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Am J Occup Ther ; 73(5): 7305347010p1-7305347010p6, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31484036


Despite advancements in occupational therapy research, the widespread research-to-practice gap continues to delay how quickly evidence-based practices are implemented in real-world clinical settings. Implementing research in practice is a complex process that mandates attention from all occupational therapy stakeholders; however, researchers are uniquely positioned to help minimize the 17-yr lag between scientific discovery and the implementation of research findings into practice. Our article serves as a response to Marr's (2017) Centennial Topics article, which proposed that purposeful efforts are needed to advocate for implementation research in occupational therapy. We provide an implementation science research agenda informed by concepts from the implementation science literature and suggest how researchers can structure methodologies to examine implementation-related outcomes and strategies. We provide explanations of gold-standard implementation outcomes and offer several recommendations for how researchers can report and disseminate implementation research findings to occupational therapy stakeholders.

Terapia Ocupacional , Prática Clínica Baseada em Evidências , Humanos , Ciência da Implementação , Terapia Ocupacional/métodos
Geriatrics (Basel) ; 4(1)2019 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-31023990


The older adult population is one of the fastest growing age groups in the United States. Various components influence productive aging, and current research has identified nutrition and healthy eating as key factors that impact older adults' overall health status. While consumption of nutritious meals can help minimize the risk of health decline, the growing rate of food insecurity inhibits older adults' abilities to access healthy food regularly. Additionally, the high prevalence of chronic disease and disability in older adults can also limit independent participation in food-related activities, such as shopping, self-feeding, and meal preparation. A lack of food access and difficulties engaging in food-related activities place older adults with chronic disease at an increased risk of malnutrition, disability, and losing independence, thereby threatening social participation, healthy aging, and quality of life. Due to their expertise in promoting health and independent living, occupational therapy practitioners may be uniquely positioned to enhance older adults' healthy eating behaviors through the use of client-centered interventions tailored to food-related activities. This position paper reviews the scope of the occupational therapy profession, the consequences of food insecurity among older adults with chronic conditions, and strategies to enhance food-related activity participation in later life.

J Gerontol Soc Work ; 62(3): 338-348, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30560726


Falls are the leading cause of injury among the older adult population, resulting in costly and devastating aftermaths. National fall prevention guidelines (FPGs) have been established to assist healthcare professionals with addressing fall risk, but little is understood about the extent to which FPGs have been implemented by social workers. Social workers, however, may beuniquely positioned to implement FPGs with older adults due to their expertise in care coordination and home- and community-based service settings. This conceptual paper addresses the timely issue of fall prevention and social workers' potential role in implementing FPGs to address fall risk.

Am J Occup Ther ; 72(4): 7204195010p1-7204195010p9, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29953831


OBJECTIVE: With the rapid growth of the community-dwelling older adult population, evidence-based occupational therapy interventions targeting older clients need to be effectively implemented. However, little is understood about the factors influencing effective intervention implementation into practice. METHOD: We performed a scoping review to explore what strategies and factors relate to the uptake of older adult interventions into practice. Concepts from implementation science literature guided our review. RESULTS: Our review yielded 13 articles that met our search criteria. Study designs examined barriers, facilitators, and strategies related to the implementation of evidence-based older adult interventions into practice. Effective implementation strategies included training sessions, workshops, consultations, and outreach meetings. CONCLUSION: Our findings suggest that practitioners, administrators, and researchers should adopt strategies such as workshops, consultations, fidelity vignettes, peer mentoring, and standardized training to effectively implement research into practice with older adults.

Medicina Baseada em Evidências , Vida Independente , Terapia Ocupacional , Pessoal Administrativo , Idoso , Idoso de 80 Anos ou mais , Humanos , Projetos de Pesquisa