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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)
Proceed with caution: practice panel staff from Leeds primary care trust and Leeds social services
- Authors:
- DAWSON Jackie, RYAN Mick
- Journal article citation:
- Community Care, 5.12.02, 2002, pp.42-43.
- Publisher:
- Reed Business Information
Considers the case of a disabled man in care whose sister is determined to look after him in her home. His ability to make an informed choice is critical; psychiatric opinion may be needed if capacity is in question. If there is a lack of capacity, guardianship may be considered. The involvement of the intermediate care team would enable any potential rehabilitation issues to be tackled. This meeting would enable all professionals to highlight concerns and potential problems, should equipment and social care not be in place.
Home care for children dependent on medical technology: the family perspective
- Authors:
- PETR Christopher G., MURDOCK Beatriz, CHAPIN Rosemary
- Journal article citation:
- Social Work in Health Care, 21(1), 1995, pp.5-22.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Children who are dependent on medical technology present unique challenges to families and professionals who attempt to care for them at home. This longitudinal, exploratory study examines the placement threatening crises experienced over an eighteen month period by four such families in Minnesota. The findings encourage development of a family support model of placement prevention for this population, as opposed to a crisis intervention model.
Randomised controlled trial of effect of intervention by psychogeriatric team on depression in frail elderly people at home
- Authors:
- BANERJEE Sube, et al
- Journal article citation:
- British Medical Journal, 26.10.96, 1996, pp.1058-1061.
- Publisher:
- British Medical Association
Investigates the efficacy of intervention by a psychogeriatric team in the treatment of depression in elderly disabled people receiving home care from their local authority.