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Brusilovskiy E, Salzer MS, Pomponio Davidson A, Feeley C, Pfeiffer B. Using GPS and Self-Report Data to Examine the Relationship Between Community Mobility and Community Participation Among Autistic Young Adults. Am J Occup Ther 2024; 78:7803205160. [PMID: 38630651 PMCID: PMC11117466 DOI: 10.5014/ajot.2024.050552] [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: 04/19/2024] Open
Abstract
IMPORTANCE Community participation of autistic adults is important for health and well-being. Many clinical efforts and interventions aim to enhance community participation in this population. OBJECTIVE To empirically examine the relationship between community participation and community mobility. DESIGN A randomized controlled trial using data from baseline and 4- to 6-wk follow-up. SETTING Community organizations serving autistic adults in Philadelphia. PARTICIPANTS Sixty-three autistic young adults with data on community mobility and participation from a prior study on public transportation use. OUTCOMES AND MEASURES Participants were tracked with GPS-enabled cell phones over a 2-wk period. A spatiotemporal data mining algorithm was used to compute the total number of destinations, nonhome destinations, unique destinations, percentage of time spent outside the home, and median daily activity space area from the GPS data. The Temple University Community Participation measure was used to collect self-report data in 21 different areas, and total amount, breadth, and sufficiency of participation were calculated. RESULTS Moderate and statistically significant associations were found between community mobility and participation variables at baseline and follow-up. However, changes in community mobility were not related to changes in community participation. CONCLUSION Health policymakers and providers should consider community mobility as a factor that can affect community participation in autistic individuals. Plain-Language Summary: Lower levels of community participation among autistic young adults affect health outcomes and overall quality of life. Community mobility is often a barrier to community participation. An understanding of the relationship between community mobility and community participation can lead to occupational therapists tailoring specific interventions and policies that support autistic young adults to engage in important life activities within the community.
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Affiliation(s)
- Eugene Brusilovskiy
- Eugene Brusilovskiy, MUSA, is Director of Data Analytics, Department of Social and Behavioral Sciences, Temple University, Philadelphia, PA;
| | - Mark S Salzer
- Mark S. Salzer, PhD, is Professor, Department of Social and Behavioral Sciences, Temple University, Philadelphia, PA
| | - Amber Pomponio Davidson
- Amber Pomponio Davidson, MPH, is Research Coordinator, Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, PA
| | - Cecilia Feeley
- Cecilia Feeley, PhD, is Transportation Planner, Feeley Consulting, Wayne, NJ
| | - Beth Pfeiffer
- Beth Pfeiffer, PhD, OTR/L, BCP, FAOTA, is Associate Professor, Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, PA
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Burkhalter H, Zimmermann H. [The development of kinaesthetic competence in acute inpatient care: a feasibility study with a pre-posttest design]. Pflege 2024; 37:265-274. [PMID: 38204328 DOI: 10.1024/1012-5302/a000973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
Abstract
The development of kinaesthetic competence in acute inpatient care: a feasibility study with a pre-posttest design Abstract: Background: Most patients in acute care hospitals experience movement limitations due to surgery or a general deterioration of their condition. Therefore, nurses need a high level of competence in movement promotion. Aim: The aim of this study was to evaluate the feasibility of a three-day advanced kinaesthetics training course followed by six months of practical support to promote kinaesthetic competence in inpatient acute care and the competence development achieved as a result. Methods: The evaluation of the nurses' effectiveness was conducted using a pre- and post-measurement of kinaesthetic competence through a self-assessment questionnaire and an observation protocol. The evaluation of feasibility was done through a semi-structured questionnaire. Results: Eight nurses rated their kinaesthetics competence as good before (mean: 10,8 on a scale of 4-16) and very good after the intervention (mean: 13,2). The kinaesthetics trainer assessed the competence before as sufficient (mean: 9,4 on a scale of 4-16) and very good (mean: 14,5) after the practical support. The need to make practical support more flexible is highlighted in the qualitative data. Conclusion: The results demonstrate that a three-day training followed by six months of practical support has a positive impact on nurses' kinaesthetic competence.
