Occupational Competence Strategies in Old Age: A Mixed-Methods Comparison between Hispanic Women with Different Levels of Daily Participation

Orellano, Elsa Michelle; Mountain, Gail; Varas, Nelson; Labault, Nirzka

doi:10.3928/15394492-20131205-01

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…At first, members of this panel worked independently to generate a list of key relevant themes and topics for the intervention. The lists were derived from themes included in previous occupation-based programs, as well as the results of previous studies with older Puerto Ricans (Craig & Mountain, 2008; Mandel et al, 1999; Orellano et al, 2014; Orellano et al, 2012). Afterwards, the TRP met to combine, refine, and edit the five lists of key relevant themes and topics for the intervention to ensure comprehensiveness.…”

Section: Methodsmentioning

confidence: 99%

Achieving Ecological Validity of Occupation-Based Interventions for Healthy Aging

Orellano-Colón

Varas-Díaz

Bernal

et al. 2014

Physical & Occupational Therapy In Geriatrics

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Aim To develop a culturally sensitive occupation-based health promotion intervention for older Hispanic adults who live alone. Methods We used a mixed method design for the content validation of the intervention and the Ecological Validity Model (EVM) to culturally center the intervention. In the quantitative phase, aging experts as well as community members from two activity centers for the elderly in Puerto Rico completed a content validity ratio exercise. In the qualitative phase, we conducted three focus groups with these participants. Data analysis included content validity ratio and a directed content analysis. Results This resulted in a working version of the intervention protocol addressing the eight dimensions of the EVM. Conclusions The EVM can be used to culturally center preventive interventions to other ethnic minority groups to augment the external validity and cultural competence of interventions. Future research must test the feasibility of this new intervention.

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Section: Methodsmentioning

confidence: 99%

Achieving Ecological Validity of Occupation-Based Interventions for Healthy Aging

Orellano-Colón

Varas-Díaz

Bernal

et al. 2014

Physical & Occupational Therapy In Geriatrics

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“…This form of multicomponent intervention is still recommended for practice in the UK 30 and work continues across the globe to consider how such programmes, designed to allay the effects of age-related decline can be implemented to best effect. 21,31,32 This UK-based study was compromised by the study population; the majority were not experiencing decline. The UK challenge is the timely identification of individuals beginning to experience difficulties.…”

Section: Benefits Describedmentioning

confidence: 99%

<p>Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators</p>

Mountain¹,

Sprange²,

Chatters³

2020

CIA

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Objective: This qualitative study embedded within a randomized controlled trial was conducted to explore the acceptability, experiences of, and short-term impact of a preventive health intervention (Lifestyle Matters) from the perspectives of those who took part, and to uncover any evidence for the theorised mechanisms of action (improved participation and self efficacy) underpinning the intervention. It was also conducted to help explain the quantitative trial results. Methods: A purposive sample of 13 trial participants who had been randomized to receive the Lifestyle Matters intervention (approximately 10%) were individually qualitatively interviewed immediately following their involvement. All four intervention facilitators were also individually interviewed. Results: Evidence of the hypothesized behavioural changes could be identified within the interview data, demonstrating the potential of this intervention. However, lack of adherence to the overall intervention eroded receipt of benefit. This finding complements the quantitative trial results which found that the study had failed to recruit those who considered themselves to be at risk of age-related decline. Conclusion: This form of preventive health intervention requires proactive identification of those who recognise the need to make lifestyle changes. This is difficult if reactive health and social care systems are the main referral routes. The methodological approaches taken towards the study of complex interventions requires reconsideration if potential benefits are to be accurately assessed.

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“…In addition, findings of this study suggest that financially supporting elderly who are facing everyday economic difficulties is likely to be beneficial to support participation in daily occupations. These environmental strategies for full participation beyond the home may have a positive impact in older Hispanic state of health because research has shown that supportive social, physical, and economical systems environments can influence older adults wellbeing [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…For example, climate factors can create occupational requirements (driving on a rainy day) that influence necessary tasks, required capabilities, and comfort. Social support and participation in social networks have been found to support wellbeing and active ageing, as well as limit cognitive and physical decline in of older people [ 7 , 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Environmental Restrictors to Occupational Participation in Old Age: Exploring Differences across Gender in Puerto Rico

Orellano-Colón

Mountain

Rosario

et al. 2015

IJERPH

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Many older adults face challenges that prevent them from accomplishing common daily activities such as moving around, home maintenance, and leisure activities. There is still a need to examine and understand how environmental factors impact daily participation across gender. This study sought to make a qualitative comparison of gender differences regarding environmental barriers to participation in daily occupations from the perspectives of older adults who live alone in Puerto Rico. Twenty-six Hispanic older adults, 70 years or older participated in this study. We used a descriptive qualitative research design in which researchers administered an in-depth interview to each participant. The results elucidated that women were more likely than men to experience restricted participation due to lack of accessibility of the built environment and transportation systems. The findings could help with the development of tailored, occupation-based, preventive interventions that address gender specific environmental barriers and promote greater participation among both women and men. Further research is required to explore whether these environmental barriers to occupational participation remain consistent across living situations, socioeconomic status and ethnicity.

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Occupational Competence Strategies in Old Age: A Mixed-Methods Comparison between Hispanic Women with Different Levels of Daily Participation

Cited by 7 publications

References 15 publications

Achieving Ecological Validity of Occupation-Based Interventions for Healthy Aging

Achieving Ecological Validity of Occupation-Based Interventions for Healthy Aging

<p>Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators</p>

Environmental Restrictors to Occupational Participation in Old Age: Exploring Differences across Gender in Puerto Rico

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