Gayle Hersch, Shirley Hutchinson, Harriett Davidson, Christine Wilson, Teresa Maharaj, Kathleen B. Watson; Effect of an Occupation-Based Cultural Heritage Intervention in Long-Term Geriatric Care: A Two-Group Control Study. Am J Occup Ther 2012;66(2):224-232. doi: 10.5014/ajot.2012.002394.
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OBJECTIVE. We investigated the effectiveness of an occupation-based cultural heritage intervention to facilitate adaptation to relocation into long-term care (LTC) facilities as measured by quality of life, activity engagement, and social participation.
METHOD. We used a quasi-experimental nonequivalent control group design with pre- and posttests. Residents receiving the cultural intervention were compared with residents in a typical activity group. Eight sessions, two per week for 4 wk, were facilitated by certified occupational therapy assistants.
RESULTS. Twenty-nine participants completed the group sessions. Quality-of-life scores improved significantly over time for both groups. Statistically, a greater percentage of time was spent in discretionary than obligatory time, pretest and posttest, with no significant difference between groups.
CONCLUSION. The study demonstrated effectiveness of a structured, occupation-based social group intervention that improved quality of life, an indicator of adaptation. It also provided a description of activity patterns and social participation of LTC residents.
Preparation of clients as they relocate from acute medical care to long-term care to facilitate the adaptive process to a new setting.
Development of roles as consultant or program manager, providing educational strategies to long-term care service providers to promote a culturally sensitive context for residents.
Exploration of innovative group methods and cultural programming to facilitate the adaptive process for new residents.
Identification and management of potential challenges that may arise with the assumption of new roles in the long-term care facility.
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