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1دورية أكاديمية
المؤلفون: Anittha Mappanasingam, Katelyn Madigan, Michael E. Kalu, Melody Maximos, Vanina Dal Bello-Haas
المصدر: Journal of Ageing and Longevity, Vol 4, Iss 2, Pp 156-176 (2024)
مصطلحات موضوعية: older adults, physical activity, exercise, motivation, self-determination theory, qualitative descriptive study, Medicine
الوصف: Introduction: Physical activity (PA) and exercise (EX) participation rates have not been increasing among older adults, with many not meeting recommended guidelines. This qualitative descriptive study examined factors influencing engagement in PA within and outside an older adult fitness club context, using self-determination theory (SDT). Methods: Thirty-seven community-dwelling adults 65 years and older participated in focus groups or telephone interviews. Two researchers independently coded and analyzed transcript data inductively and deductively using SDT. Results: Two broad themes, The Spectrum of Motivating Factors and Facilitators and Barriers, and nine sub-themes, Physical Activity and Exercise Brings Me Joy; Meaningful Personal Impetuses; I Get Active with a Little Help from my Spouse and Others; I See Changes and Improvements (Theme 1); I Can Do This; Connections and Sense of Belonging; I Cannot Do This; Setting, Environment, and People Supports; and Pragmatics (Theme 2), emerged from the data. All participants discussed several motivating factors: enjoyment, managing health conditions, being held ‘to account’ by others, opportunities for socialization, and seeing improvements in health and well-being. A lack of supportive environments, knowledgeable staff and suitable settings and programs were cited as barriers by participants who were not older adult fitness club members. Discussion: Factors along the extrinsic to intrinsic regulation continuum facilitated or hindered community-dwelling older adults to engage in and sustain PA within and outside an older adult fitness club context. The findings underscore the need for programs, settings, environments, and related components to be expressly older-adult-tailored to enhance motivation through competence, autonomy, and relatedness support for maximal engagement and participation in PA or EX.
وصف الملف: electronic resource
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2دورية أكاديمية
المؤلفون: Donny H.Y. Li, Marie-Lee Yous, Paulette V. Hunter, Esther Coker, Danielle Just, Vanina Dal Bello-Haas, Carrie McAiney, Abigail Wickson-Griffiths, Sharon Kaasalainen
المصدر: BMC Geriatrics, Vol 23, Iss 1, Pp 1-12 (2023)
مصطلحات موضوعية: Advanced dementia, Social isolation, Long-term care, Namaste Care, Quality of life, Geriatrics, RC952-954.6
الوصف: Abstract Background Long-term care (LTC) settings are becoming home to an increasing number of people living with advanced or late-stage dementia. Residents living with advanced dementia represent some of society’s most vulnerable and socially excluded populations and are thus at an increased risk of social isolation. A multisensory intervention tailored to this population, Namaste Care, has been developed to improve quality of life for residents living with advanced dementia in LTC homes. To date, limited research has explored the perspectives of staff in implementing the Namaste Care program with an emphasis on social inclusion of residents in Canadian LTC homes. This study aimed to describe the perspectives of LTC staff on the implementation facilitators and barriers of Namaste Care as a program to support the social inclusion of residents living with advanced dementia. Methods Using a qualitative descriptive design, semi-structured interviews (n = 12) and focus groups (n = 6) were conducted in two LTC homes in Southern Ontario, Canada, over a 6-month period. Convenience sampling was used to recruit LTC home staff from the two participating sites. Thematic analysis was used to analyze data. Results LTC staff (n = 46) emphasized the program’s ability to recognize the unique needs of residents with advanced dementia, and also stated its potential to facilitate meaningful connections between families and residents, as well as foster care partnerships between staff and families. Findings indicated staff also perceived numerous facilitators and barriers to Namaste Care. In particular, providing staff with dedicated time for Namaste Care and implementing volunteer and family participation in the program were seen as facilitators, whereas the initial perception of the need for extra staff to deliver Namaste Care and identifying times in the day where Namaste Care was feasible for residents, families, and staff, were seen as barriers. Conclusions LTC staff recognized the need for formalized programs like Namaste Care to address the biopsychosocial needs of residents with advanced dementia and offer positive care partnership opportunities between staff and family members. Although staffing constraints remain the largest barrier to effective implementation, staff valued the program and made suggestions to build LTC home capacity for Namaste Care.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/1471-2318
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3دورية أكاديمية
المؤلفون: Jill Van Damme, Vanina Dal Bello-Haas, Ayse Kuspinar, Patricia Strachan, Nicole Peters, Khang Trong Nguyen, Greg Bolger
المصدر: International Journal of Telerehabilitation, Vol 15, Iss 2 (2023)
مصطلحات موضوعية: Chronic disease management, Remote programs, Service delivery, Telerehabilitation, Virtual delivery, Computer applications to medicine. Medical informatics, R858-859.7
الوصف: Introduction: Chronic disease management programs (CDMP) that include education and exercise enhance outcomes and reduce healthcare costs. Remote CDMP have the potential to provide convenient, cost-effective, and accessible options for individuals, but it is unclear how to best implement programs that include education and exercise. This review identified and synthesized resources for implementing remote CDMP programs that incorporate education and exercise. Methods: Peer-reviewed and grey literature were systematically searched from January 1998 to May 2022. Covidence software was used for screening and extraction. The data were synthesized and presented in a narrative and tabular format. Results: Six peer-reviewed manuscripts and six grey literature documents published between 2006-2022 were included. All resources described individual programs targeting various chronic conditions. Provider training, consent, participant screening, and safety considerations were identified. Conclusions: Guidelines for remote CFMP programs are lacking. Additional work is needed to design remote CDMP guidelines incorporating education and exercise.
