI: 10.1186/s40814-021-00790-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Accepted: 02/04/2021] [Indexed: 12/31/2022] Open
Abstract
Background The “A Better everyday LifE” (ABLE) intervention was developed to accommodate the need of a program addressing ability to perform activities of daily living (ADL) in persons with chronic conditions living at home. During intervention development, it is necessary to evaluate relevant aspects of the feasibility of a program. Thus, the aim was to evaluate the feasibility of content and delivery of ABLE version 1.0. Methods A one group pre- and post-test design was applied. Thirty persons with chronic conditions, two occupational therapists (OTs), and five occupational therapy students (OTSs) participated. ABLE 1.0 is an 8-week program consisting of ADL evaluation (session 1); goal setting and reasons for ADL problems (session 2); intervention (sessions 3–7); and re-evaluation (final session), conducted in the clients’ home-setting and local area. Sessions 1–4 and the final session was mandatory. To evaluate the feasibility of content and delivery, the OTs, after each session, reported on applied intervention component(s), time-use, needed equipment, adjustments, meaningfulness, confidence, progress toward goal attainment, and side effects using registration forms. The clients reported on progress toward goal attainment, meaningfulness, and satisfaction. Clinically relevant improvements in ADL ability were identified using the ADL-Interview (ADL-I) and the Assessment of Motor and Process Skills (AMPS). Goal attainment was evaluated using the Goal Attainment Scaling (GAS). Results Twenty clients (67%) completed ABLE 1.0 and received four sessions (median = 4, range 4–7) each lasting between 30 and 94 min. Most frequently applied component was “Changing habits related to task performance”. Generally, OTs reported having the needed equipment. Deviations from the manual were made by omission of GAS and AMPS and less than mandatory number of sessions per client. The OTs reported confidence in delivering the program and the clients perceived the program as meaningful and satisfying, and experienced progress toward goal attainment. Goal attainment was found in 52% of the goals. Sixteen (80%) clients obtained clinically relevant improvements in self-reported or observed ADL ability. Conclusions The content and delivery of ABLE 1.0 was feasible. However, the study revealed a need to adjust the recruitment procedure and make minor changes in the intervention manual. A pilot randomized controlled trial (RCT) study is recommended. Trial registration The study was registered at ClinicalTrials.gov with registration no. NCT03335709 on November 8, 2017. Supplementary Information The online version contains supplementary material available at 10.1186/s40814-021-00790-7.
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Affiliation(s)
- Kristina Tomra Nielsen
- Department of Occupational Therapy, University College of Northern Denmark (UCN), Selma Lagerløfs vej 2, DK-9220, Aalborg Ø, Denmark. .,The ADL Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark. .,The Research Initiative for Activity Studies and Occupational Therapy, Research Unit for General Practice, Department of Public Health, University of Southern Denmark (SDU), J.B. Winsløwsvej 9, DK-5000, Odense, Denmark.
