Fisher Anne G, Atler Karen, Potts Andrew
Division of Occupational Therapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Scand J Occup Ther. 2007 Dec;14(4):240-9. doi: 10.1080/11038120601182958.
This study examined the effectiveness of short-term, home-based occupational therapy guided by the Occupational Therapy Intervention Process Model for improving activities of daily living [ADL] with eight frail, older adults living in assistive living. A multi-method research approach was utilized to collect both quantitative and descriptive, qualitative data in the form of a retrospective examination of the participants' clinical records. The quantitative component was a within-subjects, repeated-measures analysis of participants' Assessment of Motor and Process Skills [AMPS] ADL motor and ADL process ability measures that revealed statistically significant improvement in ADL motor, but not ADL process abilities. The qualitative component was a content analysis of the clinical records. ADL baselines, goals, interventions and outcomes documented were analyzed. Improvement was noted in 77% of the written ADL goals. Results are discussed and recommendations were given for future research and documentation to improve the profession's ability to support evidence-based practice.
本研究考察了以职业治疗干预过程模型为指导的短期居家职业治疗，对8名居住在辅助生活机构中的体弱老年人改善日常生活活动（ADL）能力的有效性。采用多方法研究方法，通过回顾性检查参与者的临床记录，收集定量和描述性的定性数据。定量部分是对参与者的运动与过程技能评估（AMPS）中的ADL运动能力和ADL过程能力测量进行的受试者内重复测量分析，结果显示ADL运动能力有统计学上的显著改善，但ADL过程能力没有。定性部分是对临床记录进行内容分析。分析了记录的ADL基线、目标、干预措施和结果。在77%的书面ADL目标中发现了改善情况。对结果进行了讨论，并为未来的研究和记录提出了建议，以提高该专业支持循证实践的能力。
