Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study
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 interven...
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Veröffentlicht in: | The American journal of occupational therapy 2023-01, Vol.77 (1) |
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creator | Appleton, Esther Maeir, Talia Kaufman, Yakir Karni, Sharon Gilboa, Yafit |
description | 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.
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.
Single-arm quasi-experimental design.
Patients' home.
Nine participants (age ≥60 yr) being discharged home from an inpatient rehabilitation ward in a geriatric hospital in a central city in Israel.
Up to 10 1-hr weekly face-to-face sessions in using the CO-OP approach.
The Canadian Occupational Performance Measure was used to measure performance and satisfaction with the patients' level of participation in daily functioning.
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).
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. |
doi_str_mv | 10.5014/ajot.2023.050073 |
format | Article |
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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.
Single-arm quasi-experimental design.
Patients' home.
Nine participants (age ≥60 yr) being discharged home from an inpatient rehabilitation ward in a geriatric hospital in a central city in Israel.
Up to 10 1-hr weekly face-to-face sessions in using the CO-OP approach.
The Canadian Occupational Performance Measure was used to measure performance and satisfaction with the patients' level of participation in daily functioning.
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).
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.</description><identifier>ISSN: 0272-9490</identifier><identifier>EISSN: 1943-7676</identifier><identifier>DOI: 10.5014/ajot.2023.050073</identifier><identifier>PMID: 36779978</identifier><language>eng</language><publisher>United States: American Occupational Therapy Association</publisher><subject>Aged ; Aged patients ; Canada ; Care and treatment ; Community-Based Private Practice ; Environmental Factors ; Evidence-Based Practice/Knowledge Translation ; Fractures ; Health Management ; Health Promotion ; Hip Fractures - rehabilitation ; Hip joint ; Home care ; Humans ; Inpatient Rehabilitation Facility ; Methods ; Occupational Profile ; Occupational therapy ; Occupational Therapy - methods ; Older Adults ; Orientation ; Orthopedic Injuries and Fractures ; Outcomes ; Outpatient Clinics ; Pilot Projects ; Values, Beliefs, and Spirituality</subject><ispartof>The American journal of occupational therapy, 2023-01, Vol.77 (1)</ispartof><rights>Copyright © 2023 by the American Occupational Therapy Association, Inc.</rights><rights>COPYRIGHT 2023 American Occupational Therapy Association</rights><rights>Copyright © 2023 by the American Occupational Therapy Association, Inc. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c416t-c168e08a49e6f6ff3a79afaa57d6c9fe6d7b23f4c11a46ae05be7dd366a7dab23</cites><orcidid>0000-0002-0734-3626</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36779978$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Appleton, Esther</creatorcontrib><creatorcontrib>Maeir, Talia</creatorcontrib><creatorcontrib>Kaufman, Yakir</creatorcontrib><creatorcontrib>Karni, Sharon</creatorcontrib><creatorcontrib>Gilboa, Yafit</creatorcontrib><title>Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study</title><title>The American journal of occupational therapy</title><addtitle>Am J Occup Ther</addtitle><description>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.
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.
Single-arm quasi-experimental design.
Patients' home.
Nine participants (age ≥60 yr) being discharged home from an inpatient rehabilitation ward in a geriatric hospital in a central city in Israel.
Up to 10 1-hr weekly face-to-face sessions in using the CO-OP approach.
The Canadian Occupational Performance Measure was used to measure performance and satisfaction with the patients' level of participation in daily functioning.
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).
