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Gayle Hersch, PhD, OTR Harriett Davidson, MA, OTR

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Evidence-Based Practice in Long-Term Care: Facilitating Adaptation, Quality of Life, and Social Participation. Gayle Hersch, PhD, OTR Harriett Davidson, MA, OTR. Objectives. This presentation describes:

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Gayle Hersch, PhD, OTR Harriett Davidson, MA, OTR
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  1. Evidence-Based Practice in Long-Term Care: Facilitating Adaptation, Quality of Life, and Social Participation Gayle Hersch, PhD, OTR Harriett Davidson, MA, OTR

  2. Objectives • This presentation describes: • findings from funded research utilizing an occupation-based intervention to facilitate adaptation to long-term care; • benefits of an interdisciplinary approach to clinical research; • challenges encountered in implementing future studies.

  3. How to Compose A Team Who? Interdisciplinary • Each discipline brings a different culture to the mix • OT, Nursing, Health Economics • Each person brings a different style to the mix • Social Styles • Driver • Analytical • Amiable • Expressive (Merrill & Reid)

  4. How to Compose A Team How? Attributes for Success • Team purpose • Goals • Leadership • Communication • Cohesion • Mutual respect • Reflection (Lakhani et al.)

  5. How to Compose A Team When? Continuity and Growth • It is critical to determine expectations and resolve differences at the outset. • Over time, members will come and go, especially graduate students. • There is continuity of leadership, values, and expectations.

  6. How to Compose A Team

  7. Findings from R21 Grant • This study investigated the effectiveness of an occupation-based, cultural heritage intervention to improve adaptation to long-term care (LTC) relocation. • Outcome measures of adaptation included quality of life, activity engagement, and social participation. • The study demonstrated the effectiveness of a structured occupation-based, social group intervention. In addition, the study provided a picture of activity patterns, social relationships and contextual settings for newly admitted residents to LTC facilities.

  8. Collaborative Model Our collaborative model is represented by a flourishing tree, noted by the four constituents that serve as the roots; in turn, they are nourished by six concepts. Communication and collaboration are the core of the team effort. Discourse (lengthy exchange of ideas and thoughts), discovery (identifying something new or unique; learning something that was unknown before); a multi-perspective lens (heterogeneous viewpoints that can be adopted within a collaborative context); and team attributes (a quality given to a group, e.g. commitment, time) that produces successful and productive scholarly efforts.

  9. Future Plans Future Challenges • Sustainability of the intervention effect • Translating research into practice • Partnership with multiple sites • Continued commitment of researchers’ participation • Obtain research funds • Continue this line of research • Recruit multiple sites outside of Houston area. • Offer multi-discipline graduate students research opportunities • Develop a graduate course in interdisciplinary team work

  10. Acknowledgments • We express our gratitude to our colleagues, Anlee Birch-Evans, PhD, RN, WyonaFreysteinson, PhD, MN, and Kai-Li Tsai, PhD as well as our statistician, Dr. Amy Amspoker; TWU Research Director, Dr. Nancy Luca; and consultant, Dr. Geri Adler. • We thank our graduate assistants, Kathryn Davis and Erin Peterson, for their efforts in compiling this presentation.

  11. References Hay, J., LaBree, L., Luo, R., Clark, F., Carlson, M., Mandel, D., & Azen, S. P. (2002). Cost-effectiveness of preventive occupational therapy for independent-living older adults. Journal of the American Geriatrics Society, 50. 1381-1388. Hersch, G., Hutchinson, S., Davidson, H., Wilson, C., Maharaj, T., & Watson, K. B. (2012). Effect of an occupation-based cultural heritage intervention in long-term geriatric care: A two-group control study. American Journal of Occupational Therapy, 66(2). 224-232. Hutchinson, S., Hersch, G., Davidson, H. A., Chu, A. Y., & Mastel-Smith, B. (2011). Voices of elders: Culture and person factors of residents admitted to long-term care facilities. Journal of Transcultural Nursing, 20(10). 1-8. doi: 10.1177/1043659611414138 Lakhani, J., Benzies, K., & Hayden, K. A. (2012). Attributes of interdisciplinary research teams: A comprehensive review of the literature. Clinical and Investigative Medicine, 35(5). E260-E265.