What is the role of occupational therapists with the older adult population in primary care?
Bibliographic record
Abstract
Context: The practice of occupational therapy in primary care is still developing in Quebec and in Canada. Although occupational therapists contribute to the overall improvement of primary care services, their presence in family medicine groups is still limited, mainly due to a lack of knowledge about their role in this practice context. Based on the results of previous studies and systematic reviews, occupational therapy has a great role to play with the older adults population to prevent their health and functional decline and make sure they can maintain the best quality of life. However, it is important to clarify what are the priority interventions they should offer to adapt to the primary care context and the needs of the clientele followed in this specific environment. Objective: Define the occupational therapy services that should be offered to older adults in primary care in collaboration with primary care teams. Study design and analysis: A qualitative descriptive design was used. Two focus groups were conducted with experienced clinicians and researchers acting as key-informants on the subject. Results were analysed using a qualitative analytical questioning approach. Setting: Quebec, Canada Population: People aged 65 years old and over and at-risk of functional decline Instruments: The Teams video conferencing platform was used for data collection and recording. Results: In family medicine groups, older adults should be referred in occupational therapy as soon as they report difficulties in carrying out daily activities including mobility at home and in the community, self-care and participation in leisure activities. Occupational therapists were considered to have a major role in preventing fragility because of their competencies to screen for risk factors and provide early interventions. They were also considered an excellent professional to help patients navigate and access resources in the community to prevent social isolation and maintain social participation. Results also highlighted how occupational therapists can support caregivers followed in primary care to prevent exhaustion and mental health disorders. Conclusion: Occupational therapists working in family medicine groups can significantly contribute to the prevention of multiple conditions and functional decline of older adults for which early interventions should be provided in a primary care setting.
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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 | 0.012 | 0.038 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.003 |
| Scholarly communication | 0.005 | 0.004 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
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".