Facilitating early activities of daily living retraining to prevent functional decline in older adults

Shearer, T.; Guthrie, Sarah E.

doi:10.1111/1440-1630.12070

Cited by 7 publications

(13 citation statements)

References 17 publications

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“…The MBI is a quantitative performance-based assessment, which rates respondents on their performance in physical tasks and their occupational functioning (Anderson et al, 2008). The areas assessed are the following 10 test items: (1) feeding, (2) personal grooming, (3) bathing, (4) toileting, (5) dressing and undressing, (6) walking or propelling a wheelchair, (7) bowel continence (8) bladder continence, (9) chair/bed transfers, and (10) stair climbing (Shearer & Guthrie, 2013).…”

Section: Modified Barthel Index (Mbi)mentioning

confidence: 99%

Is There a Relationship BetweenMini Mental Status ExaminationScores and the Activities of Daily Living Abilities of Clients Presenting with Suspected Dementia?

Brown

Elliott

Fielding

2014

Physical & Occupational Therapy In Geriatrics

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Introduction: The Mini Mental Status Examination (MMSE) is a commonly utilized cognitive screening assessment by occupational therapists working in both acute and sub-acute care environments. As MMSE scores are influenced by factors such as one's culture, language and education, this poses an issue when using MMSE scores to inform interventions for clients with culturally and linguistically diverse (CALD) backgrounds. Is there an association between the MMSE and functional performance measures and does this relationship differ between CALD and non-CALD client groups? Aim: This study had two primary aims: (i) to investigate if the MMSE scores were significantly associated with the prehospital and inpatient functional performance of participants presenting with suspected dementia; and whether performance differences existed between CALD and non-CALD client groups, when completing the MMSE, Modified Barthel Index (MBI) and Activities of Daily Living Questionnaire (ADL-Q). Method: A sample of 28 participants suspected of having dementia were recruited from three acute care hospitals in Melbourne, Australia. The sample included 10 CALD and 18 English-speaking participants. Participants' cognition was assessed using the MMSE and their functional performance was measured using the ADL-Q for their prehospital functional performance and the MBI for their inpatient level of functioning. Results were analyzed using Spearman's rho correlations and a Mann-Whitney U test of difference. Results: No significant correlations were found between the MMSE, MBI, or ADL-Q total scores, or the ADL-Q subscales. The Mann-Whitney U test revealed no significant differences between the CALD and non-CALD client group scores on the three measures. Conclusion: Cognitive scores and functional performance scores were not significantly associated. No significant differences between the CALD and non-CALD group were obtained.

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Section: Modified Barthel Index (Mbi)mentioning

confidence: 99%

Is There a Relationship BetweenMini Mental Status ExaminationScores and the Activities of Daily Living Abilities of Clients Presenting with Suspected Dementia?

Brown

Elliott

Fielding

2014

Physical & Occupational Therapy In Geriatrics

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“…Almost all previous studies were carried out by including elderly or much older populations. The global effect of hospitalization to functional condition was investigated only by various scales such as Barthel Index or Functional Independence Measure [18][19][20][21]. In addition to this, occupational therapy was found to be necessary for patients with chronic conditions in a previous study, however, the assessment of additional effects of hospitalization on those patients lacks [22].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis

et al. 2015

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Hospitalizasyon süreci birçok fiziksel probleme yol açmaktadır. Hospitalizasyon sırasında elin günlük yaşamda kullanımının azalması, yatan hastalarda el disfonksiyonunu akla getirmektedir. Bu çalışmanın amacı, yatan Romatoid Artritli hastaların el fonksiyonlarının, dış hastalarla detaylı olarak karşılaştırılmasıdır. Yöntemler: Yatan hastaların romatoloji servisinde ve dış hastaların rutin kontrol günlerinde kavrama ve çimdikleyici kuvvetleri ölçüldü. Ayrıca, hastalara 9 Delikli Peg Test (9DPT) yapıldı ve özür düzeyleri Michigan El Sonuçları Anketi Türkçe versiyonu (MESA-T) ile belirlendi. Bulgular: Grupların kavrama ve MESA-T skorları benzer bulunurken (p>0,05); hospitalize hastaların her üç çimdikleyici (lateral, bipod, tripod) kuvvetleri daha düşük ve 9DPT skorları daha kötü bulunmuştur (p<0,05). Sonuç: Sonuç olarak, hastalık aktivitesinin yanı sıra, hospitalizasyon süreci de romatolojik hastalarda ince el fonksiyonlarını kötüleştirmektedir. İnce el fonksiyonlarının değerlendirilmesi ve buna uygun rehabilitasyon programlarının verilmesi, hospitalize hastalarda daha fazla özrü engelleyebilir.

