Occupational Therapy as a Means to Wellness with the Elderly

Scott, Anne Hiller; Butin, Danielle N.; Tewfik, Diane; Burkhardt, Ann; Mandel, Deborah; Nelson, Laurie

doi:10.1080/j148v18n04_02

Cited by 18 publications

(10 citation statements)

References 35 publications

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“…The intervention was developed following a consultation process with a panel of occupational therapists, cultural advisors, school personnel, children, the clinical experience of the first author (Tokolahi et al, 2013 ) and evidence of occupational therapy in different contexts. The theoretical knowledge underpinning the intervention is drawn from occupational therapy and science, interventions such as Lifestyle Redesign (Jackson et al, 1998 ; Mandel et al, 1999 ; Scott et al, 2001 ) and Five Ways to Wellbeing (The New Economics Foundation, 2008 , 2011 ). Occupational therapy interventions are based on the understanding that engagement in meaningful doing is important to maintain and restore health and to enable us to develop (Gitlin, 2013 ).…”

Section: Methodsmentioning

confidence: 99%

Cluster-randomised controlled trial of an occupational therapy group intervention for children designed to promote emotional wellbeing: study protocol

et al. 2014

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BackgroundSymptoms of anxiety and depression are common in childhood, as are risk factors that undermine wellbeing: low self-esteem and limited participation in daily occupations. Current treatments focus primarily on modifying internal cognitions with insufficient effect on functional outcomes. Occupational therapists have a role in measuring and enabling children’s functional abilities to promote health and wellbeing. To-date there is no evidence for the use of occupational therapy as an intervention to promote mental health or increase self-esteem, participation and wellbeing in a preventative context. The aim of this cluster-randomised controlled study is to investigate the effectiveness of an 8-week occupational therapy group intervention (Kia Piki te Hauora) at reducing symptoms of anxiety and depression and improving self-esteem, participation and wellbeing in children aged 11–13 years.Methods/designIn this two-arm, pragmatic, cluster-randomised controlled trial, 154 children will be recruited from 14 schools. All mainstream schools in the region will be eligible and a convenience sample of 14 schools, stratified by decile ranking (i.e. low, medium, and high) will be recruited. Eight to twelve students aged 11–13 years from each school will be recruited by senior school personnel. Following consent, schools will be randomised to either the intervention or waitlist control arm of the trial. The study will employ a parallel and one-way waitlist-to-intervention crossover design. Each cluster’s involvement will last up to 19 or 31 weeks depending on allocation to the intervention or waitlist respectively. The primary outcome is symptoms of anxiety and secondary outcomes are symptoms of depression, self-esteem, participation in daily occupations and wellbeing. Outcome measurement will be repeated at baseline, post-intervention and again at 8–9 weeks follow-up. Planned statistical analyses will utilise repeated measures analysis of covariance. The primary analysis will be based on an intention-to-treat analysis set and include only parallel data. The crossover data will only be used in secondary analyses.DiscussionThis is the first cluster-randomised controlled trial to investigate an occupational therapy intervention promoting emotional wellbeing in a non-clinical sample of children. Results will contribute to the limited evidence base for occupational therapists in this field and potentially support investment in these services.Trial registrationAustralia/New Zealand Clinical Trials Register: ACTRN12614000453684.

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Section: Methodsmentioning

confidence: 99%

Cluster-randomised controlled trial of an occupational therapy group intervention for children designed to promote emotional wellbeing: study protocol

et al. 2014

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“…Early articles described multi-disciplinary interventions in which occupational therapists delivered sessions on specified subjects, the most common being exercise [11,14,15]. A programme with a much broader remit was described by Scott et al [16], and was designed to incorporate diabetes management skill-building into everyday functioning; however the extent to which this programme was individually tailored to the user remains unclear.…”

Section: Literature Reviewmentioning

confidence: 99%

Interplay between type-1 diabetes and occupation: Results from a pilot study Theoretical paper exploring new treatment technique

Mailoo

Best²,

Cheal

et al. 2016

Asian J OT

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Type-1 diabetes results from cessation of endogenous insulin production. Self-management is essential for patients with type-1 diabetes to prevent secondary organ damage and premature death. Self-management may be inhibited by a vast array of psychosocial factors, and therapy is unlikely to be successful unless these factors are identified and addressed. A pilot study of seven patients from Norfolk in the United Kingdom was undertaken to investigate the psychosocial factors interfering with diabetes self-management. Occupational therapy assessments and interventions were provided in an outpatient clinic. Patients' capacities for diabetes self-management were adversely affected by physical and psychological comorbidities, financial hardship and family responsibilities. Health problems resulting from sub-optimal diabetes self-management included visual impairment, lower limb amputation, erectile dysfunction, hypoglycaemia and diabetic ketoacidosis. A combination of these problems impacted on patients' spiritual lives, interpersonal and intimate relationships, employment prospects, finances and personal power, pleasure and security.

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“…However, the literature acknowledges occupational therapy involvement in falls prevention in areas such as assertiveness training, physical conditioning exercises, home visits, environmental assessments (Walker & Howland, 1991) and adaptation (Scott et al, 2001), functional assessments (Craven & Bruno, 1986), and education regarding the use of assistive devices and reducing risk-taking behaviours (Scott et al, 2001;Steinmetz & Hobson, 1994;Walker & Howland, 1991). For example, falls prevention is mentioned much more frequently in nursing, geriatric, medical, and general rehabilitation journals than in occupational therapy journals, and articles discussing this topic are not typically written by occupational therapists.…”

Section: Occupational Therapy Role and Unique Perspectivementioning

confidence: 99%

An Occupational Therapy Perspective on Falls Prevention among Community-Dwelling Older Adults

Woodland¹,

Hobson²

2003

Can J Occup Ther

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It revealed that there are only a few brief examples of the relationship between occupation and falls in the literature. The profession of occupational therapy appears to be underrepresented in the current falls prevention literature. The review highlights the important contributions that occupational therapists could make to this functional problem. PRACTICE AND RESEARCH IMPLICATIONS: For occupational therapy, important areas for consideration when attempting to prevent falls among older adults living in the community include using a client-centred approach, compliance, and follow up on recommendations. There is a need for more occupational therapy research specifically on occupation and falls, that explores their relationship and influence upon one another.

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Occupational Therapy as a Means to Wellness with the Elderly

Cited by 18 publications

References 35 publications

Cluster-randomised controlled trial of an occupational therapy group intervention for children designed to promote emotional wellbeing: study protocol

Cluster-randomised controlled trial of an occupational therapy group intervention for children designed to promote emotional wellbeing: study protocol

Interplay between type-1 diabetes and occupation: Results from a pilot study Theoretical paper exploring new treatment technique

An Occupational Therapy Perspective on Falls Prevention among Community-Dwelling Older Adults

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