PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS最新文献_第10页

The Role of Confidence in Family Caregiving for People with Dementia 信心在家庭照顾痴呆症患者中的作用

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-05-14 DOI: 10.1080/02703181.2020.1762824

Rosanne DiZazzo-Miller, F. Pociask, D. Adamo

{"title":"The Role of Confidence in Family Caregiving for People with Dementia","authors":"Rosanne DiZazzo-Miller, F. Pociask, D. Adamo","doi":"10.1080/02703181.2020.1762824","DOIUrl":"https://doi.org/10.1080/02703181.2020.1762824","url":null,"abstract":"Abstract Objective: A lack of confidence directly impacts caregiver distress, thereby having a tremendous influence on the overall health of caregivers. The purpose of this study examined how The Family Caregiver Training Program impacts caregiver confidence. Method: A delayed-intervention, randomized design with control group and three month follow up examined confidence with 36 family caregivers of people with dementia. Participants completed the nine-item Caregiver Confidence Scale pretest, posttest, and three months posttest; the last five-items included a program evaluation subscale administered only at posttest. Results: Caregiver confidence, regardless of group assignment, improved; however, was not maintained three months posttest. Both groups reported favorable program evaluation scores, with 83% requesting the availability of online training. Conclusion: Findings provide new evidence in caregiver literature on caregiver confidence from ADL and standard care training. Clinical implications suggest implementation of training programs that include follow-up visits to maintain confidence, and trainings in an online format.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1762824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41523868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Effect of Unweighting Assistance on Sit-to-Stand Mechanics in Healthy Older Adults 减重辅助对健康老年人坐立力学的影响

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-05-13 DOI: 10.1080/02703181.2020.1762825

Kelsey L. Piersol, B. Riemann

{"title":"Effect of Unweighting Assistance on Sit-to-Stand Mechanics in Healthy Older Adults","authors":"Kelsey L. Piersol, B. Riemann","doi":"10.1080/02703181.2020.1762825","DOIUrl":"https://doi.org/10.1080/02703181.2020.1762825","url":null,"abstract":"Abstract Aims: To assess the specificity of assistance provided by a sit-to-stand training device compared to unassisted sit-to-stand by quantifying the change in kinematic strategies and joint kinetic demands with decreasing assistance. Methods: Participants completed the sit-to-stand transfer at 5 randomized assistance levels (unassisted; 40%, 50%, 60%, and 70% body mass) using a sit-to-stand trainer while kinematic and ground reaction force data were collected. Results: Increasing assistance significantly increased total movement time (P = .009, 95% CIdiff = .46 to1.2s), shifted key events earlier (P < .002, 95% CIdiff = 2.0 to10.4%), decreased joint flexion angles (P < .001, 95% CIdiff = 2.4 to 8.2°), and decreased trunk flexion angular momentum (P < .001, 95% CIdiff = .01 to .09 kg•m2/s).). Increasing assistance had the greatest effect on the hip joint, with decreases in peak net joint moment (P < .001, d = 1.8) and angular work (P < .001, d = 2.2). Conclusions: As assistance decreased, mechanics while using the device became more similar to an unassisted sit-to-stand, suggesting promising use for progressive rehabilitation.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1762825","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59276457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Stroke Prevention: Education and Barriers for Physical and Occupational Therapists Caring for Older Adults 中风预防:照顾老年人的物理和职业治疗师的教育和障碍

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-04-22 DOI: 10.1080/02703181.2020.1755410

S. Perry, B. Billek-Sawhney, Jodi Schreiber

{"title":"Stroke Prevention: Education and Barriers for Physical and Occupational Therapists Caring for Older Adults","authors":"S. Perry, B. Billek-Sawhney, Jodi Schreiber","doi":"10.1080/02703181.2020.1755410","DOIUrl":"https://doi.org/10.1080/02703181.2020.1755410","url":null,"abstract":"Abstract Aims: Describe the frequency of common stroke prevention education topics provided by occupational and physical therapists (OTs/PTs) to individuals at risk for stroke; summarize barriers to such education Methods: OT/PT professional association subgroups were surveyed regarding prevention education for individuals with risk factors, transient ischemic attack, and stroke, and barriers to such education. Results: A total of 293 therapists completed the survey, 11% OTs and 89% PTs. Education about risk/symptoms (61% of respondents) and activity/exercise (60%) was most commonly provided. The most frequently cited barriers to education were compromised health literacy of the patient/caregiver (62%), lack of interest by the patient/caregiver (51%), and lack of time (46%). Conclusion: The proportion of OTs/PTs providing stroke prevention education appears to be suboptimal. Therapist knowledge, patient characteristics, and institutional constraints were common barriers. Since stroke risk increases with age, reducing risk by identifying and eliminating barriers may help improve health of older adults.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1755410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44403988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Do Changes in Mental Energy and Fatigue Impact Functional Assessments Associated with Fall Risks? An Exploratory Study Using Machine Learning 精神能量和疲劳的变化会影响与跌倒风险相关的功能评估吗?使用机器学习的探索性研究