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Affiliation(s)
- Hanna Burkhalter
- Pflegeentwicklung, Departement Pflege und Fachsupport, Kantonsspital Graubünden, Chur, Schweiz
| | - Hubert Zimmermann
- Fachverantwortlicher Kinästhetik, Departement Pflege und Fachsupport, Kantonsspital Graubünden, Chur, Schweiz
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Bhattacharyya KK, Molinari V, Black K, Whitbourne SK. Creating age-friendly nursing homes: The time is now. GERONTOLOGY & GERIATRICS EDUCATION 2023; 44:613-630. [PMID: 35950627 DOI: 10.1080/02701960.2022.2106981] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The current global age-friendly movement supports older adults by promoting different policies and services. However, there is a dearth of attention to nursing home (NH) residents as part of age-friendly movements. The pioneering idea of an age-friendly health system, i.e., the "4 Ms" model is significant for NHs and formative for further developments; however, it does not identify unique components of NH care. This article aims to identify specific aspects of person-centered care in the literature to advance the development of a standardized conceptual framework. Along with residents, NH staff and administrators are integral parts of NHs. Incorporating the central role of caregivers, this study proposes a new "8 Ms" framework to describe the age-friendly NH. The traditional 4 Ms model notes that everything related to care matters to residents, along with care related to medication, mobility, and mentation. The proposed age-friendly framework introduces five additional "M," i.e., meaningful care, motivation, moderation, modification, and monitoring. This framework is proposed to advance education, training, clinical practice, research, and advocacy to promote quality of care in NHs. Application of the 8 Ms framework may yield multiple benefits, assuring good quality of care to residents, caregivers' job satisfaction, and supporting NH management in providing residents optimal care.
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Affiliation(s)
- Kallol Kumar Bhattacharyya
- School of Aging Studies, University of South Florida, Tampa, Florida, USA
- College of Nursing & Health Sciences, Bethune-Cookman University, Daytona, Florida, USA
| | - Victor Molinari
- School of Aging Studies, University of South Florida, Tampa, Florida, USA
| | - Kathy Black
- School of Aging Studies, University of South Florida, Tampa, Florida, USA
| | - Susan Krauss Whitbourne
- Department of Gerontology, University of Massachusetts Boston, Boston, Massachusetts, USA
- Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, Massachusetts, USA
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Gattinger H, Ott S, Maurer C, Marty-Teuber B, Hantikainen V, Fringer A. Effect of an educational intervention on nurses' competence in activities of daily living support in end-of-life care using a pretest-posttest repeated measures design. BMC Palliat Care 2023; 22:119. [PMID: 37605181 PMCID: PMC10464419 DOI: 10.1186/s12904-023-01232-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 07/23/2023] [Indexed: 08/23/2023] Open
Abstract
BACKGROUND Most patients in specialized palliative care units need nursing support to perform activities of daily living (ADL), such as using a toilet or transferring out of a bed or chair. To deliver high-quality ADL support that facilitates patients' movement and protects nurses' musculoskeletal health, nurses need appropriate knowledge and skills. The objective of this study is to investigate the impact of education based on the "Advanced Kinaesthetics in Palliative care (AdKinPal) program" on the competence in Kinaesthetics, self-efficacy regarding ADL support in end-of-life care and musculoskeletal complaints of nurses from specialist palliative care units. METHODS A pretest-posttest repeated measures design was applied. The study took place in three specialised units for palliative care in Switzerland between June 2018 and April 2020. All the nurses who worked in participating wards (n = 62) and fulfilled the inclusion criteria were asked to participate. The intervention - the AdKinPal program - is an education-based training program conducted for six months. We took measurements using self-administered questionnaires at three points before and after the intervention. Using descriptive statistics, repeated measurement analysis of variance (ANOVA) and independent-samples t-tests, we analysed the participants' demographic characteristics as well as developments over time and relationships between the three outcome variables: Kinaesthetics competence, self-efficacy regarding ADL support in end-of-life care and musculoskeletal complaints. RESULTS Fifty-nine nurses and one physiotherapist participated, and 38 participants (63%) responded to all three questionnaires. The AdKinPal training improved the nurses' perceived Kinaesthetics competence and self-efficacy regarding ADL support in end-of-life care. Participants who reported lower back, neck or shoulder pain had a significantly lower Kinaesthetics competence. CONCLUSIONS The AdKinPal program can raise nurses' Kinaesthetics competence. Thereby, patients' autonomy and quality of life could be supported, and symptom management could be enhanced in a holistic manner. Furthermore, the AdKinPal program fosters nurses' self-efficacy in ADL support in end-of-life care. A strong sense of self-efficacy enhances professional well-being in many ways. Additionally, the nursing staff's musculoskeletal health can be promoted by enhancing their Kinaesthetics competence. TRIAL REGISTRATION DRKS00015908. Registration Date 23.11.2018.
