scholarly journals Use of Measuring Tools in Practice Development Projects: A Critical Perspective

2021 ◽  
Vol 88 (1) ◽  
pp. 59-70
Author(s):  
Stinne Glasdam ◽  
Tobba Therkildsen Sudmann
Keyword(s):  
Older Adults ◽  
Adverse Effects ◽  
Older People ◽  
Thematic Analysis ◽  
Healthcare Professionals ◽  
Occupational Therapists ◽  
Development Projects ◽  
Critical Perspective ◽  
Practice Development ◽  
Everyday Living

Background. Occupational therapists are generally positive towards use of measuring tools. However, such use may be problematic. Purpose. To illuminate hidden and adverse effects of using measuring tools in occupational therapy. Method. A Foucauldian inspired thematic analysis of the use of measuring tools in 13 reports of practice development projects in Denmark. Findings. Three themes were constructed: “Categorisation of loss”, “Conduct of conduct: Self-tracking and competition”, and “Conforming to expected forms of everyday living”. Measuring tools tended to produce generalised truths about older adults and were used to predict outcome of or access to reablement programs. The measurements guided both older people and professionals, and measurements created both motivation and resistance. The tools served as an extension of the healthcare professionals’ authority. Implications. When appropriately situated, measuring tools have the potential to empower and enhance older adults’ lives and should be the focus of greater clinical attention.

scholarly journals Strategies Older New Zealanders Use to Participate in Day-To-Day Occupations

2011 ◽  
Vol 74 (11) ◽  
pp. 509-516 ◽  
Author(s):  
Clare Hocking ◽  
Juanita Murphy ◽  
Kirk Reed
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Older Adults ◽  
New Zealand ◽  
Older People ◽  
Exploratory Study ◽  
Occupational Therapists ◽  
Falls Prevention ◽  
Public Health Messages ◽  
The Impact

Aim: This exploratory study aimed to uncover the strategies that older adults employ to ameliorate the impact of impairments and barriers to participation. Method: Eight participants were interviewed in their own homes, in a town or city in New Zealand. Findings: Inductive analysis of data revealed four main categories of strategies: strategies to keep safe, to recruit and accept help, to meet social and biological needs (nutritional and medical), and to conserve financial, material and bodily resources. Discussion: The study supports some previous findings of strategies used by older people, and demonstrates that enquiring into the strategies that older people devise and adopt into their own lives is a productive line of inquiry. The strategies described differ from those that occupational therapists recommend, and do not incorporate public health messages about the benefits of physical activity or recommendations about falls prevention. Conclusion: The findings suggest that asking older clients about the strategies that they use will uncover valuable information for therapists giving advice or issuing equipment to help older adults to manage in the community.

scholarly journals Barriers to Community Integration for Older People in Malaysia: A Qualitative Study from Occupational Therapist Perspectives

2021 ◽  
Vol 6 (1) ◽  
pp. 1-8
Author(s):  
Yau Y. Hui ◽  
◽  
Nathan Vytialingam ◽  
Sangeeta K. Singh ◽  
◽  
...  
Keyword(s):  
Older People ◽  
Critical Incident ◽  
Community Integration ◽  
Occupational Therapists ◽  
Structured Interview ◽  
Occupational Therapist ◽  
Cultural Norms ◽  
Interview Guide ◽  
Therapist Perspectives ◽  
Practice Development

Introduction Existing research has addressed the importance of community integration (CI) and its benefits of dwelling in a community but has yet to address the methods and efficiency of improving these activities among older people. Thus, it is vital to understand how healthcare workers can integrate the benefits of CI among older people, especially with the use of occupational therapists (OTs). The latter are actively working to improve ageing individuals mobility within the community. Objective This study aims to identify Malaysian OTs’ perspectives on CI’s and its implication on older people. Method Occupational therapist from different states of Malaysia participated in a semi-structured interview, through a virtual medium (Zoom Cloud Meetings). The interview guide encapsulated the theory of critical incident technique (CIT). Results Thematic content analysis, over fourteen participants from 13 states of Malaysia, provided insights into CI’s barriers for older people in Malaysia. The findings revealed that multifaceted factors from an individual, organisational and socio-environmental perspective limit older people’s active CI engagement. Conclusion South-East Asia hierarchal and collectivist culture play a significant role in influencing all factors of CI. OTs must understand and incorporate appropriate cultural norms during CI practice development for the older population in Malaysia.

scholarly journals Chloroquine and hydroxychloroquine: potentially inappropriate medications for older adults?

