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Articles 1 - 30 of 66
Full-Text Articles in Medicine and Health Sciences
Enhancing Resident Engagement: Optimizing Meaningful Occupations In Skilled Nursing Facilities, Drew J. Couch
Enhancing Resident Engagement: Optimizing Meaningful Occupations In Skilled Nursing Facilities, Drew J. Couch
Occupational Therapy Capstone Presentations
Older adults residing in skilled nursing facilities (SNFs) face a multitude of challenges in engaging in meaningful occupations. They are at risk of occupational deprivation due to the regulations of the facility, physical limitations, and restricted choices of activities (Keane et al., 2023). Though the occupational therapy profession acknowledges the impacts this has on older adults little has been done to combat these issues. The purpose of the 14-week capstone project was to promote meaningful occupational engagement for residents residing in an SNF. Additionally, this project advocated for occupational therapy’s distinct role in identifying and promoting meaningful occupations. Multiple goals …
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Doctor of Nursing Practice (DNP) Scholarly Projects
Abstract
Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).
Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. …
Association Of Fall-Related Injuries And Different Diagnoses In Older Adults Of Ontario: A Machine Learning Approach, Sorour Rostampour
Association Of Fall-Related Injuries And Different Diagnoses In Older Adults Of Ontario: A Machine Learning Approach, Sorour Rostampour
Electronic Thesis and Dissertation Repository
Falls are the leading cause of injury-related hospitalizations among older adults in Canada. This study aimed to identify the most informative diagnostic categories associated with fall-related injuries (FRIs) using three machine learning algorithms: decision tree, random forest, and extreme gradient boosting tree (XGBoost). Secondary data from two Ontario health administrative databases (NACRS, DAD) covering the period 2006-2015 were analyzed. Older adults (aged ≥ 65 years) who sought treatment for FRIs in emergency departments (ED) or hospitals, as indicated by Canadian version of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10-CA) codes for falls …
A Home Safety Program For Low-Income Community-Dwelling Older Adults: Using Meals On Wheels Volunteers, Erin Jeffords, Ms, Otr/L
A Home Safety Program For Low-Income Community-Dwelling Older Adults: Using Meals On Wheels Volunteers, Erin Jeffords, Ms, Otr/L
Post-Professional Occupational Therapy Doctorate Culminating Presentations
Low-income older adults who reside in the community have fewer opportunities to access services and limited resources to obtain equipment that would enhance safety in their living environment. Through their “army” of volunteers, Meals on Wheels agencies have long been the eyes of the community to identify older adults who are socially isolated and disabled (Thomas et al., 2018). The purpose of this project was to evaluate the (1) delivery of the Midlands Modifiers Home Safety Program and (2) training program for the Meals on Wheels volunteers who will administer the home safety screen. The Midlands Modifiers Home Safety Program …
Evaluating Non-Pharmacological Approaches To Nursing Home Dementia Care: A Protocol, Natalie E Leland, Victoria Shier, Catherine V. Piersol, Cara Lekovitch, Jenny Martínez, Yuna H Bae-Shaaw, Neeraj Sood, Claire Day, Paul Cass, Dominique Como, Carin Wong, Felicia Chew
Evaluating Non-Pharmacological Approaches To Nursing Home Dementia Care: A Protocol, Natalie E Leland, Victoria Shier, Catherine V. Piersol, Cara Lekovitch, Jenny Martínez, Yuna H Bae-Shaaw, Neeraj Sood, Claire Day, Paul Cass, Dominique Como, Carin Wong, Felicia Chew
Department of Occupational Therapy Faculty Papers
BACKGROUND: The COVID-19 pandemic has underscored the daily challenges nursing home (NH) staff face caring for the residents living with Alzheimer's Disease and Related Dementias (
METHODS: This clustered randomized trial will compare
CONCLUSION: This trial will be the first-ever evaluation of team- and problem-based approaches to ADRD care across multiple NHs and geographic regions. Results can provide health system leaders and policymakers with evidence on how to optimize ADRD training for staff in an effort to enhance ADRD care delivery.
