scholarly journals The Effect of Group Movie Therapy on the Activities of Daily Living Among the Older Adults

2019 ◽  
Vol 5 (4) ◽  
pp. 223-230
Author(s):  
Narges Yaghini ◽  
◽  
Fatemeh Sadat Izadi-Avanji ◽  
Sedigheh Miranzadeh ◽  
Hossain Akbari ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Low Cost ◽  
Study Groups ◽  
Functional Independence ◽  
Essential Components ◽  
Significant Difference ◽  
Movie Therapy ◽  
The Mean

Background: The daily living activities are among the essential components of life and reflect an important aspect of functional independence in older adults. This study aimed to determine the effect of Group Movie Therapy (GMT) on the Activities of Daily Living (ADL) in older adults. Methods: A randomized clinical trial was conducted on 48 older adults referred to Urban Comprehensive Health Service Centers of Kashan City, Iran. The study subjects were enrolled by a convenience sampling method and were randomly assigned to the intervention (n=24) and control (n=24) groups. GMT was performed in 6 weekly sessions. The Lawton’s ADL Scale was used for data collection. The obtained data were analyzed by the Chi-Squared test, Fisher’s Exact test, and Independent Samples t-test using SPSS. Results: There was no significant difference in the mean scores of Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) before the intervention between the study groups. A significant difference was found in the mean scores of IADL after the intervention between the study groups (P=0.001); however, there was no significant difference in the BADL values of the groups after the intervention. Conclusion: GMT is a non-invasive, low-cost, and non-risky way to improve the elderly’s autonomy in performing IADL. Thus, GMT is recommended as a method of behavior therapy.

Naturally Occurring Expressive Suppression is Associated with Lapses in Instrumental Activities of Daily Living Among Community-Dwelling Older Adults

2019 ◽  
Vol 25 (7) ◽  
pp. 718-728 ◽  
Author(s):  
Yana Suchy ◽  
Madison A. Niermeyer ◽  
Emilie I. Franchow ◽  
Rosemary E. Ziemnik
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Independence ◽  
Community Dwelling ◽  
Self Report ◽  
Expressive Suppression ◽  
Instrumental Activities ◽  
Lower Accuracy ◽  
Community Dwelling Older Adults

AbstractObjectives: Expressive suppression (i.e., effortful regulation of overt affect) has a deleterious impact on executive functioning (EF). This relationship has potential ramifications for daily functioning, especially among older adults, because a close relationship exists between EF and functional independence. However, past research has not directly examined whether expressive suppression impacts instrumental activities of daily living (IADL). The present study examined this association among older adults. Methods: One hundred ten community-dwelling older adults completed a self-report measure of acute (past 24 hr) and chronic (past 2 weeks) expressive suppression, a timed test of IADL, and the Behavioral Dyscontrol Scale as a measure of EF. Results: High chronic expressive suppression was related to slow IADL performance beyond covariates (age, IQ, depression), but only for individuals with low EF. High acute expressive suppression was associated with lower accuracy on IADL tasks beyond covariates (IQ, depression), but this association was fully explained by EF. Conclusions: The current results suggest that expressive suppression is associated with less efficient and more error-prone IADL performance. EF fully accounted for the relationship between acute expressive suppression and IADL performance, showing that suppression is a risk factor for both poorer EF performance and functional lapses in daily life. Furthermore, individuals with weaker EF may be particularly vulnerable to the effect of chronic expressive suppression. (JINS, 2019, 25, 718–728)

scholarly journals Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

2020 ◽  
Vol 17 (23) ◽  
pp. 9098
Author(s):  
Hayato Narao ◽  
Keisuke Hirota ◽  
Shunji Koya ◽  
Manabu Tomita ◽  
Yuta Manako ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Physical Therapy ◽  
Activities Of Daily Living ◽  
Cancer Treatment ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Knee Extension ◽  
Significant Difference ◽  
Before And After

Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment.