2020 ◽  
Vol 14 (4) ◽  
pp. 298-302
Author(s):  
Milton Gorzoni
Keyword(s):  
Older Adults ◽  
Adverse Effects ◽  
Older People ◽  
Drug Analysis ◽  
American Geriatrics Society ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Definition Of ◽  
Inappropriate Medications

Introduction: Potentially inappropriate medications (PIMs) for older adults cause more adverse effects than benefits. The 2019 American Geriatrics Society Beers Criteria (2019BC) considered five clinical situations as PIM use in older adults. Can drug analysis, according to these situations, assist in the act of making prescriptions for older people? Seeking a practical example for this question, we assessed drugs currently questioned as to their safe use among older people. Objective: To check if chloroquine and hydroxychloroquine fit the PIM criteria for older adults and whether this analysis is clinically applicable. Method: We systematized the objective based on the five clinical situations defined as PIM use in older adults by the 2019BC. Results: Chloroquine and hydroxychloroquine fulfill, respectively, four and five of these clinical situations. This evaluation allowed the likely definition of these drugs as PIMs for older adults in a simple way, based on a brief analysis of the available literature. Conclusion: Chloroquine and hydroxychloroquine may be considered PIMs for older adults. We expect that this analysis can be replicated with other drugs and reduce iatrogenesis in older people.

The meanings older people give to their rehabilitation experience

2006 ◽  
Vol 27 (1) ◽  
pp. 147-164 ◽  
Author(s):  
MARJO WALLIN ◽  
ULLA TALVITIE ◽  
MIMA CATTAN ◽  
SIRKKA-LIISA KARPPI
Keyword(s):  
Older Adults ◽  
Older People ◽  
Everyday Life ◽  
Qualitative Method ◽  
Inpatient Rehabilitation ◽  
Heterogeneous Group ◽  
Geriatric Rehabilitation ◽  
Structured Interviews ◽  
Everyday Living ◽  
At Home

Promoting older people's ability to manage at home is important both for themselves and for society, but few studies have explored whether geriatric rehabilitation actually meets the needs of this heterogeneous group. The purpose of this study was to investigate the meanings that older adults attribute to their geriatric rehabilitation experiences. A group of 27 older adults in inpatient rehabilitation were interviewed during the programme and after returning home. Semi-structured interviews were analysed using a qualitative method, which identified three categories of meaning. In the category ‘sense of confidence with everyday life’, rehabilitation was perceived as facilitating everyday living at home; in the category ‘sense of vacation’, rehabilitation was seen as a means of getting away from normal life and enjoying oneself; and in the category ‘sense of disappointment in the rehabilitation programme’, the participants expressed frustration with the limited opportunities to participate in the planning of their rehabilitation, and with the mismatch between the offered programme and what was needed. To promote older people's autonomy and to enhance their ability to live at home, professionals must involve their clients to a greater extent in the planning of the rehabilitation than is currently the case, and also individualise the rehabilitation regimen.

scholarly journals Sedentary Behaviour in Hospitalised Older People: A Scoping Review

2020 ◽  
Vol 17 (24) ◽  
pp. 9359
Author(s):  
Unyime Jasper ◽  
Lalit Yadav ◽  
Joanne Dollard ◽  
Agathe Daria Jadczak ◽  
Solomon Yu ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Sedentary Behaviour ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Phase 1 ◽  
Community Dwelling ◽  
Future Hospital ◽  
Randomised Controlled ◽  
Key Aspects

Background: Sedentary behaviour (SB) can delay hospitalised older adults’ recovery from acute illness and injuries. Currently, there is no synthesis of evidence on SB among hospitalised older people. This scoping review aimed to identify and map existing literature on key aspects of SB among hospitalised older adults, including the prevalence, measurement and intervention strategies for SB and sedentary behaviour bouts (SBBs) as well as healthcare professionals, patients and carers’ perspectives on interventions. Methods and analysis: Several electronic databases were searched between January 2001 and September 2020. The Joanna Briggs Institute (JBI) framework was used to conduct this scoping review. Results: Out of 1824 articles, 21 were included comprising 16 observational studies, 3 randomised controlled trials, 1 comparative study, and 1 phase-1 dose-response study. The sample size ranged from 13 to 393, with all 1435 participants community-dwelling before hospitalisation. Only two studies focused on measuring SB and SBBs as a primary outcome, with others (n = 19) reporting SB and SBB as a sub-set of physical activity (PA). Older adults spent an average of 86.5%/day (20.8 h) sedentary. Most studies (n = 15 out of 21) measured SB and SBB using objective tools. Conclusion: Hospitalised older people spent most of their waking hours sedentary. Studies explicitly focused on SB and SBB are lacking, and the perspectives of patients, carers and healthcare professionals are not clarified. Future hospital-based studies should focus on interventions to reduce SB and SBB, and the perspectives of healthcare professionals, patients and carers’ taken into account.