Cultural Humility When Caring For Lgbtqia+ Older Adults: A Resource Guide For Occupational Therapy Practitioners And Students, Michele Ramos, Deb Meyers, Mary Ann Smith
Cultural Humility When Caring For Lgbtqia+ Older Adults: A Resource Guide For Occupational Therapy Practitioners And Students, Michele Ramos, Deb Meyers, Mary Ann Smith
Spring 2023 Virtual OTD Capstone Symposium
The LGBTQIA+ older adult population has unique needs due to their experience as diverse individuals in a cisgender, heteronormative society. Experiences and effects of discrimination need to be considered when providing care. Occupational therapists have a role in addressing disparities of all marginalized groups, including LGBTQIA+ older adults. Practitioners may utilize cultural humility and trauma-informed practices when treating the LGBTQIA+ population. Existing resources to guide culturally humble occupational therapy care for LGBTQIA+ older adults are insufficient. The purpose of this project was to build on existing cultural humble resources and create a website on the focus of occupational therapy cultural …
Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez
Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez
Capstone Projects
As we age, it is common for individuals to participate in less meaningful and purposeful occupations due to cognitive and physical declines. Research has shown that gardening is a popular leisure activity that offers many therapeutic benefits. This capstone project involved creating an evidence-based therapeutic gardening program for older adults at Care Resources. This community-based day center offers many activities and opportunities for participants to get involved with; however, after completing a needs assessment, it was clear that participants could benefit from more hands on and productive activities that help encourage regular attendance to the day center. The objectives of …
Occupational Therapy’S Role In Using Video Games As An Exercise Modality For Community Dwelling Older Adults, Sara Janosik
Occupational Therapy’S Role In Using Video Games As An Exercise Modality For Community Dwelling Older Adults, Sara Janosik
Occupational Therapy Doctoral Student Capstone Posters
Video games for physical rehabilitation have gained popularity in the clinic and community. This capstone project, completed at Cleveland State University, analyzed the physical, environmental, in-game, and real-world requirements for various Nintendo Switch games using therapeutic practice frameworks in order to incorporate them into clinical implications for health promotion and prevention.
Daily Living Assistance Provided By Residents To Other Residents In Residential Aged Care Homes: Knowledge, Attitudes, And Practices, Siti Noraini Asmuri, Masne Kadar, Nor Afifi Razaob, Chai Siaw Chui, Hanif Farhan Mohd Rasdi
Daily Living Assistance Provided By Residents To Other Residents In Residential Aged Care Homes: Knowledge, Attitudes, And Practices, Siti Noraini Asmuri, Masne Kadar, Nor Afifi Razaob, Chai Siaw Chui, Hanif Farhan Mohd Rasdi
Makara Journal of Health Research
Background: The rise of the aged population in Malaysia has resulted in the increased need for services, especially in terms of healthcare. Hence, continuous support is crucial to managing the daily living activities of this group. This study aimed to identify the knowledge, attitudes, and practices of older adults residing in Malaysian aged care homes concerning daily living activities and their provision of assistance to other residents with more significant disabilities.