Associations of Sedentary Time and Breaks in Sedentary Time With Disability in Instrumental Activities of Daily Living in Community-Dwelling Older Adults

2016 ◽  
Vol 13 (3) ◽  
pp. 303-309 ◽  
Author(s):  
Tao Chen ◽  
Kenji Narazaki ◽  
Yuka Haeuchi ◽  
Sanmei Chen ◽  
Takanori Honda ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Sedentary Time ◽  
Functional Independence ◽  
Community Dwelling ◽  
Instrumental Activities ◽  
Iadl Disability ◽  
Breaks In Sedentary Time ◽  
Community Dwelling Older Adults

Background:This cross-sectional study was performed to examine associations of objectively measured sedentary time (ST) and breaks in sedentary time (BST) with instrumental activities of daily living (IADL) disability in Japanese community-dwelling older adults.Methods:The sample comprised 1634 older adults (mean age: 73.3 y, men: 38.4%). Sedentary behavior was measured using a triaxial accelerometer. Disability was defined as inability in at least 1 of the IADL tasks using the Tokyo Metropolitan Institute of Gerontology Index of Competence.Results:After adjusting for potential confounders and moderate-to-vigorous physical activity (MVPA), longer ST was significantly associated with higher likelihood of IADL disability, whereas a greater number of BST was associated with lower likelihood of IADL disability. ST and BST remained statistically significant after mutual adjustment with odds ratio of 1.30 (95% confidence interval [CI)], 1.00–1.70) and 0.80 (95% CI, 0.65–0.99), respectively.Conclusions:This study first demonstrated that shorter ST and more BST were associated with lower risk of IADL disability independent of MVPA and that the association for ST was independent of BST and vice versa. These findings suggest not only total ST but also the manner in which it is accumulated may contribute to the maintenance of functional independence in older adults.

scholarly journals Complexity of care of hospitalized older adults and its relationship with sociodemographic characteristics and functional independence

2019 ◽  
Vol 22 (6) ◽  
Author(s):  
Beatriz Aparecida Ozello Gutierrez ◽  
Henrique Salmazo da Silva ◽  
Rosa Yuka Sato Chubaci ◽  
Caroline Ribeiro Borja-Oliveira
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Cognitive Decline ◽  
Daily Living ◽  
Functional Independence ◽  
Sao Paulo ◽  
São Paulo ◽  
Term Care ◽  
Female Sex ◽  
Hospitalized Older Adults

Abstract Objectives: To investigate the relationship between the complexity of care of hospitalized older adults and sociodemographic and functional independence characteristics. Method: A quantitative cross-sectional and descriptive study was carried out in the medical and surgical clinics of the University Hospital of the Universidade de São Paulo, in the state of São Paulo SP, Brazil. A total of 382 older adults were assessed through a socio-demographic inventory, the Mini Mental State Exam, the Katz Index of Independence in Activities of Daily Living and the Interdisciplinary Medicine Instrument Method. Results: The complexity of care of participants was associated with the female sex (p=0.003), not having a partner (p=0.003), having a lower income (p=0.022), cognitive decline (p<0.001) and dependence in basic activities of daily living (BADL) (p<0.001). In the multiple logistic regression model, variables such as the female sex (OR=1.76; p=0.018), dependence in one or more activities of daily living (OR=1.26; p<0.001) and cognitive decline (OR=3.31; p<0.001) remained associated with complexity of care. Conclusion: The complexity of care of hospitalized older adults, as it is associated with limitations in BADL and cognitive decline, requires actions by the interprofessional team to ensure the rehabilitation, integration of long-term care and planning of care resources for older patients. Thus, it is necessary to adopt integrated services that include home care and care networks for the elderly, in order to provide qualified post-hospital discharge care and promote the health of the hospitalized older population.

scholarly journals Investigating the Impact of Foot Reflexology on Postpartum Energy in Primiparous Women

