16 results on '"George, Stacey"'
Search Results
2. Using social return on investment analysis to calculate the social impact of modified vehicles for people with disability
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Jenny Cleland, Claire Hutchinson, Stacey George, Julie Ratcliffe, Susan Gilbert-Hunt, Angela Berndt, Hutchinson, Claire, Berndt, Angela, Cleland, Jenny, Gilbert-Hunt, Susan, George, Stacey, and Ratcliffe, Julie
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Automobile Driving ,030506 rehabilitation ,Payback period ,Cost-Benefit Analysis ,medicine.medical_treatment ,Outcome (game theory) ,03 medical and health sciences ,0302 clinical medicine ,Cost of Illness ,Occupational Therapy ,assistive technology ,medicine ,Humans ,Disabled Persons ,driver rehabilitation ,vehicle modifications ,evaluation ,Actuarial science ,Rehabilitation ,Qualitative interviews ,Feature Article ,Social impact ,Age Factors ,Social return on investment ,Investment (macroeconomics) ,Feature Articles ,Motor Vehicles ,Driver rehabilitation ,social return on investment ,Business ,0305 other medical science ,Models, Econometric ,030217 neurology & neurosurgery - Abstract
Introduction: Returning to driving is often a goal for people with acquired disabilities. Vehicle modifications make it possible for people with both acquired and lifelong disabilities to drive yet can be costly. There has been no financial evaluation of vehicle modifications in Australia or internationally. Methods: A social return on investment analysis of vehicle modifications was undertaken. Primary data were collected via qualitative interviews with consumers and other stakeholders (e.g. driver-trained occupational therapists, rehabilitation physicians, driving instructors, vehicle modifiers) (n = 23). Secondary data were collected from literature searches and used to identify suitable financial proxies and make estimations of the proportion of drivers with vehicle modifications experiencing each outcome. A co-investment model was adopted to estimate social return on investment and payback period for funder and consumer. Five scenarios were developed to illustrate social return for low-cost modifications (Scenario 1) through to high-cost modifications (Scenario 5). Results: Social return on investment ratios was positive for funder and consumer investment in all five scenarios. Social return on investment calculations based on co-investment ranged from $17.32 for every $1 invested (Scenario 1) to $2.78 for every $1 invested (Scenario 5). Consumers' payback periods were between 5.4 and 7.1 months, and funders between 3.5 weeks and 2 years 8.4 months. Conclusion: Vehicle modifications represent sound investments for both funders and consumers. Given the short payback periods, funders should reconsider age restrictions on vehicles considered suitable for modifications, especially for low- to medium-cost modifications. Refereed/Peer-reviewed
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- 2020
3. Occupational Therapy Interventions to Improve Driving Performance in Older People With Mild Cognitive Impairment or Early-Stage Dementia: A Systematic Review
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Claire Spargo, Kate Laver, Zoe Adey-Wakeling, Stacey George, Angela Berndt, Spargo, Claire, Laver, Kate, Berndt, Angela, Adey-Wakeling, Zoe, and George, Stacey
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Gerontology ,Occupational therapy ,medicine.medical_specialty ,Population ,systematic reviews ,Psychological intervention ,PsycINFO ,CINAHL ,law.invention ,older adult ,Occupational Therapy ,Randomized controlled trial ,law ,medicine ,Humans ,Dementia ,driving simulators ,Cognitive Dysfunction ,education ,Aged ,education.field_of_study ,business.industry ,medicine.disease ,Systematic review ,minimal cognitive impairment ,business ,dementia - Abstract
Importance: For a person with mild cognitive impairment (MCI) or early-stage dementia, driving is important for independence. However, driving presents safety concerns for both the person and family members. It is important to determine whether occupational therapy interventions can prolong safe driving for this population. Objective: To determine the effectiveness of occupational therapy interventions to improve driving performance in older people with MCI or early-stage dementia. Data Sources: We conducted a search of MEDLINE, PsycINFO, CINAHL, and gray literature using Google Scholar. Study Selection and Data Collection: Studies were included if they evaluated interventions that (1) aimed to improve the driving performance of older people (M age ≥60 yr) with MCI or early-stage dementia and (2) could be designed or delivered by an occupational therapy practitioner who specializes in driving. Citations were reviewed independently by two authors, and quality appraisal was conducted using the Cochrane risk-of-bias guidelines. Findings: One Level I randomized controlled trial (RCT) and 4 Level III quasi-experimental studies were included; these studies had 231 participants in total with reported M ages of 65.6–72.5 yr. One study evaluated a compensatory approach, whereas the others evaluated a remedial approach. The studies used different measures to assess outcomes and reported mixed effects. Conclusions and Relevance: Low strength of evidence suggests that occupational therapy interventions may improve the driving performance of older people with MCI or early-stage dementia. More RCTs are needed that include long-term follow-up measures and address clinically important outcomes. What This Article Adds: In the absence of conclusive evidence from research studies and best practice guidelines, occupational therapy practitioners must rely on their clinical experience and their clients’ abilities. Development of evidence and guidelines in this area is critical. It is also important for practitioners to work closely with clients, families, and interdisciplinary team members to carefully monitor fitness to drive.