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“…Seventeen studies [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] investigated the addition of AHA therapy to usual care and six studies [33,34,[46][47][48][49][50][51][52] substitution of allied health professional therapy with AHA therapy with one study [33,34] investigating both addition and substitution. Ten studies were conducted in the United Kingdom [27,28,30,33,34,37,39,40,[43][44][45][46][47][48], seven in Australia [31,32,36,41,49,50...…”

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

“…Of these 17 studies, four studies reported that the AHAs providing the therapy had formal qualifications (certification) [31,35,38,42]. There were five studies where the AHAs were provided with informal training from the allied health professionals for the purposes of the study [28,33,34,37,40,44,45], and training provided or qualifications were not stated in eight studies [27,29,30,32,36,39,41,43]. Therapy delegated to AHAs included the supervision of the patient performing mobility/lower limb exercise (n = 12) [27, 29 30, 32, 35, 36, 38-40, 42-45], upper limb exercise (n = 1) [33,34], cognitive behavioural therapy (n = 1) [37], retraining in activities of daily living (ADL) (n = 2) [38,41], provision of nutritional supplements/assistance with feeding (n = 2) [28,40] and assistance transitioning home following hospital admission (n = 1) [31].…”

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

The effect of delegation of therapy to allied health assistants on patient and organisational outcomes: a systematic review and meta-analysis

Snowdon

Storr

Davis

et al. 2020

BMC Health Serv Res

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Background: Allied health assistants (AHAs) are support staff who complete clinical and non-clinical tasks under the supervision and delegation of an allied health professional. The effect of allied health professional delegation of clinical tasks to AHAs on patient and healthcare organisational outcomes is unknown. The purpose of this systematic review was to investigate the effect of allied health professional delegation of therapy to AHAs on patient and organisational outcomes. Methods: A systematic review and meta-analysis was conducted. Databases MEDLINE (Ovid), Embase (Ovid), Informit (all databases), Emcare (Ovid), PsycINFO (Ovid), Cumulative Index to Nursing and Allied Health Literature [CINAHL] (EbscoHost) and the Cochrane Database of Systematic Reviews were searched from earliest date available. Additional studies were identified by searching reference lists and citation tracking. Two reviewers independently applied inclusion and exclusion criteria. The quality of the study was rated using internal validity items from the Downs and Black checklist. Risk ratios (RR) and mean differences (MD) were calculated for patient and organisational outcomes. Meta-analyses were conducted using the inverse variance method and random-effects model. Results: Twenty-two studies met the inclusion criteria. Results of meta-analysis provided low quality evidence that AHA supervised exercise in addition to usual care improved the likelihood of patients discharging home (RR 1.28, 95%CI 1.03 to 1.59, I 2 = 60%) and reduced length of stay (MD 0.28 days, 95%CI 0.03 to 0.54, I 2 = 0%) in an acute hospital setting. There was preliminary evidence from one high quality randomised controlled trial that AHA provision of nutritional supplements and assistance with feeding reduced the risk of patient mortality after hip fracture (RR 0.41, 95%CI 0.16 to 1.00). In a small number of studies (n = 6) there was no significant difference in patient and organisational outcomes when AHA therapy was substituted for therapy delivered by an allied health professional. Conclusion: We found preliminary evidence to suggest that the use of AHAs to provide additional therapy may be effective for improving some patient and organisational outcomes.

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Facilitating early activities of daily living retraining to prevent functional decline in older adults

Abstract: Trends from this study indicate that functional retraining programmes could be effective in preventing functional decline. Further research is needed to reach more definite conclusions.

Cited by 7 publications

References 17 publications

Is There a Relationship BetweenMini Mental Status ExaminationScores and the Activities of Daily Living Abilities of Clients Presenting with Suspected Dementia?

Is There a Relationship BetweenMini Mental Status ExaminationScores and the Activities of Daily Living Abilities of Clients Presenting with Suspected Dementia?

Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis

The effect of delegation of therapy to allied health assistants on patient and organisational outcomes: a systematic review and meta-analysis

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