Are occupational therapists more effective than social workers when assessing frail older people? Results of CAMELOT, a randomised controlled trial

Stewart, Sandra; Harvey, Ian; Poland, Fiona; Lloyd-Smith, Walter; Mugford, Miranda; Flood, Chris

doi:10.1093/ageing/afh230

Cited by 25 publications

(17 citation statements)

References 12 publications

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“…Consequently, for efficient case management there is a need for the OTs to obtain detailed information on the progression of the HA process for each individual. Otherwise, there is a considerable risk that the lack of information might lead to overall quality deficiencies both in the healthcare and social services delivery process within the municipalities (41) and with regard to the specific HA process (42).…”

Section: Discussionmentioning

confidence: 99%

Challenges in the development of strategies for housing adaptation evaluations

Fänge

Iwarsson

2007

Scandinavian Journal of Occupational Therapy

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Founded on recent empirical experiences and results from a Housing Adaptation Project accomplished in a Swedish municipality, this paper aims to elucidate and problematize challenges inherent in the process of developing research-based strategies for housing adaptation (HA) evaluations feasible for municipality contexts. In this paper, theory and conceptual definitions of client-level outcomes related to Swedish HA legislation - i.e. accessibility, usability, and activity - are presented. In order to lay the ground for the presentation and discussion on challenges, the Housing Adaptation Project is described with regard to design sampling and data collection, client-level outcomes and assessment instruments used, as well as longitudinal results. The challenges faced during the project were related to the assessment of outcomes, the logistic flow of the data-collection process, client availability for follow-up assessments as well as interpretation of changes in accessibility. Some challenges were due to the organizational HA framework in the municipalities, while others were related to the methodology used for outcomes assessment. Based on our experiences with this project, a set of evaluation recommendations for practice and research is provided.

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Section: Discussionmentioning

confidence: 99%

Challenges in the development of strategies for housing adaptation evaluations

Fänge

Iwarsson

2007

Scandinavian Journal of Occupational Therapy

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“…Despite the limited occupational therapy research focused specifically on carers, such therapists' interventions are often seen to benefit carers (Joice et al 1990, Logan et al 1997, Harmer and Bakheit 1999, Heywood 2001, Hawkins and Stewart 2002, Hogan et al 2004, Stewart et al 2005, Graff et al 2006. For example, a qualitative study exploring the value and effectiveness of providing housing adaptations, based on 104 semi-structured interviews and 102 questionnaires completed by service users and family carers, concluded that such adaptations benefited both parties (Heywood 2001).…”

Section: Needs Relating To the People Cared Formentioning

confidence: 99%

“…This study's generalisability is potentially reduced by the fact that the service users concerned had all experienced strokes, however. In addition, resource constraints prevent the delivery of frequent occupational therapy services to all local authority service users (Stewart et al 2005).…”

Section: Needs Relating To the People Cared Formentioning

confidence: 99%

Carers' Perspectives on their Needs and Local Authority Occupational Therapy Practice

Dibsdall¹,

Rugg

2008

British Journal of Occupational Therapy

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Chambers et al 2001). The second group of needs relatesUnpaid family carers are the main providers of care for older people in the community. Local authority occupational therapists are required by law to assess the needs of such carers in their work, targeting their interventions to support carers' roles. This small qualitative study identified the perceived needs of nine family carers of adults with physical disabilities in one English county, exploring the extent to which these needs were met by local authority occupational therapists.Data were collected from semi-structured qualitative interviews with nine family carers. These interviews were transcribed verbatim and analysed using elements of grounded theory methodology. Six varied categories of carers' needs emerged.Occupational therapists met the participants' needs for practical assistance and information, but not for respite or financial assistance. Regarding support network issues, the participants reported poorly integrated community services and little initial awareness of occupational therapy. Once seen by an occupational therapist, however, they wished to remain 'on file' to gain instant access to a valued source of support. The recommendations made include the generation of family carer targeted occupational therapy information resources, ongoing therapist liaison to raise general practitioners' familiarity with local service provision and additional research.

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“…20 Een vierde, in 2006 gevonden RCT van beperkte methodologische kwaliteit vergeleek een ergotherapeutische inventarisatie van problemen en oplossingen met een inventarisatie door een maatschappelijk werker. 22 Er bleek geen verschil in de effecten van deze interventies op het zelfstandig functioneren van de dementerende ouderen (SMD 0,00; 95%-BI -0,24-0,24). Twee RCT's presenteerden resultaten die betrekking hadden op mantelzorgers.…”

Section: Begeleiden Van Mantelzorgersunclassified

“…21 Stewart rapporteerde een toegenomen kwaliteit van leven voor de groep mantelzorgers die ergotherapie ontvangen had (SMD 0,73; 95%-BI 0,25-1,21). 22 Door de beperkte methodologische kwaliteit van de betreffende onderzoeken dienen de resultaten voorzichtig geïnterpreteerd te worden.…”

Section: Begeleiden Van Mantelzorgersunclassified