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- 2021
4. Modified motor vehicles: the experiences of drivers with disabilities
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Angela Berndt, Julie Ratcliffe, Claire Hutchinson, Stacey George, Susan Gilbert-Hunt, Hutchinson, Claire, Berndt, Angela, Gilbert-Hunt, Susan, George, Stacey, and Ratcliffe, Julie
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Automobile Driving ,030506 rehabilitation ,medicine.medical_treatment ,Applied psychology ,macromolecular substances ,Environment ,Outcome (game theory) ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,medicine ,Humans ,Disabled Persons ,lived experiences ,vehicle modifications ,driver rehabilitation ,Rehabilitation ,Lived experience ,Accidents, Traffic ,drivers with disability ,Motor Vehicles ,Driver rehabilitation ,0305 other medical science ,Psychology ,qualitative research ,030217 neurology & neurosurgery ,Qualitative research - Abstract
Purpose: Driving is often a rehabilitation goal of people with acquired disability, and vehicle modifications are typically required to facilitate this outcome. Though there have been several survey studies on vehicle modifications for people with disability, there has been no qualitative work on understanding people with disabilities’ experiences of being a modified vehicle driver.Method: An interpretative phenomenological approach was used to understand the lived experiences of drivers with disability. Semi-structured interviews were conducted (n¼8) with drivers who used a variety of vehicle modifications from simple to highly complex. Using NVivo, Stage 1 of the coding involved case by case analysis and Stage 2 cross case analysis to identify themes that best captured drivers’ experiences. Results: Four core themes were identified: knowing vs. challenging limitations, making complex driving considerations, considering undesired alternative transportation options, and responding emotionally to temporary vehicle loss. The Person-Environment-Occupation model was used as an orientating framework to discuss findings.Conclusions: This explorative small scale study highlights that less than full utilisation of modified vehicles is not a result of driver choice, but rather a complex interface between drivers’ physical and psychological limitations, and physical environments that do not support the needs of drivers with disability. Refereed/Peer-reviewed
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- 2019
5. Community Participation for People with Trauma Injuries: A Study Protocol of a Crossover Randomised Controlled Trial of the Effectiveness of a Community Mobility Group Intervention (CarFreeMe TI)
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Rachel Milte, Maria Crotty, Christopher Barr, Stacey George, Angela Berndt, Jacki Liddle, Amy Nussio, George, Stacey, Barr, Christopher, Berndt, Angela, Crotty, Maria, Milte, Rachel, Nussio, Amy, and Liddle, Jacki
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030506 rehabilitation ,medicine.medical_specialty ,Cognitive Neuroscience ,medicine.medical_treatment ,law.invention ,03 medical and health sciences ,Speech and Hearing ,Behavioral Neuroscience ,0302 clinical medicine ,Randomized controlled trial ,law ,Intervention (counseling) ,medicine ,participation ,community mobility ,Intention-to-treat analysis ,Rehabilitation ,traumatic brain injury ,group-based intervention ,Crossover study ,Mental health ,Clinical trial ,Neuropsychology and Physiological Psychology ,Neurology ,Scale (social sciences) ,Physical therapy ,spinal cord injuries ,Neurology (clinical) ,community participation ,0305 other medical science ,Psychology ,Trauma injuries ,030217 neurology & neurosurgery - Abstract
Background: Following traumatic brain and spinal cord injuries, maximising community participation leads to better physical and mental health outcomes.Objectives: To determine the effectiveness and health system resource use of a group intervention (CarFreeMe TI) on community participation in people with complex trauma injuries.Method: Randomised crossover trial of 54 participants, recruited from rehabilitation services in Adelaide, Australia. Inclusion criteria is a trauma injury, unable to return to full driving, aged over 18 years of age, adequate cognition/behavioural/communication abilities to participate in sessions and mobile. Exclusion criterion is living in setting where alternative transport is provided. Participants will be randomly assigned on a 1:1 allocation basis, to receiving Phase 1 CarFreeMe TI-group-based intervention or Phase 2 information related to transport options. Then, crossover to Phase 1 or 2 will occur. Primary outcome measure is community participation using a Global Positioning System. Secondary outcome measures include Community Mobility Self-efficacy Scale; CarFreeMe TI Transport Questionnaire, AQOL, EQ-5D-5L; Carer's Community Mobility Self-efficacy Scale and Modified Carer Strain Index for carers of participants. Outcome assessors will be blinded to group allocation. All analyses will be on an intention to treat basis with difference in community participation between the groups determined via a GLM ANOVA and the significance between groups on other measures using independent samplet-tests. It is hypothesised that the community mobility intervention (CarFreeMeTI) will result in increased community participation.Discussion: The results will provide proof of concept information on the feasibility and inform allocation of resources for people with complex trauma injuries.Trial registration: Australian and New Zealand Clinical Trials Register (ANZCTR): ACTRN12616001254482.