Methods: Semi-structured interviews were conducted on ten older adults and six staff members of two selected residential aged care homes. The interview session concerned the knowledge, attitudes, …
Transportation As A Barrier To Healthcare Access For Older Adults Of Low Socioeconomic Status, Yanira Barajas, Susan Macdermott, Jazminne Orozco Arteaga
Transportation As A Barrier To Healthcare Access For Older Adults Of Low Socioeconomic Status, Yanira Barajas, Susan Macdermott, Jazminne Orozco Arteaga
Summer 2022 Virtual OTD Capstone Symposium
The older adult population of those in the age group 65+ is one of the fastest growing populations in the following years. This project sought to identify what barriers older adults of low socioeconomic status face when trying to access transportation to healthcare appointments. The project also sought to understand what barriers healthcare professionals saw when their senior clients tried using transportation as well as what opportunities occupational therapists have to address the barriers if any. There was a theme of disconnect which appeared between healthcare professionals and their senior clients across multiple healthcare disciplines. This project was able to …
Supporting Rural Seniors Aging In Place Using Telehealth, Angel Alexander Gomez, Susan Macdermott
Supporting Rural Seniors Aging In Place Using Telehealth, Angel Alexander Gomez, Susan Macdermott
Summer 2022 Virtual OTD Capstone Symposium
Background: The United States is witnessing a demographic shift in that the number of Americans aged 65 and older is projected to nearly double from 52 million in 2018 to 95 million by 2060; the percentage of the 65 and older age group will increase from 16 % to 23 % (Administration for Community Living, 2018). In this ever-growing population, the American Association of Retired Persons (AARP) 2018 survey found that 76% of Americans over the age of 50 would prefer to remain in their current residence and 77% would like to continue living in their community as long as …
The Coping Strategies Of Older Adults With Age Related Vision Loss (Arvl) – A Narrative Account, Zakara J. Stampp
The Coping Strategies Of Older Adults With Age Related Vision Loss (Arvl) – A Narrative Account, Zakara J. Stampp
Electronic Thesis and Dissertation Repository
The goal of this study was to share the stories of older adults with age-related vision loss (ARVL) and how they have coped to maintain meaningful occupational engagement. Grounded in a constructivist paradigm, data collection and analysis were guided by the narrative inquiry methodology. The participants consisted of six older adults aged 60 or older, diagnosed with one of the following ARVL conditions: macular degeneration, diabetic retinopathy, and/or glaucoma. Participants were recruited from vision loss non-profit organizations such as the Canadian National Institute for the Blind (CNIB) and the Alliance for Equity of Blind Canadians (AEBC). One older adult was …
Multifactorial Fall Prevention Program Development And Implementation Within An Assisted Living Facility, Makenzie King
Multifactorial Fall Prevention Program Development And Implementation Within An Assisted Living Facility, Makenzie King
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Wellness And Longevity Program For Adults And Older Adults, Oliver D. Fay
Wellness And Longevity Program For Adults And Older Adults, Oliver D. Fay
Department of Occupational Therapy Entry-Level Capstone Projects
There are many areas of practice to choose from in the field of Occupational therapy (OT). OT has an incredibly diverse career path, with new opportunities being created every day. I completed my doctoral capstone experience at Iridium Enterprises with Dr. Aaron Green, who has a wealth of experience in business and entrepreneurship. My ACOTE focus areas were administration and program development. I wanted to learn how a business was properly developed and managed from the ground up.
Through this experience, I learned how to methodically approach market research and how to narrow in on a business idea. Our goal …
From Isolation To Connection: A Cross-Sectional Analysis Of Older Adults’ Social Participation Using The Cov19-Qol Scale, Kathleen Melei, Jill Linder
From Isolation To Connection: A Cross-Sectional Analysis Of Older Adults’ Social Participation Using The Cov19-Qol Scale, Kathleen Melei, Jill Linder
The Open Journal of Occupational Therapy
Background: Social isolation during COVID-19 has the capacity to impact older adults’ physical health, mental health, and quality of life. Using an occupational therapy perspective of social participation as an occupation, the current study explores (a) the extent to which social participation (habits/routines) has changed following the onset of the COVID-19 pandemic, (b) differences in perceptions of social participation in relation to the COVID-19 pandemic, and (c) differences in scores on the COVID-19 Quality of Life (COV19-QoL) scale by demographics, access to health care, and lifestyle routine.
