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Measures of ADL Task Performance, ADL Motor Ability, ADL Process Ability and Ability to Use ET (N=84)
Source publication
Purpose
There have been calls for more knowledge of activities of daily living (ADL) performance in order to address interventions in pulmonary rehabilitation effectively. Everyday technology (ET) has become an integrated dimension of ADL, impacting the ways in which ADL is performed. To improve everyday functioning and quality of life, the use of...
Contexts in source publication
Context 1
... of self-reported ADL performance, ADL motor ability and ADL process ability based on observation, and self-perceived ability to use ET are presented in Table 2. ...Context 2
... the self-perceived ability to use ET, the sample mean measure was 56.0 (Table 2). This exceeded the item mean difficulty (by default set at 50.0 logits) which indicates that the perceived ability to use ET in the sample was overall higher than the overall challenges encountered when using the ETs included in ETUQ. ...Similar publications
Background
Pulmonary rehabilitation (PR) is recognized as a cost-effective non-pharmacological treatment modality to promote quality of life and delay disease progression in patients with chronic obstructive pulmonary disease (COPD). Although PR has been shown to be effective, it is underutilized in clinical practice. This study aimed to investigat...
Citations
... Declines in the performance of ADL contribute to the level of independence that elderly living with HIV maintains and are important predictors of health and well-being outcomes, including quality of life. The ability to perform activities of daily living often diminishes in elderly living with HIV due to progressiveness of the disease as well as ageing [31]. The data of this study have shown a negative association between cognitive function and activities of daily living in elderly living with HIV. ...
Background
HIV places enormous stress on the well-being of infected elderly people when performing activities of daily living. Surviving with HIV can be extremely challenging at any age, however elderly people living with HIV have to be contended with physical, mental and psychological barriers. Both ageing and HIV infection can work separately or interactively to reduce their human immune response. Unmet needs related to activities of daily living among elderly people with HIV may lead to adverse consequences resulting in deteriorating health outcomes. The purpose of this research study was to explore barriers experienced by elderly living with HIV related to their engagement in activities of daily living.
Methods
An explorative qualitative study was conducted, using a purposive sampling method to recruit participants at three public healthcare district hospitals. The researcher conducted semi-structured Interviews of 10 focus group discussions with elderly people aged 60 years and above who had lived with HIV. The data was analysed thematically.
Results
The key themes that emerged included psychological, physical, and cognitive barriers. Furthermore, other barriers were functional mobility, change in sexual engagement, personal hygiene, eating challenges, and emotions associated with their HIV status.
Conclusions
This study concludes that elderly people living with HIV experience several barriers during their engagement in activities of daily living. Understanding the barriers of the elderly people living with HIV will inform the development of appropriate interventions to improve their well-being, health and quality of life. Therefore, there is an urgent need to develop occupational therapy programme to assist in providing appropriate care for the elderly people living with HIV.
... Estudos onde caracterizam a pessoa com DPOC revelam que a existência de comorbilidades tais como doenças cardiovasculares, metabólicas (como a diabetes mellitus), osteoarticulares e oncológicas são frequentes (1,13,17) , indo de encontro aos dados apresentados neste estudo. ...
... Estes resultados são semelhantes aos de outros estudos, que referem que a capacidade para a realização das AVD é mais limitada em pessoas com DPOC, devido a sintomas como a dispneia e a fadiga. Porém, para além das AVD identificadas, tarefas como a deambulação (dentro ou fora de casa), vestir-se e tomar banho também estão frequentemente afetadas (17,21) . ...
... A literatura sugere que, na generalidade, as pessoas com DPOC gerem as suas AVD de acordo com as suas limitações funcionais e adaptam-se à sua nova condição, por vezes resignando-se. Esta resignação faz com que, por vezes, as pessoas deixem de realizar determinadas AVD, consideradas menos importantes, em vez de solicitarem auxílio (17) . Para além disso, as pessoas com DPOC adotam estratégias no seu quotidiano, que envolvem a aprendizagem de estratégias de conservação de energia, para a realização das AVD sem a necessidade de recorrer a ajuda de um cuidador (22) . ...
