Intensive client-centred occupational therapy in the home improves older adults' occupational performance:Results from a Danish randomized controlled trial
| Autor: | Tove Lise Nielsen, Kirsten Schultz Petersen, Claus Vinther Nielsen, Helene J. Polatajko, Niels Trolle Andersen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Occupational therapy
Male 030506 rehabilitation medicine.medical_specialty Denmark occupation-based Activities of Daily Living/psychology law.invention Danish 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Occupational Therapy law occupational therapy Activities of Daily Living medicine Journal Article Client-centred Humans Chronic Disease/psychology older adults Aged Aged 80 and over business.industry Client centred Public Health Environmental and Occupational Health home Middle Aged Performance results Home Care Services language.human_language Chronic Disease Physical therapy language Home Care Services/organization & administration Female 0305 other medical science business Occupational Therapy/methods 030217 neurology & neurosurgery occupational performance |
| Zdroj: | Nielsen, T L, Andersen, N T, Petersen, K S, Polatajko, H & Nielsen, C V 2019, ' Intensive client-centred occupational therapy in the home improves older adults' occupational performance : Results from a Danish randomized controlled trial ', Scandinavian Journal of Occupational Therapy, vol. 26, no. 5, pp. 325-342 . https://doi.org/10.1080/11038128.2018.1424236 |
| DOI: | 10.1080/11038128.2018.1424236 |
| Popis: | BACKGROUND: There is growing interest in enabling older adults' occupational performance. We tested whether 11 weeks of intensive client-centred occupational therapy (ICC-OT) was superior to usual practice in improving the occupational performance of home-dwelling older adults.METHODS: An assessor-masked randomized controlled trial among adults 60 + with chronic health issues, who received or applied for homecare services. Recruitment took place September 2012 to April 2014. All participants received practical and personal assistance and meal delivery as needed. In addition, they were randomized to receive either a maximum 22 sessions of occupation-based ICC-OT (N = 59) or to receive usual practice with a maximum three sessions of occupational therapy (N = 60). The primary outcome was self-rated occupational performance assessed with the Canadian Occupational Performance Measure (COPM).RESULTS: No important adverse events occurred. ICC-OT was accepted by 46 participants (88%), usual practice by 60 (100%). After 3 months, the ICC-OT-group had improved 1.86 points on COPM performance; the Usual-Practice group had improved 0.61 points. The between-group difference was statistically significant (95% confidence interval 0.50 to 2.02), t-test: p = 0.001.CONCLUSIONS: ICC-OT improved older adults' occupational performance more effectively than usual practice. This result may benefit older adults and support programmatic changes. |
| Databáze: | OpenAIRE |
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