Method: Community-dwelling adults (N = 230) 65 years of age or …
Examining The Effects Of Passenger Conversation On Older Adult Driving, Allison Green, Meg Tedder, Amanda J. Mohler, Amanda M. Carpenter
Examining The Effects Of Passenger Conversation On Older Adult Driving, Allison Green, Meg Tedder, Amanda J. Mohler, Amanda M. Carpenter
Student Journal of Occupational Therapy
Older adults have impaired driving performance compared to other age groups, and auditory stimuli has adverse effects on driving performance (Karthaus & Falkenstein, 2016). Therefore, the purpose of this study was to expand knowledge of driving and passenger conversation within the older adult population. Participants (n = 17) completed a drive of 7.8 miles on a driving simulator twice; once without conversation and again with conversation. Both drives used the same simulated driving tasks to examine driving performance with and without conversation. Participants exhibited poorer driving performance from the first drive without conversation to the second drive with conversation, …
Lived Experience Of Having Difficult Conversations Among Care Partners Of Individuals With Parkinson's: An Occupational Science Perspective, Helen A. Reid
Electronic Thesis and Dissertation Repository
Difficult conversations, which can be challenging co-occupations, play an important role in the lives of care partners of individuals living with Parkinson’s disease. In our first study for this integrated-article thesis, we used a critical interpretive synthesis to explore how informal caregiving had been conceptualized in occupation-focused research. We found that an occupational perspective illuminated otherwise overlooked aspects of caregiving. In our second study, we used an occupational science lens to explore how seven care partners of individuals with PD experienced having difficult conversations within the caring role. We conducted two rounds of in-depth semi-structured interviews and used an American …
Animal Assisted Therapy For Older Adults In Aged Care Facilities: A Rapid Review, Mitchell A. Franklin, Tracey Parnell, Natasha Versi, Rodney Pope
Animal Assisted Therapy For Older Adults In Aged Care Facilities: A Rapid Review, Mitchell A. Franklin, Tracey Parnell, Natasha Versi, Rodney Pope
Internet Journal of Allied Health Sciences and Practice
Purpose: Research has demonstrated the effectiveness of animal assisted therapy (AAT) for improving the mental health of older adults in residential care. The aim of this rapid review was to synthesise existing research evidence to determine the approaches that AAT should take to enhance outcomes for older adults living in residential care. Methods: A systematic literature search was conducted to identify studies published between 2009 and 2019 that investigated AAT and improvement in physical and/or psychosocial outcomes for adults aged over 65 years, living in residential care. Studies were critically appraised to determine methodological quality, key data were extracted, and …
The Development Of An Exercise-Based Fall Prevention Program Tailored To Incorporate Caregivers Caring For Older Adults At Risk For Falls, Emma Heldt
OT Student Capstones
Older adults are living longer than ever. The global proportion of individuals 65 years or older was 526 million in 2010 and is estimated to reach 1.5 billion in 2050 (Duarte et al., 2020). The growing aging population comes with various challenges, such as chronic health conditions, which are the leading cause of mortality and disability worldwide. Chronic health conditions can lead to other difficulties, such as declines in physical function or mobility. Duarte et al. (2020) found that around 10 million American older adults have serious difficulty walking or climbing stairs, presenting a risk for falls.
Falling in older …
Implementing An Aging In Place Program With Emphasis On Home Safety And Accessibility For Community-Dwelling Older Adults, Erin K. Richardson
Implementing An Aging In Place Program With Emphasis On Home Safety And Accessibility For Community-Dwelling Older Adults, Erin K. Richardson
OT Student Capstones
The baby boomer generation is the largest and most diverse population to ever age in America’s history. By the year 2030, the baby boomer population will reach 65 and older (American Counts Staff, 2019). Meaning every 1 in 5 individuals in the United States will be over 65 within the next decade (Rural Health Information Hub, n.d.). The Census Bureau projects that older adults are expected to outnumber children under 18 for the first time in America’s history by the year 2034 (American Counts Staff, 2019). For this reason, the National Alliance for Caregiving (2020) advocates for more policies, funding, …
Maintaining Occupations For Long-Term Care Residents, Lara Albano
Maintaining Occupations For Long-Term Care Residents, Lara Albano
Occupational Therapy Doctorate Capstone Projects
This Capstone project focused on client-chosen occupations and the use of client-centered evaluations and interventions for long-term care residents. Client-chosen occupations keep our clients actively engaged in therapy, gives them a sense of control, and maintains their identity. The purpose was to prepare occupational therapists to address long-term care residents’ unique occupational needs and promote participation in their chosen and meaningful occupations. It aimed to examine how occupational therapists interpret and include client-chosen occupations and occupation-based assessments in evaluations and interventions for long-term care residents in skilled nursing facilities.