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- 2019
6. Valuing the impact of health and social care programs using social return on investment analysis: How have academics advanced the methodology? A systematic review
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Deborah Forsythe, Angela Berndt, Susan Gilbert-Hunt, Julie Ratcliffe, Claire Hutchinson, Stacey George, Hutchinson, Claire Louise, Berndt, Angela, Forsythe, Deborah, Gilbert-Hunt, Susan, George, Stacey, and Ratcliffe, Julie
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media_common.quotation_subject ,Cost-Benefit Analysis ,Scopus ,MEDLINE ,lcsh:Medicine ,Health Informatics ,CINAHL ,EconLit ,03 medical and health sciences ,0302 clinical medicine ,Excellence ,050602 political science & public administration ,Medicine ,Humans ,health economics ,030212 general & internal medicine ,Research question ,media_common ,Medical education ,Health economics ,business.industry ,Research ,05 social sciences ,lcsh:R ,Social return on investment ,Rehabilitation, Vocational ,General Medicine ,Social Participation ,social care ,0506 political science ,social return on investment ,social impact ,SROI ,business ,Delivery of Health Care ,Social Welfare ,Program Evaluation - Abstract
ObjectivesTo identify how social return on investment (SROI) analysis—traditionally used by business consultants—has been interpreted, used and innovated by academics in the health and social care sector and to assess the quality of peer-reviewed SROI studies in this sector.DesignSystematic review.SettingsCommunity and residential settings.ParticipantsA wide range of demographic groups and age groups.ResultsThe following databases were searched: Web of Science, Scopus, CINAHL, Econlit, Medline, PsychINFO, Embase, Emerald, Social Care Online and the National Institute for Health and Care Excellence. Limited uptake of SROI methodology by academics was found in the health and social care sector. From 868 papers screened, 8 studies met the criteria for inclusion in this systematic review. Study quality was found to be highly variable, ranging from 38% to 90% based on scores from a purpose-designed quality assessment tool. In general, relatively high consistency and clarity was observed in the reporting of the research question, reasons for using this methodology and justifying the need for the study. However, weaknesses were observed in other areas including justifying stakeholders, reporting sample sizes, undertaking sensitivity analysis and reporting unexpected or negative outcomes. Most papers cited links to additional materials to aid in reporting. There was little evidence that academics had innovated or advanced the methodology beyond that outlined in a much-cited SROI guide.ConclusionAcademics have thus far been slow to adopt SROI methodology in the evaluation of health and social care interventions, and there is little evidence of innovation and development of the methodology. The word count requirements of peer-reviewed journals may make it difficult for authors to be fully transparent about the details of their studies, potentially impacting the quality of reporting in those studies published in these journals.PROSPERO registration numberCRD42018080195.
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- 2019
7. Valuing the impact of health and social care programmes using social return on investment analysis: how have academics advanced the methodology? A protocol for a systematic review of peer-reviewed literature
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Claire Hutchinson, Stacey George, Susan Gilbert-Hunt, Angela Berndt, Julie Ratcliffe, Hutchinson, Claire Louise, Berndt, Angela, Gilbert-Hunt, Susan, George, Stacey, and Ratcliffe, Julie
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media_common.quotation_subject ,Cost-Benefit Analysis ,education ,Psychological intervention ,Scopus ,MEDLINE ,academic involvement ,sroi ,03 medical and health sciences ,0302 clinical medicine ,Health Economics ,Excellence ,South Australia ,050602 political science & public administration ,Protocol ,Medicine ,Humans ,030212 general & internal medicine ,media_common ,Protocol (science) ,Medical education ,Health economics ,business.industry ,05 social sciences ,Social return on investment ,Rehabilitation, Vocational ,General Medicine ,Social Participation ,social care ,0506 political science ,social return on investment ,social impact ,business ,Delivery of Health Care ,Social Adjustment ,Social Welfare ,Program Evaluation ,social return on investment (SROI) - Abstract
IntroductionUnlike other forms of evaluation, social return on investment (SROI) methodology offers a way of placing values on personal, social and community outcomes, not just economic outcomes. Developed in 2000, there have been calls for greater academic involvement in development of SROI, which to date has been more typically implemented in-house or by consultants. This protocol describes a systematic review of SROI analysis conducted on health and social care programmes which represent a significant sector of social enterprise internationally. The aims of the systematic review are to (1) identify the extent to which academics have adopted SROI methodology, (2) how academics have interpreted, used and developed SROI methodology and (3) to assess the quality of studies published under peer review.Methods and analysisThe systematic review will include peer-reviewed studies since 2000 published in English. Search terms will be ‘social return on investment’ or ‘SROI’. Health and social care interventions will be identified in the initial screening given the proliferation of possible key words in these areas. Databases to be searched include Web of Science, Scopus, Medline, Social Care Online and National Institute for Health and Care Excellence. Two reviewers will independently conduct initial screening based on titles and abstracts against the inclusion criteria. Data extracted will include date of intervention, country, study design, aim of intervention/programme, participants and setting, health and social care measures used, and SROI ratio. The quality of studies will be assessed by two reviewers using a SROI quality framework designed for the purpose of this study.Ethics and disseminationThe systematic review will review existing published academic literature; as such, ethics approval is not required for this study. A paper of the systematic review will be submitted to a peer-reviewed journal.PROSPERO registration numberCRD42018080195.
