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Occupational therapy: supporting people living in care homes
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- College of Occupational Therapists
- Publication year:
- 2013
- Pagination:
- 5
- Place of publication:
- London
An outline of how occupational therapists can help care home residents to develop a routine that improves quality of life, provide advice, ideas and equipment to support people to carry out activities that they enjoy or want to do, and offer solutions to difficulties with communication, memory or the environment. (Original abstract)
The experience of engaging in occupation following stroke: a qualitative meta-synthesis
- Authors:
- WILLIAMS Shoshannah, MURRAY Carolyn
- Journal article citation:
- British Journal of Occupational Therapy, 76(8), 2013, pp.370-378.
- Publisher:
- Sage
Introduction: A meta-synthesis is a means of extracting data from multiple qualitative studies about the same topic, re-analysing the findings and bringing them together as a collective whole. Data from six qualitative studies that investigated the experience of engaging in occupation following a stroke were extracted and reanalysed with the purpose of gaining a greater understanding of the subjective experience to inform occupational therapy practice. Methods: Six databases were systematically searched for literature published in English during 1990–2011. Seven studies were appraised using the Critical Appraisal Skills Programme tool; six of these were included in the meta-synthesis. Findings: Five conceptual themes regarding occupational engagement emerged from the review: an emotional response, impact on identity, role of significant others, community access and the process of occupational adaptation. Conclusion: Engagement in occupation following a stroke is linked to self-identity and an emotional response; both of these, in turn, have an impact on capacity for occupational adaptation. Individuals are situated within a context of significant others and community. These findings give occupational therapists greater insight into the experience of older people following stroke in community settings. (Publisher abstract)
Factors that influence the occupational engagement of older adults with low vision: a scoping review
- Authors:
- McGRATH Colleen E., RUDMAN Debbie Laliberte
- Journal article citation:
- British Journal of Occupational Therapy, 76(5), 2013, pp.234-241.
- Publisher:
- Sage
Introduction: Prior research has provided occupational therapists with an understanding of the negative impact of low vision on self care, leisure and productivity. In order to guide future low-vision rehabilitation services, an understanding of the factors that influence the occupational engagement of older adults with age-related vision loss (ARVL) is also needed. Method: A scoping review of the literature was conducted in order to identify those factors that have been shown to influence the occupational engagement of older adults with ARVL, and to identify future research needs. Findings: As identified in this scoping review, five types of factors were shown to influence occupational engagement for older adults with ARVL including: demographic variables, emotional components, behavioural components, diagnostic components, and environmental aspects. Conclusion: Although findings pertaining to personal factors can inform practice, few studies explored the influence of environmental factors on occupational engagement. Given that occupation is a result of person-environment transactions, it is important that future research more fully explores environmental influences in order to enable occupational therapists to deliver services that optimize the occupational performance of seniors with ARVL. (Publisher abstract)
The effectiveness of local authority social services' occupational therapy for older people in Great Britain: a critical literature review
- Authors:
- BONIFACE Gail, et al
- Journal article citation:
- British Journal of Occupational Therapy, 76(12), 2013, pp.538-547.
- Publisher:
- Sage
This literature review systematically selected, critically appraised, and thematically synthesized the post 2000 published and unpublished evidence on the effectiveness and cost effectiveness of occupational therapy interventions for older people in social care services. Identified themes established: the localized nature of social care services for older people; organizational and policy impacts on services, and factors influencing effectiveness and cost effectiveness. Although occupational therapists are increasingly involved in rehabilitation and reablement, there is a continuing focus on equipment and adaptations provision. A high level of service user satisfaction was identified, once timely occupational therapy services were received. Overall, occupational therapy in social care is perceived as effective in improving quality of life for older people and their carers, and cost effective in making savings for other social and healthcare services. However, the complex nature of social care services makes it difficult to disaggregate the effectiveness of occupational therapy from other services. (Edited publisher abstract)
Evaluation of an agency-based occupational therapy intervention to facilitate aging in place
- Authors:
- SHEFFIELD Chava, SMITH Charles A., BECKER Mary
- Journal article citation:
- Gerontologist, 53(6), 2013, pp.907-918.
