Ignite Creation Date:
2024-05-06 @ 6:48 PM
Last Modification Date:
2024-10-26 @ 2:55 PM
Study NCT ID:
NCT05790798
Status:
COMPLETED
Last Update Posted:
2023-03-30
First Post:
2023-03-16
Brief Title:
The Effect of Occupational Therapy-Based Instrumental Activities of Daily Living Intervention in People With Disabilities
Sponsor:
Hacettepe University
Organization:
Hacettepe University
Study Overview
Official Title:
The Effect of Occupational Therapy-Based Instrumental Activities of Daily Living Intervention on Stress Level Quality of Life and Participation in People With Disabilities
Status:
COMPLETED
Status Verified Date:
2023-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
IADLI
Brief Summary:
The aim of this study was to investigate the effects of occupational therapy-based instrumental activities of daily living intervention on stress levels quality of life and participation in people with disability The participants were recruited from the Etimesgut Family and Life Center in Ankara In this study an individualized occupational therapy-based instrumental activities of daily living intervention were implemented for a total of 8 weeks lasting 16 sessions which included an intervention group n9 and a control group n9 Changes before and after the intervention were assessed with the Lawton-Brody Instrumental Activities of Daily Living Scale Waisman Activities of Daily Living Scale Modified Mini-Mental State Examination Test SF-36 Health Survey Questionnaire Perceived Stress Scale and Community Integration Questionnaire
Detailed Description:
The concept of disability refers to the limitation in activity and social participation and loss of function due to the inability to fulfill the roles expected from the people depending on the level of development sex and social factors resulting from an impairment or handicap The number of people with disabilities is increasing daily in the world and it was determined that 156 of the population over 18 has a disability People with disabilities experience problems in activities such as bathing dressing eating shopping money management preparing food cleaning and using drugs due to physical cognitive sensory and psychosocial impairments The above-mentioned activities are the tasks of everyday life called activities of daily living ADL ADLs are classified as basic activities of daily living basic ADLs bathing eating toilet etc and instrumental activities of daily living IADLs shopping money management meal preparation shopping dog walking paying bills etc
People with disabilities need IADLs to a large extent in order to continue living more independently in the community IADLs are meaningful and purposeful activities that give meaning to peoples lives and reflect their social values and cultures IADLs include activities such as taking care of others using public transport health management and household chores and have a more complex structure than basic ADLs Unlike basic ADLs IADLs require more complex cognitive skills such as planning organization decision-making and executive functions or fine motor visual sharpness or hearing skills In addition IADLs are also affected by contextual factors age sex habits education culture environment etc independently of daily living activities Because IADLs are carried out in many social areas outside the home and include activities based on the peoples home work school and social participation Factors such as environmental suitability social stigma and stress of people with disabilities limit participation in their IADLs and negatively affect their quality of life Therefore it is seen that low social participation decreased quality of life and increased perceived stress are closely related to IADL performance problems
In the literature it is seen that intervention methods are used to improve the IADLs of people with disabilities Clarke et al implemented an 8-week physiotherapy and occupational therapy-based intervention program in people with mild and moderate Parkinsons disease n762 They made individualized practices on sleep fatigue personal care dressing in-home mobility housework and environmental problems within the scope of the intervention As a result it was observed that there was a significant increase in IADL performance and they recommended the use of activity-based intensified intervention programs for future studies In a survey study conducted with 105 hand therapists in the USA 97 of therapists stated that interventions that include meaningful and purposeful activities would be more beneficial for people with upper extremity problems rather than traditional intervention programs using physical agent modalities or progressive resistance exercises Egan et al reported a significant increase in the performance and satisfaction levels of self-care productivity and leisure activities of the therapy group in the activity-based intervention program applied to improve the occupational performance of 16 people with stroke Studies with high levels of evidence have emphasized that the use of the daily living activities in intervention programs improves the quality of life of people with disabilities Politis et al implemented a 4-week kit-based intervention that included activities of daily living for 37 people with dementia As a result of the intervention it was found that the increased quality of life and decreased apathy in people with dementia It has been stated that the use of kits in intervention programs is relatively inexpensive compared to traditional intervention programs it is colorful and interesting is enthusiastically welcomed by people and it is easy to build In another study it was determined that 10 activity kits used to improve the leisure activities of people with Alzheimers and dementia living in nursing homes increased the quality of life of people
In occupational therapy Dy and Yancosek who developed IADLs kits consisting of daily living activities created an 8-week intervention program within the scope of hand rehabilitation Activity kits were used to examine the personal opinions of occupational therapists in terms of the ease of application of the kits before and after they were applied to people As a result the use of activity kits in evaluation and interventions has been suggested because they are easy and functional compared to biomechanical intervention programs Berlet and Kaskutas prepared 10 activity kits in the hand therapy clinic for 642 people who have undergone hand surgery for the areas of basic and instrumental ADLs where they have the most difficulty They sent the prepared kits to 30 occupational therapists working in the fields of hand and community rehabilitation and received their opinions about these kits Occupational therapists stated that the kits eliminate the waste of time in building the materials to be used during the intervention and increase the efficiency of the intervention as it deals with the occupational performance of the kits
