Abstract:This narrative review was conducted to provide an overview of the variety of interventions aimed at disability prevention in community-dwelling frail older persons and to summarize promising elements. The search strategy and selection process found 48 papers that met the inclusion criteria. The 49 interventions described in these 48 papers were categorized into 'comprehensive geriatric assessment', 'physical exercise', 'nutrition', 'technology', and 'other interventions'. There is a large diversity within and … Show more
“…Theses advancements in 'agefriendly' environments at home and neighborhoods have contributed to declines in disability (Daniels et al 2010). Freedman et al (2006) found that from 1992 to 2001, a large portion of the decline in numbers of older adults receiving help for ADL limitations was related to greater usage of assistive technology.…”
This article reviews the current literature on disability trends in aging populations and proposes a framework for studying disability trends built upon existing models of disablement. In addition to considering disablement and its associated factors, our framework also includes factors at population level and the interplays among personal resources and health behaviors, intervention programs, technological advances, and the consequences of disability trends in the context of life course and socio-ecological perspective. The framework is abbreviated FE-BRIT-SE to denote individual-level (F)ixed attributes, including genetic factors, personality, age, sex, and earlier life conditions, and the (E)nvironment; individual (B)ehaviors, (R)esources, (I)nterventions, (T)echnology; and (S)ocioeconomic and (E)cological consequences of disability trends. The overview offers an integrated framework for understanding the disablement process, trends and their complex milieu of causes and consequences.
“…Theses advancements in 'agefriendly' environments at home and neighborhoods have contributed to declines in disability (Daniels et al 2010). Freedman et al (2006) found that from 1992 to 2001, a large portion of the decline in numbers of older adults receiving help for ADL limitations was related to greater usage of assistive technology.…”
This article reviews the current literature on disability trends in aging populations and proposes a framework for studying disability trends built upon existing models of disablement. In addition to considering disablement and its associated factors, our framework also includes factors at population level and the interplays among personal resources and health behaviors, intervention programs, technological advances, and the consequences of disability trends in the context of life course and socio-ecological perspective. The framework is abbreviated FE-BRIT-SE to denote individual-level (F)ixed attributes, including genetic factors, personality, age, sex, and earlier life conditions, and the (E)nvironment; individual (B)ehaviors, (R)esources, (I)nterventions, (T)echnology; and (S)ocioeconomic and (E)cological consequences of disability trends. The overview offers an integrated framework for understanding the disablement process, trends and their complex milieu of causes and consequences.
“…Providing ATDs is one of many interventions occupational therapists use to rehabilitate older individuals and has the promise to be a cost-effective and constructive part of the solution to future health care challenges (3,(6)(7)(8)(9).…”
However, little is known about older individuals' experiences and needs in the assistive technology device (ATD) service delivery process. The purpose of this study was to investigate older individuals' experiences during the service delivery process of ATDs.Nine older individuals were interviewed three times each throughout the ATD service delivery process. The interviews were analysed within a hermeneutical phenomenological perspective. The results show that the service delivery process could be interpreted as an enigmatic journey and described in four themes: "hope and optimistic expectations", "managing after delivery or needing additional help", "having available help versus being abandoned" and "taking charge or putting up".The results emphasise the need for occupational therapists to maintain an individualised approach toward older clients throughout the service delivery process. The experiences of older individuals were diverse and related to expectations that were not necessarily articulated to the occupational therapist. The situation when the ATD is delivered to the client was highlighted by the clients as an important event with the potential to facilitate a successful service delivery process.
“…Providing ATDs is one of the many interventions used in the rehabilitation of older individuals and is promising as a cost-effective and constructive method for solving future health care challenges [3][4][5][6][7]. Therefore, the provision of ATDs to individuals in need is publicly funded in Norway, and the municipalities are responsible for every aspect of the ATD delivery process [8].…”
Exploring the meaning of a new assistive technology device for older individuals AbstractResearching the outcomes of assistive technology devices (ATDs) for older clients is important to facilitate clinical decision-making. However, to understand the outcomes associated with ATDs, one must investigate the users' experiences and acknowledge the user as an active participant in diverse social contexts.Purpose: To enhance understanding of the users' perspective regarding ATDs, this study aimed to investigate the meaning of the ATD for older individuals still living in their home environment.
Method:To provide descriptions of ATD experiences, older individuals who received a new ATD to compensate for their challenges in moving around, assist in self-care or both were recruited for the study. Participants were interviewed twice, with a few months between interviews, about their experience in using their new ATD. The interview transcripts were analysed in a hermeneutical-phenomenological research approach.
Results:The analysis revealed three recurring themes associated with the description of ATD experiences: 'enabling performance and choice', 'transformation from requiring assistance to assisting others', and 'preparing for the future'.
Conclusion:The results show that ATDs are used to enhance competence, mastery, control, self-worth, hope, and preparedness. The ATD service delivery should be client-centred and the client should be acknowledged as an active participant in producing change.
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