A5009613990- Occupational Therapy Practice and Research
- Health Systems, Economic Evaluations, Quality of Life
- Atrial Fibrillation Management and Outcomes
- Antiplatelet Therapy and Cardiovascular Diseases
- Pressure Ulcer Prevention and Management
- Pharmaceutical Economics and Policy
- Lipoproteins and Cardiovascular Health
- Cerebral Palsy and Movement Disorders
- Family and Disability Support Research
- Healthcare cost, quality, practices
- Blood Pressure and Hypertension Studies
- Pharmaceutical Practices and Patient Outcomes
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Acute Myocardial Infarction Research
- Healthcare Policy and Management
- Spinal Cord Injury Research
- Geriatric Care and Nursing Homes
- Diabetic Foot Ulcer Assessment and Management
- Disability Education and Employment
- Spine and Intervertebral Disc Pathology
- Heart Failure Treatment and Management
- Hair Growth and Disorders
- LGBTQ Health, Identity, and Policy
- Economic and Financial Impacts of Cancer
University College Cork
2013-2023
Jefferson College
2018
Thomas Jefferson University
2012-2018
University of Tennessee at Knoxville
2018
Adelphi Group (United Kingdom)
2018
Bristol-Myers Squibb (United States)
2000-2015
University of Southern California
1998-2011
Jackson College
2009-2011
Health Outcomes Solutions (United States)
2010
Christiana Care Health System
2009
Older people are at risk for health decline and loss of independence. Lifestyle interventions offer potential reducing such negative outcomes. The aim this study was to determine the effectiveness cost-effectiveness a preventive lifestyle-based occupational therapy intervention, administered in variety community-based sites, improving mental physical well-being cognitive functioning ethnically diverse older people.A randomised controlled trial conducted comparing an intervention no-treatment...
Abstract Occupational science is a new scientific discipline that defined as the systematic study of human an occupational being. A doctoral program in has been established at University Southern California, Los Angeles, With its emphasis on provision multidimensional description substrates, form, function, meaning, and sociocultural historical contexts occupation, emphasizes ability humans throughout life span to actively pursue orchestrate occupations. In this paper, described, defined,...
Abstract This article describes an innovative preventive occupation-al therapy intervention for well older adults, the Well Elderly Treatment Program. In a previously reported large-scale randomized effectiveness study, this was found to be highly successful in enhancing physical and mental health, occupational functioning, life satisfaction of multicultural, community-dwelling elders. article, philosophical background, manner development, topical content, methods program delivery,...
Background— Atherothrombosis is the underlying cause of cardiovascular, cerebrovascular, and peripheral arterial disease leading death in industrialized world. The objectives present study are (1) to examine annual costs associated with vascular events interventions that require hospitalization, as well long-term medication use for management risk factors, a US population outpatients multiple atherothrombotic factors or history symptomatic (2) compare across patient subgroups defined...
The Well Elderly Study was a randomized trial in independent-living older adults that found significant health, function, and quality of life benefits attributable to 9-month program preventive occupational therapy (OT). All participants completing the were followed for an additional 6 months without further intervention then reevaluated using same battery instruments. Long-term benefit OT interaction scale Functional Status Questionnaire six eight scales on RAND SF-36: physical functioning,...
To evaluate the cost-effectiveness of a 9-month preventive occupational therapy (OT) program in Well-Elderly Study: randomized trial independent-living older adults that found significant health, function, and quality life benefits attributable to OT.A trial.Two government-subsidized apartment complexes.One hundred sixty-three culturally diverse volunteers aged 60 older.An OT group, social activity group (active control), nontreatment (passive control).Use healthcare services was determined...
Background Community-dwelling older adults are at risk for declines in physical health, cognition, and psychosocial well-being. However, their enactment of active health-promoting lifestyles can reduce such declines. Purpose The purpose this article is to describe the USC Well Elderly II study, a randomized clinical trial designed test effectiveness healthy lifestyle program elders, document how various methodological challenges were addressed during course trial. Methods In 460 ethnically...
Abstract This article examines contemporary criticisms of role theory that question its accuracy in depicting human behavior. Five are discussed. First, reifies ideologies into concrete entities, rendering a sense universality. Second, places greater emphasis on social conformity than questioning policies. Third, the socialization process, as depicted by theory, lacks comprehensiveness. Fourth, agency is not sufficiently addressed theory. Fifth, promotes notion segmented rather enfolded...
The purpose of this article is to initiate a discussion the struggles and challenges we encountered as developed method analysis for particular qualitative study. We present our thinking process showing questions that arose, theoretical ideas on which relied, decisions made at crucial junctures. Portions from several frames used basis are presented include Polkinghorne's (1995) narrative inquiry, Glaser Strauss's (1967) Charmaz's (2000) grounded theory, Riessman's (1990b) mixed approach...
Aim & Background: The aim of this study is to explore the negotiation and expression identities through everyday occupations, juxtaposed against prevalent social ideologies disability. problem addressed in article concerns absence critical reflection surrounding importance ideological tensions inherent action. Method: An ethnographic narrative approach was used gather analyze data consisting 14 interviews extensive observations collected on a monthly basis over 18-months. Findings...
Purpose. The aim of this article is to identify overarching principles that explain how daily lifestyle considerations affect pressure ulcer development as perceived by adults with spinal cord injury (SCI).
Abstract Although unwanted facial hair often leads to anxiety and avoidance of social situations, evaluation treatment outcomes in clinical trials has relied largely on measures external the patient such as extent growth or an expert physician's assessment, neglecting include reported (PRO). To assess level bother caused by a dermatological condition (hirsutism) changes brought treatment, instrument ESTEEM was developed expanding Bother Assessment Skin Conditions (BASC) scale six questions...
During the past century, numerous researchers and theorists have argued that human lives are largely shaped by nonreflective realm of habit. Beyond this observation, however, scholarly conceptualizations habit widely divergent, ranging from neural-level to culturally saturated macro-level constructs. To clarify multiple ways has been construed is related rehabilitation, authors present a typology nine categories habits: as tic; neural networks; conditioned responses; addiction; single,...
This article examines how sexual orientation may be relevant to the study of occupations and practice occupational therapy. It is suggested that a lesbian, gay, or bisexual influence in which person engages, symbolic interpretation those occupations, environmental contingencies thus an appropriate topic for scientists address. With use clinical reasoning studies literature on authentic therapy, it argued person's therapeutic process if therapists are truly achieve intersubjective...
Compared with usual practice, clinical trials often exclude patients relative contraindications. A study of real-world warfarin use could help inform new medications that potentially replace warfarin. The objective this was to describe potential barriers among atrial fibrillation. This a retrospective electronic medical records (1998–2007) from an inner-city public hospital and affiliated primary care clinics included adults aged 18 years or more Exclusions mitral aortic valve replacement,...