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Affiliation(s)
- Heidrun Gattinger
- Institut of Applied Nursing Science, Eastern Switzerland University of Applied Sciences, Rosenbergstrasse 59, St. Gallen, Postfach, St. Gallen, 9001, Switzerland.
| | - Stefan Ott
- School of Management, Eastern Switzerland University of Applied Sciences, Rosenbergstrasse 59, St. Gallen, Postfach, St. Gallen, 9001, Switzerland
| | - Carola Maurer
- Institut of Applied Nursing Science, Eastern Switzerland University of Applied Sciences, Rosenbergstrasse 59, St. Gallen, Postfach, St. Gallen, 9001, Switzerland
| | | | - Virpi Hantikainen
- Department of Nursing Science, University of Turku, Turku, Turun yliopisto, 20014, Finland
| | - André Fringer
- ZHAW School of Health Sciences, Institute of Nursing, Katharina-Sulzer-Platz 9, Winterthur, 8400, Switzerland
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Townley G, Brusilovskiy E, Klein L, McCormick B, Snethen G, Salzer MS. Community Mental Health Center Visits and Community Mobility of People with Serious Mental Illnesses: A Facilitator or Constraint? Community Ment Health J 2022; 58:420-428. [PMID: 33813724 DOI: 10.1007/s10597-021-00821-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/27/2021] [Indexed: 11/26/2022]
Abstract
Mental health services and interventions have increasingly focused on the importance of community participation and mobility for people with serious mental illnesses (SMI). This study examined the role that visits to community mental health centers (CMHCs) may play in increasing community mobility of people with SMI. Eighty-nine adults with SMI receiving services at three CMHCS were tracked with GPS-enabled phones over a 13-day period. Findings revealed that participants visited more destinations on days they went to a CMHC compared to days they did not. They also spent more time out of the home and traveled greater distances. Results suggest that the benefits of visiting a mental health center appear to go beyond treatment outcomes, but also point to the possibility that obligations, whether to a clinic appointment or possibly vocational, educational, leisure, faith, or social commitments, may be an important stepping stone to more mobility and intentional, sustained community participation.
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Affiliation(s)
- Greg Townley
- Department of Psychology, Portland State University, 317 Cramer Hall, 1721 SW Broadway, Portland, OR, 97207, USA.
| | - Eugene Brusilovskiy
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, USA
| | - Louis Klein
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, USA
| | - Bryan McCormick
- Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, USA
| | - Gretchen Snethen
- Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, USA
| | - Mark S Salzer
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, USA
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Examining the relationship between community mobility and participation using GPS and self-report data. Soc Sci Med 2020; 265:113539. [PMID: 33234453 DOI: 10.1016/j.socscimed.2020.113539] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 08/20/2020] [Accepted: 11/16/2020] [Indexed: 01/17/2023]
Abstract
Higher levels of community mobility have been shown to be associated with better physical health, mental health, and quality of life. The ability to move about one's community is also expected to facilitate community participation, which is an aspect of health functioning. This study uses Global Positioning Systems (GPS) technology to track various dimensions of community mobility, such as destinations, time outside the home, and distance traveled, and examine the relationship between these variables and community participation in a sample of individuals with serious mental illnesses (SMI). This population was selected because they are known to have diminished health functioning in terms of their community participation, and the goal is to explore the extent to which mobility limitations may account for this. A total of 103 individuals with serious mental illnesses were recruited from mental health agencies and consented to having their mobility tracked using GPS for 13 days and answering questions about their community-based activities. Greater amount of participation was associated with having more destinations and spending more time out of the house, but not with traveling larger distances and having a greater activity space. None of the mobility variables were related to the number of important participation areas or sufficiency of participation. The findings support the hypothesis that greater mobility is related to more participation, although satisfaction with the degree to which one participates does not appear to be impacted, suggesting that other factors need to be accounted for. Health policymakers and providers should pay attention to community mobility as a factor that affects health outcomes such as participation, in individuals with serious mental illnesses, and other populations. In particular, attending to access to personal transport, public transportation, and other mobility options appears to be important, as well as interventions aimed at encouraging greater community mobility.