وصف الملف: electronic resource
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4دورية أكاديمية
المؤلفون: Ted Kheng Siang Ng, Vanina Dal Bello-Haas, Ahmed Negm, Elena Philippou, Flávia H. Santos, Patricia C. Heyn
المصدر: Frontiers in Aging Neuroscience, Vol 15 (2023)
مصطلحات موضوعية: Post-Acute Sequelae of COVID-19 infection (PASC), long COVID, cognitive impairment, rehabilitation, Alzhaimer's disease (AD), Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
وصف الملف: electronic resource
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5دورية أكاديمية
المؤلفون: Ahmed M. Negm, Adrian Salopek, Mashal Zaide, Victoria J. Meng, Carlos Prada, Yaping Chang, Preeti Zanwar, Flavia H. Santos, Elena Philippou, Emily R. Rosario, Julie Faieta, Shanti M. Pinto, Jason R. Falvey, Amit Kumar, Timothy A. Reistetter, Vanina Dal Bello-Haas, Mohit Bhandari, Jonathan F. Bean, Patricia C. Heyn
المصدر: Frontiers in Aging Neuroscience, Vol 14 (2022)
مصطلحات موضوعية: COVID-19, pandemic, rehabilitation, scoping review, GRADE, physiotherapy, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: PurposeThe World Health Organization (WHO) declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a pandemic in March 2020, causing almost 3.5 million coronavirus disease (COVID-19) related deaths worldwide. The COVID-19 pandemic has imposed a significant burden on healthcare systems, economies, and social systems in many countries around the world. The access and delivery of rehabilitation care were severely disrupted, and patients have faced several challenges during the COVID-19 outbreak. These challenges include addressing new functional impairments faced by survivors of COVID-19 and infection prevention to avoid the virus spread to healthcare workers and other patients not infected with COVID-19. In this scoping review, we aim to develop rehabilitation recommendations during the COVID-19 pandemic across the continuum of rehabilitation care.Materials and MethodsEstablished frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched.Study SelectionWe included articles and reports if they were focused on rehabilitation recommendations for COVID-19 survivors or the general population at the time of the COVID-19 pandemic.Data ExtractionTwo of our team members used the pre-tested data extraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach.ResultsWe retrieved 6,468 citations, of which 2,086 were eligible after removing duplicates. We excluded 1,980 citations based on the title and the abstract. Of the screened full-text articles, we included 106 studies. We present recommendations based on the patient journey at the time of the pandemic. We assessed the evidence to be of overall fair quality and strong for the recommendations.ConclusionWe have combined the latest research results and accumulated expert opinions on rehabilitation to develop acute and post-acute rehabilitation recommendations in response to the global COVID-19 pandemic. Further updates are warranted in order to incorporate the emerging evidence into rehabilitation guidelines.
