A Theoretical Model of Functional Performance in Persons with Alzheimer Disease

1992 ◽  
Vol 59 (3) ◽  
pp. 132-140 ◽  
Author(s):  
Anne Carswell ◽  
Lorie J. Carson ◽  
Wikke Walop ◽  
Jitka Zgola

This paper reports on a qualitative study that defined a theoretical model as a first step in the development of a functional performance measure for clients with Alzheimer disease. A consensus panel of caregivers used the grounded theory approach to identify the basic sub-components of functional performance that are affected by Alzheimer disease. A model of functional performance which can be applied to any basic activity of daily living was derived from these data. The model comprised three axes: behavioural, environmental and quality of performance. A second panel of caregivers validated the model. This study provided the framework for the Functional Performance Measure to be tested in a subsequent study.

1995 ◽  
Vol 62 (2) ◽  
pp. 62-69 ◽  
Author(s):  
Anne Carswell ◽  
Corinne Dulberg ◽  
Lorie Carson ◽  
Jitka Zgola

The Functional Performance Measure (FPM) is an instrument developed from grounded theory, and measures daily function in persons with Alzheimer Disease. This paper presents a study testing the reliability and validity of the FPM. The study design is based upon generalizability theory that allows the examination of several “facets” to the total variance of the FPM. Twenty-two clients with Alzheimer disease were videotaped performing three activities of daily living. Twelve raters evaluated the clients' performance using the FPM giving 792 completed measures. The FPM demonstrates high inter-rater reliability, moderate reliability across tasks, and criterion and construct validity. The FPM is a measure that will help occupational therapists identify clients' abilities and deficits so that therapists can determine intervention strategies to improve or maintain clients' functional performance.


BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 501-509 ◽  
Author(s):  
David McGuinness ◽  
Kathy Murphy ◽  
Emma Bainbridge ◽  
Liz Brosnan ◽  
Mary Keys ◽  
...  

BackgroundA theoretical model of individuals' experiences before, during and after involuntary admission has not yet been established.AimsTo develop an understanding of individuals' experiences over the course of the involuntary admission process.MethodFifty individuals were recruited through purposive and theoretical sampling and interviewed 3 months after their involuntary admission. Analyses were conducted using a Straussian grounded theory approach.ResultsThe ‘theory of preserving control’ (ToPC) emerged from individuals' accounts of how they adapted to the experience of involuntary admission. The ToPC explains how individuals manage to reclaim control over their emotional, personal and social lives and consists of three categories: ‘losing control’, ‘regaining control’ and ‘maintaining control’, and a number of related subcategories.ConclusionsInvoluntary admission triggers a multifaceted process of control preservation. Clinicians need to develop therapeutic approaches that enable individuals to regain and maintain control over the course of their involuntary admission.Declaration of interestNone.


Author(s):  
M. R. van Diggelen ◽  
K. I. Doulougeri ◽  
S. M. Gomez-Puente ◽  
G. Bombaerts ◽  
K. J. H. Dirkx ◽  
...  

Abstract The purpose of this study is to determine what good coaching during design-based learning (DBL) entails by integrating theoretical and practical perspectives on good coaching. For this purpose, a grounded theory approach was used. For the practical perspective, themes on good coaching were derived from a qualitative study on coaching by observing and interviewing teachers and students involved in a DBL project. For the theoretical perspective, we consulted and analyzed literature on scaffolding, feedback, and formative assessment and coaching in problem-based learning from the learning sciences and the studio model from arts and design literature. Synthesizing themes from both perspectives led to the development of a theoretical coaching model consisting of three main categories (and four subcategories), seventeen themes and thirteen propositions. The model and propositions might be of use for those involved in coaching students in DBL and provide relevant directions for research on coaching in DBL.


2020 ◽  
pp. 174462952090520
Author(s):  
Savra Anne Frounfelker ◽  
Anne Bartone

Individuals assessed as having an intellectual disability often spend a significant amount of time in day treatment/day habilitation programs after they graduate from school. The quality of these programs varies widely and is not federally legislated. The purpose of the current study is both to explore factors that lead to higher satisfaction for participants in these programs and to better understand what participants want in a program. Using a grounded theory approach, researchers interviewed 25 participants, staff, and family members in focus group settings to collect qualitative data. Interviews focused on what worked and what could be improved at a program located in Western New York. Using the constant comparative method, themes emerged from the data that pointed to the importance of dignity and choice in a day program to facilitate empowerment, higher levels of satisfaction and self-confidence.


