scholarly journals Promoting functional independence in people with Alzheimer's disease: Outcomes of a home-based occupational therapy intervention in Spain

2018 ◽  
Vol 26 (5) ◽  
pp. 734-743
Author(s):  
Adriana Ávila ◽  
Iván De-Rosende-Celeiro ◽  
Gabriel Torres ◽  
Mirian Vizcaíno ◽  
Manuel Peralbo ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Occupational Therapy ◽  
Functional Independence ◽  
Disease Outcomes ◽  
Home Based ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

scholarly journals The Home-Based Occupational Therapy Intervention in the Alzheimer's Disease Multiple Intervention Trial (ADMIT)

2015 ◽  
Vol 31 (1) ◽  
pp. 19-34 ◽  
Author(s):  
Arlene A. Schmid ◽  
Carrie Spangler-Morris ◽  
Rachel C. Beauchamp ◽  
Miranda C. Wellington ◽  
Whitney M. Hayden ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Occupational Therapy ◽  
Intervention Trial ◽  
Home Based ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention ◽  
Multiple Intervention

A process evaluation of a home-based occupational therapy intervention for Parkinson’s patients and their caregivers performed alongside a randomized controlled trial

2016 ◽  
Vol 30 (12) ◽  
pp. 1186-1199 ◽  
Author(s):  
Ingrid HWM Sturkenboom ◽  
Maria WG Nijhuis-van der Sanden ◽  
Maud JL Graff
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Randomized Controlled Trial ◽  
Occupational Therapy ◽  
Contextual Factors ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Home Based ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Objective: To evaluate fidelity, treatment enactment and the experiences of an occupational therapy intervention in Parkinson’s disease, to identify factors that affect intervention delivery and benefits. Design: Mixed methods alongside a randomized controlled trial. Subjects: These include 124 home-dwelling Parkinson’s disease patients and their primary caregivers (recipients), and 18 occupational therapists. Intervention: Ten-week home-based intervention according to the Dutch guidelines for occupational therapy in Parkinson’s disease. Main measures: Data were collected on intervention dose, protocol process, content of treatment (fidelity), offered and performed strategies (treatment enactment), and recipients’ experiences. Therapists’ experiences were collected through case note analyses and focus group interviews. Results: Mean intervention dose was 9.3 (SD 2.3) hours. Mean protocol process adherence was high (93%; SD 9%), however the intervention did not (fully) address the goal for 268 of 617 treatment goals. Frequencies of offered and performed strategies appeared similar, apart from ‘using other tools and materials’ which showed a drop from 279 advised to 149 used. The recipients were satisfied overall with the intervention (mean score 8 out of 10). The therapists noted positive or negative influencing factors on both process and benefits: the research context, the socio-political healthcare context, the recipients’ personal and contextual factors, and the therapists’ competence. Conclusion: We found some prerequisite factors in equipment provision and available dose important for treatment delivery. Other elicited factors related to, or affected, the required professional competencies and tools to tailor interventions to the complexity of interacting personal and contextual factors of patients and caregivers.

scholarly journals The effectiveness of home-based exercise programmes on mobility and functional independence in community-dwelling adults with Alzheimer's disease: a critical review

2019 ◽  
Vol 26 (10) ◽  
pp. 1-14
Author(s):  
Samantha Rachael Brown ◽  
Samantha Yoward
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
English Language ◽  
Functional Independence ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Trial Quality ◽  
People With Dementia ◽  
Home Based ◽  
Exercise Programmes