Introdução: A dispneia é um dos sintomas mais característicos da Doença Pulmonar Obstrutiva Crónica e está diretamente relacionada com a diminuição, na pessoa, da capacidade para o exercício, realização das atividades de vida diária e autocuidado. O presente estudo teve como finalidade aprofundar o conhecimento sobre o nível de dispneia, a capacidade para realização das atividades de vida diária e dependência no autocuidado na pessoa com Doença Pulmonar Obstrutiva Crónica. Metodologia: Estudo exploratório, de natureza descritiva, transversal, com uma abordagem do tipo quantitativo. Resultados: A amostra foi constituída por 52 participantes, predominantemente do sexo masculino, com uma média de idade de 72 anos. Quanto ao grau de dispneia, avaliada pela escala da dispneia modificada do Medical Research Council, 76,9% dos participantes referem uma dispneia ? 2. A escala London Chest Activity of Daily Living revela que 55,8% dos participantes apresentam limitações na realização das atividades de vida diária. Pela avaliação do Índice de Barthel, 67,3% da amostra é independente no autocuidado. Conclusão: Os participantes no estudo apresentam alto nível de dispneia e limitação na realização das atividades de vida diária, porém quando avaliado o grau de autonomia para o autocuidado, a maioria dos participantes é independente. Assim, as intervenções do Enfermeiro Especialista em Enfermagem de Reabilitação deverão ter como objetivos a otimização das capacidades da pessoa com Doença Pulmonar Obstrutiva Crónica, a promoção da sua autonomia e a qualidade de vida, bem como a capacitação para a autogestão da doença.
... In 2016, chronic respiratory diseases (CRDs) caused three million fatalities globally, with healthcare expenses amounting to 170.8 billion US dollars, making them significant contributors to morbidity and mortality rates. 1 CRDs manifest as pulmonary and extrapulmonary symptoms, including dyspnea, musculoskeletal issues, and cognitive decline, 2 negatively impacting individuals' activities of daily living (ADLs) and quality of life. [2][3][4] Up to 70% of individuals with CRDs experience cognitive decline, 5 attributed to overlapping pathophysiological factors, predominantly low oxygen saturation due to respiratory insufficiency. 6 Common conditions include chronic obstructive pulmonary disease (COPD), long-COVID, interstitial lung disease, and obstructive sleep apnea. ...
Purpose
To evaluate the effects of cognitive interventions (CIs) on cognitive function, health-related quality of life (HRQoL), self-management, physical activity, physical function, and psychosocial outcomes among individuals with chronic respiratory diseases (CRDs).
Methods
The methods adhered to the Cochrane Handbook for Systematic Review of Interventions for data analysis and synthesis guidelines. Additionally, the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed for the reporting of data. Database searches were conducted from inception to May 2023 across Medline, Embase, Emcare, PsycINFO, Scopus, and CINAHL. Included studies evaluated the effects of cognitive training, cognitive behavioural therapy, and transcranial brain stimulation in adults with CRDs. Studies were evaluated using the Cochrane Risk of Bias 2 tool, Risk of Bias in Non-Randomized Studies of Interventions, and Grading of Recommendations, Assessment, Development, and Evaluation.
Results
Five eligible studies with 347 participants were included and showed very low-quality evidence of inconsistent improvements in cognition and no difference between groups for HRQoL and self-management; low evidence for no difference between groups in physical function; moderate evidence for no difference between groups in physical activity and psychosocial outcomes.
Conclusion
The effects of CIs on cognitive function in people with CRDs are inconclusive.
... 'The variation in functional performance observed in individuals with COPD is perplexing' (28). ...
... Differences in their activity level can neither be sufficiently justified by clinical and anthropological factors nor by the difference in severity of disease (27). Some patients in advanced stages of COPD are capable of performing all ADLs; however, others with mild or moderate-severe symptoms become homebound (28). Clinical parameters, such as the level of airway obstruction, the distance walked within 6 minutes, or the degree of dyspnea, can only partly determine the level of physical activity of COPD patients (7). ...
