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Mueller E, Arthur P, Ivy M, Pryor L, Armstead A, Li CY. Addressing the Gap: Occupational Therapy in Hospice Care. Occup Ther Health Care 2021; 35:125-137. [PMID: 33546567 PMCID: PMC8192430 DOI: 10.1080/07380577.2021.1879410] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 01/05/2021] [Accepted: 01/18/2021] [Indexed: 10/22/2022]
Abstract
Patients receiving hospice care have a host of occupational challenges, though few are being seen in occupational therapy for treatment. Occupational therapy can help those receiving hospice care live with dignity before death. Data retrieved from the National Home and Hospice Care Survey were analyzed using independent t-tests, Wilcoxon rank-sum tests, Chi-square tests and logistic regressions. Only 10.6% of the participants received occupational therapy. Patients who received occupational therapy were significantly older and had shorter lengths of hospice care service compared to their counterparts. Over 85% of the patients needed assistance with at least one task of activity of daily living (ADL). Findings suggested a need to increase occupational therapy workforce in hospice care and advocate the value of occupational therapy services in hospice settings.
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Affiliation(s)
- Emily Mueller
- Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas, USA
| | - Paul Arthur
- Department of Occupational Therapy, St. Catherine University, St. Paul, Minnesota, USA
- Department of Occupational Therapy, University of Southern Indiana, Evansville, Indiana, USA
| | - Mack Ivy
- Rehabilitation Services, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Loree Pryor
- Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas, USA
| | - Amber Armstead
- Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas, USA
| | - Chih-Ying Li
- Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas, USA
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Sran R, Keay L, Coxon K, McAuley J, Whyte T, Brown J. Population-Level Incidence and Use-Related Factors of Comfort and Orthopedic Accessories Among Older Vehicle Occupants in NSW, Australia. J Appl Gerontol 2020; 40:1305-1313. [PMID: 32865118 DOI: 10.1177/0733464820950129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The proportion of people aged 65 years and older regularly traveling in motor vehicles continues to grow worldwide. In a previous convenience sample, we observed many older people using comfort accessories when traveling in vehicles, and these may contribute to the known increased risk of injury in crashes among older people. In this study, we aimed to estimate population-level use of these devices and examine associations between demographic, health, and travel behavior factors and their use. The point estimate of self-reported use of comfort accessories was 25.7% (95% confidence interval [CI] = [19.6%, 31.9%]). Cushions on the vehicle seat were the most common type used (14.3%, 95% CI = [9.7%, 19.0%]), and increasing age, female gender, and frequent vehicle travel were significantly associated with their use. Less frequently used were seat belt padding (10.5%, 95% CI = [6.3%, 14.6%]) and back/neck supports (6.5%, 95% CI = [2.7%, 10.2%]). Back/neck and multiple area pain were significantly associated with the use of the latter.
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Affiliation(s)
- Raman Sran
- Neuroscience Research Australia, Sydney, New South Wales, Australia
| | - Lisa Keay
- University of New South Wales, Sydney, Australia.,The George Institute for Global Health, Sydney, New South Wales, Australia
| | - Kristy Coxon
- University of New South Wales, Sydney, Australia.,Western Sydney University, Sydney, New South Wales, Australia
| | - James McAuley
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,University of New South Wales, Sydney, Australia
| | - Tom Whyte
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,University of New South Wales, Sydney, Australia
| | - Julie Brown
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,University of New South Wales, Sydney, Australia.,The George Institute for Global Health, Sydney, New South Wales, Australia
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Svancara AM, Villavicencio L, Kelley-Baker T, Horrey WJ, Molnar LJ, Eby DW, Mielenz TJ, Hill L, DiGuiseppi C, Strogatz D, Li G. The Relationship between in-Vehicle Technologies and Self-Regulation among Older Drivers. Geriatrics (Basel) 2020; 5:E23. [PMID: 32316266 PMCID: PMC7344904 DOI: 10.3390/geriatrics5020023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 04/05/2020] [Accepted: 04/13/2020] [Indexed: 11/16/2022] Open
Abstract
The study sought to understand the relationship between in-vehicle technologies (IVTs) and self-regulatory behaviors among older drivers. In a large multi-site study of 2990 older drivers, self-reported data on the presence of IVTs and avoidance of various driving behaviors (talking on a mobile phone while driving, driving at night, driving in bad weather, and making left turns when there is no left turn arrow) were recorded. Self-reports were used to identify whether avoidance was due to self-regulation. Hierarchical logistic regressions were used to determine whether the presence of a particular IVT predicted the likelihood of a given self-regulatory behavior after controlling for other factors. Results suggest that the presence of Integrated Bluetooth/Voice Control systems are related to a reduced likelihood of avoiding talking on a mobile phone while driving due to self-regulation (OR= 0.37, 95% CI= 0.29-0.47). The presence of a Navigation Assistance system was related to a reduced likelihood of avoiding talking on a mobile phone while driving (OR= 0.65, 95% CI= 0.50-0.84) and avoiding driving at night due to self-regulation (OR= 0.80, 95% CI = 0.64-1.00). Present findings suggest in-vehicle technologies may differently influence the self-regulatory behaviors of older drivers.
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Affiliation(s)
| | - Leon Villavicencio
- AAA Foundation for Traffic Safety, Washington, DC 20005, USA; (L.V.); (T.K.-B.); (W.J.H.)
| | - Tara Kelley-Baker
- AAA Foundation for Traffic Safety, Washington, DC 20005, USA; (L.V.); (T.K.-B.); (W.J.H.)
| | - William J. Horrey
- AAA Foundation for Traffic Safety, Washington, DC 20005, USA; (L.V.); (T.K.-B.); (W.J.H.)
| | - Lisa J. Molnar
- University of Michigan Transportation Research Institute, Ann Arbor, MI 48109, USA; (L.J.M.); (D.W.E.)
| | - David W. Eby
- University of Michigan Transportation Research Institute, Ann Arbor, MI 48109, USA; (L.J.M.); (D.W.E.)
| | | | - Linda Hill
- San Diego Department of Family and Preventive Medicine, University of California San Diego, San Diego, CA 92093, USA;
| | | | - David Strogatz
- Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY 13326, USA;
| | - Guohua Li
- Department of Epidemiology, Mailman School of Public Health, and the Center for Injury Epidemiology and Prevention, Columbia University, New York, NY 10032, USA;
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