Occupational Therapy and Arts Therapies
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25
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Item Differences in assistive technology installed for people with dementia living at home who have wandering and safety risks(BMC, 2021-10-30) Curnow, Eleanor; Rush, Robert; Górska, Sylwia; Forsyth, KirstyBackground: Assistive Technology for people with dementia living at home is not meeting their care needs. Reasons for this may be due to limited understanding of variation in multiple characteristics of people with dementia including their safety and wandering risks, and how these affect their assistive technology requirements. This study therefore aimed to explore the possibility of grouping people with dementia according to data describing multiple person characteristics. Then to investigate the relationships between these groupings and installed Assistive Technology interventions. Methods: Partitioning Around Medoids cluster analysis was used to determine participant groupings based upon secondary data which described the person characteristics of 451 people with dementia with Assistive Technology needs. Relationships between installed Assistive Technology and participant groupings were then examined. Results: Two robust clustering solutions were identified within the person characteristics data. Relationships between the clustering solutions and installed Assistive Technology data indicate the utility of this method for exploring the impact of multiple characteristics on Assistive technology installations. Living situation and caregiver support influence installation of assistive technology more strongly than level of risk or cognitive impairment. People with dementia living alone received different AT from those living with others. Conclusions: Results suggest that caregiver support and the living situation of the person with dementia influence the type and frequency of installed Assistive Technology. Reasons for this include the needs of the caregiver themselves, the caregiver view of the participants’ needs, caregiver response to alerts, and the caregiver contribution to the assistive technology assessment and selection process. Selection processes should be refined to account for the needs and views of both caregivers and people with dementia. This will require additional assessor training, and the development of validated assessments for people with dementia who have additional impairments. Policies should support the development of services which provide a wider range of AT to facilitate interventions which are focused on the needs of the person with dementia.Item Psychometric evaluation of the Making it CLEAR questionnaire, a resilience measure for older adults(Oxford University Press, 2021-09-28) Whitehall, Lucy; Górska, Sylwia; Rush, Robert; Singh Roy, Anusua; Irvine-Fitzpatrick, Linda; Forsyth, KirstyBackground and Objectives: Previous efforts to develop a resilience measure for older adults have largely failed to consider the environmental influences on their resilience, and have primarily concentrated on the resilience of community dwelling older adults. Our objective was to validate a new multidimensional measure of resilience, the Making it CLEAR (MiC) questionnaire, for use with older adults at the point of discharge from hospital.Item Psychometric evaluation of the ACHIEVE assessment(Frontiers, 2020-05-29) Crowe, Miriam; Maciver, Donald; Rush, Robert; Forsyth, KirstyObjective: There has been a significant change within clinical practice in childhood disability from ‘treating’ at the level of body function to ecological approaches that address the child’s involvement in everyday life. Clinical assessment, and robust tools to support this, are of key importance. The aim of this study was to assess the psychometric properties of the ACHIEVE Assessment in a clinical dataset. The ACHIEVE assessment is a parent and teacher report of participation in home, school and community settings, important contributory factors for participation, and environmental factors.Item The general self-efficacy of older adults receiving care: A systematic review and meta-analysis(Oxford University Press, 2020-05-06) Whitehall, Lucy; Rush, Robert; Górska, Sylwia; Forsyth, KirstyBackground and Objectives: General self-efficacy (GSE) encourages health-promoting behaviors in older adults. It is unsurprising then, that older adults receiving healthcare services are reported to have a greater risk of low GSE than older adults who are not. Despite this, there is currently limited evidence investigating whether the effect differs based on the environment in which care is received. This review aims to determine whether the GSE of older adults is affected by the receipt of healthcare services, and whether GSE varies based on the setting in which care is received.Item Exploring the needs of people with dementia living at home reported by people with dementia and informal caregivers: A systematic review and meta-analysis(Taylor & Francis, 2019-12-03) Curnow, Eleanor; Rush, Robert; Maciver, Donald; Górska, Sylwia; Forsyth, KirstyObjectives: To provide prevalence estimates of needs of people with dementia living at home, and to determine sources of variation associated with needs for this population.Item