Background: Limitations of activities of daily living (ADLs) are well-known in chronic obstructive pulmonary disease (COPD) patients. However, a lack of consensus regarding the concept of ADL in COPD patients causes problems in their measurement. This study was conducted to clarify and conceptualize the concept of ADLs in COPD. Methods: The hybrid model of concept analysis consisting of a literature review phase, a fieldwork phase, and an analytical phase was applied. In the first phase, an extensive literature review was performed by searching the accredited databases for relevant articles published within 2000-2022. In the second phase, 18 in-depth interviews with COPD patients were carried out in Tehran, Iran. Field observational notes were transcribed verbatim, and qualitative content analysis was performed. In the analytical phase, attributes of ADLs were derived from the previous two phases. Results: Based on the attributes derived from the final analytical phase, ADLs in COPD patients are complex and multifactorial and are affected by dyspnea and factors influencing it. The pattern of daily activities, communication, and self-care in COPD patients changes toward living normally and independently. Conclusions: The concept analysis of ADLs in COPD patients revealed some key attributes. The results might be useful for designing nursing models, developing theories and measurement tools, and increasing the capacity to perform ADLs in COPD patients.
... The present study also showed greater limitations in showering than dressing, but the other activities were not analyzed in this study. Recently, Kaptain et al. analyzed 47 different ADL, both BADL and IADL, among Danish adults with COPD aged 46-87 years [42]. The main findings reported that the most affected BADL were moving within or outside the home and dressing, bathing, and pedicuring; and the most affected IADL were weekly cleaning, washing by hand, going by train, and weekly shopping. ...
Activities of daily living (ADL) may be limited by the presence of chronic diseases, and limitations in ADL contribute to an increased risk of falling. In people with asthma, chronic obstructive pulmonary disease (COPD), and asthma–COPD overlap (ACO), ADL may be affected owing to poor asthma control and COPD ventilatory limitations. The aim of this study was to establish the differing prevalence of limitations in ADL among older Spanish adults with chronic respiratory diseases (COPD, asthma, and ACO). Data from the Spanish National Health Survey were analyzed. The sample was composed of 944 older adults aged ≥65 years and with a positive diagnosis of COPD (n = 502), asthma (n = 241), or ACO (n = 201). Five basic activities of daily living (BADL) and seven instrumental activities of daily living (IADL) were studied. Frequency and percentages were used to describe sample characteristics and limitations of ADL. Significant differences were analyzed using chi-square tests. Results revealed a significant higher number of older adults with COPD (34.8%) and asthma (32.5%) without limitations in doing hard housework in comparison to ACO (17.8%). Regarding meal preparation, a higher percentage of asthmatics without difficulties (77.7%) and a lower percentage with many difficulties (2.6%) were observed in comparison to ACO (64.8%–10.2%). No differences were found in BADL, with approximately 80–90% without limitations. It seems that limitations in IADL vary according to the type of chronic pulmonary diseases, but further research is needed to clarify why differences were found only for preparing meals and hard housework. These findings should be considered in the design of interventions to promote ADL in older adults with respiratory disease.
... ADLs are often difficult for people with COPD [144]. These difficulties have some consequences for the quality of life of these people [145]. ...
ABSTRACT
Purpose: Impairment of postural control is common in people with COPD. However, the precise characteristics of this alteration are not clearly known. The “Systems Framework for Postural Control” which define postural control sub-components, represents an interesting tool to explore this field. The main aim of this review was to identify which postural control sub-components are impaired in people with COPD and to summarise characteristics for each sub-component. A secondary aim was to precise the relation
between postural control and activities of daily living (ADL).
Materials and methods: A scoping review was conducted, according to the JBI methodology. Medline, Cochrane Library, Scielo, Google Scholar, OpenGrey, and HAL were searched from inception to May 2022. The search was performed in English and French.
Results: Eighty-nine articles were included. There was evidence of a potential impairment for most of the postural control sub-components. Characteristics of every sub-component alteration were heterogeneous. Reduced postural control could be associated with difficulties in ADL.
Conclusions: People with COPD may have impairment in a wide range of postural control sub-components. Further research is needed to clarify if a common pattern of modification exits for this alteration and to precise the link with ADL.
IMPLICATIONS FOR REHABILITATION
- Impairment of postural control is a common extra-respiratory manifestation in people with COPD and so clinicians must include it in their clinical reasoning.
- Numerous postural control sub-components could be altered in people with COPD, suggesting that postural control assessment must be holistic.
- This scoping review shows that characteristics of postural control impairment are varied and that there may be no common pattern at the COPD population level.
- The relationship between impaired postural control and activities of daily living remains unclear, but clinicians should be alert to potential negative interactions between these two areas.