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-04-17 DOI: 10.1080/02703181.2020.1748788

A. Boolani, Jenna Ryan, Trang N. N. Vo, Brandon Wong, N. Banerjee, Sean Banerjee, G. Fulk, Matthew Lee Smith, Rebecca H. Martin

{"title":"Do Changes in Mental Energy and Fatigue Impact Functional Assessments Associated with Fall Risks? An Exploratory Study Using Machine Learning","authors":"A. Boolani, Jenna Ryan, Trang N. N. Vo, Brandon Wong, N. Banerjee, Sean Banerjee, G. Fulk, Matthew Lee Smith, Rebecca H. Martin","doi":"10.1080/02703181.2020.1748788","DOIUrl":"https://doi.org/10.1080/02703181.2020.1748788","url":null,"abstract":"Abstract Using a crossover-design, we assessed changes in 30-second chair stand test (30 s-CST), Timed Up-and-Go (TUG) and Berg Balance Scale (BBS) and energy and fatigue in older adults (N = 11) after performance of mental tasks. A Wilcoxon Sign Rank Test and a Friedman’s rank test were used to assess changes in 30 s-CST, TUG, BBS and energy and fatigue respectively. A linear mixed model was used to assess joint variance and random forest classifier and support vector machine (SVM) algorithms were used to verify results. Statistically significant declines in feelings of energy (p=.003), specifically mental energy (p=.015), and BBS (p<.001), specifically during the “standing with eyes closed” (SEC), was noted for participants on days when they completed mental tasks compared to days they did not. The random-forest and SVM algorithms predicted with 79% and 80% accuracy respectively whether the SEC item of the BBS was performed after a decline a mental energy.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1748788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41483338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Occupational Balance and Quality of Life in Nursing Home Residents 疗养院住客的职业平衡与生活品质

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-04-16 DOI: 10.1080/02703181.2020.1750530

M. H. Aas, Vilde M. Austad, M. Ø. Lindstad, T. Bonsaksen

引用次数: 10

A Scoping Review on the Implementation Considerations of Cognitive Interventions for Long-Term Care Residents 长期护理居民认知干预实施考虑的范围综述

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-04-10 DOI: 10.1080/02703181.2020.1749752

M. Kern, Christine L. Sheppard, S. Hitzig

引用次数: 1

Comparison of High-Intensity Resistance and Power Training Programs in Pre-Frail and Frail Older Adults 体弱和体弱老年人高强度阻力和力量训练方案的比较

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-04-09 DOI: 10.1080/02703181.2020.1748161

Justin T. Mierzwicki, Madelyn A. Fox, Kevin R. Griffith, Kelsey M. Harrison, Daryl K. Holstay, Nikki M. Singley

{"title":"Comparison of High-Intensity Resistance and Power Training Programs in Pre-Frail and Frail Older Adults","authors":"Justin T. Mierzwicki, Madelyn A. Fox, Kevin R. Griffith, Kelsey M. Harrison, Daryl K. Holstay, Nikki M. Singley","doi":"10.1080/02703181.2020.1748161","DOIUrl":"https://doi.org/10.1080/02703181.2020.1748161","url":null,"abstract":"Abstract Aims: The purpose of this study was to determine if high-intensity resistance training or power training is more effective in improving strength and functional outcomes in pre-frail and frail older adults. Methods: Participants underwent a 10-week intervention, two times per week, performing either high-intensity resistance or power training programs. Strength and functional outcome measurements were performed pre and post-intervention, with statistical analyses completed to compare the relative impact of the two interventions. Results: High-intensity resistance training outperformed power training in 4/14 dependent variables; including one repetition maximum strength of three muscle groups, and 30 second sit to stand performance. Power training did not result in statistically greater change relative to high-intensity resistance training in any outcomes measured. Conclusions: Further research comparing the two training methods is necessary to determine which intervention is more effective in impacting frailty, and its associated impairments, in older adults.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1748161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48096450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Are the Leisure and Social Needs of Older Adults Residing in Assisted Living Facilities Being Met? 居住在辅助生活设施中的老年人的休闲和社交需求是否得到满足？