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.</description><subject>Aged</subject><subject>Aged patients</subject><subject>Canada</subject><subject>Care and treatment</subject><subject>Community-Based Private Practice</subject><subject>Environmental Factors</subject><subject>Evidence-Based Practice/Knowledge Translation</subject><subject>Fractures</subject><subject>Health Management</subject><subject>Health Promotion</subject><subject>Hip Fractures - rehabilitation</subject><subject>Hip joint</subject><subject>Home care</subject><subject>Humans</subject><subject>Inpatient Rehabilitation Facility</subject><subject>Methods</subject><subject>Occupational Profile</subject><subject>Occupational therapy</subject><subject>Occupational Therapy - methods</subject><subject>Older Adults</subject><subject>Orientation</subject><subject>Orthopedic Injuries and Fractures</subject><subject>Outcomes</subject><subject>Outpatient Clinics</subject><subject>Pilot Projects</subject><subject>Values, Beliefs, and Spirituality</subject><issn>0272-9490</issn><issn>1943-7676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptUk1rGzEQFaWlcdLeeyqCXpLDutJqV7J6CCymaQqBNbQ9i7E-XAXtytVqA_73les0NFDmIObNew8N8xB6R8myJbT5CPcxL2tSsyVpCRHsBVpQ2bBKcMFfogWpRV3JRpIzdD5N94TUcsXq1-iMcSGkFKsFyuu4G332Dxb3ydsxQ_ZxxDliAz4ccK_1vP-DQcAbm1xMA4za4st1X_WbK1wA3AdjE-7MHPKEO5dLA_jW7_FNAp3nZD_hDm98iBl_y7M5vEGvHITJvn18L9CPm8_f17fVXf_l67q7q3RDea405StLVtBIyx13joGQ4ABaYbiWznIjtjVzjaYUGg6WtFsrjGGcgzBQRhfo-uS7n7eDNbqslyCoffIDpIOK4NXzyeh_ql18UFJyKVdNMbh8NEjx12ynrAY_aRsCjDbOk6qFaGXLCKOF-uFE3UGwyo8uFkd9pKtONJTxcgZRWMv_sEoZO3gdR-t8wZ8JyEmgU5ymZN3T7ylRxwyoYwbUMQPqlIEief_v1k-Cv0dnvwGvh65b</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Appleton, Esther</creator><creator>Maeir, Talia</creator><creator>Kaufman, Yakir</creator><creator>Karni, Sharon</creator><creator>Gilboa, Yafit</creator><general>American Occupational Therapy Association</general><general>The American Occupational Therapy Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0734-3626</orcidid></search><sort><creationdate>20230101</creationdate><title>Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study</title><author>Appleton, Esther ; Maeir, Talia ; Kaufman, Yakir ; Karni, Sharon ; Gilboa, Yafit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-c168e08a49e6f6ff3a79afaa57d6c9fe6d7b23f4c11a46ae05be7dd366a7dab23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Aged patients</topic><topic>Canada</topic><topic>Care and treatment</topic><topic>Community-Based Private Practice</topic><topic>Environmental Factors</topic><topic>Evidence-Based Practice/Knowledge Translation</topic><topic>Fractures</topic><topic>Health Management</topic><topic>Health Promotion</topic><topic>Hip Fractures - rehabilitation</topic><topic>Hip joint</topic><topic>Home care</topic><topic>Humans</topic><topic>Inpatient Rehabilitation Facility</topic><topic>Methods</topic><topic>Occupational Profile</topic><topic>Occupational therapy</topic><topic>Occupational Therapy - methods</topic><topic>Older Adults</topic><topic>Orientation</topic><topic>Orthopedic Injuries and Fractures</topic><topic>Outcomes</topic><topic>Outpatient Clinics</topic><topic>Pilot Projects</topic><topic>Values, Beliefs, and Spirituality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Appleton, Esther</creatorcontrib><creatorcontrib>Maeir, Talia</creatorcontrib><creatorcontrib>Kaufman, Yakir</creatorcontrib><creatorcontrib>Karni, Sharon</creatorcontrib><creatorcontrib>Gilboa, Yafit</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of occupational therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Appleton, Esther</au><au>Maeir, Talia</au><au>Kaufman, Yakir</au><au>Karni, Sharon</au><au>Gilboa, Yafit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study</atitle><jtitle>The American journal of occupational therapy</jtitle><addtitle>Am J Occup Ther</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>77</volume><issue>1</issue><issn>0272-9490</issn><eissn>1943-7676</eissn><abstract>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.
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.
Single-arm quasi-experimental design.
Patients' home.
Nine participants (age ≥60 yr) being discharged home from an inpatient rehabilitation ward in a geriatric hospital in a central city in Israel.
Up to 10 1-hr weekly face-to-face sessions in using the CO-OP approach.
The Canadian Occupational Performance Measure was used to measure performance and satisfaction with the patients' level of participation in daily functioning.
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).
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.</abstract><cop>United States</cop><pub>American Occupational Therapy Association</pub><pmid>36779978</pmid><doi>10.5014/ajot.2023.050073</doi><orcidid>https://orcid.org/0000-0002-0734-3626</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged Aged patients Canada Care and treatment Community-Based Private Practice Environmental Factors Evidence-Based Practice/Knowledge Translation Fractures Health Management Health Promotion Hip Fractures - rehabilitation Hip joint Home care Humans Inpatient Rehabilitation Facility Methods Occupational Profile Occupational therapy Occupational Therapy - methods Older Adults Orientation Orthopedic Injuries and Fractures Outcomes Outpatient Clinics Pilot Projects Values, Beliefs, and Spirituality |
title | Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study |
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