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2019-09-03
1
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists1
CAOT Professional DevelopmentPractice Evidence Webinar
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists
Community-Based Adult Group Programming: Approaches to Plan,
Implement and Sustain Services
Presenters:
Rosanna Wegner, BScOT
Gina Shimoda, BScOT
September 10, 2019
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists2
Objectives
• Learn approach to community group programming
• Identify factors to consider when developing a program
• Apply strategies to enable an engaged and safe
learning environment for group participants
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists3
Rehabilitation Conceptual Framework
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-03
1
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists3
Rehabilitation Conceptual Framework
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
1
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists4
Who are we?
• Healthy Aging Resource Team
• Community Rehabilitation, Occupational TherapyServices for Seniors 1999
• Continuum
Health
-Being Healthy, Living Well with Illness and Disability
Service
-Prevention
-Chronic Disease Management
-Health Promotion
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists5
Needs Assessment – Methods
• Needs surveys
• Students to help with literature search and review
• Community profile and trend analysis review
• Partnership consultation
• Feedback evaluations
• Review of government direction
• Literature review
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists6
Goals of Service
Focused on:
• Influencing
• Prevention
• Maximizing activity
• Minimizing impairment
• Enhancing capacity
• Maximizing participation
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
2
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists7
Rehabilitation Conceptual Framework
Acceptable
Client-centred
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists8
Acceptable –Goal Wheel
• HARD (Heartfelt,
Animated,Required, Difficult) Goals
• Adapted COPM
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
Goal Wheel Boosting Your Memory Session 1
___________________________________________________
Goal Wheel
Name: Date:
Action I will _____________________________(what) __________________________ (how much) __________________________ (when) _______________________(how often)
Action
I will ___________________________ (what) ____________________________ (how much) ____________________________ (when) ___________________(how often)
Action I will _____________________(what) __________________________ (how much) __________________________ (when) _______________________(how often)
Action
I will _____________________(what)
__________________________ (how much)
______________________________ (when)
___________________________(how often)
Please put your main goal in the circle. Put your actions to achieve your goal in the surrounding areas.
How well are you doing this now?
☺
0 1 2 3 4 5 6 7 8 9 10
How happy are you with that?
0 1 2 3 4 5 6 7 8 9 10
2019-09-04
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Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists9
Rehabilitation Conceptual Framework
Acceptable
Client-centred
Accessible –
timely services
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists10
Rehabilitation Conceptual Framework
Acceptable
Client-centred
Accessible –
timely services
Appropriate –
population focused,
optimized roles
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists11
Appropriate? Why Occupational Therapy is Unique
• Client-centred
• Therapeutic use of self
• Coaching approach
• Engage group in meaningful occupations
• Increase self-reliance in health decisions
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
2
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists12
Rehabilitation Conceptual Framework
Acceptable
Client-centred
Accessible –
timely services
Appropriate –
population focused,
optimized roles
Effective –
collaborative,
evidence-informed,
strength-based,
outcomes-driven
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists13
Alberta Dementia Strategy
Alberta Dementia Strategy and Action Plan. (2017, December). https://open.alberta.ca/dataset/772005d6-
94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-
dementia-strategy-and-action-plan.pdf
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-03
1
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists13
Alberta Dementia Strategy
Alberta Dementia Strategy and Action Plan. (2017, December). https://open.alberta.ca/dataset/772005d6-
94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-
dementia-strategy-and-action-plan.pdf
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
1
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists14
Effectiveness - BYBH ServiceOutcomes
• Feedback Surveys
• Outcome measures – Multifactorial Memory Questionnaire (MMQ), Functional Activities Questionnaire, EQ5D-5L