| | - Susanne Guidetti
- Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Alfred Nobels Allé 23, SE-141 83, Huddinge, Sweden
| | - Cecilie von Bülow
- The ADL Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark.,The Research Initiative for Activity Studies and Occupational Therapy, Research Unit for General Practice, Department of Public Health, University of Southern Denmark (SDU), J.B. Winsløwsvej 9, DK-5000, Odense, Denmark
| | - Louise Klokker
- The Musculoskeletal Statistics Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark
| | - Eva Ejlersen Wæhrens
- The ADL Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark.,The Research Initiative for Activity Studies and Occupational Therapy, Research Unit for General Practice, Department of Public Health, University of Southern Denmark (SDU), J.B. Winsløwsvej 9, DK-5000, Odense, Denmark
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7
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Angelo M, Vass R, Flores Vazquez I, Pierre D, Del Vecchio T, Souder E. Association Between Outpatient Rehabilitation Therapy and Total Cost of Care for a Frail Elderly Population in a Medicare Accountable Care Organization. Popul Health Manag 2020; 24:110-115. [PMID: 32069183 DOI: 10.1089/pop.2019.0223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Frailty is a debilitating and increasingly costly condition in an elderly population equating to nearly $7.6 billion in Medicare spending in 2016. Understanding the burden of frailty and how to manage this population efficiently is of key importance in an accountable care organization. Using an operational, claims-derived definition of frailty, the authors set out to explore the association between therapy and total cost of care for the frail elderly population. Claims data were reviewed for nearly 94,000 beneficiaries to identify the burden of frailty in that population along with the association with therapy utilization. Nearly 10% of patients in the study populations were found to meet the operational definition of frailty. When the frail population is segmented into those who receive outpatient rehabilitation therapy and those who do not, outpatient rehabilitation therapy is associated with decreased cost at 13-32 therapy units delivered. Outside of this dose range, outpatient rehabilitation therapy was not associated with statistically significant improvements in total cost of care for this population. Results suggest that from the standpoint of population health management, utilization of outpatient rehabilitation services may be helpful to decrease costs in several domains. When that cost reduction is compared to therapy units delivered, it is demonstrated that outpatient rehabilitation therapy is associated with lower costs at a certain quantity of therapy. This study has implications for population health management of a frail elderly cohort as well as for managing preferred partnerships with therapy providers, given the wide array of therapy patterns delivered.
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Affiliation(s)
- Mark Angelo
- Delaware Valley Accountable Care Organization, Thomas Jefferson University, Radnor, Pennsylvania, USA
| | - Ryan Vass
- Delaware Valley Accountable Care Organization, Thomas Jefferson University, Radnor, Pennsylvania, USA
| | - Imelda Flores Vazquez
- Delaware Valley Accountable Care Organization, Thomas Jefferson University, Radnor, Pennsylvania, USA
| | - Daniella Pierre
- Delaware Valley Accountable Care Organization, Thomas Jefferson University, Radnor, Pennsylvania, USA
| | | | - Elizabeth Souder
- Delaware Valley Accountable Care Organization, Thomas Jefferson University, Radnor, Pennsylvania, USA
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8
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Lamarre J, Egan M, Kessler D, Sauvé-Schenk K. Occupational Performance Coaching in Assisted Living. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2020. [DOI: 10.1080/02703181.2019.1659466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Julie Lamarre
- School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada
| | - Mary Egan
- School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada
| | - Dorothy Kessler
- School of Rehabilitation Therapy, Queens University, Kingston, ON, Canada
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9
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Fritz H, Seidarabi S, Barbour R, Vonbehren A. Occupational Therapy Intervention to Improve Outcomes Among Frail Older Adults: A Scoping Review. Am J Occup Ther 2019; 73:7303205130p1-7303205130p12. [PMID: 31120843 DOI: 10.5014/ajot.2019.030585] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Frailty is common in later life and increases older adults' risk for early disability, institutionalization, and mortality. OBJECTIVE To explore the research literature on occupational therapy interventions to improve outcomes among frail, community-dwelling older adults. DESIGN Scoping review of the peer-reviewed literature about occupational therapy interventions and frailty published between January 1996 and January 2017. RESULTS Ten studies met the inclusion criteria. The majority of the studies focused on adults age 65 yr or older, operationalized frailty as activities of daily living disability, and did not use validated frailty measures to identify frail older adults. Interventions were delivered both as a stand-alone intervention and as part of a multidisciplinary approach. Treatments focused on recommendations and training in use of adaptive devices or assistive technologies, performance of self-care, and recommendations for home modifications. CONCLUSION Additional research is warranted to build the evidence base and better inform the design and selection of occupational therapy interventions to improve outcomes among frail older adults.