Effectiveness Of Electrical Stimulation In Treating Upper Extremity Pain For Older Adult Clients Residing In A Skilled Nursing Facility, Cody L. West
Occupational Therapy Doctorate Capstone Projects
Background: It is estimated that 55% of older adults who reside in skilled nursing facilities (SNFs) have chronic pain that affects their daily function. However, limited research has been conducted on the effectiveness of electrical stimulation (e-stim) in treating upper extremity (UE) pain for the older adult population specifically.
Purpose: The purpose of this study was to examine whether electrical stimulation can decrease UE pain in clients age 65+ residing in a SNF. A sub-question in the study was whether e-stim can improve UE functional performance in older adult clients.
Theoretical Framework: There are two guiding theoretical …
Physical Activity For Adl Performance In Older Adults With Dementia: A Systematic Review, Clancy Hesseltine, Josiah Heun, Murphy Porter, Sam Wyrick, Stacy Smallfield, Molly Whitlow
Physical Activity For Adl Performance In Older Adults With Dementia: A Systematic Review, Clancy Hesseltine, Josiah Heun, Murphy Porter, Sam Wyrick, Stacy Smallfield, Molly Whitlow
Student Systematic Reviews: Occupational Therapy
PURPOSE: An estimated 5.8 million people in the United States live with dementia. By the year 2060, this number is expected to climb as high as 14 million people (CDC, 2019). Performance and participation in activities of daily living (ADLs) is a primary goal of occupational therapy. Exercise intervention is an occupational therapy approach for individuals with dementia that will increase ADL performance (Giebel et al., 2015). The present study examined the effects of physical exercise to maintain or improve activities of daily living performance for adults with dementia.
DESIGN: This systematic review of systematic reviews examined whether physical activity …
Exploring Leisure, Social Participation In Older Adults, Zahra Fatina
Exploring Leisure, Social Participation In Older Adults, Zahra Fatina
Undergraduate Student Research Internships Conference
Older adults often face challenges in meaningful occupations in their neighbourhoods, often tied to place-based barriers and changes including neighbourhood decline or gentrification. The objectives of this study are to draw on findings from an ethnographic study exploring older adults’ lives in their neighbourhoods, in order to contextually situate the diverse experiences of older adults as they engage in community occupations, focusing on social participation and leisure. We employed an ethnographic methodology with 38 older adults living in two neighbourhoods in a mid-sized Canadian city. Participants engaged in narrative interviews, photo elicitation interviews, go-along interviews, and activity-space mapping with follow-up …
Exploring The Environmental Factors That Shape The Experiences Of Risk For Older Adults, Bernice Chung
Exploring The Environmental Factors That Shape The Experiences Of Risk For Older Adults, Bernice Chung
Undergraduate Student Research Internships Conference
When a young adult wants to go mountain climbing, rarely do people think it is “too dangerous”. The same cannot be said for older adults. Although life frequently involves risk-taking, older adults are too often positioned as ‘at risk’ and therefore, in need of protection. The problem lies in the way risk is conceptualized as an individually located phenomenon. This narrow view negates the environmental factors that exist outside the control of older adults and that shape risk in older adulthood. I wanted to address this gap, so my research explored the environmental factors that shape experiences of risk for …
The Role Of Occupational Therapy Practitioners In Evaluation And Intervention Of Sleep With Older Adult Clients, Susan Cleghorn, Nicole Bell, Sauda Muhammad, Jordan Schneider, Laura Zeleznak
The Role Of Occupational Therapy Practitioners In Evaluation And Intervention Of Sleep With Older Adult Clients, Susan Cleghorn, Nicole Bell, Sauda Muhammad, Jordan Schneider, Laura Zeleznak
Older Adult
Objective: This study sought to explore occupational therapy practitioners’ perceptions of their role in working with older adults with sleep issues.