- Published
- 2018
8. Preferences for rehabilitation service delivery: A comparison of the views of patients, occupational therapists and other rehabilitation clinicians using a discrete choice experiment
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Laurence Lester, Kate Laver, Maria Crotty, Stacey George, Julie Ratcliffe, Laver, Kate, Ratcliffe, Julie, George, Stacey, Lester, Laurence, and Crotty, Maria
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Adult ,Male ,Occupational therapy ,medicine.medical_specialty ,Attitude of Health Personnel ,Service delivery framework ,medicine.medical_treatment ,Medical rehabilitation ,Discrete choice experiment ,Logistic regression ,Choice Behavior ,Occupational Therapy ,Surveys and Questionnaires ,Humans ,Medicine ,Rehabilitation ,business.industry ,High intensity ,Stroke Rehabilitation ,Patient Preference ,Professional-Patient Relations ,Traditional therapy ,questionnaires ,Logistic Models ,Treatment Outcome ,Physical therapy ,Female ,business ,patient preference ,attitude of health personnel - Abstract
Author version made available in accordance with the publisher's policy., Introduction: Understanding the differences in preferences of patients and occupational therapists for the way in which rehabilitation services are provided is important. In particular, it is unknown whether new approaches to rehabilitation such as high intensity therapy and virtual reality programs are more or less acceptable than traditional approaches. Methods: A discrete choice experiment was conducted to assess and compare the acceptability of these new approaches, relative to other characteristics of the rehabilitation program. The study included patients participating in a stroke or medical rehabilitation program (n=100), occupational therapists (n=23) and other clinicians (n=91) working in rehabilitation settings at three hospitals in South Australia. Data were analysed using a conditional (fixed-effects) logistic regression model. Results: The model coefficient attached to very high intensity therapy programs (defined as six hours per day) was negative and highly statistically significant for both patients and therapists indicating aversion for this option. In addition, other rehabilitation clinicians and patients were strongly averse to the use of virtual reality programs (as evidenced by the negative and highly statistically significant coefficient attached to this attribute for both groups) relative to occupational therapists. Conclusion: The comparison of the views of patients, occupational therapists and other rehabilitation clinicians revealed some differences. All participants (patients and clinicians) showed an inclination for programs that resulted in the best recovery. However, patients expressed stronger preferences than clinicians for traditional therapy approaches. As a group, occupational therapists were most likely to accept approaches such as virtual reality suggesting changes away from traditional delivery methods will be more readily integrated into practice.
