Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults

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Tuntland, Hanne; Aaslund,Mona; Langeland,Eva; Espehaug,Birgitte; Kjeken,Ingvild

2016-01-01

Hanne Tuntland,1,2 Mona Kristin Aaslund,1 Eva Langeland,2 Birgitte Espehaug,3 Ingvild Kjeken4,5 1Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway; 2Centre for Care Research Western Norway, Bergen University College, Bergen, Norway; 3Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway; 4National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Bergen, Norway; 5Departmen...

Book Review: Marine Protected Areas in International Law: an Arctic Perspective

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Davina Oktivana

2017-10-01

Full Text Available Marine biodiversity has always become an interesting topic in the development of the law of the sea subject. Despite of human dependence on marine resources, human intervention has been proven as the major threats to the sustainability of marine biodiversity and marine environment protection. Human activities, such an over-exploitation, shipping pollution, the use endangered fishing tools and above all, climate change, have changes the ecosystems extensively. One of the significant measures to prevent broaden the catastrophe is the establishment of Marine Protected Areas (MPAs, which has been accepted as a tool for protection and conservation of marine biodiversity. The book provides a comprehensive observation and analysis of the MPAs' concept and its implementation, specifically in the Arctic. This book is based on Ingvild Ulrikke Jakobsen's PhD thesis at the University of Tromsø, Norwegia. Her concerned particularly based on the development of human activities in the Arctic, that will definitely affect the fragile marine environment and there is an increasing need to ensure environmental protection and conservation of marine biodiversity and ecosystems in Arctic.

Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults

Directory of Open Access Journals (Sweden)

Tuntl

2016-09-01

Full Text Available Hanne Tuntland,1,2 Mona Kristin Aaslund,1 Eva Langeland,2 Birgitte Espehaug,3 Ingvild Kjeken4,5 1Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway; 2Centre for Care Research Western Norway, Bergen University College, Bergen, Norway; 3Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway; 4National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Bergen, Norway; 5Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences,Oslo, Norway Background: The Canadian Occupational Performance Measure (COPM is an occupational therapy instrument designed to help participants identify, prioritize, and evaluate performance of important occupations.Objective: To investigate the validity, responsiveness, interpretability, and feasibility of the COPM when used by various health professions in home-dwelling older adults receiving reablement. Reablement is a new form of multidisciplinary home-based rehabilitation for older adults experiencing functional decline.Participants and methods: The sample of 225 participants, mean age 80.8 years, who were in need of rehabilitation for various health conditions were included in the study. Data collection was conducted at baseline and at 10 weeks follow-up. The COSMIN guidelines and recommendations for evaluating methodological quality were followed.Results: Content validity, construct validity, and feasibility were found to be adequate. Responsiveness, however, was moderate. Functional mobility was the most frequently prioritized occupational category of all. Regarding interpretability, the minimal important change was 3.0 points and 3.2 points for performance and satisfaction, respectively. The older adults reported that COPM was a useful and manageable instrument. The majority of the occupational therapists

Predictors of outcomes following reablement in community-dwelling older adults

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Tuntland H

2016-12-01

Full Text Available Hanne Tuntland,1,2 Ingvild Kjeken,3,4 Eva Langeland,2,5 Bjarte Folkestad,2,6 Birgitte Espehaug,7 Oddvar Førland,2,8 Mona Kristin Aaslund1 1Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, 2Centre for Care Research Western Norway, Bergen University College, Bergen, 3National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, 4Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, 5Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, 6Uni Research Rokkan Centre, 7Centre for Evidence-Based Practice, Bergen University College, 8Faculty of Health Studies, VID Specialized University, Campus Bergen, Bergen, Norway Background: Reablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking. Objective: The objective of this study was to determine the potential factors that predict occupational performance and satisfaction with that performance at 10 weeks follow-up. Methods: The sample in this study was derived from a nationwide clinical controlled trial evaluating the effects of reablement in Norway and consisted of 712 participants living in 34 municipalities. Multiple linear regression was used to investigate possible predictors of occupational performance (COPM-P and satisfaction with that performance (COPM-S at 10 weeks follow-up based on the Canadian Occupational Performance Measure (COPM