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Affiliation(s)
- Heather Fritz
- Heather Fritz, PhD, OTR/L, is Assistant Professor of Occupational Therapy and Gerontology, Eugene Applebaum College of Pharmacy and Health Sciences and Institute of Gerontology, Wayne State University, Detroit, MI;
| | - Sara Seidarabi
- Sara Seidarabi, MOT, is Occupational Therapy Student, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI
| | - Ryan Barbour
- Ryan Barbour, MOT, is Occupational Therapy Student, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI
| | - Alexandra Vonbehren
- Alexandra Vonbehren, MOT, is Occupational Therapy Student, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI
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10
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Making meaning around experiences in interventions: identifying meaningfulness in a group-based occupational therapy intervention targeting older people. AGEING & SOCIETY 2017. [DOI: 10.1017/s0144686x17000344] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
ABSTRACTThere is a need to understand the underlying mechanisms at work within health promotion and occupational therapy interventions. The aim of this article was, therefore, to explore and describe how the participants of a group-based occupational therapy intervention with positive health outcomes created meaning of and around their experiences of the intervention. The studied intervention was part of the evaluation of a single-blinded, exploratory randomised controlled trial of three different interventions. A total of 19 participants between 77 and 82 years of age with experiences from the group-based intervention were interviewed, and the transcribed interviews were analysed from a constructivist approach. The results showed five different perspectives of meaning, including enjoyment, usefulness, togetherness, respect for individuality and self-reflection. Based on our findings, we argue that the possibility of getting information, sharing with others and having fun, and the ability to adjust the activities in the intervention so that they met the individual's needs, created meaning for the participants. Moreover, meeting with others supported the participants’ perspectives of themselves. The results are discussed in relation to the pervasive discourse of successful ageing, including how it was present but also challenged within the participants’ accounts of the intervention.
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11
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Zingmark M, Nilsson I, Norström F, Sahlén KG, Lindholm L. Cost effectiveness of an intervention focused on reducing bathing disability. Eur J Ageing 2016; 14:233-241. [PMID: 28936134 PMCID: PMC5587451 DOI: 10.1007/s10433-016-0404-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
The onset of bathing disability among older people is critical for a decline in functioning and has implications for both the individuals’ quality of life and societal costs. The aim of this study was to evaluate long-term cost effectiveness of an intervention targeting bathing disability among older people. For hypothetical cohorts of community-dwelling older people with bathing disability, transitions between states of dependency and death were modelled over 8 years including societal costs. A five-state Markov model based on states of dependency was used to evaluate Quality-adjusted life years (QALYs) and costs from a societal perspective. An intervention group was compared with a no intervention control group. The intervention focused on promoting safe and independent performance of bathing-related tasks. The intervention effect, based on previously published trials, was applied in the model as a 1.4 increased probability of recovery during the first year. Over the full follow-up period, the intervention resulted in QALY gains and reduced societal cost. After 8 years, the intervention resulted in 0.052 QALYs gained and reduced societal costs by €2410 per person. In comparison to the intervention cost, the intervention effect was a more important factor for the magnitude of QALY gains and long-term societal costs. The intervention cost had only minor impact on societal costs. The conclusion was that an intervention targeting bathing disability among older people presents a cost-effective use of resources and leads to both QALY gains and reduced societal costs over 8 years.