... However, limited research remains on the specific factors from different ICF components that influence participation levels, particularly in clinical populations. People diagnosed with Chronic Obstructive Pulmonary Disease (COPD) experience considerable limitations in mobility 6 and distressing diseasespecific symptoms such as shortness of breath and exercise intolerance 7 that make them a high-risk group for experiencing participation restrictions. Although pulmonary rehabilitation programs are considered the standard of care for symptom management in patients with COPD, current programs focus primarily on ICF body functions (e.g., muscle strength) and activities (e.g., walking) but do not specifically target participation. ...
Objective
To examine potential determinants of participation frequency and limitations in people with Chronic Obstructive Pulmonary Disease (COPD).
Methods
For this secondary analysis, we grouped the following factors using the International Classification of Functioning, Disability and Health (ICF) components: age, psychological distress (Hospital Anxiety and Depression Scale (HADS)), gait aid use, supplemental oxygen use, grip strength, modified Medical Research Council Dyspnea scale, Short Physical Performance Battery, and Six-Minute Walk Test (6MWT). Participation was measured using the frequency and limitation domains of the Late Life Disability Instrument (LLDI). Relationships between factors and participation were examined using linear regression.
Results
Ninety-six participants (age 68.7 ± 8.1 yrs; FEV 1 %pred 34 IQR 25–54) were included in the analysis. Factors were linked to four ICF components: activity, body functions, personal, and environmental factors. The final model for LLDI-frequency contained HADS, use of gait aid, and 6MWT (F (3, 81) = 27.69 ( p < .001), R ² = 0.51), and for LLDI-limitations, the final model included age, HADS, and 6MWT (F (3, 82) = 19.74 ( p < .001), R ² = 0.42).
Discussion
Participation in life situations in people with COPD is associated with multiple ICF components. Psychological distress (i.e., anxiety and depression symptoms) and mobility were important determinants of participation frequency and limitations. Prospective studies are needed to confirm these relationships.
Introduction: People living with chronic obstructive pulmonary disease (COPD) encounter challenges in everyday life activities due to symptoms like breathlessness and fatigue. Compensatory strategies, such as using everyday technology (mechanical, electronic and digital equipment and functions encountered daily) and assistive technology (products, instruments, or equipment adapted or designed to improve functioning of people with disabilities), are crucial for supporting everyday life activities; thus, it is essential to explore therapeutic potentials of these technologies. The present review aims to synthesise research literature concerning the use of everyday technology and assistive technology to support everyday activities among persons living with COPD. Methods: A narrative review was conducted with a systematic search in five bibliographic databases. Three sets of search terms were used: (i) everyday technology, assistive technology, and related terms, (ii) everyday life activities and related terms, and (iii) chronic obstructive pulmonary disease and related terms. Results: Screening resulted in 26 included articles.Following the American Occupational Therapy Association framework, the identified articles show six categories of everyday life activities supported by everyday technologies and assistive technologies: health management, social participation, activities of daily living, instrumental activities of daily living, leisure, and rest and sleep. Conclusion: Most articles focus on everyday technology for health management; however, everyday technology may hold unexpected potential to support a broader array of everyday life activities. Little is known about assistive technology to support everyday life activities for people with COPD, though it is described as crucial for independence and energy conservation.
Introduction:
The experiences and needs of living with chronic respiratory diseases (CRD) can be overwhelming. Individuals often rely on informal care for daily assistance and having a family/friend caregiver has been associated with better health outcomes. Nevertheless, family/friend caregivers frequently feel alone and unsupported. Pulmonary rehabilitation (PR) leads to multidimensional benefits across CRD and individuals have suggested improvements for PR. Family/friend caregivers highly support PR in practical and psychosocial ways and have identified this intervention as an opportunity to be supported. This reciprocal relationship between PR and the family/friend caregivers has been scarcely explored and its importance for the management of CRD is poorly understood.
Areas covered:
This perspective synthesizes the experiences and needs of living with CRD from the perspective of people with CRD and their family/friend caregivers; and proposes a vision of a reciprocal/symbiotic relationship, through PR, for optimizing care for people with CRD and their caregivers.
Expert opinion:
A deeper understanding/recognition of the extensiveness and somewhat overlap of the experiences and unmet needs of individuals with CRD and their family/friend caregivers; and of the reciprocal/symbiotic relationship between PR and the family/friend caregivers might be important to optimizing management and, ultimately, individuals and caregivers' outcomes in CRD.