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-04-02 DOI: 10.1080/02703181.2019.1702134

L. Knecht-Sabres, Erica P. Del Rosario, Amanda K. Erb, Malgorzata Rozko, Rhonda Guzman

{"title":"Are the Leisure and Social Needs of Older Adults Residing in Assisted Living Facilities Being Met?","authors":"L. Knecht-Sabres, Erica P. Del Rosario, Amanda K. Erb, Malgorzata Rozko, Rhonda Guzman","doi":"10.1080/02703181.2019.1702134","DOIUrl":"https://doi.org/10.1080/02703181.2019.1702134","url":null,"abstract":"Abstract Aims: This retrospective study explored if there was a change in participation in leisure activities among older adults after transitioning into an assisted living facility. Supports and barriers to leisure and social engagement were also investigated. Methods: The Activity Card Sort (modified) was administered to explore and compare the participants’ engagement in leisure and social activities prior to and after moving into an assisted living facility. Semi-structured interviews were conducted to examine the participants’ perspectives regarding the current supports and barriers to engagement in their individual and meaningful interests. Results: Quantitative data gathered from the Activity Card Sort (modified) revealed the participants engaged in only 34.13% of the activities they participated in prior to moving into an assisted living facility; results also revealed that only 42% of the participants engaged in a new leisure activity after moving into an assisted living facility. Qualitative data revealed four themes concerning supports and barriers to participation: physical abilities, social supports, available resources, and personal influences. Conclusion: Older adults in assisted living facilities face a decline in engagement in leisure participation and may be at risk for occupational deprivation. Occupational therapists are well-suited to address these concerns.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2019.1702134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42426318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Postoperative Delirium Prevention as Standard Practice in Occupational Therapy in Acute Care 急性护理职业治疗中术后谵妄预防的标准做法

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-03-18 DOI: 10.1080/02703181.2020.1740374

C. Lee, Tracy Chippendale, Liz McLeaming

引用次数: 1

The effect of motivational interviewing on physical activity level among older adults: a systematic review and meta-analysis 动机访谈对老年人体育活动水平的影响：系统综述和荟萃分析

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PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2020-02-09 DOI: 10.1080/02703181.2020.1725217

O. Akinrolie, Ruth Barclay, S. Strachan, Akanksha Gupta, U. Jasper, Samuel U. Jumbo, N. Askin, R. Rabbani, R. Zarychanski, A. Abou-Setta

{"title":"The effect of motivational interviewing on physical activity level among older adults: a systematic review and meta-analysis","authors":"O. Akinrolie, Ruth Barclay, S. Strachan, Akanksha Gupta, U. Jasper, Samuel U. Jumbo, N. Askin, R. Rabbani, R. Zarychanski, A. Abou-Setta","doi":"10.1080/02703181.2020.1725217","DOIUrl":"https://doi.org/10.1080/02703181.2020.1725217","url":null,"abstract":"Abstract Aim: To determine the reported effect of randomized controlled trials (RCTs) using Motivational Interviewing (MI) to advance physical activity among older adults. Methods: We searched for RCTs in MEDLINE, EMBASE, CINAHL, AgeLine, PsycINFO and Cochrane Library from inception until March, 2019. Identified trials that used MI for improving physical activity in community-dwelling older adults (≥65 years). Results: From 5616 citations identified from the search, we included three trials (four publications). There was no evidence of a significant difference between the effect of MI and usual care on physical activity in older adults (Standard Mean Difference (SMD) -0.02, 95% Confidence Interval (CI) 0.05 to 0.46, I2 16%; 3 trials; 84 participants). Conclusion: There is insufficient evidence to support the effect of MI on improving physical activity among older adults. There is a need for more high quality trials to show that MI is beneficial in older adults who are physically inactive.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1725217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44006488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5