Search results for ‘Author:"kroll thilo"’ Sort:
Results 1 - 3 of 3
The state and context of evidence production and knowledge translation in the rehabilitation of people with Alzheimer’s Disease
- Authors:
- KROLL Thilo, NAUE Ursula
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 10(1), February 2011, pp.19-34.
- Publisher:
- Sage
To date, rehabilitation has played only a marginal role in the management and treatment of people with Alzheimer’s disease (AD). This literature review explores the potential for rehabilitative approaches in dementia care. Seventy six studies were included in the final review which focused on the current state of research evidence for rehabilitation related to Alzheimer’s Disease (AD). The article also sets out to critically appraise the concept of ‘evidence’ in the context of rehabilitation methodology. Implications for future research are discussed along with the challenges of translating the findings to the practical delivery of care. The tendency to marginalise rehabilitation in dementia care may reflect a fatalistic view of rehabilitation for people with advanced AD. However, the authors argue that with a greying population, and no cure as yet, rehabilitation approaches to AD care will become increasingly important. There are numerous definitions of rehabilitation but most focus on personalisation and include the concepts of personal autonomy, optimum well-being and participation. Preliminary evidence suggests that early and individualised cognitive rehabilitation interventions hold promise but are not often embedded in comprehensive rehabilitation programmes. Much research to date is cognition, drug and carer centric and does not fully include users; most studies focus on the milder stages of the disease.
Bridging policies and practice: challenges and opportunities for the governance of disability and ageing
- Authors:
- NAUE Ursula, KROLL Thilo
- Journal article citation:
- International Journal of Integrated Care, 10(2), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
In the context of an increasingly ageing society, it is argued that ageing and disability represent two policy fields which need to be jointly re-thought. It is noted that the two policy fields are based upon different presuppositions. Also, disability and ageing interest groups set different agendas. To create a policy framework for disability and ageing, shared political priorities need to be developed and current disability and ageing policies and the objectives formulated by diverse interest groups in both fields need to be re-thought.
Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: a qualitative inquiry
- Authors:
- KROLL Thilo, et al
- Journal article citation:
- Health and Social Care in the Community, 14(4), July 2006, pp.284-293.
- Publisher:
- Wiley
Individuals with physical disabilities are less likely to utilise primary preventive healthcare services than the general population. At the same time they are at greater risk for secondary conditions and as likely as the general population to engage in health risk behaviours. This qualitative exploratory study had two principal objectives: (1) to investigate access barriers to obtaining preventive healthcare services for adults with physical disabilities and (2) to identify strategies to increase access to these services. The authors conducted five focus group interviews with adults (median age: 46) with various physically disabling conditions. Most participants were male Caucasians residing in Virginia, USA. Study participants reported a variety of barriers that prevented them from receiving the primary preventive services commonly recommended by the US Preventive Services Task Force.The authors used a health services framework to distinguish structural–environmental (to include inaccessible facilities and examination equipment) or process barriers (to include a lack of disability-related provider knowledge, respect, and skilled assistance during office visits). Participants suggested a range of strategies to address these barriers including disability-specific continuing education for providers, the development of accessible prevention-focused information portals for people with physical disabilities, and consumer self-education, and assertiveness in requesting recommended services. Study findings point to the need for a more responsive healthcare system to effectively meet the primary prevention needs of people with physical disabilities. The authors propose the development of a consumer- and provider-focused resource and information kit that reflects the strategies that were suggested by study participants.