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Affiliation(s)
- Magnus Zingmark
- Division of Occupational Therapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.,Graduate School in Population Dynamics and Public Policy, Umeå University, Umeå, Sweden.,Community Care Administration, Municipality of Östersund, 83182 Östersund, Sweden
| | - Ingeborg Nilsson
- Division of Occupational Therapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.,ALC (Ageing and Living Conditions), Umeå University, Umeå, Sweden
| | - Fredrik Norström
- Epidemiology and Public Health, Umeå University, 90187 Umeå, Sweden
| | - Klas Göran Sahlén
- Epidemiology and Public Health, Umeå University, 90187 Umeå, Sweden.,Department of Nursing, Umeå University, Umeå, Sweden
| | - Lars Lindholm
- Epidemiology and Public Health, Umeå University, 90187 Umeå, Sweden
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12
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Nielsen TL, Petersen KS, Nielsen CV, Strøm J, Ehlers MM, Bjerrum M. What are the short-term and long-term effects of occupation-focused and occupation-based occupational therapy in the home on older adults’ occupational performance? A systematic review. Scand J Occup Ther 2016; 24:235-248. [DOI: 10.1080/11038128.2016.1245357] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Tove Lise Nielsen
- Division of Rehabilitation, DEFACTUM, Central Denmark Region, Aarhus, Denmark
- VIA Department of Occupational Therapy, Aarhus, Denmark
| | | | - Claus Vinther Nielsen
- Department of Public Health, Section for Clinical Social Medicine and Rehabilitation, Aarhus University, Denmark
| | - Janni Strøm
- Division of Rehabilitation, DEFACTUM, Central Denmark Region, Aarhus, Denmark
- Silkeborg Regional Hospital, Interdisciplinary Research Unit, Elective Surgery Center, Denmark
| | | | - Merete Bjerrum
- Division of Rehabilitation, DEFACTUM, Central Denmark Region, Aarhus, Denmark
- Department of Public Health, Section for Nursing Science, Aarhus University, Denmark
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De Vriendt P, Peersman W, Florus A, Verbeke M, Van de Velde D. Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program. A Pragmatic Randomized Controlled Trial. J Nutr Health Aging 2016. [PMID: 26728931 DOI: 10.1007/s12603-015-0581-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION AND AIM In the ageing society, a considerable part of the older adults are frail. Frailty has a major impact on the individual's quality of life, independence and also on his environment. This study aimed to investigate - as a secondary prevention of disability - the effectiveness of a client-centred and activity-oriented intervention program for frail community living older adults. It was hypothesized that this program could be effective in improving basic Activities of Daily Living (b-ADL) and increasing Health Related Quality of Life (HRQoL). METHOD This study was a single blind randomized controlled trial with an intervention and a control group (pre-test-post-test control group design). Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate. Data were analysed using the intention-to-treat principle. RESULTS The intervention group (n = 86) experienced more improvement on b-ADL and HRQoL compared with the control group (n = 82). These effects were statistically significant for the b-ADL index (p = 0.013) and the 'physical subscale pain' (p = 0.049). DISCUSSION AND CONCLUSION These positive results can be seen as promising for further development of intervention strategies, although follow-up study should be conducted to determine long term effectiveness.
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Affiliation(s)
- P De Vriendt
- Patricia De Vriendt, Artevelde University College, Voetweg, 69, 9000 Ghent, Belgium, 00 32 479 654110,
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De Vriendt P, Peersman W, Florus A, Verbeke M, Van de Velde D. Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program. A Pragmatic Randomized Controlled Trial. J Nutr Health Aging 2016; 20:35-40. [PMID: 26728931 DOI: 10.1007/s12603-016-0673-6] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
INTRODUCTION AND AIM In the ageing society, a considerable part of the older adults are frail. Frailty has a major impact on the individual's quality of life, independence and also on his environment. This study aimed to investigate - as a secondary prevention of disability - the effectiveness of a client-centred and activity-oriented intervention program for frail community living older adults. It was hypothesized that this program could be effective in improving basic Activities of Daily Living (b-ADL) and increasing Health Related Quality of Life (HRQoL). METHOD This study was a single blind randomized controlled trial with an intervention and a control group (pre-test-post-test control group design). Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate. Data were analysed using the intention-to-treat principle. RESULTS The intervention group (n = 86) experienced more improvement on b-ADL and HRQoL compared with the control group (n = 82). These effects were statistically significant for the b-ADL index (p = 0.013) and the 'physical subscale pain' (p = 0.049). DISCUSSION AND CONCLUSION These positive results can be seen as promising for further development of intervention strategies, although follow-up study should be conducted to determine long term effectiveness.
