Functional Outcomes of a Community Occupation-Based Hand Therapy Class for Older Adults
Bibliographic record
Abstract
Aim: This mixed methods study examined the functional outcomes of an occupation-based educational program for older adults with hand and wrist pain. A pretest–posttest design was used to understand changes in occupational performance, hand function, pain, grip and pinch strength, dexterity. Method: Two groups of classes met once a week for one hour, for four consecutive weeks. A total of 18 participants attended both weekly classes. Each class addressed functional activities, symptom management, exercises, questions, and sharing. Class content was determined based on pre-assessments of the Canadian occupational performance measure (COPM), tests of grip and pinch strength, hand dexterity, and open-ended semi-structured interviews. Results: All participants reported improvements in function, and significant improvements in COPM performance and satisfaction. Additionally, reported levels of pain significantly decreased from pre- to posttest. Conclusion: This study demonstrated that a community occupation-based hand therapy program is effective in improving occupational performance for older adults.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".