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- 2012
9. Virtual reality for stroke rehabilitation
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Kate E Laver, Belinda Lange, Stacey George, Judith E Deutsch, Gustavo Saposnik, Maria Crotty, Laver, Kate E, George, Stacey, Thomas, Susie, Deutsch, Judith E, and Crotty, Maria
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030506 rehabilitation ,Activities of daily living ,Interactive video ,medicine.medical_treatment ,User-Computer Interface ,Gait (human) ,0302 clinical medicine ,Activities of Daily Living ,Postural Balance ,Pharmacology (medical) ,Stroke ,Gait ,Randomized Controlled Trials as Topic ,Cochrane collaboration ,Rehabilitation ,Stroke Rehabilitation ,Traditional therapy ,stroke ,randomized controlled trials ,Medical emergency ,Cardiology and Cardiovascular Medicine ,Psychology ,0305 other medical science ,activities of daily living ,Medicine General & Introductory Medical Sciences ,medicine.medical_specialty ,MEDLINE ,Library science ,Virtual reality ,Upper Extremity ,03 medical and health sciences ,Quality of life (healthcare) ,Physical medicine and rehabilitation ,Intervention (counseling) ,Activity limitation ,medicine ,Humans ,Advanced and Specialized Nursing ,Protocol (science) ,business.industry ,video games ,medicine.disease ,Surgery ,Video Games ,Therapy, Computer-Assisted ,psychomotor performance ,Quality of Life ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Psychomotor Performance - Abstract
BACKGROUND: Virtual reality and interactive video gaming have emerged as recent treatment approaches in stroke rehabilitation with commercial gaming consoles in particular, being rapidly adopted in clinical settings. This is an update of a Cochrane Review published first in 2011 and then again in 2015. OBJECTIVES: Primary objective: to determine the efficacy of virtual reality compared with an alternative intervention or no intervention on upper limb function and activity. Secondary objectives: to determine the efficacy of virtual reality compared with an alternative intervention or no intervention on: gait and balance, global motor function, cognitive function, activity limitation, participation restriction, quality of life, and adverse events. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (April 2017), CENTRAL, MEDLINE, Embase, and seven additional databases. We also searched trials registries and reference lists. SELECTION CRITERIA: Randomised and quasi‐randomised trials of virtual reality ("an advanced form of human‐computer interface that allows the user to 'interact' with and become 'immersed' in a computer‐generated environment in a naturalistic fashion") in adults after stroke. The primary outcome of interest was upper limb function and activity. Secondary outcomes included gait and balance and global motor function. DATA COLLECTION AND ANALYSIS: Two review authors independently selected trials based on pre‐defined inclusion criteria, extracted data, and assessed risk of bias. A third review author moderated disagreements when required. The review authors contacted investigators to obtain missing information. MAIN RESULTS: We included 72 trials that involved 2470 participants. This review includes 35 new studies in addition to the studies included in the previous version of this review. Study sample sizes were generally small and interventions varied in terms of both the goals of treatment and the virtual reality devices used. The risk of bias present in many studies was unclear due to poor reporting. Thus, while there are a large number of randomised controlled trials, the evidence remains mostly low quality when rated using the GRADE system. Control groups usually received no intervention or therapy based on a standard‐care approach. Primary outcome: results were not statistically significant for upper limb function (standardised mean difference (SMD) 0.07, 95% confidence intervals (CI) ‐0.05 to 0.20, 22 studies, 1038 participants, low‐quality evidence) when comparing virtual reality to conventional therapy. However, when virtual reality was used in addition to usual care (providing a higher dose of therapy for those in the intervention group) there was a statistically significant difference between groups (SMD 0.49, 0.21 to 0.77, 10 studies, 210 participants, low‐quality evidence). Secondary outcomes: when compared to conventional therapy approaches there were no statistically significant effects for gait speed or balance. Results were statistically significant for the activities of daily living (ADL) outcome (SMD 0.25, 95% CI 0.06 to 0.43, 10 studies, 466 participants, moderate‐quality evidence); however, we were unable to pool results for cognitive function, participation restriction, or quality of life. Twenty‐three studies reported that they monitored for adverse events; across these studies there were few adverse events and those reported were relatively mild. AUTHORS' CONCLUSIONS: We found evidence that the use of virtual reality and interactive video gaming was not more beneficial than conventional therapy approaches in improving upper limb function. Virtual reality may be beneficial in improving upper limb function and activities of daily living function when used as an adjunct to usual care (to increase overall therapy time). There was insufficient evidence to reach conclusions about the effect of virtual reality and interactive video gaming on gait speed, balance, participation, or quality of life. This review found that time since onset of stroke, severity of impairment, and the type of device (commercial or customised) were not strong influencers of outcome. There was a trend suggesting that higher dose (more than 15 hours of total intervention) was preferable as were customised virtual reality programs; however, these findings were not statistically significant.
