Design of Occupational Therapy Interventions for Middle-Aged and Elderly Family Caregivers

Chou, Wen-Huei; Ko, Ya-Ling; Xiang-yu, Huang

doi:10.3390/healthcare9030275

Cited by 2 publications

(2 citation statements)

References 36 publications

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“…As patients witness improvement in their daily functioning, this could resonate positively with their selfesteem and life satisfaction, forging a pathway toward a more fulfilled life. However, it is essential to approach this with a nuanced understanding, incorporating individualized therapy plans that resonate with the unique needs and preferences of each individual, to truly harness the potential of occupational therapy in nurturing a richer quality of life in bipolar disorder patients [29][30].…”

Section: Discussionmentioning

confidence: 99%

Exploring praxia deficits in bipolar disorder: A cross-sectional analysis of functionality and quality of life

Özönder Ünal

2023

J Surg Med

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Background/Aim: Patients with bipolar disorder often experience praxia deficits, which might impede their functionality and quality of life. This study sought to delve into praxis defects in these patients, contrasting their praxia performance with healthy controls and illuminating the interrelation between praxia performance, functionality, and quality of life. Methods: In this cross-sectional study conducted from February to July 2023, we enrolled 203 patients diagnosed with bipolar disorder 1. Participants were recruited from the Ibni Sina and Sifa Community Mental Health Centers, both of which are affiliated with the Istanbul Tuzla State Hospital. Additionally, 201 healthy controls (HC) were recruited, primarily from the friends and relatives of the hospital staff. Patients diagnosed with bipolar disorder 1, between 18 and 65 years of age, were included based on their diagnosis as determined by the Structured Clinical Interview for DSM-5 Clinical Version (SCID-5-CV). Their right-handedness was ascertained via the Edinburgh Handedness Inventory. To minimize the confounding effects of acute mood episodes on praxia deficits, patients were required to score below 5 on the Young Mania Rating Scale (YMRS) and 7 or lower on the 17-item Hamilton Depression Rating Scale (HDRS). This criterion ensured the exclusion of individuals experiencing an active mood episode. Additionally, participants needed to have been in remission for at least six months. Healthy controls, aged 18-65 and confirmed as right-handed, were included, provided they had no personal or familial history of psychiatric conditions. A detailed interview using SCID-5-CV confirmed that the healthy controls had no history or suspicion of bipolar disorder (BD) or any other psychiatric disorder and no relatives with a psychiatric disorder. All participants (203 bipolar disorder patients and 201 healthy controls) underwent evaluations using the Test for Upper Limb Apraxia (TULIA), while the bipolar cohort received the Global Functioning Assessment-Functioning (GAF-F) and the World Health Organization Quality of Life-Brief Version (WHOQOL-BREF). Statistical analyses were conducted using SPSS 22.0. Results: We identified a critical TULIA score threshold of 217, which differentiates bipolar patients from healthy individuals with a sensitivity of 79.3% and a specificity of 77.1% (area under the curve (AUC) 0.799, P<0.001). TULIA scores in bipolar patients were significantly positively correlated with functionality (GAF-F; r=0.502, P<0.001) and quality of life-general health (WHOQOL; r=0.389, P<0.001). TULIA pantomime subscores (OR=0.92, 95% CI 0.86-0.99, P=0.022) and CPZ use of more than 250mg per day (OR=2.24, 95% CI 1.19-4.21, P=0.012) were independent predictors of impairment in functioning in bipolar patients. Conclusion: Praxia deficits in bipolar disorder patients may be intricately tied to specific clinical features that influence both their functionality and life quality. Comprehensive praxia deficit assessments can pave the way for devising tailored interventions, enhancing praxia and, by extension, the quality of life of bipolar patients.

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Section: Discussionmentioning

confidence: 99%

Exploring praxia deficits in bipolar disorder: A cross-sectional analysis of functionality and quality of life

Özönder Ünal

2023

J Surg Med

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“…Participation in occupations has been associated with increased quality of life andincreased life satisfaction [ 5 ]. During the COVID-19 pandemic, occupational therapy in this type of resource has had to adapt urgently and essentially, betting on interventions based on telehealth and telerehabilitation or making the tasks to be performed by professionals more flexible [ 6 , 7 ]. The present study explores the perception that occupational therapists working in care facilities for the elderly have about the measures implemented against the COVID-19 pandemic in their facilities.…”

Section: Introductionmentioning

confidence: 99%

Lessons Learned: Occupational Therapy in Nursing Homes during the First Wave of COVID-19 in Spain

et al. 2022

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This research aims to explore the perception that occupational therapists working in elderly care facilities have about the measures implemented against the COVID-19 pandemic in their resources, and the impact that these measures have had on occupational therapy in these facilities. An interpretive paradigm was selected, using a qualitative approach and a phenomenological design. Sixteen occupational therapists working in elderly care facilities in two Spanish regions were included. Data were collected through semi-structured interviews. A discourse analysis of the narrative information was carried out using open, axial, and selective coding processes and the constant comparison method. Four themes were extracted from the analysis results: The initial chaos in senior centers; The blurring of occupational therapists’ roles; The emergence of technology; and organizational and therapeutic proposals for future pandemics. The pandemic had a significant impact on the care and therapeutic processes in elderly care facilities. Occupational therapists had to stop performing their functions to dedicate themselves to other support, auxiliary or communication tasks between the center and the families. Similarly, it is worth noting the emergence of low-cost technology to facilitate communication and to carry out some therapeutic interventions.

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Design of Occupational Therapy Interventions for Middle-Aged and Elderly Family Caregivers

Cited by 2 publications

References 36 publications

Exploring praxia deficits in bipolar disorder: A cross-sectional analysis of functionality and quality of life

Exploring praxia deficits in bipolar disorder: A cross-sectional analysis of functionality and quality of life

Lessons Learned: Occupational Therapy in Nursing Homes during the First Wave of COVID-19 in Spain

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