Community-based occupational therapy improved daily functioning in people with dementia

ABSTRACTBackground:Worldwide trends of increasing dementia prevalence, have put economic and workforce pressures to shifting care for persons with dementia from residential care to home care.Methods:We reviewed the effects of the four dominant models of home care delivery on outcomes for community-dwelling persons with dementia. These models are: case management, integrated care, consumer directed care, and restorative care. This narrative review describes benefits and possible drawbacks for persons with dementia outcomes and elements that comprise successful programs.Results:Case management for persons with dementia may increase use of community-based services and delay nursing home admission. Integrated care is associated with greater client satisfaction, increased use of community based services, and reduced hospital days however the clinical impacts on persons with dementia and their carers are not known. Consumer directed care increases satisfaction with care and service usage, but had little effect on clinical outcomes. Restorative models of home care have been shown to improve function and quality of life however these trials have excluded persons with dementia, with the exception of a pilot study.Conclusions:There has been a little research into models of home care for people with dementia, and no head-to-head comparison of the different models. Research to inform evidence-based policy and service delivery for people with dementia needs to evaluate both the impact of different models on outcomes, and investigate how to best deliver these models to maximize outcomes.

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Library services enriching community engagement for dementia care: The Tales & Travels Program at a Canadian Public Library as a case study

Journal of Librarianship and Information Science ◽

10.1177/09610006211065170 ◽

2021 ◽

pp. 096100062110651

Author(s):

Jiamin Dai ◽

Joan C. Bartlett ◽

Karyn Moffatt

Keyword(s):

Public Libraries ◽

Public Library ◽

Well Being ◽

Dementia Care ◽

Future Research ◽

Library Services ◽

Structured Interviews ◽

Community Based ◽

People With Dementia

Growing dementia-friendly library services are contributing to community-based dementia care. Emerging community programs in libraries and museums provide notable opportunities for promoting engagement and inclusivity, but these programs have yet to receive in-depth assessments and analyses to guide future research and practice. This paper presents a case study examining a social and storytelling program for people with dementia run by a Canadian public library. It investigates two research questions: How can public library programs contribute to community-based dementia care? And what are public libraries’ strengths and challenges in running programs for people with dementia? The study involves participant observations of the program and semi-structured interviews with people with dementia, caregivers, and program facilitators (librarians and Alzheimer Society coordinators). Through thematic analysis of fieldnotes and transcripts, the study reveals how this inclusive platform supports engagement, fosters relationships, helps caregivers, and reaches broader communities. This research further uncovers the librarians’ diversified roles as demonstrated through their collaboration with professionals, preparation and research, and facilitation of the sessions. This paper advances librarianship research on enriching community-based dementia care, including furthering inclusivity and engagement and extending accessible library services. By analyzing library programming for the dementia community and assessing its strengths and challenges, the paper highlights librarians’ awareness of the community’s evolving needs and their collaboration with other professionals. It offers practical insights on useful resources and emerging best practices that will hopefully inspire other initiatives in which information professionals can help improve the well-being of vulnerable populations.

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Experiences of men with psychosis participating in a community-based football programme

Irish Journal of Occupational Therapy ◽

10.1108/ijot-06-2017-0015 ◽

2017 ◽

Vol 45 (2) ◽

pp. 100-111 ◽

Cited By ~ 1

Author(s):

Laura Moloney ◽

Daniela Rohde

Keyword(s):

Mental Health ◽

Physical Activity ◽

Mental Health Services ◽

Health Services ◽

Occupational Therapy ◽

Positive Impact ◽

Physical And Mental Health ◽

Community Based ◽

Health Service Provision ◽

Content Type

Purpose Physical activity is associated with both physical and mental health benefits for people with psychosis. However, mental health services have been criticised for failing to adequately promote physical activities. Occupational Therapy, with its focus on meaningful everyday occupations, is well placed to incorporate physical activity interventions. The purpose of this study was to explore the experiences of men with psychosis participating in an Irish community-based football programme. Design/methodology/approach Six men with psychosis participated in qualitative interviews. The interviews were audio-recorded and transcribed verbatim. Interview data were analysed thematically. Findings Participants identified many benefits of engaging in the programme. Football became a valued part of weekly routines and fostered re-engagement with previously valued roles. Participants identified improvements in social confidence and motor and process skills, as well as a positive impact on their mental and physical health. Originality/value This study highlights the value and meaning of participation in football for men with psychosis, as well as demonstrating the longer-term feasibility of football as a therapeutic medium in Occupational Therapy mental health service provision. Findings could help to promote the routine use of sports interventions to mental health services.

