Effects of a Behavior Change Program on Functional Performance Measures in Midlife and Older Adults

2007 ◽  
Vol 39 (Supplement) ◽  
pp. S421
Author(s):  
Stacy Wegley ◽  
Sara Wilcox ◽  
Marcia Ory ◽  
Alisa Phillips
Keyword(s):  
Older Adults ◽  
Behavior Change ◽  
Performance Measures ◽  
Functional Performance ◽  
Behavior Change Program

Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care

2014 ◽  
Vol 26 (10) ◽  
pp. 1659-1667 ◽  
Author(s):  
Benjamin Fox ◽  
Timothy Henwood ◽  
Christine Neville ◽  
Justin Keogh
Keyword(s):  
Older Adults ◽  
Performance Measures ◽  
Functional Performance ◽  
Correlation Coefficients ◽  
Impedance Analysis ◽  
Aged Care ◽  
Residential Aged Care ◽  
Anthropometric Measures ◽  
Residential Aged Care Facilities ◽  
Absolute Reliability

ABSTRACTBackground:This pilot investigation aimed to assess the relative and absolute test–retest reliability of commonly used functional performance measures in older adults with dementia residing in residential aged care facilities.Methods:A total of 12 participants were tested on the Short Physical Performance Battery (SPPB), the Balance Outcome Measure for Elder Rehab (BOOMER), hand grip strength, anthropometric measures and Bio-electric Impedance Analysis (BIA). This study utilized a seven-day test–retest evaluation. Intra-class Correlation Coefficients (ICC) were used to assess relative reliability, Typical Error of Measurement (TEM) was used to assess the absolute reliability, and Bland–Altman plots were used to assess group and individual levels of agreement.Results:With the exception of Standing Balance (ICC = 0.49), 2.4-m walk (ICC = 0.68), functional reach (ICC = 0.38), and static timed standing (ICC = 0.47), all measures demonstrated acceptable (>0.71) ICCs. However, only the anthropometric measures demonstrated acceptable levels of absolute reliability (>10% TEM). Bland–Altman analysis showed non-significant (p > 0.05) mean differences, and eight out of the 17 measures showing wide Limits of Agreement (LoA).Conclusions:Current measures of functional performance are demonstrably inappropriate for use with a population of older adults with dementia. Authors suggest aligning current measurement strategies with Item Response Theory as a way forward.

scholarly journals Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

2021 ◽  
pp. 089826432199332
Author(s):  
Wanda Rietkerk ◽  
Jannet de Jonge-de Haan ◽  
Joris P. J. Slaets ◽  
Sytse U. Zuidema ◽  
Debby L. Gerritsen
Keyword(s):  
Older Adults ◽  
Behavior Change ◽  
Older Adult ◽  
Goal Setting ◽  
Geriatric Assessment ◽  
Well Being ◽  
Community Dwelling ◽  
Implementation Processes ◽  
Adult Involvement ◽  
Community Dwelling Older Adults

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.

scholarly journals The Importance of Studying Health Behavior in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 827-827
Author(s):  
Jaime Hughes ◽  
Susan Hughes ◽  
Mina Raj ◽  
Janet Bettger
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Behavior Change ◽  
Chronic Conditions ◽  
Population Level ◽  
Multiple Chronic Conditions ◽  
Prior Work ◽  
Time Changes ◽  
The Impact ◽  
Over Time

Abstract Behavior change is an inherent aspect of routine geriatric care. However, most research and clinical programs emphasis how to initiate behavior change with less emphasis placed on skills and strategies to maintain behaviors over time, including after an intervention has concluded. This presentation will provide an introduction to the symposium, including a review of prior work and our rationale for studying the critical yet overlooked construct of maintenance in older adults. Several key considerations in our work include the impact of multiple chronic conditions, declines in cognitive and functional capacity over time, changes in environmental context and/or social support, and sustainability of community and population-level programs and services.

scholarly journals Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 731-731
Author(s):  
Anne Dickerson
Keyword(s):  
Older Adults ◽  
Assessment Tool ◽  
Functional Performance ◽  
Cognitive Changes ◽  
Suburban Communities ◽  
Crash Rates ◽  
Specificity And Sensitivity ◽  
Driving Impairment ◽  
Two Samples ◽  
Performance Based Assessment

Abstract For older adults living in rural/suburban communities, driving is often their only means of transportation. Although considered safe drivers, drivers older than 70 years have higher crash rates with fatality rates amplified due to the increased frailty/fragility. However, research evidence clearly indicates that cognitive factors contribute to driving impairment in older adults. Occupational therapists, as experts in observation of functional performance, use the Assessment of Motor and Process Skills (AMPS), for measurement of performance in everyday activities using two scales (motor and process). Previously demonstrated as a sensitive tool for cognitive changes, this presentation will summarize the research outcomes between older adults with cognitive impairment (N=57+) and without (N=53) who completed a comprehensive driving evaluation. Analysis of the two samples using receiving operating curves suggests the AMPS has potentially excellent specificity and sensitivity, specifically AUC = 0.826(0.73-0.92) for motor, AUC = 0.909(0.84-0.98) for process, and AUC = 0.936(0.88-0.99) together. Part of a symposium sponsored by Transportation and Aging Interest Group.

A qualitative first look at the Arts for Behavior Change Program: Theater for Health

Arts & Health ◽  
2014 ◽  
Vol 7 (1) ◽  
pp. 54-64 ◽  
Author(s):  
Andrew Pleasant ◽  
André de Quadros ◽  
Maura Pereira-León ◽  
Jennifer Cabe
Keyword(s):  
Behavior Change ◽  
The Arts ◽  
Behavior Change Program
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