Community‐based participation of children with and without disabilities(Wiley, 2019-11-25) Arakelyan, Stella; Maciver, Donald; Rush, Robert; O'Hare, Anne; Forsyth, KirstyAIM To describe and compare the socio-demographic characteristics and community-based participation of children with and without disabilities.Item Incidence, types and nature of post-stroke pain: Systematic review of literature and meta-analysis [Protocol](University of York, 2019-08-27) Ioannou, Antreas; Carin-Levy, Gail; Cheyne, Joshua David; Clarke, David; Cowey, Eileen; Fallon, Marie; Morton, Sarah; Klinkhamer, Laura; Kyriakou, Georgios; Fleetwood-Walker, Susan; Quinn, Terence; Rush, Robert; Sande, Tonje; Smith, Mark; Whalley-Sibley, Heather; Woodfield, Rebecca; Mead, GillianTo determine the type and nature of post stroke pain, along with frequency and time–to-onset of pain after stroke. Searches Initially a broad systematic search of published literature will be implemented using a comprehensive search strategy developed by the Cochrane Stroke Group Information Specialist. A search filter for identifying observational studies (cross-sectional studies, cohort studies, case-control studies, longitudinal studies) has been adapted from the Observational Studies search filter used by the Scottish Intercollegiate Guidelines Network (SIGN) (https://www.sign.ac.uk/search-filters.html).Item Parent focused interventions for older children or adults with ASD and parent wellbeing outcomes: A systematic review with meta-analysis(Elsevier, 2019-09-11) Rutherford, Marion; Singh Roy, Anusua; Rush, Robert; McCartney, Deborah; O'Hare, Anne; Forsyth, KirstyBackground: There is a need for better evidence in relation to parent-focussed interventions for older children (over 7 years) and adults, which are recommended in clinical guidelines.Item Family factors associated with participation of children with disabilities: A systematic review(Wiley, 2019-01-06) Arakelyan, Stella; Maciver, Donald; Rush, Robert; O'Hare, Anne; Forsyth, KirstyAIM: The aim of this review was to synthesise empirical evidence of family factors associated with participation of children with disabilities aged 5-12 years to inform the development of family-centred participation-fostering interventions. METHOD: A systematic search was performed for articles published in English between 2001 and 2017 in MEDLINE, PsycINFO, CINAHL, Scopus and ASSIA following the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines (registration no: CRD42017078202). Quality of evidence was appraised using the Research Triangle Institute Item Bank. Family factors associated with participation were identified and assessed using a multistage “semi-quantitative” approach. RESULTS: Thirty studies were included in the review. Four non-modifiable “status” factors consistently associated with participation were parental ethnicity, parental education, family type and family socio-economic status. Six modifiable “process” factors with consistent associations with participation were parental mental and physical health functioning, parental self-efficacy beliefs, parental support, parental time, family preferences and activity orientation. INTERPRETATION: Rehabilitation professionals should direct their focus towards modifiable family factors as primary targets for family-centred interventions. Strategies that can improve families’ access to information, counselling, and community support services are likely to support children’s participation by empowering families and optimizing their health and well-being.Item Delirium in acute stroke: screening tools, incidence rates and predictors: a systematic review.(springer verlag, 2012-08) Carin-Levy, Gail; Mead, Gillian; Nicol, Kath; Rush, Robert; van Wijck, FrederikeDelirium is a common complication in acute stroke yet there is uncertainty regarding how best to screen for and diagnose delirium after stroke. We sought to establish how delirium after stroke is identified, its incidence rates and factors predicting its development. We conducted a systematic review of studies investigating delirium in acute stroke. We searched The Cochrane Collaboration, MEDLINE, EMBASE, CINHAL, PsychINFO, Web of Science, British Nursing Index, PEDro and OT Seeker in October 2010. A total of 3,127 citations were screened, full text of 60 titles and abstracts were read, of which 20 studies published between 1984 and 2010 were included in this review. The methods most commonly used to identify delirium were generic assessment tools such as the Delirium Rating Scale (n = 5) or the Confusion Assessment Method (n = 2) or both (n = 2). The incidence of delirium in acute stroke ranged from 2.3-66%, with our meta-analysis random effects approach placing the rate at 26% (95% CI 19-33%). Of the 11 studies reporting risk factors for delirium, increased age, aphasia, neglect or dysphagia, visual disturbance and elevated cortisol levels were associated with the development of delirium in at least one study. The outcomes associated with the condition are increased morbidity and mortality. Delirium is found in around 26% of stroke patients. Difference in diagnostic and screening procedures could explain the wide variation in frequency of delirium. There are a number of factors that may predict the development of the condition.