2020 ◽  
Vol 10 (2) ◽  
pp. 184-195
Author(s):  
Maryam Moddares ◽  
◽  
Shekoufeh Maleki ◽  
Shima Haghanni ◽  
◽  
...  
Keyword(s):  
Energy Level ◽  
Low Cost ◽  
Study Groups ◽  
Routine Care ◽  
Control Group ◽  
Visual Fatigue ◽  
Informed Consent Form ◽  
Significant Difference ◽  
The Mean ◽  
The Impact

Objective: The postpartum period is a critical stage that exposes the mother to unpleasant experiences, including changes in energy level. Implementing reflexology during this period, as a branch of complementary medicine, may be helpful in promoting healthcare, especially in the areas of maternal and child health. Methods: In total, 70 eligible women who referred to health centers in the south of Tehran City, Iran, affiliated to Tehran University of Medical Sciences participated in this quasi-experimental study. A written informed consent form was obtained from them before initiating the study. The mothers of the postpartum routine care control group and the reflexology group received a massage for 3 consecutive days for 30 minutes (15 minutes per leg). Both study groups completed energy-related items in the Visual Fatigue Questionnaire before as well as immediately and one week after the completion of the intervention. The collected data were analyzed by SPSS. Results: Demographic characteristics and the energy level before intervention were homogenous in both research groups. Immediately after the intervention, the Mean±SD energy scores in the control and reflexology groups were 34.55±2.84 and 33.7±4.33, respectively; thus the obtained data revealed no statistically significant difference between the study groups (P=0.02). One week after the intervention, the Mean±SD energy scores in the reflexology and control groups were 35.87±2.71 and 35.5±3.43), respectively; thus, there was no significant difference between the study groups in this regard (P=0.64). Conclusion: The presented massage intervention was not as effective as a non-invasive low-cost method on the postpartum energy level of the study participants.

scholarly journals Barriers to the Use of Traditional Telephones by Older Adults with Chronic Health Conditions

2005 ◽  
Vol 25 (4) ◽  
pp. 160-166 ◽  
Author(s):  
William C. Mann ◽  
Patrícia Belchior ◽  
Machiko R. Tomita ◽  
Bryan J. Kemp
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Low Cost ◽  
Occupational Therapists ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Face To Face ◽  
Perceived Need

As people age, they face motor, sensory, and cognitive decline that may compromise their performance of activities of daily living and instrumental activities of daily living. Telephone use is an important instrumental activity of daily living for older adults, but many have difficulty in making and receiving calls. Today, there are many features that can be added to the telephone that can help compensate for impairments, but often these features are not used. To better understand the problems of older adults in using their telephones, we surveyed 609 older adults living in the community who had chronic health conditions. Interviews were conducted face-to-face, by telephone, or by mail. The most common reasons for not using more telephone special features were cost, lack of perceived need, and lack of knowledge of the features. Occupational therapists who work with older adults must understand the importance of telephones in their lives and offer them information and assistance in finding telephones with features that match their special needs. The findings of this study suggest that a significant number of older adults with chronic health conditions are unaware of low-cost, feature-laden telephones that could make their communications easier or, for some, possible.

scholarly journals Influence of Post-Stroke Depression on Functional Independence in Activities of Daily Living

1970 ◽  
Vol 29 (1) ◽  
Author(s):  
Charles I Ezema ◽  
Petronella C Akusoba ◽  
Martins C Nweke ◽  
Chigozie U Uchewoke ◽  
Joshua Agono ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Teaching Hospital ◽  
Functional Recovery ◽  
Daily Living ◽  
Functional Independence ◽  
Outpatient Rehabilitation ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Significant Difference ◽  
Post Stroke Depression