Methods: A mixed methods approach was used with data gathered from an online survey tool disseminated through social media platforms. Data from 17 participants was analyzed.
Results: Respondents reported not receiving entry-level knowledge of sleep evaluation in academic programs (70.6%). Additionally, 41.2% of respondents utilized continuing education opportunities. Respondents reported lack of occupational therapy specific evaluation tools as a significant barrier to addressing sleep in practice.
Discussion: Results indicate the need for additional research, coverage on sleep in the …
Supporting Working Family Caregivers And Older Adults Through An Educational Employer-Based Eldercare Program, Chanté Bowens
Supporting Working Family Caregivers And Older Adults Through An Educational Employer-Based Eldercare Program, Chanté Bowens
OTD Capstone Projects
This doctoral capstone project was completed in partnership with AgeWell Middle TN, a non-profit agency that focuses on informed, positive aging, and being a champion, advocate, and trusted community resource for older adults. Working family caregivers of older adults are struggling to balance work and caregiving duties, while employers are experiencing loss in productivity and financial return. In response, AgeWell is developing a program called “Eldercare Coach” to provide guidance to employers and working caregivers. Thus, the primary focus of this project was to develop educational materials for AgeWell’s Eldercare Coach program. These educational materials include a list of interview …
From Isolation To Connection A Cross-Sectional Analysis Of Older Adults’ Social Participation Using The Cov19-Qol Scale, Kathleen Melei Otd, Jill R. Linder Dhsc, Otr
From Isolation To Connection A Cross-Sectional Analysis Of Older Adults’ Social Participation Using The Cov19-Qol Scale, Kathleen Melei Otd, Jill R. Linder Dhsc, Otr
Other Specialties
Abstract
The current study evaluated the relationship between social participation and quality of life (QoL) for older adults during the COVID-19 pandemic. Community-dwelling adults (N = 230) age 65 or older completed an online survey providing demographic data to identify changes in lifestyle routine during the pandemic using the COVID-19 Quality of Life (COV19-QoL) scores. Analyses revealed significant differences in reported lifestyle routines in relation to the onset of the COVID-19 pandemic and significant differences in COV19-QoL scores across various demographic groups. Results demonstrated the close relationship between social participation and QOL, assisted with identifying individuals at increased risk, and …
Understanding The Impact Of Social Distancing On Older Adults And Senior Centers To Better Adapt Towards A New Normal, Salina Jivan
Understanding The Impact Of Social Distancing On Older Adults And Senior Centers To Better Adapt Towards A New Normal, Salina Jivan
Student Capstone Papers
COVID-19 brought about social distancing mandates that posed as a new barrier to meaningful social participation in the community. The purpose of this project was to understand the impact of social distancing on older adults and senior organizations to better inform the role of OT in helping seniors adapt towards a new normal within the community. A qualitative study and needs assessment were performed through phone interviews with seniors and organizations that support them from around the United States. Themes highlighted seniors desire for social contact and cautious return to the community once mandates are lifted. Both seniors and organizations …
Understanding The Impact Of Social Distancing On Older Adults And Senior Organizations To Better Adapt Towards A New Normal, Salina Jivan
Understanding The Impact Of Social Distancing On Older Adults And Senior Organizations To Better Adapt Towards A New Normal, Salina Jivan
San Marcos, Summer 2020
COVID-19 brought about social distancing mandates that posed as a new barrier to meaningful social participation in the community. The purpose of this project was to understand the impact of social distancing on older adults and senior organizations to better inform the role of OT in helping seniors adapt towards a new normal within the community. A qualitative study and needs assessment were performed through phone interviews with seniors and organizations that support them from around the United States. Themes highlighted seniors desire for social contact and cautious return to the community once mandates are lifted. Both seniors and organizations …