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Affiliation(s)
- P De Vriendt
- Patricia De Vriendt, Artevelde University College, Voetweg, 69, 9000 Ghent, Belgium, 00 32 479 654110,
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Zingmark M, Nilsson I, Fisher AG, Lindholm L. Occupation-focused health promotion for well older people — A cost-effectiveness analysis. Br J Occup Ther 2015. [DOI: 10.1177/0308022615609623] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained. Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group. Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention. Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective.
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Affiliation(s)
- Magnus Zingmark
- Visiting Lecturer, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University, Sweden; Graduate School in Population Dynamics and Public Policy, Umeå University, Sweden
| | - Ingeborg Nilsson
- Senior Lecturer, Associate Professor, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University, Sweden; ALC (Ageing and Living Conditions), Umeå University, Sweden
| | - Anne G Fisher
- Professor, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University, Sweden; Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins, USA
| | - Lars Lindholm
- Professor, Epidemiology and Public Health, Umeå University, Sweden
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Von Bülow C, Amris K, La Cour K, Danneskiold-Samsøe B, Wæhrens EE. Ineffective ADL skills in women with fibromyalgia: a cross-sectional study. Scand J Occup Ther 2015; 23:391-7. [PMID: 26468666 DOI: 10.3109/11038128.2015.1095237] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Subgroups of women with fibromyalgia likely show different activity of daily living (ADL) skill deficits. Identifying ineffective ADL skills of significance in the 'typical' woman with fibromyalgia will promote the planning of targeted occupational therapy interventions aiming at improving ADL ability. OBJECTIVE To identify frequently reported ADL skill deficits of significance in subgroups of women with fibromyalgia who have decreased ADL motor ability in combination with decreased or competent ADL process ability. METHOD Women with fibromyalgia were evaluated with the Assessment of Motor and Process Skills (AMPS). If they demonstrated decreased ADL motor ability, the calibrated AMPS raters identified and reported ineffective ADL skills of significance. Descriptive comparisons were made between subgroups displaying either decreased or competent ADL process ability. RESULTS Moves, calibrates, bends, reaches, and paces were identified as the most frequently reported ineffective ADL skills of significance within the total sample (n = 188). The ADL process skills items organise and accommodate were identified as ineffective only in the subgroup with decreased ADL process ability (n = 105). CONCLUSION It is suggested that clinicians modify the individual's tasks and environments to compensate for identified ineffective ADL skills and to use the AMPS to differentiate interventions in women with fibromyalgia.
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Affiliation(s)
- Cecilie Von Bülow
- a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .,b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and.,c Metropolitan University College , Copenhagen , Denmark
| | - Kirstine Amris
- a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark
| | - Karen La Cour
- b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and
| | - Bente Danneskiold-Samsøe
- a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark
| | - Eva Ejlersen Wæhrens
- a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .,b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and
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Zingmark M, Fisher AG, Rocklöv J, Nilsson I. Occupation-focused interventions for well older people: an exploratory randomized controlled trial. Scand J Occup Ther 2014; 21:447-57. [PMID: 25022428 DOI: 10.3109/11038128.2014.927919] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this exploratory randomised controlled trial (RCT) was to evaluate three different occupation-focused interventions for well older people by estimating effect sizes for leisure engagement and ability in activities of daily living (ADL) and thereby identifying the most effective interventions. METHODS One hundred and seventy seven persons, 77-82 years old, living alone and without home help, were randomized to a control group (CG), an individual intervention (IG), an activity group (AG), and a one-meeting discussion group (DG). All interventions focused on occupational engagement and how persons can cope with age-related activity restrictions in order to enhance occupational engagement. Data were collected by blinded research assistants at baseline, three, and 12 months. Ordinal outcome data were converted, using Rasch measurement methods, to linear measures of leisure engagement and ADL ability. Standardized between-group effect sizes, Cohen's d, were calculated. RESULTS While all groups showed a decline in leisure engagement and ADL over time, the IG and the DG were somewhat effective in minimizing the decline at both three and 12 months. However, the effect sizes were small. CONCLUSIONS The findings indicate that occupation-focused interventions intended to minimize a decline in leisure engagement and ADL were sufficiently promising to warrant their further research.
