Evaluating the effects of a therapeutic day rehabilitation program and inclusion of gardening in an Australian rural community health service
- Missen, Karen, Alindogan, Mark, Forrest, Scott, Waller, Susan
- Authors: Missen, Karen , Alindogan, Mark , Forrest, Scott , Waller, Susan
- Date: 2021
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 27, no. 6 (2021), p. 496-502
- Full Text:
- Reviewed:
- Description: Therapeutic day rehabilitation (TDR) is a non-residential intensive structured program designed for individuals recovering from substance misuse. A weekly afternoon of therapeutic gardening was a new incentive initiated in a TDR program at one Australian community health service, designed to give participants the opportunity to spend time outdoors connecting with nature and each other. The aim of this study was to explore perceptions of participants enrolled in this program by employing a convergent parallel mixed-method design using qualitative individual, semi-structured interviews (n = 14) and longitudinal quantitative quality of life (QOL) data at three different intervals (n = 17). The analysis of the quantitative data showed that there was a statistically significant increase in the participants' QOL scores in three of four domains (physical health, psychological, social relationships) when comparing baseline and post completion of the TDR. These observed changes were maintained at the 4-week follow up. The key findings from the semi-structured interviews include positive effects for participants on social connectivity, structure and achievement, understanding of recovery and relaxation from contact with nature. This study shows that a combination of TDR and therapeutic gardening can improve participants' physical health, psychological health and social relationships. © 2021 La Trobe University.
- Authors: Missen, Karen , Alindogan, Mark , Forrest, Scott , Waller, Susan
- Date: 2021
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 27, no. 6 (2021), p. 496-502
- Full Text:
- Reviewed:
- Description: Therapeutic day rehabilitation (TDR) is a non-residential intensive structured program designed for individuals recovering from substance misuse. A weekly afternoon of therapeutic gardening was a new incentive initiated in a TDR program at one Australian community health service, designed to give participants the opportunity to spend time outdoors connecting with nature and each other. The aim of this study was to explore perceptions of participants enrolled in this program by employing a convergent parallel mixed-method design using qualitative individual, semi-structured interviews (n = 14) and longitudinal quantitative quality of life (QOL) data at three different intervals (n = 17). The analysis of the quantitative data showed that there was a statistically significant increase in the participants' QOL scores in three of four domains (physical health, psychological, social relationships) when comparing baseline and post completion of the TDR. These observed changes were maintained at the 4-week follow up. The key findings from the semi-structured interviews include positive effects for participants on social connectivity, structure and achievement, understanding of recovery and relaxation from contact with nature. This study shows that a combination of TDR and therapeutic gardening can improve participants' physical health, psychological health and social relationships. © 2021 La Trobe University.
Adult inpatients’ perceptions of their fall risk : a scoping review
- Dabkowski, Elissa, Cooper, Simon, Duncan, Jhodie, Missen, Karen
- Authors: Dabkowski, Elissa , Cooper, Simon , Duncan, Jhodie , Missen, Karen
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Healthcare (Switzerland) Vol. 10, no. 6 (2022), p.
- Full Text:
- Reviewed:
- Description: Patient falls in hospitals continue to be a global concern due to the poor health outcomes and costs that can occur. A large number of falls in hospitals are unwitnessed and mostly occur due to patient behaviours and not seeking assistance. Understanding these patient behaviours may help to direct fall prevention strategies, with evidence suggesting the need to integrate patients’ perspectives into fall management. The aim of this scoping review was to explore the extent of the literature about patients’ perceptions and experiences of their fall risk in hospital and/or of falling in hospital. This review was conducted using a five-stage methodological framework recommended by Arksey and O’Malley. A total of nine databases were searched using key search terms such as “fall*”, “perception” and “hospital.” International peer-reviewed and grey literature were searched between the years 2011 and 2021. A total of 41 articles, ranging in study design, met the inclusion criteria. After reporting on the article demographics and fall perception constructs and measures, the qualitative and quantitative findings were organised into five domains: Fall Risk Perception Measures, Patients’ Perceptions of Fall Risk, Patients’ Perceptions of Falling in Hospital, Patients’ Fear of Falling and Barriers to Fall Prevention in Hospital. Approximately two-thirds of study participants did not accurately identify their fall risk compared to that defined by a health professional. This demonstrates the importance of partnering with patients and obtaining their insights on their perceived fall risk, as this may help to inform fall management and care. This review identified further areas for research that may help to inform fall prevention in a hospital setting, including the need for further research into fall risk perception measures. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
- Authors: Dabkowski, Elissa , Cooper, Simon , Duncan, Jhodie , Missen, Karen
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Healthcare (Switzerland) Vol. 10, no. 6 (2022), p.