وصف الملف: electronic resource
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6دورية أكاديمية
المؤلفون: Melody Maximos BSc, PhD, Paul Stratford Dip, PT, MSc, Ada Tang PT, PhD, Vanina Dal Bello-Haas PT, PhD
المصدر: Gerontology and Geriatric Medicine, Vol 8 (2022)
مصطلحات موضوعية: Geriatrics, RC952-954.6
الوصف: This prospective cohort study described cardiovascular and resistance exercises completed by older adults in a community-based, slow-stream rehabilitation, hospital-to-home transition program; compared exercises completed to the American College of Sports Medicine (ACSM) exercise guidelines; and, assessed differences in Late Life Function and Disability Index (LLFDI)-Function Component (FC) between older adults who met and did not meet the ACSM guidelines. Descriptive statistics and Factorial ANCOVA were conducted. For cardiovascular exercise 59.3% of participants met frequency, 73.4% met intensity, and 35.9% met time. For resistance exercise, 67.2% of participants met frequency, 42.2% met intensity, and 76.6% number of repetitions. Participants who met both frequency and time for cardiovascular exercise had higher LLFDI-FC scores, as did those who met intensity and/or number of repetitions for resistance exercise. The findings provide support that older adults engaged in a slow-stream rehabilitation program can meet the ACSM exercise guidelines for community-dwelling older adults, and that meeting the guidelines improves function.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/2333-7214
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7دورية أكاديمية
المصدر: PLoS ONE, Vol 17, Iss 9, p e0267470 (2022)
الوصف: BackgroundMobility deficits have been identified as an independent risk factor for hospital readmission for adults ≥65 years. Despite evidence indicating how determinants additively influence and predict mobility, no hospital-to-home care transition models comprehensively assess all seven mobility determinants, cognitive, financial, environmental, personal, physical, psychological, and social. There is currently a lack of clarity regarding what factors clinicians and researchers should evaluate for each mobility determinant. The purpose of this e-Delphi study is to prioritize and reach consensus on the factors for each mobility determinant that are critical to assess as part of the Comprehensive Mobility Discharge Assessment Framework (CMDAF) when older adults are discharged from hospital-to-home.MethodsThis protocol paper is an international modified e-Delphi study following the Recommendations for the Conducting and Reporting of Delphi Studies. International researchers, clinicians, older adults and family caregivers residing in a country with universal or near-universal health coverage will be invited to participate as 'experts' in three e-Delphi rounds administered through DelphiManager©. The e-Delphi Round 1 questionnaire will be developed based on scoping review findings and will be pilot tested. For each round, experts will be asked to rate factors for each determinant that are critical to assess as part of the CMDAF using a 9-point scale: Not Important (1-3), Important but Not Critical (4-6), and Critical (7-9). The scale will include a selection option of "unable to score" and experts will also be asked to provide a rationale for their scoring and suggest missing factors. Experts will receive feedback summaries in Rounds 2 and 3 to guide them in reflecting on their initial responses and re-rating of factors that have not reached consensus. The criteria for reaching consensus will be if ≥70% of experts rate a factor as "critical" (scores ≥7) and ≤ 15% of experts rate a factor as "not important" (scores≤ 3). Quantitative data will be analyzed using median values, frequencies, percentages, interquartile range, and bar graphs; Wilcoxon matched-pairs signed-rank test will be used to assess the stability of participants' responses. Rationale (qualitative data) provided in the open-ended comments section will be analyzed using content analysis.ConclusionThis study is a first step in developing the CMDAF and will be used to guide a subsequent e-Delphi survey to decide on the tools that should be used to measure the examples of each factor included in our framework.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/1932-6203
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8دورية أكاديمية
المؤلفون: Ahmed M. Negm, Adrian Salopek, Mashal Zaide, Victoria J. Meng, Carlos Prada, Yaping Chang, Preeti Zanwar, Flavia H. Santos, Elena Philippou, Emily R. Rosario, Julie Faieta, Jason R. Falvey, Amit Kumar, Timothy A. Reistetter, Vanina Dal Bello-Haas, Jonathan F. Bean, Mohit Bhandari, Patricia C. Heyn
المصدر: Frontiers in Aging Neuroscience, Vol 13 (2022)
مصطلحات موضوعية: COVID-19, pandemic, rehabilitation, health system, GRADE, SARS-CoV-2, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Purpose: The coronavirus disease-19 (COVID-19) was declared a pandemic by the World Health Organization in March 2020. COVID-19, caused by SARS-CoV-2 has imposed a significant burden on health care systems, economies, and social systems in many countries around the world. The provision of rehabilitation services for persons with active COVID-19 infection poses challenges to maintaining a safe environment for patients and treating providers.Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched.Study Selection: We included articles and reports if they were focused on rehabilitation related recommendations for COVID-19 patients, treating providers, or the general population.Data Extraction: Pairs of team members used a pre-tested data abstraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.Results: We retrieved 6,468 citations, of which 2,086 were eligible for review, after duplicates were removed. We excluded 1,980 citations based on title and abstract screening. Of the screened full-text articles, we included all 106 studies. A summary of recommendations is presented. We assessed the overall evidence to be strong and of fair quality.Conclusion: The rehabilitation setting, and processes, logistics, and patient and healthcare provider precaution recommendations identified aim to reduce the spread of SARS-CoV-2 infection and ensure adequate and safe rehabilitation services, whether face-to-face or through teleservices. The COVID-19 pandemic is rapidly changing. Further updates will be needed over time in order to incorporate emerging best evidence into rehabilitation guidelines.
