Effectiveness of occupational therapy with frail community living older adults

This study examined the effectiveness of short-term, home-based occupational therapy guided by the Occupational Therapy Intervention Process Model for improving activities of daily living [ADL] with eight frail, older adults living in assistive living. A multi-method research approach was utilized t...

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Bibliographic Details
Published in:Scandinavian journal of occupational therapy 2007, Vol.14 (4), p.240-249
Main Authors: Fisher, Anne G., Atler, Karen, Potts, Andrew
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
assessment
Assisted Living Facilities
Elderly people
eldre
ergoterapi
Female
Frail
Frail Elderly
Goals
helsetjenester
hjemmetjenester
Home based
human activities
Humans
Male
Models, Theoretical
Occupational therapy
Occupational Therapy - methods
Outcome and Process Assessment (Health Care)
outcome assessment
Patient-Centered Care - methods
rehabilitation
Short term
treatment outcome
United States
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Summary:This study examined the effectiveness of short-term, home-based occupational therapy guided by the Occupational Therapy Intervention Process Model for improving activities of daily living [ADL] with eight frail, older adults living in assistive living. A multi-method research approach was utilized to collect both quantitative and descriptive, qualitative data in the form of a retrospective examination of the participants' clinical records. The quantitative component was a within-subjects, repeated-measures analysis of participants' Assessment of Motor and Process Skills [AMPS] ADL motor and ADL process ability measures that revealed statistically significant improvement in ADL motor, but not ADL process abilities. The qualitative component was a content analysis of the clinical records. ADL baselines, goals, interventions and outcomes documented were analyzed. Improvement was noted in 77% of the written ADL goals. Results are discussed and recommendations were given for future research and documentation to improve the profession's ability to support evidence-based practice.
ISSN:1103-8128
1651-2014
DOI:10.1080/11038120601182958