BACKGROUND: Little attention has been paid to screening of depression among stroke survivors in outpatient physiotherapy clinics. Post-stroke depression is reported to have a negative impact on functional recovery. However, the exact influence on the outcome of rehabilitation such as level of functional independence remains controversial. This study aims at ascertaining the influence of post-stroke depression on functional independence in activities of daily living.METHODS: The study is a cross sectional survey of stroke survivors attending outpatient physiotherapy clinics of the University of Nigeria Teaching Hospital (UNTH) Enugu, and the Enugu State University Teaching Hospital (ESUTH). Participants were evaluated for socio demographic characteristics. Post-stroke depression and level of functional recovery in Activities of Daily Living were assessed using the Hamilton Depression Rating Scale and the Barthel Index respectively. Data was analyzed using SPSS version 23, with α set at 0.01.RESULTS: A total of 66 participants, 42 females and 24 males, were purposively recruited into the study. Over 80% (56) of the participant had depression, with over 50% (32) being severely depressed. Post-stroke depression was associated with less functional independence in activities of daily living (p=0.000). A significant difference was found in the level of functional independence between participants with and without depression (p=0.00).CONCLUSION: Participants with post-stroke depression have less independence in activities of daily living. A longitudinal study with a larger sample size is, however, recommended so as to improve the external validity. In the mean time, outpatient rehabilitation of depressed stroke survivors should include pharmacological and psychological components. 

scholarly journals Long-Term Changes in Older Adults’ Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study

2021 ◽  
Vol 18 (18) ◽  
pp. 9641
Author(s):  
Takuhiro Okabe ◽  
Makoto Suzuki ◽  
Naoki Iso ◽  
Koji Tanaka ◽  
Akira Sagari ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Nursing Care ◽  
Daily Living ◽  
Difficulty Level ◽  
Research Subjects ◽  
Term Care ◽  
Significant Difference ◽  
The Difference

This study aimed to clarify the variability in the independence profiles of specific activities of daily living (ADL) among older men and women. The research subjects were 5872 older adults (1143 men and 4729 women) certified as requiring nursing care or support (based on data obtained from the nursing care insurance certification survey database) who could be surveyed in both 2009 and 2018. Using item response theory, this study compared longitudinal data of difficulties faced by older adults during ADL. The results indicated that among the long-term care insurance-certified persons, in 2009, men had higher ADL difficulty than women in all ADL items, and in 2018, there was no significant difference in items other than dressing and excretion. Furthermore, the difference in the rate of ADL difficulty level over 9 years was significantly higher in women than in men. It was shown that the progression of ADL disability due to aging is faster in men on a yearly basis, but it increases in women with aging. Therefore, it was suggested that the rate of ADL difficulty varies depending on age and sex.

Clinical outcomes for moderate and severe stroke survivors receiving early supported discharge: A quasi-experimental cohort study

2020 ◽  
Vol 83 (11) ◽  
pp. 680-689
Author(s):  
Kathleen Leach ◽  
Sharon Neale ◽  
Sarah Steinfort ◽  
Danielle Hitch
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Standard Treatment ◽  
Functional Independence ◽  
Control Group ◽  
Stroke Survivors ◽  
Severe Stroke ◽  
Early Supported Discharge ◽  
Significant Difference ◽  
Quasi Experimental

Introduction The aim of this study was to compare outcomes for functional independence, activities of daily living participation and balance achieved by moderate and severe stroke survivors receiving an early supported discharge model of care with those receiving standard treatment. Method A quasi-experimental cohort method was utilised, with a control group of convenience. Forty-one patients ( n = 28 early supported discharge group, n = 13 control group) who were medically stable post stroke, safe for discharge home, able to be treated in the home environment and requiring intensive rehabilitation from at least two disciplines participated. Results There was no significant difference in outcomes between early supported discharge and control groups for functional independence, activities of daily living participation or balance from baseline to 4 weeks, or 4 weeks to 8 weeks. However, patients receiving early supported discharge made further improvements across the study period, while those receiving standard care made limited improvement between 4 weeks and 8 weeks. All minimal clinically important differences on outcome measures were identified between baseline and 4 weeks. Conclusions Moderate and severe stroke survivors can achieve comparable outcomes when receiving early supported discharge or standard treatment. Early supported discharge models of care may also enhance ongoing improvement during the early phases of stroke recovery.

Sign in / Sign up

Export Citation Format

Share Document