The effect of home-based assistive devices training for older adults with stroke

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The effect of home-based assistive devices training for older adults with stroke

 

Author: Chiu, Wai-yee Cindy
Title: The effect of home-based assistive devices training for older adults with stroke
Degree: M.Sc.
Year: 2003
Subject: Hong Kong Polytechnic University -- Dissertations
Cerebrovascular disease -- Patients -- Home care
Older people with disabilities -- Rehabilitation
Self-help devices for people with disabilities
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: viii, 58 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1714725
URI: http://theses.lib.polyu.edu.hk/handle/200/204
Abstract: Background The potential application of assistive devices to promote functioning among persons with disabilities in their home environment has been significantly expanded. Among such assistive devices, bathing devices is the most commonly prescribed ones by occupational therapists so as to prevent fall accidents and promote home safety of the elderly people. However, it is found that most of elderly people with disabilities do not always compile with such prescription and may discard using the devices shortly after discharging home from hospital. Also, follow up services and training on the usage of devices, though existing, do not seem to be effective and helpful. Therefore, the purpose of this study was to evaluate whether additional home training programme on bathing devices usage would improve the rate of usage, personal independence and service satisfaction of the elderly people with stroke and their caregivers. Design A prospective, pre - and post quasi-experimental design was adopted. Fifty-three elderly people with stroke were randomly assigned into either the intervention group or the control group. The prescription and training on the usage of devices were demonstrated to both groups while they were in hospital. The intervention group received additional home-based training on the usage of devices immediately after discharge home, but not the control group. All the subjects were assessed during pre-discharge and three-month post-discharge using Functional Independence Measure (FIM) and Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST). Besides, questionnaire was designed to evaluate the perception of caregivers on the usage of devices. Results The results showed the intervention group achieved a significant amount of improvement in functioning (t = 3.89, df = 51, p = 0.01) and satisfaction ( t = 69.8, df =29, p = 0.01 ) after intervention. The caregivers also showed positive attitudes on the use of devices for relieving their burden. A significant relationship was also noted among cognitive function and satisfaction (r = 0.873) of the elderly people with stroke on their use of bathing devices. Conclusions The results showed that home training on the use of devices positively affect the rate of usage and independence. However, further studies with extended follow up services are desirable to evaluate the long-term effects on training in assistive devices usage.

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