Occupational performance improved by an energy conservation education program: findings from a cluster randomised control trial

Paper


Sharma, Sita, Bonner, Ann, Wu, Min-Lin (Winnie), Alexander, Kimberly E and Green, Theresa. 2022. "Occupational performance improved by an energy conservation education program: findings from a cluster randomised control trial." 2022 Renal Society of Australasia (RSA) Annual Conference . Darwin, Australia 16 - 18 Jun 2022 Australia.
Paper/Presentation Title

Occupational performance improved by an energy conservation education program: findings from a cluster randomised control trial

Presentation TypePaper
AuthorsSharma, Sita, Bonner, Ann, Wu, Min-Lin (Winnie), Alexander, Kimberly E and Green, Theresa
Journal or Proceedings TitleRenal Society of Australasia Journal
Journal Citation18 (Supplement - June), pp. 12-13
Number of Pages2
Year2022
Place of PublicationAustralia
ISSN1832-3804
Web Address (URL) of Paperhttps://www.renalsociety.org/journal/previous-issues/
Web Address (URL) of Conference Proceedingshttps://www.renalsociety.org/education/2022-conference/
Conference/Event2022 Renal Society of Australasia (RSA) Annual Conference
Event Details
2022 Renal Society of Australasia (RSA) Annual Conference
Delivery
In person
Event Date
16 to end of 18 Jun 2022
Event Location
Darwin, Australia
Event Venue
Darwin Convention Centre
Abstract

Background: Occupational performance is the ability to carry out self-care, work, and leisure tasks. Current evidence demonstrates that a high level of fatigue is associated with the poor occupational performance although this association has not yet been studied in people receiving haemodialysis (HD).

Aim: To evaluate the effectiveness of the energy conservation education (ECE) program to improve occupational performance.

Methods: A single-blinded, cluster randomised, trial with a usual care control group was used. Adults receiving HD were recruited (N=126). The intervention group received a 12-week structured educational program (4 sessions supplemented by an educational booklet) plus usual care. Occupational performance was measured at baseline and week-12 using the Canadian occupational performance measure (COPM). The COPM identifies the importance of occupational performance in self-care, work and leisure, occupational problems, and total COPM performance and COPM satisfaction.

Results: At baseline, there were no significant differences found between groups on sociodemographic, clinical characteristics and COPM scores. Personal care was rated as the most important occupational performance with a median of 10 (IQR 8 - 10). The top five occupational problems identified were related to cleaning (77.77%), cooking (71.42%), walking (70.63%), visiting family and friends (58.73%), and paid employment (53.96%). The intervention group showed significant improvements in both total COPM performance, and COPM satisfaction than the control group (p<.001).

Conclusion: Energy conservation is a simple strategy enabling individuals to make slight adjustments to daily activities. This strategy, provided by nurses during HD sessions, shows promise in improving everyday activities for those receiving HD.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
Public Notes

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Byline AffiliationsGriffith University
Queensland University of Technology
University of Queensland
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