Occupational Therapy Service Use Among People Aging With Multiple Sclerosis

Finlayson, Marcia; Garcia, Jason; Cho, Chi

doi:10.5014/ajot.62.3.320

Cited by 26 publications

(24 citation statements)

References 21 publications

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“…Mobility aids as a resource have not been mentioned explicitly in other research as being a support for individuals, however Finlayson, Garcia and Cho (2008) report that occupational therapists are needed in order to help select and train individuals with MS in the use of their walking aids. These authors also reported that, from their study in which 1274 participants were questioned about whether they experience mobility as a problem, 58% responded that their immobility interfered a great deal with their daily living (Finlayson et al 2008). It is clear that mobility aids can make a substantial difference in the lives of individuals with MS.…”

Section: Discussionmentioning

confidence: 99%

The experiences of individuals with Multiple Sclerosis in the Western Cape, South Africa

Pretorius

Joubert

2014

Health SA Gesondheid

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Background: Multiple Sclerosis (MS) is a debilitating and degenerative lifelong neurological disease that seems to be growing increasingly more prevalent in South Africa.Objectives: The aim of this qualitative study was to explore the personal experiences of individuals with MS in the South African context. The focus of this study was on the challenges faced by individuals with MS, as well as the resources that help them to cope with this debilitating, neurological condition.Method: Thematic analysis was used to explore the semi-structured interviews that were conducted with ten individuals with MS.Results: Several themes emerged that related to the participants’ experiences of living with MS. These themes included several challenges faced by the participants on a daily basis, such as the process of being diagnosed, daily life, invisible illness and medical aid schemes. Numerous resources that help these individuals to cope with MS also emerged from the data analysis and consisted of social support, mobility aids, religion and knowledge about MS.Conclusion: It is evident from the findings of this study that although individuals living with MS, which is a debilitating neurological condition, face several challenges on a daily basis, they often have several resources that help them to cope effectively with this condition. The findings of this study regarding knowledge of the challenges faced and the resources utilised by individuals with MS will hopefully create awareness of the disease and contribute to and inform the design and implementation of interventions for such individuals. Agtergrond: Veelvuldige Sklerose (VS) is ‘n aftakelende en degerenatiewe lewenslange neurologiese toestand wat blyk of dit toenemend meer algemeen in Suid-Afrika voorkom.Objektief: Die doel van hierdie kwalitatiewe studie was om die persoonlike ervarings van individue met VS binne die Suid-Afrikaanse konteks te ondersoek.Die fokus van hierdie studie was op die uitdagings wat individue met VS in die gesig staar, sowel as die hulpbronne wat hulle help met die hantering van hierdie ernstige neurologiese toestand.Metode: Tematiese analise is gebruik om die semi-gestruktureerde onderhoude te ondersoek, wat gevoer is met tien individue met VS.Resultate: Verskeie temas wat verband hou met die deelnemers se ervarings van ‘n lewe met VS het na vore gekom. Hierdie temas het verskeie uitdagingsingesluit wat die deelnemers op ‘n daaglikse basis in die gesig staar, soos die proses om korrek gediagnoseer te word, daaglikse lewe, onsigbare siekte en mediese fonds skemas. ‘n Aantal hulpbronne wat hierdie individue help om VS te hanteer het ook na vore gekom en bestaan uit sosiale ondersteuning, mobiliteit hulpmiddels, geloof en kennis oor VS.Gevolgtrekking: Dit is duidelik uit die bevindinge dat alhoewel individue wat lewe met VS, wat ‘n ernstige neurologiese toestand is, verskeie uitdaging op ‘n daaglikse basis in die gesig staar, hulle beskik oor verskeie hulpbronne wat hulle help om hierdie toestand effektief te hanteer. Die bevindinge van hierdiestudie rakende kennis van die uitdagings wat hierdie individue in die gesig staar en die hulpbronne wat individue met VS gebruik sal hopelik ‘n bewustheid skep en bydra tot die ontwerp en implimentering van intervensies vir sulke individue.

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Section: Discussionmentioning

confidence: 99%

The experiences of individuals with Multiple Sclerosis in the Western Cape, South Africa

Pretorius

Joubert

2014

Health SA Gesondheid

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“…Previous research has shown that people with MS who have stronger connections to the health care system are more likely to use rehabilitation services such as physical therapy and occupational therapy. 19,30 It may be that the people in this study who had never used physical therapy services had less interaction with the health care system, were unaware of what physical therapy services could provide, or did not perceive an adequate trigger for services that warranted action (ie, any limitation they experienced was not considered severe enough to require action).…”

Section: Discussionmentioning

confidence: 91%

“…Physical therapy was one of 22 services addressed in the study. Previous publications from this data set have examined the use of occupational therapy services, 30 religious services, 32 and mental health services. 33…”

Section: Design Overviewmentioning

confidence: 99%

“…30,32,33 In brief, the study targeted individuals with MS who were living in Minnesota, Wisconsin, Illinois, Indiana, and Michigan. Sample size calculations indicated that a final sample of 1,000 would provide high levels of accuracy (0.1-0.2) to estimate rates and 95% confidence intervals for service use and unmet needs, based on available literature.…”

Section: Samplementioning

confidence: 99%

“…Need factors (eg, limitations in daily activities, presence of specific symptoms) are those characteristics that trigger the use of services. The individual determinants concepts from the Anderson-Newman model are widely used 27 to understand utilization of services as diverse as dental care, 28 cardiac rehabilitation, 29 occupational therapy, 30 and clergy to support mental health. 31 With this background, the objectives of this study were: (1) to describe the use of physical therapy services in a sample of middle-aged and older adults with MS, (2) to identify the factors associated with how recently utilization occurred (ie, within the past year, more than a year ago, never), and (3) to describe the characteristics of those individuals who experience unmet needs for physical therapy services.…”

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confidence: 99%

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Occupational Therapy Service Use Among People Aging With Multiple Sclerosis

Abstract: The results raise questions about what constitutes appropriate levels of occupational therapy service use and how to ensure that these levels are achieved.

Cited by 26 publications

References 21 publications

The experiences of individuals with Multiple Sclerosis in the Western Cape, South Africa

The experiences of individuals with Multiple Sclerosis in the Western Cape, South Africa

Use of Physical Therapy Services Among Middle-Aged and Older Adults With Multiple Sclerosis

Characterizing fatigue phenotypes with other symptoms and clinically relevant outcomes among people with multiple sclerosis

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