: Long-term care institutions (LTCIs) present a limiting environment. Physiotherapy through recreational exercises can stimulate older adults.: To explore LTCIs residents' perceptions regarding recreational physiotherapy.: This is a descriptive qualitative study. Participants included older adults living in two LTCIs, who took part in recreational physiotherapy and did not display severe communication problems or cognitive deficits. The activity was regularly offered in both LTCIs. Semi-structured interviews were audio-recorded to analyze the participants' perceptions of physiotherapy. We also observed video footage of the participants' behaviors during one session of the recreational activity. The audio recordings were transcribed, and content analysis was conducted with MAXQDA 12®.: Nine older adults participated, the majority women (n = 6), with a mean age of 83.8 ± 7.4 years. The interviews' average duration was about 30 minutes. The reports revealed three themes. In the "activity for myself" theme, participants discussed issues related to their own old age. In the "activity with others" theme, participants reported physiotherapy's value for providing sense of collectivity. In the "activity itself" theme, the components of physiotherapy and their benefits were evaluated. Observation of the video recording revealed that each resident engaged in the activity at their own pace and within their capabilities.: The experience of older adults living in LTCIs showed that the regularly practicing physical exercises in recreational group, strengthens social bonds and provides physical and emotional well-being. When formulating and executing physiotherapy in the context of LTCIs, professionals should consider the residents' perceptions of the practice.
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http://dx.doi.org/10.1080/09593985.2020.1728795 | DOI Listing |
JAMA Cardiol
January 2025
Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia.
Importance: A comprehensive lipid panel is recommended by guidelines to evaluate atherosclerotic cardiovascular disease risk, but uptake is low.
Objective: To evaluate whether direct outreach including bulk orders with and without text messaging increases lipid screening rates.
Design, Setting, And Participants: Pragmatic randomized clinical trial conducted from June 6, 2023, to September 6, 2023, at 2 primary care practices at an academic health system among patients aged 20 to 75 years with at least 1 primary care visit in the past 3 years who were overdue for lipid screening.
JAMA Cardiol
January 2025
Ifakara Health Institute, Ifakara Branch, Ifakara, United Republic of Tanzania.
Importance: Hypertension is the primary cardiovascular risk factor in Africa. Recently revised World Health Organization guidelines recommend starting antihypertensive dual therapy; clinical efficacy and tolerability of low-dose triple combination remain unclear.
Objectives: To compare the effect of 3 treatment strategies on blood pressure control among persons with untreated hypertension in Africa.
JAMA Netw Open
January 2025
Department of Medicine, University of California, San Francisco.
Importance: Multiple organ dysfunction (MOD) is a leading cause of in-hospital child mortality. For survivors, posthospitalization health care resource use and costs are unknown.
Objective: To evaluate longitudinal health care resource use and costs after hospitalization with MOD in infants (aged <1 year) and children (aged 1-18 years).
JAMA Netw Open
January 2025
Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.
Importance: Limited research explores mental health disparities between individuals in sexual and gender minority (SGM) populations and cisgender heterosexual (non-SGM) populations using national-level data.
Objective: To explore mental health disparities between SGM and non-SGM populations across sexual orientation, sex assigned at birth, and gender identity within the All of Us Research Program.
Design, Setting, And Participants: This cross-sectional study used survey data and linked electronic health records of eligible All of Us Research Program participants from May 31, 2017, to June 30, 2022.
JAMA Netw Open
January 2025
Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota.
Importance: There is a clear benefit to body armor against firearms; however, it remains unclear how these vests may influence day-to-day patient encounters when worn by emergency medical services (EMS).
Objective: To determine the association of ballistic vests worn by EMS clinicians with workplace violence (WPV) and disparities in care among racial and/or ethnic minority patients.
Design, Setting, And Participants: Prospective cohort study of a volunteer-based sample of EMS clinicians at a large, multistate EMS agency encompassing 15 ground sites across the Midwest from April 1, 2023, to March 31, 2024.
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