Rehabilitation agency of older adults in group-based intervention

Abstract

An agency-centred approach could produce new theoretical ideas and practical implications for developing older adults' rehabilitation to better meet their needs as well as the goals of group-based rehabilitation interventions.

Older Adults’ Experiences of Goals in Health: A Systematic Review and Metasynthesis

“…Table 1 incorporates the characteristics and quality appraisal of the included studies. There were n = 764 participants (age range: 65-100 years, M: 78 years; 64% female) included in the 15 studies, three mixed methods studies (Melville et al, 2002;Rose et al, 2019;Saajanaho et al, 2016) and 12 qualitative studies (Brown et al, 2014;Coylewright et al, 2016;Efraimsson et al, 2006;Feder et al, 2019;Gorawara-Bhat et al, 2008;Hjelle et al, 2016;Huang et al, 2005;Kuluski et al, 2013;Pikkarainen et al, 2018;Schellinger et al, 2018;Schulman-Green et al, 2006;van Seben et al, 2019). Most studies chose purposive sampling.…”

“…Data collection was via interviews (Brown et al, 2014;Efraimsson et al, 2006;Feder et al, 2019;Gorawara-Bhat et al, 2008;Hjelle et al, 2016;Huang et al, 2005;Kuluski et al, 2013;van Seben et al, 2019), questionnaires (Saajanaho et al, 2016;Schulman-Green et al, 2006), or a combination of both (Coylewright et al, 2016;Melville et al, 2002;Rose et al, 2019). Pikkarainen et al (2018) used nonparticipant observation, and Schellinger et al (2018) analyzed the data from electronic medical records that had documented direct patient quotes or patient validated statements. The papers collectively depicted a longitudinal journey through the health system, from the acute hospital setting (Coylewright et al, 2016;Efraimsson et al, 2006) through subacute and rehabilitation (Brown et al, 2014;Melville et al, 2002;Pikkarainen et al, 2018;van Seben et al, 2019), outpatients (Gorawara-Bhat et al, 2008;Huang et al, 2005;Kuluski et al, 2013), and back into the community (Feder et al, 2019;Hjelle et al, 2016;Rose et al, 2019;Saajanaho et al, 2016;Schellinger et al, 2018;Schulman-Green et al, 2006;van Seben et al, 2019).…”

“…Pikkarainen et al (2018) used nonparticipant observation, and Schellinger et al (2018) analyzed the data from electronic medical records that had documented direct patient quotes or patient validated statements. The papers collectively depicted a longitudinal journey through the health system, from the acute hospital setting (Coylewright et al, 2016;Efraimsson et al, 2006) through subacute and rehabilitation (Brown et al, 2014;Melville et al, 2002;Pikkarainen et al, 2018;van Seben et al, 2019), outpatients (Gorawara-Bhat et al, 2008;Huang et al, 2005;Kuluski et al, 2013), and back into the community (Feder et al, 2019;Hjelle et al, 2016;Rose et al, 2019;Saajanaho et al, 2016;Schellinger et al, 2018;Schulman-Green et al, 2006;van Seben et al, 2019). The research was conducted in various countries-see Table 1 for characteristics and quality appraisal.…”

“…Intrinsic Enablers. Participants reported they planned goals to enhance their engagement and motivation (Brown et al, 2014;Gorawara-Bhat et al, 2008;Hjelle et al, 2016;Huang et al, 2005;Melville et al, 2002;Pikkarainen et al, 2018;Saajanaho et al, 2016):…”

“…If you have something definite in mind, you'll work harder. (Melville et al, 2002, p. 656) Participants described the importance of having an internal locus of control as essential for self-reliance and improved well-being (Brown et al, 2014;Coylewright et al, 2016;Gorawara-Bhat et al, 2008;Hjelle et al, 2016;Pikkarainen et al, 2018;Rose et al, 2019;Saajanaho et al, 2016;Schulman-Green et al, 2006): Participants noted an essential component of maintaining their locus of control was the ability to foresee a "future self." This involved identifying future desires and wishes in addition to the immediate physiological or functional needs: I wanted to be independent as soon as possible and I worked on that from the start .…”