Client and Therapist Perspectives on the Influence of Low Vision and Chronic Conditions on Performance and Occupational Therapy Intervention

Abstract

Both vision loss and comorbidities influence occupational performance, supporting the need for interventions to address both conditions.

Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a scoping review

“…Of these 9 were focused on Indigenous older adults so for this review, a total of 36 articles were included. Thirty studies were qualitative studies [ 26 – 55 ], four were cross-sectional studies [ 56 – 59 ], one was mixed method study [ 60 ] and one was a secondary qualitative data analysis [ 61 ] (Table 1 ). Twenty two studies were conducted in North America [ 26 , 28 – 30 , 33 , 35 , 37 , 38 , 41 , 43 , 46 – 52 , 55 , 57 – 60 ], ten in Europe [ 31 , 32 , 34 , 39 , 40 , 44 , 45 , 54 , 56 , 61 ] and three in Australia/New Zealand [ 27 , 42 , 53 ].…”

“…We sought information from older adults with MCC, their caregivers and health care providers about needs of older adults with MCC and some researchers included more than one perspective in their studies [ 26 , 31 , 34 , 38 , 40 – 42 , 44 , 46 , 50 , 53 , 60 ]. Thirty-four studies included participants with MCC [ 26 , 27 , 29 – 38 , 40 – 53 , 55 – 61 ] and the sample size ranged from 8 [ 60 ] to 1274 participants [ 58 ] with a total of 3058 participants in the studies. Seven studies included caregivers of older adults with MCC [ 31 , 38 , 41 , 42 , 44 – 46 ] and the sample sizes varied from 8 [ 42 ] to 33 [ 31 ] with a total of 137 participants.…”

“…Seven studies included caregivers of older adults with MCC [ 31 , 38 , 41 , 42 , 44 – 46 ] and the sample sizes varied from 8 [ 42 ] to 33 [ 31 ] with a total of 137 participants. In the twelve studies that included health care providers [ 26 , 28 , 31 , 34 , 38 – 41 , 46 , 50 , 54 , 60 ], the sample sizes ranged from 4 [ 38 , 41 ] to 59 [ 60 ] and a total of 201 HCPs participated. Included papers were published between 2003 and 2017.…”

“…The mean age of older adults ranged from 55 to 64 in four studies [ 26 , 35 , 52 , 55 ], 65 to 74 in nine studies [ 27 , 34 , 36 , 42 , 43 , 45 , 56 , 57 , 61 ], and 75 to 84 in twelve studies [ 30 – 33 , 37 , 38 , 40 , 41 , 44 , 46 , 51 , 60 ] (see Table 2 ). Seven studies reported age ranges [ 29 , 47 – 50 , 53 , 59 ].…”

Occupational Therapy and Management of Multiple Chronic Conditions in the Context of Health Care Reform

“…For example, Barstow, Warren, Thaker, Hallman, and Batts (2015) found that clients with MCCs experience a loss of independence in self-care and of safe participation in desired social and leisure activities. These losses are further exacerbated by the psychosocial implications of a new diagnosis: People have reported feeling a loss of control over their own life, a theme reflected across multiple client populations (Brereton & Nolan, 2000; Pyatak, 2011; Wood, Connelly, & Maly, 2010).…”