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Affiliation(s)
- Magnus Zingmark
- Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University , Umeå , Sweden
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Gramstad A, Storli SL, Hamran T. Older individuals' experiences during the assistive technology device service delivery process. Scand J Occup Ther 2014; 21:305-12. [DOI: 10.3109/11038128.2013.877070] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Orellano E, Colón WI, Arbesman M. Effect of occupation- and activity-based interventions on instrumental activities of daily living performance among community-dwelling older adults: a systematic review. Am J Occup Ther 2013; 66:292-300. [PMID: 22549594 DOI: 10.5014/ajot.2012.003053] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
This systematic review examines the effectiveness of occupation- and activity-based interventions on community-dwelling older adults' performance of instrumental activities of daily living (IADLs). It was conducted as part of the American Occupational Therapy Association's Evidence-Based Practice Project. Forty studies met the inclusion criteria and were critically appraised and synthesized. Within occupation-based and client-centered interventions, the evidence that multicomponent interventions improve and maintain IADL performance in community-dwelling older adults is strong. The results also indicate that client-centered, occupation-based interventions can be effective in improving and maintaining IADL performance. The evidence is moderate for functional task exercise programs and limited for simulated IADL interventions to improve IADL performance. In the area of performance skills, the evidence related to physical activity and cognitive skills training is mixed, and the evidence that vision rehabilitation interventions improve IADL performance in older adults with low vision is moderate. Implications for practice, education, and research are also discussed.
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Affiliation(s)
- Elsa Orellano
- Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, San Juan, PR 00936-5067, USA.
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McNulty TC, Fisher AG. Comparison of Activities of Daily Living Ability of Older Adults Who Are Homebound and Nonhomebound. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2013. [DOI: 10.3109/02703181.2013.794186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Mulry CM. Transitions to Assisted Living: A Pilot Study of Residents’ Occupational Perspectives. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2012. [DOI: 10.3109/02703181.2012.741190] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Claire M. Mulry
- Department of Occupational Therapy, Quinnipiac University, Hamden, Connecticut, USA
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Pieramico V, Esposito R, Sensi F, Cilli F, Mantini D, Mattei PA, Frazzini V, Ciavardelli D, Gatta V, Ferretti A, Romani GL, Sensi SL. Combination training in aging individuals modifies functional connectivity and cognition, and is potentially affected by dopamine-related genes. PLoS One 2012; 7:e43901. [PMID: 22937122 PMCID: PMC3429431 DOI: 10.1371/journal.pone.0043901] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 07/27/2012] [Indexed: 01/12/2023] Open
Abstract
Background Aging is a major co-risk factor in many neurodegenerative diseases. Cognitive enrichment positively affects the structural plasticity of the aging brain. In this study, we evaluated effects of a set of structured multimodal activities (Combination Training; CT) on cognitive performances, functional connectivity, and cortical thickness of a group of healthy elderly individuals. CT lasted six months. Methodology Neuropsychological and occupational performances were evaluated before and at the end of the training period. fMRI was used to assess effects of training on resting state network (RSN) functional connectivity using Independent Component Analysis (ICA). Effects on cortical thickness were also studied. Finally, we evaluated whether specific dopamine-related genes can affect the response to training. Principal Findings Results of the study indicate that CT improves cognitive/occupational performances and reorganizes functional connectivity. Intriguingly, individuals responding to CT showed specific dopamine-related genotypes. Indeed, analysis of dopamine-related genes revealed that carriers of DRD3 ser9gly and COMT Val158Met polymorphisms had the greatest benefits from exposure to CT. Conclusions and Significance Overall, our findings support the idea that exposure to a set of structured multimodal activities can be an effective strategy to counteract aging-related cognitive decline and also indicate that significant capability of functional and structural changes are maintained in the elderly.
