Occupational therapy and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care

NICE Evidence Update, April 2015

A new Evidence Update has been published for NICE public health guidance 16 (2008). This provides a summary of selected new evidence published since the literature search was last conducted for the guidance.

NICE Evidence Updates help to reduce the need for individuals, managers and commissioners to search for new evidence and keep health and social care professionals up-to-date with new research. While Evidence Updates do not replace current accredited guidance and do not provide formal recommendations, they do highlight new evidence that health and social care professionals may wish to consider alongside current guidance.

Click here to view the Evidence Update.

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An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

BMJ, 5 February 2015

The objective of the study was to evaluate the clinical efficacy of an established programme of occupational therapy in maintaining functional activity and reducing further health risks from inactivity in care home residents living with stroke sequelae.

The cluster randomised control trial involved 1042 care home residents with a history of stroke or transient ischaemic attack, including those with language and cognitive impairments, not receiving end of life care. 114 homes (n=568 residents, 64% from homes providing nursing care) were allocated to the intervention arm and 114 homes (n=474 residents, 65% from homes providing nursing care) to standard care (control arm). Participating care homes were randomised between May 2010 and March 2012.

Results: 64% of the participants were women and 93% were white, with a mean age of 82.9 years. Baseline characteristics were similar between groups for all measures, personal characteristics, and diagnostic tests. Overall, 2538 occupational therapy visits were made to 498 participants in the intervention arm (mean 5.1 visits per participant). No adverse events attributable to the intervention were recorded. 162 (11%) died before the primary outcome time point, and 313 (30%) died over the 12 months of the trial. The primary outcome measure did not differ significantly between the treatment arms. The adjusted mean difference in Barthel index score at three months was 0.19 points higher in the intervention arm (95% confidence interval −0.33 to 0.70, P=0.48). Secondary outcome measures also showed no significant differences at all time points.

This large phase III study provided no evidence of benefit for the provision of a routine occupational therapy service, including staff training, for care home residents living with stroke related disabilities. The established three month individualised course of occupational therapy targeting stroke related disabilities did not have an impact on measures of functional activity, mobility, mood, or health related quality of life, at all observational time points. Providing and targeting ameliorative care in this clinically complex population requires alternative strategies.

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Occupational Therapists poised to play greater role in Blue Badge Assessments

College of Occupational Therapists, 13 January 2015

Blue Badge assessments will move from GPs to ‘independent mobility assessors’ following government reforms of the Blue Badge scheme. The change represents an ideal opportunity for OTs to take on additional responsibility particularly those working in local authorities as budgets begin to transfer from the NHS to social care…

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Stakeholder Engagement Meeting for Rehabilitation Clinicians

NHS England, January 2015

The NHS England Children and Young People’s Rehabilitation Scoping Project aims to establish if there is a case of need for work to improve CYP rehabilitation services.

For the purposes of this project rehabilitation has a broad definition, including physical and mental health, and impacting all ages through to early adulthood.

To guide and inform this work NHS England are holding stakeholder engagement sessions for clinicians representing organisations providing rehabilitation services for children and young people. Attendees will include clinicians representing a broad range of rehabilitation service providers from specialised services through to community teams. At these workshop-style events we will be seeking feedback on the priorities of clinicians regarding rehabilitation.

A workshop is being held on 3rd March 2015, 10:30 to 14:30 at Quarry House in Leeds.

Registration closes: 15th January 2015

Click here for further information and to register your interest in the event.

People need more support when choosing a care home, says College of Occupational Therapists

College of Occupational Therapists, 7 October 2014

The College of Occupational Therapists has called for more support when choosing care for an elderly relative after it was found 8 in 10 people find it more stressful than getting divorced or moving house.  The survey of Gransnet and Mumsnet users, commissioned by a Care Quality Commission (CQC), also revealed that many people in residential care are not having their likes and dislikes taken into account.

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Focus On: Allied Health Professionals

The Nuffield Trust, 30 September 2014

This QualityWatch report, published in partnership with the Health Foundation, explores how best the quality of care delivered by allied health professionals can be measured, and presents the key findings from the available data.

Click here for more information and to view the report.

College of Occupational Therapists’ response to Commission on Residential Care’s Report

College of Occupational Therapy, September 2014

The College of Occupational Therapy responds to the Commission on Residential Care’s final report following a year- long investigation into the housing with care sector in England.

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