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The Use of Health Legislation to Deal with Abuse of Community Based Elderly People with Dementia

Medicine Science and the Law ◽

10.1177/002580249703700111 ◽

1997 ◽

Vol 37 (1) ◽

pp. 41-45

Author(s):

Colm Cooney ◽

Walid A. Hamid

Keyword(s):

Elderly People ◽

Community Based ◽

Current Health ◽

People With Dementia ◽

Potential Abuse ◽

Health Legislation ◽

Legal Processes

This paper describes current health legislation used to deal with actual and potential abuse of elderly people with dementia living in the community. Recent recommendations made regarding updating existing legal processes and creating new provisions are also outlined.

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TRATAMIENTO DE LA FRAGILIDAD Y APATÍA A TRAVÉS DE ACTIVIDADES PSICOMOTRICES EN LA ENFERMEDAD DE ALZHEIMER

International Journal of Developmental and Educational Psychology Revista INFAD de psicología ◽

10.17060/ijodaep.2016.n2.v1.561 ◽

2016 ◽

Vol 1 (2) ◽

pp. 103

Author(s):

Claudia Guillen-Betancort ◽

Guillermo Da Silva-Domingo ◽

Josefa González Santos ◽

Raquel De la Fuente-Anuncibay ◽

Álvaro Da Silva González ◽

...

Keyword(s):

Longitudinal Study ◽

Occupational Therapy ◽

Elderly People ◽

Disease Type ◽

Initial Assessment ◽

Spearman Correlation ◽

Vital Functions ◽

People With Dementia ◽

Relationship Of ◽

Therapy Treatment

Abstract.Objective: To implement an Occupational Therapy treatment in elderly people with dementia and frailtyMethod: A longitudinal study of a sample of 23 users, 14 women and 9 men aged between 71 and 92 is performed, the average age 84.66 years, users of a residence, presenting frailty and dementia. Carried out an initial assessment and final tests with Short Physical Performance Battery (SPPB) and Dementia Apathy Interview and Rating (DAIR), participants attend occupational therapy sessions.Statistical analysis: it was performed nonparametric Wilcoxon, Spearman correlation and Mann Whitney U test.Results: We observed that the levels of fragility do not improve, there is no relationship of age with frailty, the level of apathy does not decrease with the intervention, there is no difference in the score of apathy or fragility by sex.Conclusions: the results indicate a maintenance of vital functions on both scales, which can be considered beneficial when dealing with degenerative processes.Keywords: fragility, apathy, dementia of Alzheimer’s disease type, psychomotor activities.Resumen.Objetivo: Implementar un tratamiento de Terapia Ocupacional en personas mayores con demencia y fragilidadMétodo: Se realiza un estudio longitudinal sobre una muestra de 23 usuarios, 14 mujeres y 9 hombres con edades comprendidas entre 71 y 92, siendo la edad media 84.66 años, usuarios de una residencia, que presentan fragilidad y demencia. Se lleva a cabo una evaluación inicial y otra final con las pruebas Batería Corta del Desempeño Físico (SPPB) y Dementia Apathy Interview and Rating (DAIR), los participantes asisten a sesiones de Terapia Ocupacional.Análisis estadístico: se llevan a cabo pruebas no paramétricas de Wilcoxon, Correlación de Spearman y U de Mann Whitney.Resultados: se observa que los niveles de fragilidad no mejoran, que no hay relación de la edad con la fragilidad, el nivel de apatía no disminuye con la intervención, no existen diferencias en la puntuación de apatía ni fragilidad según el sexo.Conclusiones. los resultados indican un mantenimiento de las funciones vitales en ambas escalas, lo que se puede considerar beneficioso al tratarse de procesos degenerativos.Palabras clave: fragilidad, apatía, demencia tipo Alzhéimer, actividades psicomotrices.

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Exploring the relationship between community-based physical activity and wellbeing in people with dementia: a qualitative study

Ageing and Society ◽

10.1017/s0144686x16001124 ◽

2016 ◽

Vol 38 (3) ◽

pp. 522-542

Author(s):

ALAN WRIGHT

Keyword(s):

Physical Activity ◽

Participant Observation ◽

Social Constructionist ◽

Attitudes And Beliefs ◽

Community Based ◽

Ethnographic Approach ◽

Theoretical Perspectives ◽

People With Dementia ◽

Informal Carers ◽

The Relationship

ABSTRACTThis study sought to identify factors which influenced how a group of people with dementia living in their own homes participated in community-based physical activity and explored the effect that exercise groups, dance and walking had on their wellbeing. A broadly ethnographic approach was adopted in which participant observation and interviews were employed. Nineteen people with dementia and seven formal and informal carers were included in the participant observation phase. Eleven people with dementia were interviewed. The analysis and interpretation of data was informed by embodiment and social constructionist theoretical perspectives. Findings suggest that a complex interplay between attitudes and beliefs, retained embodied abilities, and aspects of the physical and social environment influenced how individuals engaged in physical activity and the degree to which they experienced wellbeing as a result. Findings suggest that when certain factors co-exist, physical activity can provide a context within which people with dementia are able to use embodied skills in order to support fragile identities, connect with others and express themselves.

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