scholarly journals The Peer Experience for Older People Encouraging Other Older People to Engage in Resistance Training: A Qualitative Study

2019 ◽  
Vol 27 (4) ◽  
pp. 529-537 ◽  
Author(s):  
Paige M. Watkins ◽  
Elissa Burton ◽  
Anne-Marie Hill
Keyword(s):  
Older Adults ◽  
Resistance Training ◽  
Qualitative Study ◽  
Older People ◽  
Thematic Analysis ◽  
Peer Mentoring ◽  
Positive Experience ◽  
Physical And Mental Health ◽  
Semistructured Interviews ◽  
Low Levels

Resistance training (RT) can maintain and improve physical and mental health in older adults, but this population has low levels of RT participation. Linking older people participating in RT (i.e., peers) with those who have not may promote and maintain adherence. This qualitative study explored the experience of peers in encouraging RT participation among older adults. Data were collected using focus groups, researcher observations, and semistructured interviews. Thematic analysis was conducted. Older people (n = 8) who engaged in RT prior to recruitment, participated as peers. Each provided peer support for between one and four RT participants for 6 weeks. The peer role was perceived by peers as potentially leading to a relationship which benefitted both parties. Peers reported that helping and supporting others was a positive experience and raised their self-efficacy. Difficulty initiating contact and differing expectations of peers and RT participants were viewed as challenges. Peer mentoring could help promote RT participation among older adults.

scholarly journals Preliminary Investigation of the Usability Characteristics Required for Wound Management Products by Semi-Structural Interview of Medical Staff

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 152
Author(s):  
Kaoru Hirose ◽  
Yayoi Kawano ◽  
Nahoko Shigeno ◽  
Yoshikatsu Mizutani ◽  
Hiraku Onishi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thematic Analysis ◽  
Healthcare Professionals ◽  
Preliminary Investigation ◽  
Wound Management ◽  
Medical Professionals ◽  
Development Projects ◽  
Structured Interviews ◽  
Care Clinic

Consideration of drug usability characteristics is important during the design process. Although many wound management products have been developed in recent years, there are few studies on their usability. We investigated the needs and characteristics of wound management products required by medical professionals, so as to consider these in future development projects. Semi-structured interviews were conducted in a group of healthcare professionals. Interview responses were analyzed based on thematic analysis. Four themes common to all facilities were secondary wounds, adaptability of materials, convenience, and physicochemical properties. Economic efficiency of medical care was found to be considered only at the hospital, and quality of life of patients was found to be considered only at the home palliative care clinic. Requirements for wound management products can be affected by participants’ roles and their facility settings. However, there were needs common to all fields that all wound management products should aim to incorporate.

Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Patients ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Satisfaction Score ◽  
Tablet Computer ◽  
Sectional Study ◽  
Cross Sectional ◽  
System Usability Scale ◽  
Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

scholarly journals INTERNET USE AND LONELINESS OF OLDER ADULTS OVER TIME: THE MEDIATION EFFECT OF SOCIAL CONTACT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S194-S194
Author(s):  
Kexin Yu ◽  
Kexin Yu ◽  
Shinyi Wu ◽  
Iris Chi
Keyword(s):  
Older Adults ◽  
Older People ◽  
Internet Use ◽  
Social Contact ◽  
Total Effect ◽  
Mediation Effect ◽  
Health And Retirement Study ◽  
Longitudinal Association ◽  
Retirement Study ◽  
Over Time

Abstract Internet is increasingly popular among older adults and have changed interpersonal interactions. However, it remains controversial whether older people are more or less lonely with internet use. This paper tests the longitudinal association of internet use and loneliness among older people. One pathway that explains the association, the mediation effect of social contact, was examined. Data from the 2006, 2010 and 2014 waves of Health and Retirement Study was used. Hierarchical liner modeling results showed internet use was related to decreased loneliness over 12-year period of time (b=-0.044, p<.001). Internet use was associated with more social contact with family and friends overtime (b=0.261, p<.001), social contact was related to less perceived loneliness longitudinally (b=0.097, p<.001). The total effect of internet use on loneliness is -0.054 and the mediated effect is -0.025. The findings imply that online activities can be effective for reducing loneliness for older people through increased social contact.

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