- Full Text:
- Reviewed:
- Description: Patient falls in hospitals continue to be a global concern due to the poor health outcomes and costs that can occur. A large number of falls in hospitals are unwitnessed and mostly occur due to patient behaviours and not seeking assistance. Understanding these patient behaviours may help to direct fall prevention strategies, with evidence suggesting the need to integrate patients’ perspectives into fall management. The aim of this scoping review was to explore the extent of the literature about patients’ perceptions and experiences of their fall risk in hospital and/or of falling in hospital. This review was conducted using a five-stage methodological framework recommended by Arksey and O’Malley. A total of nine databases were searched using key search terms such as “fall*”, “perception” and “hospital.” International peer-reviewed and grey literature were searched between the years 2011 and 2021. A total of 41 articles, ranging in study design, met the inclusion criteria. After reporting on the article demographics and fall perception constructs and measures, the qualitative and quantitative findings were organised into five domains: Fall Risk Perception Measures, Patients’ Perceptions of Fall Risk, Patients’ Perceptions of Falling in Hospital, Patients’ Fear of Falling and Barriers to Fall Prevention in Hospital. Approximately two-thirds of study participants did not accurately identify their fall risk compared to that defined by a health professional. This demonstrates the importance of partnering with patients and obtaining their insights on their perceived fall risk, as this may help to inform fall management and care. This review identified further areas for research that may help to inform fall prevention in a hospital setting, including the need for further research into fall risk perception measures. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
Evaluation of an assessment model to reduce waitlist times for occupational therapy in a rural community health setting
- Missen, Karen, Mills, Alyssa, McDonald, Georgia, Di Corleto, Erin, Telling, Laura, Davey, Alice
- Authors: Missen, Karen , Mills, Alyssa , McDonald, Georgia , Di Corleto, Erin , Telling, Laura , Davey, Alice
- Date: 2021
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 29, no. 6 (2021), p. 987-992
- Full Text:
- Reviewed:
- Description: Objective Community occupational therapy services have seen an increase in demand over the last three years, resulting in longer waitlist times for service provision, particularly in rural areas where it is difficult to recruit experienced occupational therapists. Utilising a demand management model, the Basic Assessment Model Pre‐Screening Tool was developed by a team of Occupational Therapists and allied health assistants to decrease client waitlist times at one rural community health service. Design An evaluation of the implementation of an assessment model with comparison of quantitative data pre and post intervention. Setting Rural Community Health Service in Victoria, Australia Participants 456 clients that were registered as community‐based clients requiring occupational therapy services. Main Outcome measure Following the implementation of the newly developed Basic Assessment Model the number of occupational therapy assessments increased and there was a decrease in the median wait time that clients were on the waitlist in comparison to pre implementation. Results There was a statistically significant decrease (p<0.001) in the median number of days spent on the waitlist for the post intervention group (80 days) compared to the pre intervention group (105 days). Conclusion The results of this study suggest that waiting lists for community occupational therapy services can be reduced by implementing this basic assessment model ultimately improving the health outcomes of clients.
- Authors: Missen, Karen , Mills, Alyssa , McDonald, Georgia , Di Corleto, Erin , Telling, Laura , Davey, Alice
- Date: 2021
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 29, no. 6 (2021), p. 987-992
- Full Text:
- Reviewed:
- Description: Objective Community occupational therapy services have seen an increase in demand over the last three years, resulting in longer waitlist times for service provision, particularly in rural areas where it is difficult to recruit experienced occupational therapists. Utilising a demand management model, the Basic Assessment Model Pre‐Screening Tool was developed by a team of Occupational Therapists and allied health assistants to decrease client waitlist times at one rural community health service. Design An evaluation of the implementation of an assessment model with comparison of quantitative data pre and post intervention. Setting Rural Community Health Service in Victoria, Australia Participants 456 clients that were registered as community‐based clients requiring occupational therapy services. Main Outcome measure Following the implementation of the newly developed Basic Assessment Model the number of occupational therapy assessments increased and there was a decrease in the median wait time that clients were on the waitlist in comparison to pre implementation. Results There was a statistically significant decrease (p<0.001) in the median number of days spent on the waitlist for the post intervention group (80 days) compared to the pre intervention group (105 days). Conclusion The results of this study suggest that waiting lists for community occupational therapy services can be reduced by implementing this basic assessment model ultimately improving the health outcomes of clients.
- «
- ‹
- 1
- ›
- »