وصف الملف: electronic resource
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9دورية أكاديمية
المؤلفون: Debra Morgan, Julie Kosteniuk, Megan E O'Connell, Norma J Stewart, Andrew Kirk, Allison Cammer, Vanina Dal Bello-Haas, Duane P Minish, Valerie Elliot, Melanie Bayly, Amanda Froehlich Chow, Joanne Bracken, Edna Parrott, Tanis Bronner
المصدر: PLoS ONE, Vol 17, Iss 9, p e0274769 (2022)
الوصف: Participatory research approaches have developed in response to the growing emphasis on translation of research evidence into practice. However, there are few published examples of stakeholder engagement strategies, and little guidance specific to larger ongoing research programs or those with a rural focus. This paper describes the evolution, structure, and processes of an annual Rural Dementia Summit launched in 2008 as an engagement strategy for the Rural Dementia Action Research (RaDAR) program and ongoing for more than 10 years; and reports findings from a parallel mixed-methods study that includes stakeholder and researcher perspectives on the Summit's value and impact. Twelve years of stakeholder evaluations were analyzed. Rating scale data were summarized with descriptive statistics; open-ended questions were analyzed using an inductive thematic analysis. A thematic analysis was also used to analyze interviews with RaDAR researchers. Rating scale data showed high stakeholder satisfaction with all aspects of the Summit. Five themes were identified in the qualitative data: hearing diverse perspectives, building connections, collaborating for change, developing research and practice capacity, and leaving recharged. Five themes were identified in the researcher data: impact on development as a researcher, understanding stakeholder needs, informing research design, deepening commitment to rural dementia research, and building a culture of engagement. These findings reflect the key principles and impacts of stakeholder engagement reported in the literature. Additional findings include the value stakeholders place on connecting with stakeholders from diverse backgrounds, how the Summit was revitalizing, and how it developed stakeholder capacity to support change in their communities. Findings indicate that the Summit has developed into a community of practice where people with a common interest come together to learn and collaborate to improve rural dementia care. The Summit's success and sustainability are linked to RaDAR's responsiveness to stakeholder needs, the trust that has been established, and the value that stakeholders and researchers find in their participation.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/1932-6203
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10دورية أكاديمية
المؤلفون: Sharon Kaasalainen, Tamara Sussman, Genevieve Thompson, Lynn McCleary, Paulette V. Hunter, Lorraine Venturato, Abigail Wickson-Griffiths, Jenny Ploeg, Deborah Parker, Shane Sinclair, Vanina Dal Bello-Haas, Marie Earl, John J. You, the SPA-LTC team
المصدر: BMC Palliative Care, Vol 19, Iss 1, Pp 1-12 (2020)
مصطلحات موضوعية: Palliative approach, Palliative care, End-of-life care, Long-term care, Special situations and conditions, RC952-1245
الوصف: Abstract Background Despite increased annual mortality in long-term care (LTC) homes, research has shown that care of dying residents and their families is currently suboptimal in these settings. The purpose of this study was to evaluate resident and family outcomes associated with the Strengthening a Palliative Approach in LTC (SPA-LTC) program, developed to help encourage meaningful end of life discussions and planning. Methods The study employs a mixed method design in four LTC homes across Southern Ontario. Data were collected from residents and families of the LTC homes through chart reviews, interviews, and focus groups. Interviews with family who attended a Palliative Care Conference included both closed-ended and open-ended questions. Results In total, 39 residents/families agreed to participate in the study. Positive intervention outcomes included a reduction in the proportion of emergency department use at end of life and hospital deaths for those participating in SPA-LTC, improved support for families, and increased family involvement in the care of residents. For families who attended a Palliative Care Conference, both quantitative and qualitative findings revealed that families benefited from attending them. Residents stated that they appreciated learning about a palliative approach to care and being informed about their current status. Conclusions The benefits of SPA-LTC for residents and families justify its continued use within LTC. Study results also suggest that certain enhancements of the program could further promote future integration of best practices within a palliative approach to care within the LTC context. However, the generalizability of these results across LTC homes in different regions and countries is limited given the small sample size.
وصف الملف: electronic resource
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