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- 2015
10. Perceived confidence relates to driving habits post-stroke
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Annabel McNamara, Julie Ratcliffe, Stacey George, Ruth Walker, McNamara, Annabel, Walker, Ruth, Ratcliffe, Julie, and George, Stacey
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Adult ,Male ,medicine.medical_specialty ,Automobile Driving ,assessment ,Poison control ,Suicide prevention ,Occupational safety and health ,Habits ,Kilometer ,Surveys and Questionnaires ,Injury prevention ,driving ,Medicine ,Humans ,awareness ,Survivors ,Stroke ,Aged ,Self-efficacy ,Aged, 80 and over ,business.industry ,Rehabilitation ,Stroke Rehabilitation ,Human factors and ergonomics ,Middle Aged ,medicine.disease ,stroke ,Self Concept ,Telephone ,Physical therapy ,Quality of Life ,driving habits ,Female ,business ,self-efficacy - Abstract
Returning to driving post-stroke is a step towards independence. On return to driving following stroke, confidence is related to performance in on-road assessment and self-regulation of driving behaviours occurs. The aim of this study was to examine the relationship between driver's confidence and driving habits post-stroke.Structured telephone surveys were completed with 40 stroke survivors (62% men), of mean age 65 years SD 12.17 who returned to driving post-stroke within the previous 3 years. The survey included: (1) socio-demographics, (2) Adelaide Driving Self Efficacy Scale (ADSES) and (3) Driving Habits Questionnaire (DHQ).Male stroke survivors were more likely to return to driving, drive further and more often. Stroke survivors under 65 years were likely to drive further. Driving confidence was significantly associated with kilometres driven (p = 0.006), distance driven (p = 0.027) and self-limiting driving (p = 0.00).Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively influence quality of life. Implications for Rehabilitation Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively influence quality of life.
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- 2015
11. Virtual reality grocery shopping simulator: development and usability in neurological rehabilitation
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Kate Laver, Maria Crotty, Julie Ratcliffe, Karen J. Reynolds, Sharon Sim, Stacey George, Fabian Lim, Laver, Kate, Lim, Fabian, Reynolds, Karen, George, Stacey, Ratcliffe, Julie, Sim, Sharon, and Crotty, Maria
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Activities of daily living ,Rehabilitation ,business.industry ,Computer science ,medicine.medical_treatment ,Usability ,Virtual reality ,simulation software ,Human-Computer Interaction ,Control and Systems Engineering ,randomized controlled-trial ,Neurological rehabilitation ,medicine ,virtual reality ,life skills ,Computer Vision and Pattern Recognition ,business ,Software ,Simulation ,Grocery shopping ,stroke rehabilitation ,grocery shopping - Abstract
Few virtual reality programs have been designed to retrain performance of activities of daily living for people undergoing neurological rehabilitation. This is despite the advantages of using this type of approach, including task-specific practice of meaningful and relevant activities. This paper summarizes the development of a grocery shopping simulator which uses a novel approach to interaction between the user and the program. The shopping simulation program underwent usability testing with patients participating in neurological rehabilitation. The results indicated that patients found the program easy and enjoyable to use and felt it would be a useful part of a rehabilitation program. Refereed/Peer-reviewed
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- 2012
12. Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: a feasibility trial
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Stacey George, Maria Crotty, Julie Ratcliffe, Stephen Quinn, Owen Davies, Craig Whitehead, Kate Laver, Laver, Kate, George, Stacey, Ratcliffe, Julie, Quinn, Steve, Whitehead, Craig, Davies, Owen, and Crotty, Maria
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Male ,medicine.medical_specialty ,Geriatric rehabilitation ,Activities of daily living ,Interactive video ,medicine.medical_treatment ,Pilot Projects ,Timed Up and Go test ,elderly ,law.invention ,Physical medicine and rehabilitation ,Randomized controlled trial ,law ,Intervention (counseling) ,Activities of Daily Living ,South Australia ,medicine ,Humans ,Sex Distribution ,Postural Balance ,physiotherapy ,Aged ,Aged, 80 and over ,Rehabilitation ,exercise ,business.industry ,Hospitals, Public ,video games ,Exercise Therapy ,Hospitalization ,Treatment Outcome ,Video Games ,Public hospital ,Physical therapy ,Feasibility Studies ,Patient Compliance ,Female ,business ,randomised controlled trial - Abstract
Author version made available in accordance with the Publisher's policy, Purpose: To assess the feasibility of a physiotherapy intervention using an interactive gaming program compared with conventional physiotherapy for hospitalised older people. Methods: Randomised controlled pilot study in a geriatric rehabilitation unit within an acute public hospital. Participants were randomly allocated to physiotherapy using an interactive gaming program (N=22) or conventional physiotherapy in a ward based gym (N=22). Feasibility was assessed by comparing the effects of the intervention on clinical outcome measures (primary outcome: mobility as assessed by the Timed Up and Go Test, secondary outcomes: safety, adherence levels, eligibility and consent rates). Results: Participants (N=44) had a mean age of 85 years (SD 4.5) and the majority (80%) were women. Univariable analyses showed no significant difference between groups following intervention. However, multivariable analyses suggested that participants using the interactive gaming program improved more on the Timed Up and Go Test (P=0.048) than participants receiving conventional physiotherapy. There were no serious adverse events and high levels of adherence to therapy were evident in both groups. Only a small proportion of patients screened were recruited to the study. Conclusions: In this feasibility study the use of a commercially available interactive gaming program by physiotherapists with older people in a hospital setting was safe and adherence levels were comparable with conventional therapy. Preliminary results suggest that further exploration of approaches using games as therapy for older people could include commonly used measures of balance and function.