2020 ◽  
Vol 11 ◽  
Author(s):  
Kevin M. Smith ◽  
Gina Martin

Abstract It is believed that conflict exists on a spectrum, which holds interest for many relationship researchers. However, it is not well understood how music is utilised within couples when they engage in conflict, considering music has been known to assist in reducing physiological, emotional, and social regulation. The proposed study explored how music was utilised in times of conflict for couples through a grounded theory approach. The main themes that emerged were: variability of choice, knowledge of partner's habits, communication, similarity of style, relational distance, repair attempt, music utilisation as relational engagement, emotional regulation, and hopeful togetherness. These themes are presented in a theoretical model of how couples utilise music to regulate social, emotional, and biological domains of their relationship.


2019 ◽  
Vol 32 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Margie E. Burns

Assuming the role of caregiver for a life partner after critical illness can be both a rewarding and challenging experience for spouses. Using a grounded theory approach, Ågård, Egerod, Tønnesen, and Lomborg developed a theoretical model describing the experience from spouse to caregiver and back. To further develop this theoretical model, a literature review was completed and nursing interventions were identified and included in the model. Testing of this theoretical model is recommended to determine its empirical adequacy.


2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Aislinn Griffin

Abstract Background The population of Ireland is ageing and the number of people with dementia in the coming years will be significant and could be as high as 132,000 people by 2041 (Pierce et al 2014). This estimated prediction highlighted the importance and value of developing and implementing interventions that will meet the needs of individuals with dementia and their carers in the community. We identified the need for a cognitive rehabilitation programme in an acute hospital and developed the “Specialised Memory and Attention Rehabilitation Therapy (SMART) Programme”. The aim of the programme is to improve quality of life, cognitive ability and performance of meaningful occupations for individuals with dementia in the community. Methods The SMART programme uses an evidence based approach of education, process training, strategy training and function for delivery to individuals with dementia and their carers. It is a seven week programme with a three month follow up appointment. Weeks one, seven and three month follow up are 1:1 assessments where outcome measures are completed. There is a group intervention programme for five weeks which includes a patient booklet with education sheets, strategy, work and homework sheets as well as functional tasks. Results There was statistically significant results pre and post intervention in the Rivermead Behavioural Memory test, Canadian Occupational Performance Measure, Functional Independence Measure and the DEMQoL – Dementia quality of life questionnaire. Overall, the results showed statistically significant improvements in memory function, clinically significant gains in terms of perceived functional performance & satisfaction and objective and significant improvements in functional performance. Conclusion The findings have demonstrated potential to significantly improve participants’ cognitive function and have shown functional significant gains as a result both objectively and subjectively. The findings have also demonstrated the feasibility of successfully implementing a cognitive rehabilitation programme on an outpatient basis in an acute hospital setting.


Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 24
Author(s):  
Bernadette Flood ◽  
Martin C. Henman

There is a scarcity of information about the experience of people with intellectual disabilities in the medication use process. Six people with intellectual disabilities consented to be interviewed by a pharmacist to determine their knowledge and views of medication use. Data from semi-structured interviews were analysed using a grounded theory approach. Self-determination and risk to the quality of the medication use process were identified as theories. Literature review provided two explanations—vulnerabilities of people with intellectual disabilities in healthcare and pharmacists have a role to play in ensuring a quality medication use process for people with intellectual disabilities. People with intellectual disabilities may be ‘expert patients’ and can provide valuable insights into their experience of medication use. They may be ‘high risk’ patients but may not be recognized as such by pharmacists.


2010 ◽  
Vol 13 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Setyowati Setyowati

AbstrakGrounded theory merupakan metode riset kualitatif yang menggunakan suatu set prosedur yang sistematik untuk mengembangkan suatu teori secara induktif tentang suatu fenomena. Metode ini dimulai dari suatu pernyataan yang masih kabur dan akhirnya menghasilkan teori yang dikumpulkan dari berbagai data. Grounded theory membuat kenyataan bahwa kesenjangan antara teori dan praktik dapat diatasi, sehingga dapat diaplikasikan dalam praktik dan meningkatkan pelayanan. Analisis data dilakukan melalui empat tahap. Pendekatan grounded theory sangat membantu perawat untuk memahami perilaku sosial agar perawat lebih mengerti dan memahami pasiennya. AbstractGrounded theory is a qualitative research method utilizing a set of systematic procedure to develop an inductive theory on a particular phenomenon. It is initiated by answering a vague question and eventually generating theory from the data collected. The data analysis is carried out in 4 stages in the grounded theory approach. Grounded theory may bridge the gap between theory and practice. It can be applied into practice to enhance the quality of nursing service. This approach helps nurses to understand the social behaviour of the patients.


Psychology ◽  
2020 ◽  
Vol 11 (11) ◽  
pp. 1794-1812
Author(s):  
Marios Adamou ◽  
Sarah L. Jones

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