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Maurer C, Draganescu S, Mayer H, Gattinger H. Attitudes and needs of residents in long-term care facilities regarding physical activity-A systematic review and synthesis of qualitative studies. J Clin Nurs 2019; 28:2386-2400. [PMID: 30589972 DOI: 10.1111/jocn.14761] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 12/08/2018] [Accepted: 12/17/2018] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To identify the attitudes and needs of nursing home residents regarding physical activity. BACKGROUND Nursing home residents often have mobility problems and are at high risk for further mobility impairment. From their point of view, being physically active is an important part of their perceived quality of life. However, no study has synthesised existing qualitative literature on residents' attitudes and needs regarding physical activity. DESIGN Synthesis of qualitative studies. METHODS A systematic review and synthesis of qualitative studies was performed, using ENTREQ statement for reporting. Three databases (PubMed, CINAHL and PsycINFO) were searched, supplemented by a hand search. Qualitative studies published in English or German were included if they addressed the attitudes and needs of residents concerning the promotion of physical activities. Finally, 12 studies were critically reviewed, and a thematic synthesis was conducted. RESULTS Four analytical themes relating to residents' attitudes were identified: "promoting physical activity increases the quality of life," "accepting the conditions," "personal initiative is significant" and "promoting physical activity is not helpful." Relating to residents' needs, the analyses yielded five themes: "living autonomously," "continuing life as before," "competent care," "individually adapted programme and support," and "barrier-free accessibility." CONCLUSION Nursing home residents have different attitudes and needs regarding being physically active. It is important to perceive these attitudes and needs of each resident and to offer an individually adapted programme and support. Further research should consider motivational strategies for residents who are not very much familiar with being physically active and offer exercise programmes with individual parts to address residents' preferences. RELEVANCE TO CLINICAL PRACTICE To motivate and activate residents, institutions should be aware of residents' individual attitudes and needs regarding physical activity. Further development of interventions concerning mobility promotion activities and their implementation in long-term care settings should consider the outlined factors.
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Affiliation(s)
- Carola Maurer
- Institute for Applied Nursing Science, University of Applied Sciences FHS St. Gallen, St. Gallen, Switzerland
| | - Sever Draganescu
- University of Applied Sciences FHS St. Gallen, St. Gallen, Switzerland
| | - Hanna Mayer
- Department of Nursing Science, University of Vienna, Vienna, Austria
| | - Heidrun Gattinger
- Institute for Applied Nursing Science, University of Applied Sciences FHS St. Gallen, St. Gallen, Switzerland
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Gattinger H, Senn B, Hantikainen V, Köpke S, Ott S, Leino-Kilpi H. The self-reported and observed competence of nursing staff in mobility care based on Kinaesthetics in nursing homes - A cross-sectional study. Pflege 2018; 31:319-329. [PMID: 30117373 DOI: 10.1024/1012-5302/a000641] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND The majority of care-dependent persons living in nursing homes have mobility impairment affecting the physical, psychological, and social aspects of the persons' lives. Therefore, nursing staff needs competence to provide good mobility enhancing care. AIM This study assesses the self-reported and observed competence of nursing home staff in mobility care based on Kinaesthetics in order to increase attention about nursing staff's impact on nursing home residents' mobility. METHODS A cross-sectional study design involving a survey and an observational study was employed. Survey data were collected using the Kinaesthetics Competence Self-Evaluation (KCSE) scale. For the observational study, data were collected with a video camera and rated using the Kinaesthetics Competence Observation (KCO) instrument. Data were analysed using descriptive statistics, correlation methods and a generalised linear model. RESULTS The majority of survey participants (n = 180) indicated their competence in mobility care based on Kinaesthetics as very good (mean score 13, SD 1.44, on a scale from 4 to 16). The observed competence of nursing staff (n = 40) was good (mean score 10.8, SD 2.44, out of a possible score from 4 to 16). Positive correlations were found between self-reported or observed competence in mobility care based on Kinaesthetics and employment rate, work experience in nursing home care and Kinaesthetics training. CONCLUSION A combined assessment of self-evaluation and observation is recommended in order to get a comprehensive picture of knowledge, skills, attitude and dynamic state of nursing staffs' competence in mobility care based on Kinaesthetics.
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Affiliation(s)
- Heidrun Gattinger
- 1 Institute of Applied Nursing Science, University of Applied Science FHS St. Gallen, Switzerland
| | - Beate Senn
- 1 Institute of Applied Nursing Science, University of Applied Science FHS St. Gallen, Switzerland
| | | | - Sascha Köpke
- 3 Institute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany
| | - Stefan Ott
- 1 Institute of Applied Nursing Science, University of Applied Science FHS St. Gallen, Switzerland
| | - Helena Leino-Kilpi
- 2 Department of Nursing Science, University of Turku, Finland.,4 Turku University Hospital, Finland
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