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- 2012
13. Measuring technology self efficacy: reliability and construct validity of a modified computer self efficacy scale in a clinical rehabilitation setting
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Maria Crotty, Kate Laver, Julie Ratcliffe, Stacey George, Laver, Kate, George, Stacey, Ratcliffe, Julie, and Crotty, Maria
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Adult ,Male ,Technology ,Activities of daily living ,Scale (ratio) ,Psychometrics ,medicine.medical_treatment ,Rehabilitation Centers ,rehabilitation ,Cronbach's alpha ,Self efficacy scale ,Surveys and Questionnaires ,Activities of Daily Living ,medicine ,Humans ,Reliability (statistics) ,Aged ,Self-efficacy ,Aged, 80 and over ,Principal Component Analysis ,Rehabilitation ,Attitude to Computers ,Computers ,Australia ,Construct validity ,Reproducibility of Results ,Middle Aged ,Self Efficacy ,self efficacy ,technology ,Female ,activities of daily living ,Psychology ,Factor Analysis, Statistical ,Clinical psychology - Abstract
Author version made available in accordance with the Publisher's policy., Purpose: To describe a modification of the Computer Self Efficacy Scale for use in clinical settings and to report on the modified scale’s reliability and construct validity. Methods: The Computer Self Efficacy Scale was modified to make it applicable for clinical settings (for use with older people or people with disabilities using everyday technologies). The modified scale was piloted, then tested with patients in an Australian inpatient rehabilitation setting (n=88) to determine the internal consistency using Cronbach’s alpha coefficient. Construct validity was assessed by correlation of the scale with age and technology use. Factor analysis using principal components analysis was undertaken to identify important constructs within the scale. Results: The modified Computer Self Efficacy scale demonstrated high internal consistency with a standardised alpha coefficient of 0.94. Two constructs within the scale were apparent; using the technology alone, and using the technology with the support of others. Scores on the scale were correlated with age and frequency of use of some technologies thereby supporting construct validity. Conclusions: The modified Computer Self Efficacy Scale has demonstrated reliability and construct validity for measuring the self efficacy of older people or people with disabilities when using everyday technologies. This tool has the potential to assist clinicians in identifying older patients who may be more open to using new technologies to maintain independence.
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- 2011
14. Early rehabilitation management after stroke: what do stroke patients prefer?
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Ruth Walker, Maria Crotty, Stacey George, Kate Laver, Leonie Burgess, Julie Ratcliffe, Laurence Lester, Laver, Kate, Ratcliffe, Julie, George, Stacey, Lester, Laurence, Walker, Ruth, Burgess, Leonie, and Crotty, Maria
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Program evaluation ,Adult ,Male ,medicine.medical_specialty ,Time Factors ,Stroke patient ,Emerging technologies ,medicine.medical_treatment ,MEDLINE ,Physical Therapy, Sports Therapy and Rehabilitation ,User-Computer Interface ,Physical medicine and rehabilitation ,Surveys and Questionnaires ,medicine ,Humans ,Stroke ,Physical Therapy Modalities ,Aged ,Rehabilitation ,business.industry ,Stroke Rehabilitation ,rehabilitation programme ,Patient Preference ,General Medicine ,Recovery of Function ,Middle Aged ,medicine.disease ,Patient preference ,stroke ,Therapy, Computer-Assisted ,Physical therapy ,Female ,business ,Early rehabilitation ,patient preference ,Program Evaluation - Abstract
Background: Stroke rehabilitation is moving towards more intense therapy models that incorporate technologies such as robotics and computer games. It is unclear how acceptable these changes will be to stroke survivors, as little is known about which aspects of rehabilitation programmes are currently valued. Discrete choice experiments are a potential approach to assessing patient preferences, as they reveal the characteristics of programmes that are most important to consumers. Methods: A discrete choice experiment was presented as a face-to-face interview to assess the priorities and preferences of stroke survivors (n = 50, mean age 72 years) for alternative rehabilitation service configurations. The discrete choice experiment was presented to the participants while they were on the stroke rehabilitation ward (approximately 3–4 weeks following stroke). Results: Participants were highly focused on recovery and expressed strong preferences for therapy delivered one-to-one, but they did not favour very high intensity programmes (6 hours per day). While the attitudinal statements indicated high levels of agreement for programmes to incorporate the latest technology, the results from the discrete choice experiment indicated that participants were averse to computer-delivered therapy. Conclusion: Whilst rehabilitation therapy is highly valued, stroke survivors exhibited stronger preferences for low-intensity programmes and rest periods. High-intensity therapy protocols or approaches dependent on new technologies will require careful introduction to achieve uptake and acceptability. Refereed/Peer-reviewed
- Published
- 2011
15. Is use of the Nintendo Wii Fit in physiotherapy as effective as conventional physiotherapy training for hospitalised older adults?