• Retention rates
• Paired t-test - MMQ
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists15
Rehabilitation Conceptual Framework
Acceptable
Client-centred
Accessible –
timely services
Appropriate –
population focused,
optimized roles
Effective –
collaborative,
evidence-informed,
strength-based,
outcomes-drivenEfficient – cost-effective,
sustainable
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists16
Rehabilitation Conceptual Framework
Acceptable
Client-centred
Accessible –
timely services
Appropriate –
population focused,
optimized roles
Effective –
collaborative,
evidence-informed,
strength-based,
outcomes-drivenEfficient – cost-effective,
sustainable
Safe – transparency,
respecting one’s
choices
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
2
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists17
Advantages of Community Group Programming
• Efficiency
• Increases socialization
• Connections to community
• Peer encouragement
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists18
Program Service Plan “Boosting Your Memory” (BYM) 2017
• 6 weeks
• 130 page workbook
• Occupational therapist facilitator
• Interdisciplinary guestspeakers
• Healthy living messaging
• Behaviour change strategies – goal setting, reflection
“Boosting Your Brain Health” (BYBH) 2018
• Targeted, reduce sessions, reduce redundancy, reducepaper
• Focused targetedpopulation
• Evaluation
• Healthy partnerships –primary care networks, seniors clinics
• Advocacy
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists19
Service Delivery Parameters
Health Promotion and Prevention
Boosting Your Brain Health
System Linkages – referrals, STEP Program, PCN
Universal
Clinical
Targeted
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
3
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists20
Keys to Success
• Community stakeholder partnerships
• Marketing
• Staffing
• Training
• Resources
• Accessibility
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists21
ReferencesAlberta Health, Continuing Care (2017). Alberta Dementia Strategy and Action Plan Retrieved
August 10, 2019 from https://open.alberta.ca/dataset/772005d6-94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-dementia-strategy-and-action-plan.pdf
Alberta Health Services, Interprofessional Practice health Professions Strategy and Practice (2018). Rehabilitation conceptual framework. Retrieved August 10, 2019 from https://insite.albertahealthservices.ca/Main/assets/tms/prs/tms-prs-prov-rehab-conceptual-framework.pdf#search=rehabilitation%20conceptual%20framework
Gorelick et al. (2017). Defining optimal brain health in adults: A presidential advisory from the American Heart Association/American Stroke Association. Stroke, 48(10), 284-303.
Laukner, H., Krupa, T. M., Paterson, M. L. (2011). Conceptualizing community development: Occupational therapy practice at the intersection of health services and community. Canadian Journal of Occupational Therapy, 78(4), 260-268.
Mathew, L. (2016, June). HARD Goal Setting. Paper session presented at the meeting of Canadian Association of Occupational Therapists Conference, Banff, Canada.
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists22
ReferencesPublic Health Agency of Canada (2019). A dementia strategy for Canada. Retrieved
August 10, 2019 from https://www.canada.ca/en/public-health/services/publications/diseases-conditions/dementia-strategy.html)
Saczynski, J. et al. The effect of social engagement on incident dementia; The Honolulu-Asia aging study. American Journal of Epidemiology. 2006;163:433-440.
Savikko, N. et al. Psychosocial group rehabilitation for lonely older people: Favourable processes and mediating factors of intervention leading to alleviated loneliness. International Journal of Older People Nursing. 2010; 5(1), 16-24.
Townsend, E. (1988). Developing community occupational therapy services in Canada. Canadian Journal of Occupational Therapy, 55(2), 69-74.
Townsend, E. (1987). Strategies for community occupational therapy program development. Canadian Journal of Occupational Therapy, 54(2), 65-70.
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.
2019-09-04
4
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists23
Questions?
Rosanna [email protected]
Gina [email protected]
THANK YOU
Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists24
In an effort to continue to improve our webinars, registrants will receive an email with a link to a feedback form. We’d greatly appreciate any feedback you can provide.
Registrants will receive a certificate of attendance by email with the feedback form, which may be completed with their name in order to attest their participation in this webinar and to keep for their records.
*Only those that have registered for this webinar should complete the certificate of attendance.
Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar
These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.