Isabel Margot-Cattin

Access technology and dementia care: Influences on residents’ everyday lives in a secure unit

There is a need to understand how technology can best be used to facilitate well-being in people with dementia. This study sought to describe how access control technology influenced the everyday lives of people with dementia living in a secure unit. The staff members and the units residents participated in the study. Data were collected through ethnographic observations and semi-structured interviews over 6 months, and were analyzed using the constant comparative method. The results show how access technology supported the residents’ sense of security, territoriality, orientation, and adaptation to the environment. However, certain conditions were necessary for these influences to appear. Overall, the results indicate that access control technology may be used to support the well-being of people with dementia, and to increase their opportunities to feel in place in a secure unit. However, there is an urgent need in the future for further exploration of the conditions for use of technology in the field of dementia care, and the necessity of making careful evaluations of the use of technology in this field cannot be overemphasized.

Formulating goals in occupational therapy: State of the art in Switzerland

Abstract Background: The contemporary occupational therapy literature suggests that different quality criteria exist for setting goals in occupational therapy: a focus on occupation; a link to the International Classification of Functioning, Disability, and Health (ICF); and adherence to the SMART recommendations, which advises goals to be specific, measurable, agreed, realistic, and timed. Aim: To identify the extent to which Swiss occupational therapists (OTs) adhere to the criteria cited above. Material: A total of 1 129 goals formulated with the Goal Attainment Scale (GAS) collected in 2008. Results: In slightly more than half the investigated cases at least one goal addressed an aspect of occupation. Nearly two-thirds of the goals related to the ICF component “activity and participation”. Nearly 90% of the goals were specific, measurable, and/or realistic. Conclusions: Goals mirror, to some extent, what is done in everyday practice. Several influences on goal formulations of OTs were identified, including the practice models traditionally used in different specialist fields; the cultural contexts in which OTs were trained; and the legal framework that obliges OTs to formulate their goals in a certain way in order to obtain funding for their services. Significance: Based on these results evidence-based products have been developed (a further education course; written recommendations for practice).

Creating a continuing professional development course on setting occupation-focused goals

ABSTRACT Quality insurance processes use goal attainment as criteria for funding occupational therapist (OT) services in Switzerland. As this is an important issue for the Swiss OT association, a continuing professional development (CPD) programme was implemented to assist OTs to set occupation-focused and person-centred goals. This qualitative study was conducted using three focus groups to understand the difficulties met by clinicians in the context of setting goals. Sixteen OTs reported that time constraints and routines make it difficult to define and formulate goals well. The problem is not a lack of knowledge, but to change one’s habits and practices the results. A CPD course was developed, adapted in three languages and implemented. Evaluation of the course indicates that it helps the participants to better understand the need for writing goals that are person-centred and occupation-focused. This course may be supportive of improved occupational-based goal setting in other countries.

THE INTERNATIONAL DEVELOPMENT OF ACT-OUT: A QUESTIONNAIRE ON ACCESSING PLACES AND ACTIVITIES FOR PARTICIPATION OUTSIDE HOME FOR OLDER ADULTS

Isabel Margot-Cattin, Delphine Dumoulin, Nicolas K€uhne, Annika € Ohman, Anders Kottorp, Anna Brorsson, Malcolm P. Cutchin, Louise Nygard, University of Applied Sciences and Arts of Western Switzerland, Lausanne, Switzerland; 2 Karolinska Institutet, Stockholm, Sweden; 3 Link€oping University, Norrk€oping, Sweden; 4 University of Illinois at Chicago, Chicago, IL, USA; Wayne State University, Detroit, MI, USA. Contact e-mail: delphine.dumoulin@eesp.ch