A randomized controlled trial protocol investigating effectiveness of an activity-pacing program for deconditioned older adults

2019 ◽  
Vol 86 (2) ◽  
pp. 136-147
Author(s):  
Amanda J. Timmer ◽  
Carolyn A. Unsworth ◽  
Matthew Browne
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Occupational Therapy ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Occupational Therapists ◽  
Support Service ◽  
Randomized Controlled ◽  
Occupational Therapy Intervention ◽  
Need For Rehabilitation

Background. Acute hospitalization of older adults can lead to deconditioning and the need for rehabilitation to facilitate a return to home and previous lifestyle. An occupational therapy intervention to combat deconditioning is activity pacing, an active self-management strategy where individuals learn to modify how and when activities are completed with the aim of improving participation in occupation. Purpose. This study will examine the effectiveness of occupational therapy with activity pacing during rehabilitation for deconditioned older adults. Method. A randomized controlled trial is proposed with inclusion criteria of older adults, 65+ years old, living independently in the community prior to admission, with adequate cognition and language to participate in the intervention. Participation, health status, self-efficacy in daily activities, self-efficacy in activity pacing techniques, and symptom management (pain and fatigue) will be measured at admission, discharge, and 3 months postdischarge. Implications. Determining if an activity-pacing program is effective will provide occupational therapists with evidence to support service delivery.

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 Promoting Physical Activity in Older Adults With Knee Osteoarthritis and Hypertension: A Randomized Controlled Trial

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Elizabeth A. Schlenk ◽  
G. Kelley Fitzgerald ◽  
Joan C. Rogers ◽  
C. Kent Kwoh ◽  
Susan M. Sereika
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Older Adults ◽  
Randomized Controlled Trial ◽  
Lower Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Attention Control ◽  
Outcome Expectancy ◽  
Randomized Controlled

A 6-month self-efficacy intervention was compared with attention-control intervention on physical activity, clinical outcomes, and mediators immediate postintervention and 6-month postintervention in 182 older adults with knee osteoarthritis and hypertension using a randomized controlled trial design. The intervention group received six weekly individual physical therapy sessions for lower-extremity exercise and fitness walking and nine biweekly nurse telephone counseling sessions. The attention-control group received six weekly and nine biweekly nurse telephone sessions on health topics. Lower-extremity exercise was assessed by e-diary; fitness walking was assessed by accelerometer and e-diary; blood pressure was assessed by automated monitor; function was assessed by performance-based tests and questionnaires; and pain, self-efficacy, and outcome expectancy were assessed by questionnaires. Self-reported lower-extremity exercise and fitness walking, function, pain, self-efficacy, and outcome expectancy showed significant group or group by time effects favoring intervention. The intervention did not improve physical activity by accelerometer and blood pressure. Mean minutes of fitness walking fell short of the 150 min/week goal.

Physical activity, self-esteem, and self-efficacy relationships in older adults: A randomized controlled trial

2000 ◽  
Vol 22 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Edward McAuley ◽  
Bryan Blissmer ◽  
Jeffrey Katula ◽  
Terry E. Duncan ◽  
Shannon L. Mihalko
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Randomized Controlled Trial ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Self Esteem ◽  
Randomized Controlled
Sign in / Sign up

Export Citation Format

Share Document