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Changes in older adults' impairment, activity, participation and wellbeing as measured by the AusTOMs following participation in a Transition Care Program.

Authors
  • Smith, Haley N1
  • Fields, Sally M1, 2
  • 1 Faculty of Health Sciences and Medicine - Occupational Therapy, Bond University, Gold Coast, Qld, Australia. , (Australia)
  • 2 Transition Care Program, Gold Coast Health, Gold Coast, Qld, Australia. , (Australia)
Type
Published Article
Journal
Australian occupational therapy journal
Publication Date
Dec 01, 2020
Volume
67
Issue
6
Pages
517–527
Identifiers
DOI: 10.1111/1440-1630.12667
PMID: 32500540
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Maintaining a continuum of care is vital to ensure adequate health among older adults, particularly during periods of care transitions, when they are vulnerable and at risk of poor health outcomes. The Transition Care Program in Australia is designed to support older adults following the conclusion of a hospital episode. Using the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT), this study aimed to understand how the Transition Care Program impacts an older adult's occupational performance during care transitions. Data were collected as a part of usual occupational therapy care from March 2016 to August 2017 from clients admitted to a Gold Coast Health Transition Care Program. Data from 110 clients were analysed on 5 AusTOMs-OT scales: functional walking and mobility, upper limb use, self care, domestic life-home, and community life/recreation/leisure/play. Change data from these scales were analysed using the Wilcoxon Signed Ranks Test. Clients in the Transition Care Program experienced statistically and clinically significant improvements in all AusTOMs-OT scales analysed as well as in each domain of impairment, activity limitation, participation restriction and distress/wellbeing. These results are meaningful for clients, occupational therapists and Australian Transition Care Programs. Clients demonstrated progress towards their goals, indicating maintenance or improvements in their occupational performance, confirming for occupational therapists that the provision of services is promoting goal achievement and leading to improved occupational performance. The study also highlighted the benefits for the use of outcome measures such as the AusTOMs-OT to quantify and validate client change. © 2020 Occupational Therapy Australia.

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