Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study.
Importance: In-home therapy provides the opportunity for rehabilitation intervention to be completed in the context of the patient's natural environment. However, most studies have focused on the effects of physical exercise, leaving a gap in understanding the effectiveness of a more task-oriented i...
| Publicado en: | American Journal of Occupational Therapy Vol. 77; no. 1; pp. 1 - 6 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
Jan/Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162168901&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162168901 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Jan/Feb2023 vid: 77 iid: 1 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 162168901 162168901 162168901 10.5014/ajot.2023.050073 162168901 ppf: 1 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study. aug: au: Appleton, Esther Maeir, Talia Kaufman, Yakir Karni, Sharon Gilboa, Yafit affil: Esther Appleton, OT, MSc, is Occupational Therapist, Palace Medical, Tel Aviv, Israel. sug: subj: Task Performance and Analysis Evaluation Cognition Home Health Care Hip Fractures Rehabilitation Functional Assessment Patient Satisfaction Evaluation Human Pilot Studies Funding Source Quasi-Experimental Studies Aged Patient Discharge Rehabilitation Centers Hospitals Israel Clinical Assessment Tools Activities of Daily Living Friedman Test Goals and Objectives Recovery After Care Occupational Therapists Descriptive Statistics Post Hoc Analysis Male Female Aged, 80 and Over Pretest-Posttest Design Aged: 65+ years Aged, 80 & over Male Female ab: Importance: In-home therapy provides the opportunity for rehabilitation intervention to be completed in the context of the patient's natural environment. However, most studies have focused on the effects of physical exercise, leaving a gap in understanding the effectiveness of a more task-oriented intervention that addresses individual preferences. Objective: To assess the feasibility and preliminary efficacy of the Cognitive Orientation to daily Occupational PerformanceTM (CO-OP) approach, delivered at home with older adults after a hip fracture to improve functional outcomes. Design: Single-arm quasi-experimental design. Setting: Patients' home. Participants: Nine participants (age ≥60 yr) being discharged home from an inpatient rehabilitation ward in a geriatric hospital in a central city in Israel. Intervention: Up to 10 1-hr weekly face-to-face sessions in using the CO-OP approach. Outcomes and Measures: The Canadian Occupational Performance Measure was used to measure performance and satisfaction with the patients' level of participation in daily functioning. Results: A 30% recruitment rate, an 81% retention rate, were observed, with 88% of the participants expressing high to very high overall satisfaction with the intervention. Friedman test results indicated statistically significant improvements in occupational performance and satisfaction on trained and untrained goals (p <.01). Conclusions and Relevance: The findings suggest that a home-based CO-OP intervention is feasible and potentially beneficial for older adults who are returning home after a hip fracture. What This Article Adds: This study shows that a task-oriented intervention can be effective in helping older adults return home successfully after a hip fracture. A task-oriented, home-based Cognitive Orientation to Daily Occupational PerformanceTM (CO-OP) intervention can be effective in helping older adults return home successfully after a hip fracture. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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