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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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A health education program for elderly persons with visual impairments and perceived security in the performance of daily occupations: a randomized study.
- 2002
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Ingår i: The American journal of occupational therapy. : official publication of the American Occupational Therapy Association. - 0272-9490. ; 56:3, s. 322-30
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The purpose of this randomized, longitudinal study was to investigate the impact of a health education program on perceived security in the performance of daily occupations 4 months after the intervention period. METHOD: Two groups of persons with age-related macular degeneration were compared: Those who had followed a newly developed health education program that was based on occupation and those who took part in a standard individual intervention program. RESULTS: Significant differences in the level of perceived security between the groups were found for 13 of 28 occupations. Participants in the health education group maintained or improved their level of perceived security in 22 daily occupations, whereas those in the individual intervention group declined to a lower level in 17 daily occupations. CONCLUSION: This study provides support for the effectiveness of the health education program to enhance security and hinder a progressive decline in perceived security in daily occupations.
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Development of an ADL instrument targeting elderly persons with age-related macular degeneration.
- 2001
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Ingår i: Disability and rehabilitation. - 0963-8288. ; 23:2, s. 69-79
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In order to estimate the needs of early intervention in a health education program, an ADL instrument measuring feelings of (in)security was needed. The instrument was intended to detect early signs of decline and to evaluate ADL performance among persons with AMD. An evaluative instrument must have a high level of responsiveness, which is the ability to detect true changes over time but must also show a high level of intra-individual agreement in a test-retest assessment. PURPOSE: The purpose of this study was to develop an ADL instrument for evaluative purposes and to establish the reliability and the responsiveness of the instrument. METHOD: The target group comprised all persons referred by an ophthalmologist for low vision rehabilitation, 65 years and older, living at home, with aged-related macular degeneration as the primary diagnosis and with distance visual acuity of the better eye with best correction not lower than 0.1. A non-parametric statistical method that is developed for paired ordered parametrical data was applied in order to measure the systematic and occasional intra-rater disagreement separately and to measure the responsiveness. CONCLUSION: The test-retest study showed that the ADL-instrument had a high level of test-retest stability, which is a condition for responsiveness. The instrument was found to be responsive. It could therefore detect true longitudinal changes and be used for evaluative purposes targeting elderly with AMD.
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