In the systematic reviews it is seen that studies examining the effects of interventions for IADLs are more common in the elderly and that IADL interventions for people with disabilities are limited In addition in studies with IADL kits programs that develop fine motor skills were focused on According to the studies it was thought that the proposed IADL interventions to increase the independence of individuals with disabilities should be planned with a new approach Therefore it was aimed to examine the effect of the intervention to be made with the kits created for IADLs on people with disabilities Specifically The aim of this study was to investigate the effect of occupational therapy-based instrumental activities of daily living intervention on stress levels quality of life and participation in people with disabilities
People with disabilities need IADLs to a large extent in order to continue living more independently in the community IADLs are meaningful and purposeful activities that give meaning to peoples lives and reflect their social values and cultures IADLs include activities such as taking care of others using public transport health management and household chores and have a more complex structure than basic ADLs Unlike basic ADLs IADLs require more complex cognitive skills such as planning organization decision-making and executive functions or fine motor visual sharpness or hearing skills In addition IADLs are also affected by contextual factors age sex habits education culture environment etc independently of daily living activities Because IADLs are carried out in many social areas outside the home and include activities based on the peoples home work school and social participation Factors such as environmental suitability social stigma and stress of people with disabilities limit participation in their IADLs and negatively affect their quality of life Therefore it is seen that low social participation decreased quality of life and increased perceived stress are closely related to IADL performance problems
In the literature it is seen that intervention methods are used to improve the IADLs of people with disabilities Clarke et al implemented an 8-week physiotherapy and occupational therapy-based intervention program in people with mild and moderate Parkinsons disease n762 They made individualized practices on sleep fatigue personal care dressing in-home mobility housework and environmental problems within the scope of the intervention As a result it was observed that there was a significant increase in IADL performance and they recommended the use of activity-based intensified intervention programs for future studies In a survey study conducted with 105 hand therapists in the USA 97 of therapists stated that interventions that include meaningful and purposeful activities would be more beneficial for people with upper extremity problems rather than traditional intervention programs using physical agent modalities or progressive resistance exercises Egan et al reported a significant increase in the performance and satisfaction levels of self-care productivity and leisure activities of the therapy group in the activity-based intervention program applied to improve the occupational performance of 16 people with stroke Studies with high levels of evidence have emphasized that the use of the daily living activities in intervention programs improves the quality of life of people with disabilities Politis et al implemented a 4-week kit-based intervention that included activities of daily living for 37 people with dementia As a result of the intervention it was found that the increased quality of life and decreased apathy in people with dementia It has been stated that the use of kits in intervention programs is relatively inexpensive compared to traditional intervention programs it is colorful and interesting is enthusiastically welcomed by people and it is easy to build In another study it was determined that 10 activity kits used to improve the leisure activities of people with Alzheimers and dementia living in nursing homes increased the quality of life of people
In occupational therapy Dy and Yancosek who developed IADLs kits consisting of daily living activities created an 8-week intervention program within the scope of hand rehabilitation Activity kits were used to examine the personal opinions of occupational therapists in terms of the ease of application of the kits before and after they were applied to people As a result the use of activity kits in evaluation and interventions has been suggested because they are easy and functional compared to biomechanical intervention programs Berlet and Kaskutas prepared 10 activity kits in the hand therapy clinic for 642 people who have undergone hand surgery for the areas of basic and instrumental ADLs where they have the most difficulty They sent the prepared kits to 30 occupational therapists working in the fields of hand and community rehabilitation and received their opinions about these kits Occupational therapists stated that the kits eliminate the waste of time in building the materials to be used during the intervention and increase the efficiency of the intervention as it deals with the occupational performance of the kits
In the systematic reviews it is seen that studies examining the effects of interventions for IADLs are more common in the elderly and that IADL interventions for people with disabilities are limited In addition in studies with IADL kits programs that develop fine motor skills were focused on According to the studies it was thought that the proposed IADL interventions to increase the independence of individuals with disabilities should be planned with a new approach Therefore it was aimed to examine the effect of the intervention to be made with the kits created for IADLs on people with disabilities Specifically The aim of this study was to investigate the effect of occupational therapy-based instrumental activities of daily living intervention on stress levels quality of life and participation in people with disabilities
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None