Sample Healthcare Paper on Occupational Therapy

Hello, attached is a peer-reviewed cap where she made suggestions; I would like to make changes only if needed, according to her directions. I have also attached my article from which I completed my cap; please analyze my cap and my peer’s suggestions and make the necessary changes if needed.

AOTA’S EVIDENCE EXCHAGE

CRITICALLY APPRAISED PAPER (CAP) WORKSHEET

General Instructions: Please insert your responses in the boxes provided. Refer to the CAP Guidelines for submission criteria and detailed instructions on how to fill out each section of the worksheet.

CITATION AND DOI NUMBER (APA Format)

Monachan, D., Vargese, S. S., Johny, V., & Mathew, E. (2020). Risk of Fall among Older Adults and its Association with Cognitive Impairment in a Semi-Urban Community. Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 45(4), 463–466. https://doi.org/10.4103/ijcm.IJCM_491_19

CLINICAL BOTTOM LINE

The researchers sought to determine the prevalence of risk of fall among older adults and its link to cognitive impairment and sociodemographic traits. They used a cross-sectional community-based study design in a medical college in South Kerala, India. The study was conducted between July and August 2019. The study’s sample was drawn from a population of people aged 60 years and above. A semi-structured questionnaire was used for sociodemographic data collection. Moreover, a Berg Balance scale (BBS) was used to measure the risk of fall while the Mini-Cog test was used to measure cognitive impairment.

The evidence gathered through the research can be used to tailor occupation-based interventions. The research showed that the risk of fall prevalence is high and considerably related to cognitive impairment, occupational status, advanced age, and female gender. Thus, practitioners should make regular follow up among the elderly to prevent falls and the resulting injuries. The findings may be implemented in education and training to help occupational therapists target the aged as some of the high-risk groups. (It will be helpful to provide some statistics about falls in the elderly, prevalence, and impact in the quality of life amongst the elderly to show justification of the study).

RESEARCH OBJECTIVE(S), DESIGN TYPE, AND LEVEL OF EVIDENCE

To determine the prevalence of risk of fall among older adults and its association with cognitive impairment and sociodemographic characteristics. (You can add that this is a descriptive quantitative cross-sectional research. “It aims to capture or describe the population in terms of fall risk”. Also provide the level of evidence of this research.

PARTICIPANT SELECTION

The minimum sample size calculated was 180 from a population of 5,600. The inclusion criteria were older adults, males and females residing in the target area, good understanding of Malayalam/English, and voluntary participation. The exclusion criteria were severely ill and with psychological illness and unable to respond.

INTERVENTION(S) AND CONTROL GROUPS

The intervention used equipment such as a watch with a second hand, a ruler, a stool, and chairs of appropriate height. Various items were included in the BBS such as sitting to standing, sitting unsupported, standing unsupported, standing to sit, transfers, standing with feet together, standing with eyes closed, reaching forward with outstretched arm, turning to look behind, picking objects from the ground, standing on one foot, and turning 3600, among others. All these items were assigned a score of 0-4.

In the Mini-Cog test, participants were required to listen and remember three unrelated words listed and repeat them later. As a distraction, they were asked to draw a clock and insert specific time on the clock before being asked to repeat the previously listed words. Each recalled word scored 1 point while a clock drawing got 2 points.

180 participants took part in the study conducted in a medical college in India. The study was conducted for a period of two months

OUTCOME MEASURES

Risk of fall (Please provide a brief scoring guideline or interpretation)

Cognitive impairment

RESULTS

45% of community-dwelling adults were at risk of fall.

Age increased the risk of fall.

Females were at a high risk of fall compared to males.

Occupation status and risk of fall are highly linked.

(Please provide a brief background about the statistical treatment used, percentage and ratio, and how results where correlated sociodemographics, cognitive abilities, balance scores and other variables. By expounding these concepts, it can show how these variables demonstrated risk of falls. An example is that one used in table 3 of the article about cognitive score and fall risk).

LIMITATIONS

The study’s sample was not large enough to enhance generalizability. Moreover, the cross-sectional design limits the interpretation of causality.

CONCLUSIONS

When offering clinical care to older adults, focusing on the assessment of the risk of fall and early identification of cognitive impairment is critical. (You can also state the researchers’ conclusion about variables of age, cognitive abilities, and sociodemographics affects the risk of falls in the elderly)

CAP AUTHOR INFORMATION

RADMERY RIOS OTDS MSOTR/L

 

 

CAP Worksheet adapted from “Critical Review Form–Quantitative Studies.” Copyright  1998, by M. Law, D. Stewart, N. Pollack, L. Letts, J. Bosch, & M. Westmorland, McMaster University. Used with permission.

 

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Reference

Monachan, D., Vargese, S. S., Johny, V., & Mathew, E. (2020). Risk of Fall among Older Adults and its Association with Cognitive Impairment in a Semi-Urban Community. Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 45(4), 463–466. https://doi.org/10.4103/ijcm.IJCM_491_19