Background/Aims In the UK, two-thirds of people with dementia are community-dwelling. Guidelines recommend exercise to promote independence among this population, however evidence to support this is scarce. This study aimed to evaluate the effectiveness of home-based exercise programmes on mobility and functional independence in people with Alzheimer's disease living in the community. Methods The following electronic databases were searched: AMED, CINAHL, EMBASE, Medline, SPORTsDiscus, The Cochrane Library, PEDro, OpenGrey and Online Thesis. All included trials were assessed for methodological quality using PEDro bias scores and McMaster's Critical Appraisal Tool and Guideline. English language restrictions were applied. Results A total of seven trials were included within the review. Trial quality was mixed. All trials reported measures for mobility, while five trials included measures of functional independence. Results for the effectiveness of home-based exercise on mobility were mixed, with only two studies reporting significant improvements. Functional independence significantly improved in all trials. Conclusions The effectiveness of home-based exercise programmes on mobility in community-dwelling people with Alzheimer's disease remains inconclusive, while a growing body of evidence indicates its effectiveness in improving functional independence. However, high quality trials are scarce. Larger, randomised, controlled trials specific to this population are thus warranted.

scholarly journals A qualitative study of Irish parents’ views on hippotherapy, including its influence on their children’s home-based occupations

2019 ◽  
Vol 47 (1) ◽  
pp. 42-57
Author(s):  
Rachel O’Mahony ◽  
Emma Connolly ◽  
Patrick Hynes
Keyword(s):  
Occupational Therapy ◽  
Effective Means ◽  
Intervention Programme ◽  
Content Type ◽  
Positive Effects ◽  
Home Based ◽  
Children’S Participation ◽  
Children's Participation ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Purpose Hippotherapy is an emerging area of paediatric occupational therapy practice in Ireland. It is a treatment strategy used by specially trained occupational therapy practitioners, physical therapists and speech language pathologists as part of the intervention programme to facilitate functional gains. This paper aims to explore parents’ perspectives on children’s participation in home-based occupations following hippotherapy treatment. Design/methodology/approach Qualitative, semi-structured interviews were conducted with eight participants. Interviews were audio-recorded and transcribed verbatim. In accordance with thematic analysis, line-by-line coding was completed to identify codes. Codes were organised into categories, which were grouped to develop themes. Findings Three core themes were identified: lack of knowledge regarding hippotherapy as an occupational therapy intervention; children’s increased participation in home-based occupations secondary to improved physical, psychological, communication and social skills; and the unique hippotherapy environment as a motivating factor for children to engage in occupational therapy intervention. Originality/value Findings from this study support the growing body of evidence that hippotherapy is an effective means of intervention for increasing physical, psychological, social and communication skills. The participants report positive effects following hippotherapy on their children’s participation in home-based occupations. It highlights a link between the unique hippotherapy environment and children’s increased engagement in occupational therapy. Given that no published hippotherapy-specific literature related to occupational therapy exists in the Irish context, and given that hippotherapy is an emerging area of practice in Ireland, this paper contributes to the knowledge base.

scholarly journals Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

2021 ◽  
Vol 18 (24) ◽  
pp. 12877
Author(s):  
Patricia García-Pérez ◽  
María del Carmen Rodríguez-Martínez ◽  
José Pablo Lara ◽  
Carlos de la Cruz-Cosme
Keyword(s):  
Occupational Therapy ◽  
Hospital Discharge ◽  
Intervention Program ◽  
Functional Independence ◽  
Rehabilitation Service ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Joint Decision ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Stroke is the leading cause of acquired disability in adults which is a cerebrovascular disease of great impact in health and social terms, not only due to its prevalence and incidence but also because of its significant consequences in terms of patient dependence and its consequent impact on the patient and family lives. The general objective of this study is to determine whether an early occupational therapy intervention at hospital discharge after suffering a stroke has a positive effect on the functional independence of the patient three months after discharge—the patient’s level of independence being the main focus of this research. Data will be collected on readmissions to hospitals, mortality, returns to work and returns to driving, as well as an economic health analysis. This is a prospective, randomized, controlled clinical trial. The sample size will be made up of 60 patients who suffered a stroke and were discharged from the neurology unit of a second-level hospital in west Malaga (Spain), who were then referred to the rehabilitation service by the joint decision of the neurology and rehabilitation department. The patients and caregivers assigned to the experimental group were included in an early occupational therapy intervention program and compared with a control group that receives usual care.

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