Windows to their World: The Effect of Sensory Impairments on Social Engagement and Activity Time in Nursing Home Residents

Resnick, Helaine E.; Fries, Brant E.; Verbrugge, Lois M.

doi:10.1093/geronb/52b.3.s135

Cited by 146 publications

(106 citation statements)

References 47 publications

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“…5 The inverse relationship between depression and participation is logical. Our preliminary qualitative research 6 and other studies 2,3,25,26 suggest that institutional and societal barriers limit participation among residents. Counter-intuitively, participants who reported more perceived physical structural barriers to participation, such as accessibility, had significantly higher levels of participation.…”

Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

“…4 To date, most research investigating predictors of resident's participation has focused on personal factors. 5,6 Earlier studies have not investigated how wheelchair-related factors contribute to residents' activity and participation.Based on the MPT and a preliminary qualitative study 7 we developed a model to explain the association among wheelchair-related factors, mobility, and participation. According to this model, personal factors, like cognition and depression would have a direct effect on mobility and participation.…”

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confidence: 99%

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Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Mortenson

Miller

Backman

et al. 2012

J American Geriatrics Society

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OBJECTIVES-To explore how wheelchair-related factors, mobility, and participation are associated in a sample of long-term care residents who use wheelchairs as their primary means of mobility. DESIGN-Cross-sectional survey SETTINGS-Eleven residential care facilities in the Lower Mainland of British Columbia CanadaPARTICIPANTS-146 self-responding residents and 118 proxy respondents: mean age 84 years (range 60-103). Most were women (69%), and a small proportion (9%) drove a power wheelchair. Author Contributions: Dr. Mortenson was involved in conceptualizing the research, recruitment of sites and participants, supervising data collection, performing data analysis and interpretation, and preparation of the manuscript. Dr. Miller was involved in conceptualizing the research, supervising data collection, data analysis, and writing up the study findings. Dr. Backman was involved in conceptualizing the research, data analysis and manuscript preparation. Dr. Oliffe was involved in conceptualizing the research, data analysis, and interpretation and writing up the study findings. RESULTS-Path analysis indicated that wheelchair-related factors were associated with participation frequency directly and indirectly through their relationship with mobility. The final model explained 46% of the variance in resident's mobility and 53% of the variance in resident's participation frequency. Wheelchair skills, which include the ability to transfer in and out of and propel a wheelchair, were important predictors of life-space mobility and frequency of participation, and life space mobility was a significant predictor of frequency of participation. Depression was associated with decreased wheelchair skills, mobility and participation frequency. Counter intuitively, perceived environmental barriers were positively associated with frequency of participation.CONCLUSION-The findings suggest that by addressing wheelchair-related factors resident's mobility and participation may be improved, but the efficacy of this approach needs to be confirmed experimentally. Keywordswheelchair; mobility; participation; nursing homeProblems with ambulation mean that most long-term care residents use wheelchairs as their primary means of mobility. 1 However, facility-related problems including inadequate selection and maintenance of wheelchairs and limited availability of staff to assist residents who are unable to self-propel their wheelchairs may negatively affect their participation in daily activities. 2,3 To facilitate positive outcomes of wheelchair prescription, the Matching Person to Technology (MPT) model posits that personal, environmental and assistive technology factors need careful consideration. 4 To date, most research investigating predictors of resident's participation has focused on personal factors. 5,6 Earlier studies have not investigated how wheelchair-related factors contribute to residents' activity and participation.Based on the MPT and a preliminary qualitative study 7 we developed a model to explain the association amon...

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Mortenson

Miller

Backman

et al. 2012

J American Geriatrics Society

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“…German, Rovner, Burton, Brant, and Clark (1994) found that 1 year after admission to a nursing home, 50% of residents were not engaged in any activity. Evidence links cognitive and physical impairments with low social interaction in nursing home residents (Chen, Ryden, Feldt, & Savik, 2000;Resnick, Fries, & Verbrugge, 1997;Schroll, Jonsson, Mor, Berg, & Sherwood, 1997). Boredom and inactivity are pervasive in nursing homes because residents lack the internal resources needed to initiate social interaction.…”

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confidence: 99%

Social Interaction, Premorbid Personality, and Agitation in Nursing Home Residents With Dementia

Kolanowski¹,

Litaker²

2006

Archives of Psychiatric Nursing

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“…dementia, even though there is no physical reason for the declined activity (Resnick et al 1997). Researchers have demonstrated that offering activities and prompts can result in high levels of engagement (Engelman et al 1999).…”

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confidence: 99%

Teaching Mands to Older Adults with Dementia

Oleson

Baker

2014

Analysis Verbal Behav

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Millions of Americans are diagnosed with dementia, and that number is only expected to rise. The diagnosis of dementia comes with impairments, especially in language. Furthermore, dementia-related functional declines appear to be moderated by environ- 2010), and the mand is a verbal operant about which little is known among this population. The current study evaluated whether contriving an establishing operation within a preferred activity using a prompt-probe intermix procedure and a transfer of stimulus control procedure was effective in establishing mands in older adults with dementia. The procedure was demonstrated to be effective with one participant, but results were inconsistent with the second participant. Modifications were made throughout training for both participants, showing the importance of individualizing interventions.

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Windows to their World: The Effect of Sensory Impairments on Social Engagement and Activity Time in Nursing Home Residents

Cited by 146 publications

References 47 publications

Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Social Interaction, Premorbid Personality, and Agitation in Nursing Home Residents With Dementia

Teaching Mands to Older Adults with Dementia

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