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Affiliation(s)
- Valentina Pieramico
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
- Molecular Neurology Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - Roberto Esposito
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
| | - Francesca Sensi
- Molecular Neurology Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - Franco Cilli
- Molecular Neurology Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - Dante Mantini
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
- Department of Neurosciences, Laboratory for Neuro- and Psychophysiology, Catholic University of Leuven, Leuven, Belgium
| | - Peter A. Mattei
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
| | - Valerio Frazzini
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
- Molecular Neurology Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - Domenico Ciavardelli
- Molecular Neurology Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
- Department of Biochemistry, School of Motor Sciences, Kore University of Enna, Enna, Italy
| | - Valentina Gatta
- Department of Psychological sciences, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
- Functional Genomics Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - Antonio Ferretti
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
| | - Gian Luca Romani
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
| | - Stefano L. Sensi
- Department of Neuroscience and Imaging, University “G. d’Annunzio” Chieti-Pescara, Chieti, Italy
- Molecular Neurology Unit, Center of Excellence on Aging, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
- Departments of Neurology and Pharmacology, University of California Irvine, Irvine, California, United States of America
- * E-mail:
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Holmqvist K, Kamwendo K, Ivarsson AB. Occupational therapists' practice patterns for clients with cognitive impairment following acquired brain injury: development of a questionnaire. Scand J Occup Ther 2011; 19:150-63. [DOI: 10.3109/11038128.2011.576428] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Wæhrens EE, Amris K, Fisher AG. Performance-based assessment of activities of daily living (ADL) ability among women with chronic widespread pain. Pain 2010; 150:535-541. [DOI: 10.1016/j.pain.2010.06.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2009] [Revised: 05/05/2010] [Accepted: 06/11/2010] [Indexed: 10/19/2022]
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Norberg EB, Boman K, Löfgren B. Impact of fatigue on everyday life among older people with chronic heart failure. Aust Occup Ther J 2010; 57:34-41. [DOI: 10.1111/j.1440-1630.2009.00847.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Parks R, Rasch EK, Mansky PJ, Oakley F. Differences in activities of daily living performance between long-term pediatric sarcoma survivors and a matched comparison group on standardized testing. Pediatr Blood Cancer 2009; 53:622-8. [PMID: 19533662 PMCID: PMC2825086 DOI: 10.1002/pbc.22101] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
BACKGROUND In a cross-sectional study examining late effects of pediatric sarcoma therapy, long-term survivors were evaluated on their activities of daily living (ADL) performance. PROCEDURE Thirty-two persons with Ewing sarcoma family of tumors, rhabdomyosarcoma, and non-rhabdomysarcoma-soft tissue sarcoma enrolled an average of 17 years after treatment. Participants were evaluated using the Assessment of Motor and Process Skills (AMPS) 1, a standardized observational evaluation of ADL task performance. Means and 95% confidence intervals for ADL motor and ADL process ability measures were calculated for four groups: (1) sarcoma survivors, (2) "well" adults matched for age and gender, (3) "well" adults matched for gender that were 10 years older, and (4) "well" adults matched for gender that were 20 years older. RESULTS ADL motor ability was significantly lower for sarcoma survivors than for the age- and gender-matched comparison group (P < 0.05). There was no significant difference between ADL motor ability of sarcoma survivors and the comparison group 10 years older, but sarcoma survivors had significantly better ADL motor ability (P < 0.05) than the oldest comparison group (20 years older). Sarcoma survivors had significantly worse ADL process ability than the age-matched group (P < 0.05). There was no difference in ADL process ability between the sarcoma survivors and comparison groups that were 10 and 20 years older. CONCLUSIONS This first report of a clinical evaluation of ADL limitation in pediatric sarcoma survivors treated with intensive multimodal cancer therapy suggests that influences on performance of daily life activities are more common than previously reported.
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Affiliation(s)
- Rebecca Parks
- Rehabilitation Medicine Department, Mark O. Hatfield Clinical Research Center, National Institutes of Health, Bethesda, Maryland, USA.
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