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Maria Crotty, Owen Davies, Craig Whitehead, Stacey George, Steve Quinn, Julie Ratcliffe, Kate Laver, Crotty, Maria, Laver, Kate, Quinn, Steve, Ratcliffe, Julie, George, Stacey, Whitehead, Craig, Davies, Owen, and 2011 International Conference on Virtual Rehabilitation, ICVR 2011 Zurich, Switzerland 27-29 June 2011
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Geriatrics ,medicine.medical_specialty ,Rehabilitation ,Activities of daily living ,exercise therapy ,geriatrics ,business.industry ,medicine.medical_treatment ,video games ,Timed Up and Go test ,rehabilitation ,Physical medicine and rehabilitation ,Physiotherapy training ,medicine ,Physical therapy ,virtual reality ,Adverse effect ,Older people ,business ,Balance (ability) - Abstract
While there has been wide uptake of the Nintendo Wii Fit as a therapy tool in hospital and aged care settings there is a lack of evidence regarding the effectiveness and safety of this approach when used with older people. This pilot study compared the effect of a physiotherapist providing activities from the Wii Fit with conventional therapy on mobility, activities of daily living and safety. The study used a randomized controlled design with masked outcome assessment. A total of 44 participants were recruited from a Geriatric Evaluation and Management (GEM) Unit and randomized to either therapy using the Wii Fit (n=22) or conventional physiotherapy (n=22). Therapy sessions were 25 minutes per workday for the duration of the participant's stay on the unit. Assessment measures were taken at baseline, post intervention (on discharge from the unit) and one month after discharge. The primary outcome used was the Timed Up and Go Test and additional measures included balance and activities of daily living function. Adverse events were recorded. Preliminary analyses of results showed that both groups improved however there was a small significant difference between groups on balance and the Timed Up and Go Test with the Wii Fit appearing to be a more effective approach to balance and mobility training in hospitalized older people. Refereed/Peer-reviewed
- Published
- 2011
16. Is the Nintendo Wii Fit really acceptable to older people?: a discrete choice experiment
- Author
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Maria Crotty, Kate Laver, Stacey George, Leonie Burgess, Julie Ratcliffe, Laver, Kate, Ratcliffe, Julie, George, Stacey, Burgess, Leonie, and Crotty, Maria
- Subjects
Male ,030506 rehabilitation ,medicine.medical_specialty ,Interactive video ,medicine.medical_treatment ,aged care ,Population ,Discrete choice experiment ,Pilot Projects ,lcsh:Geriatrics ,Logistic regression ,Choice Behavior ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,therapy tools ,Nintendo Wii Fit ,Medicine ,Humans ,030212 general & internal medicine ,education ,kinesiotherapy ,physiotherapy ,Aged ,Aged, 80 and over ,education.field_of_study ,Rehabilitation ,business.industry ,discrete choice experiment ,Age Factors ,Popularity ,Exercise Therapy ,lcsh:RC952-954.6 ,Video Games ,Geriatrics ,Physical therapy ,Female ,Geriatrics and Gerontology ,0305 other medical science ,business ,Older people ,Follow-Up Studies ,Research Article - Abstract
Background Interactive video games such as the Nintendo Wii Fit are increasingly used as a therapeutic tool in health and aged care settings however, their acceptability to older people is unclear. The aim of this study was to determine the acceptability of the Nintendo Wii Fit as a therapy tool for hospitalised older people using a discrete choice experiment (DCE) before and after exposure to the intervention. Methods A DCE was administered to 21 participants in an interview style format prior to, and following several sessions of using the Wii Fit in physiotherapy. The physiotherapist prescribed the Wii Fit activities, supervised and supported the patient during the therapy sessions. Attributes included in the DCE were: mode of therapy (traditional or using the Wii Fit), amount of therapy, cost of therapy program and percentage of recovery made. Data was analysed using conditional (fixed-effects) logistic regression. Results Prior to commencing the therapy program participants were most concerned about therapy time (avoiding programs that were too intensive), and the amount of recovery they would make. Following the therapy program, participants were more concerned with the mode of therapy and preferred traditional therapy programs over programs using the Wii Fit. Conclusions The usefulness of the Wii Fit as a therapy tool with hospitalised older people is limited not only by the small proportion of older people who are able to use it, but by older people's preferences for traditional approaches to therapy. Mainstream media portrayals of the popularity of the Wii Fit with older people may not reflect the true acceptability in the older hospitalised population.
- Published
- 2011
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