- Publisher:
- Oxford University Press
Purpose: The United States faces a growing population of older adults and accompanying functional disabilities, coupled with constrained public resources and diminishing informal supports. A variety of interventions that aim to improve client outcomes have been studied, but to date, there is limited translational research that examines the efficacy of moving such interventions from clinical trials to agency settings. Methods: A randomized controlled trial was conducted to evaluate a restorative occupational therapy intervention relative to “usual care” among community-dwelling older adults. The intervention included a detailed assessment from a person–environment perspective and provision of adaptive equipment and home modifications where appropriate. The intervention (n = 31) and control groups (n = 29) were evaluated at 3 months and assessed for changes in functional status, home safety, falls, health-related quality of life (HRQoL; EQ5D), depression, social support, and fear of falling; a 4 subgroup analysis also examined outcomes by waiting list status. An informal economic evaluation compared the intervention to usual care. Results: Findings indicated improvements in home safety (p < .0005, b = −15.87), HRQoL (p = .03, b = 0.08), and fear of falling (p < .05, b = 2.22). Findings did not show improvement in functional status or reduction in actual falls. The intervention resulted in a 39% reduction in recommended hours of personal care, which if implemented, could result in significant cost savings. Implications: The study adds to the growing literature of occupational therapy interventions for older adults, and the findings support the concept that restorative approaches can be successfully implemented in public agencies. (Publisher abstract)
Living well through activity in care homes: occupational therapists
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Editors:
- TANCOCK Karin, ROBERTS Julia
- Publishers:
- College of Occupational Therapists, British Association of Occupational Therapists
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
This is one of five separate sections of Living well through activity in care homes: the toolkit which has been developed by the College of Occupational Therapists (COT). This short guide concentrates on the role of occupational therapists in actively helping to support care homes in: highlighting to care home owners and managers the added value of occupational therapy; raising the profile of occupational therapists, enabling care home staff to gain access to specialist guidance and advice on adaptations, and strategies and techniques to help residents maximise their abilities. It includes links to other COT resources. (Original abstract)
Living well through activity in care homes: care home commissioners and inspectors
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Editors:
- TANCOCK Karin, ROBERTS Julia
- Publishers:
- College of Occupational Therapists, British Association of Occupational Therapists
- Publication year:
- 2013
- Pagination:
- 73
- Place of publication:
- London
This is one of five separate sections of Living well through activity in care homes: the toolkit which has been developed by the College of Occupational Therapists (COT). It includes the text of the guide for care come residents, their family and friends, before the main sections that are specifically for home commissioners and inspectors. These related to: how quality is measured (includes forms; so the user is required to save the PDF before making any changes); and using the business case to shape the caree home culture. Also included are links to occupational therapy leaflets. (Original abstract)
Living well through activity in care homes: the toolkit
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Publishers:
- College of Occupational Therapists, British Association of Occupational Therapists
- Publication year:
- 2013
- Place of publication:
- London
The toolkit is a free online resource of practical ideas on how to support care home residents to live their lives doing the day-to-day activities that are important to them. The toolkit promotes dignity and respect, mental and physical wellbeing, and integration into the community. It includes free training materials and audit tools to review aspects of care such as personalisation and choice. Developed by the College of Occupational Therapists (COT), the Toolkit consists of five separate section aimed at different audiences including: care home residents, their family and friends; care home staff, owners and managers; commissioners and inspectors; and occupational therapists. (Edited publisher abstract)
Living well through activity in care homes: the guide for residents, their family and friends
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Editors:
- TANCOCK Karin, ROBERTS Julia
- Publishers:
- College of Occupational Therapists, British Association of Occupational Therapists
- Publication year:
- 2013
- Pagination:
- 33
- Place of publication:
- London
This is one of five separate sections of Living well through activity in care homes: the toolkit which has been developed by the College of Occupational Therapists (COT). The guide for residents, their family and friends offers advice on best practice in terms of residents’ rights to engage in daily activities that support their health and wellbeing. It comprises sections on making the most of living in a care home; why being active is important; the key elements to ensure a good home life; and making a life history. It also includes links to occupational therapy leaflets and to resources of other organisations. (Original abstract)
Occupational therapy research for the ageing European population: challenges and opportunities
- Author:
- IWARSSON Susanne
- Journal article citation:
- British Journal of Occupational Therapy, 76(4), 2013, pp.203-205.
- Publisher:
- Sage
The ageing society is one of the grand challenges of our time, and European researchers are encouraged to cooperate to contribute to the knowledge development required to turn the challenges into sustainable solutions. There is a need for interdisciplinary, cross-national research to increase the understanding of the European diversity of ageing. Against this background, this opinion piece focuses on the implications for occupational therapy research. The occupational therapy perspective is strong and future oriented, with great potential to support active and healthy ageing. This article challenges occupational therapy research traditions and outlines avenues for future developments. (Publisher abstract)