scholarly journals Perspectives of substitute decision‐makers and staff about person‐centred physical activity in long‐term care

2021 ◽  
Author(s):  
Charlene H. Chu ◽  
Amanda M. L. Quan ◽  
Freya Gandhi ◽  
Katherine S. McGilton
Keyword(s):  
Physical Activity ◽  
Long Term Care ◽  
Decision Makers ◽  
Term Care ◽  
Substitute Decision Makers

scholarly journals Lessons Learned From the Function and Behavior Focused Care Trial: From Efficacy to Implementation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 776-776
Author(s):  
Elizabeth Galik ◽  
Marie Boltz
Keyword(s):  
Physical Activity ◽  
Cognitive Theory ◽  
Long Term Care ◽  
Lessons Learned ◽  
Care Staff ◽  
Cognitively Impaired ◽  
Dissemination And Implementation ◽  
Term Care ◽  
And Behavior

Abstract Long term care residents with dementia are sedentary, experience rapid functional decline, and frequently exhibit behavioral and psychological symptoms of dementia. Our prior cluster, randomized controlled trial among 336 residents with moderate to severe dementia in 12 nursing homes demonstrated that it is possible to increase time spent in physical activity and decrease resistiveness to care through a theory based intervention, Function and Behavior Focused Care (FBFC). FBFC is based on the Social Ecological Model and Social Cognitive Theory and focuses on having long term care staff cue, model, and assist residents with dementia to engage in physical activity and perform functional tasks. Learning from prior work, it was noted that future implementation of FBFC would benefit from de-implementing inaccurate care practices, such as restricting resident mobility and providing custodial care and also by engaging a full stakeholder team in intervention activities. Additionally, there were measurement issues, such as the use of actigraphy with a sedentary, cognitively impaired population, and the need to assess the quality of care interactions between residents and staff. This symposium will review lessons learned from the FBFC trial and will discuss 1) facilitators and barriers to the implementation of the FBFC intervention within long term care settings; 2) measurement opportunities and challenges with a cognitively impaired long term care population; and 3) adaptation of the FBFC intervention to be appropriate for a dissemination and implementation trial that incorporates the Synthesis Model of De-Adoption and the Evidence Integration Triangle implementation strategy.

The development of the MIBBO: A measure of resident preferences for physical activity in long term care settings

2015 ◽  
Vol 36 (4) ◽  
pp. 261-266 ◽  
Author(s):  
Melanie Kleynen ◽  
Susy M. Braun ◽  
Kim van Vijven ◽  
Erik van Rossum ◽  
Anna J. Beurskens
Keyword(s):  
Physical Activity ◽  
Long Term Care ◽  
Term Care

Factors Influencing the Physical Activity of Older Adults in Long-Term Care: Administrators’ Perspectives

2009 ◽  
Vol 17 (2) ◽  
pp. 181-195 ◽  
Author(s):  
Kathleen Benjamin ◽  
Nancy Edwards ◽  
Wenda Caswell
Keyword(s):  
Physical Activity ◽  
Built Environment ◽  
Physical Environment ◽  
Long Term Care ◽  
Optimal Conditions ◽  
Term Care ◽  
For Profit ◽  
Activity Program ◽  
Physical Activity Programs

In 2006, the authors conducted a multisite qualitative study in Ottawa, Ontario, Canada to examine organizational and environmental factors that influence physical activity for long-term-care (LTC) residents. The article describes the results of interviews with 9 administrators from nonprofit and for-profit LTC facilities. A content analysis revealed that despite having positive views about the value of physical activity, the administrators encountered challenges related to funding, human resources, and the built (physical) environment. The intersection of staffing issues and challenges in the built environment created less than optimal conditions for physical activity programs. Findings suggest that until there are adequate human and financial resources, it will be difficult to implement evidence-informed physical activity programs for residents in LTC settings in Ontario. A review of provincial LTC standards for physical activity program requirements and the built environment is warranted.

An Administrator's Perspective on the Organization of Physical Activity for Older Adults in Long-Term Care Facilities

2016 ◽  
Vol 17 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Veerle Baert ◽  
Ellen Gorus ◽  
Koen Calleeuw ◽  
Werner De Backer ◽  
Ivan Bautmans
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

Recommendations on Physical Activity and Exercise for Older Adults Living in Long-Term Care Facilities: A Taskforce Report

2016 ◽  
Vol 17 (5) ◽  
pp. 381-392 ◽  
Author(s):  
Philipe de Souto Barreto ◽  
John E. Morley ◽  
Wojtek Chodzko-Zajko ◽  
Kaisu H. Pitkala ◽  
Elizabeth Weening-Djiksterhuis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Physical Activity And Exercise

scholarly journals Stories of the Experience of Searching for Long-Term Care and Eldercare: Case Study and Narrative Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 76-76
Author(s):  
Connie Corley ◽  
Ryan McCarty
Keyword(s):  
Home Health Care ◽  
Adult Children ◽  
Long Term Care ◽  
Policy Research ◽  
Decision Makers ◽  
Term Care ◽  
Research Education ◽  
The Us

Abstract With over 40 million individuals aged 65 years and older in the US, and by 2050 rising to an estimated 89 million, age matters, driving an increased need for long-term care/eldercare. Coupled with the higher costs of care, the search for long-term care/eldercare services can be a difficult prospect for adult children decision-makers. We present the experiences of adult children decision-makers in the US, using two methodological approaches: narrative and case study using autoethnography. In a narrative inquiry of 9 caregivers responsible for making long-term care/eldercare decisions for their parent(s) the zoom model was applied to conduct the analysis. Findings suggest that decision-makers have a strong sense of duty towards helping their loved ones find long-term care solutions. Decision-makers searched for many types of care solutions ranging from home health care to nursing homes. The experiential response most consistently stated by the participants was stress. These results are augmented by an autoethnographic case study in “six acts” illustrating how sense of agency in the caregiving journey can be enhanced. Participants with industry experience had a minimal advantage over those with no experience when it came to navigating the search for long-term/eldercare. We highlight why stories of family search for long-term care/eldercare matter, and how they can be leveraged for fundraising, advocacy, and healing. Implications for policy, research, education and practice are highlighted.

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