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Can we talk about it? A qualitative study exploring occupational therapists’ decision making in judging when to ask an older person about drinking alcohol

Published online by Cambridge University Press:  03 August 2020

Fiona Maclean Open the ORCID record for Fiona Maclean [Opens in a new window] ,
Jan Dewing ,
Sarah Kantartzis ,
Jenna P. Breckenridge Open the ORCID record for Jenna P. Breckenridge [Opens in a new window]  and
Brendan McCormack Open the ORCID record for Brendan McCormack [Opens in a new window]
Fiona Maclean*
Affiliation:
Division of Occupational Therapy & Arts Therapies, School of Health Sciences, Queen Margaret University, Musselburgh, UK
Jan Dewing
Affiliation:
Divisions of Nursing, Occupational Therapy & Arts Therapies, Centre for Person-centred Practice Research, Graduate School, School of Health Sciences, Queen Margaret University, Musselburgh, UK
Sarah Kantartzis
Affiliation:
Division of Occupational Therapy & Arts Therapies, School of Health Sciences, Queen Margaret University, Musselburgh, UK
Jenna P. Breckenridge
Affiliation:
School of Nursing and Health Sciences, University of Dundee, Dundee, UK
Brendan McCormack
Affiliation:
Division of Occupational Therapy & Arts Therapies, School of Health Sciences, Queen Margaret University, Musselburgh, UK Divisions of Nursing, Occupational Therapy & Arts Therapies, Centre for Person-centred Practice Research, Graduate School, School of Health Sciences, Queen Margaret University, Musselburgh, UK
*
*Corresponding author. Email: fmaclean@qmu.ac.uk
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Abstract

Older people now currently drink alcohol more frequently than previous generations, indicating a need to understand how this influences health and wellbeing in older adults. However, knowledge and awareness of the changing role alcohol plays in the lives of older people is not necessarily widely understood by allied health professionals in acute hospital contexts. In turn, conversations about drinking alcohol in later life may not be routinely addressed as part of practice, limiting an older person's choice to make informed decisions about their drinking. This paper qualitatively examines when occupational therapists (N = 17) in an acute hospital setting will initiate a conversation with older people (65+ years) about their drinking, guided by a theoretical lens that encompasses both person-centredness and collective occupation. Adopting a qualitative methodology, this study illustrates a typology of reasoning describing how, and in what circumstances, therapists ask older people about their alcohol use. Three themes were generated that provide further insight into the typology, these being ‘hesitancy in practice’, ‘failure to link life transitions to alcohol use’ and ‘challenges of focusing on healthfulness’. These findings provide a potentially useful tool for therapists, services and organisations to self-assess their approach to asking older people about alcohol use; a necessary element of professional health-care practice as social trends in alcohol use continue to increase.

Keywords

person-centrednessalcohol misuseageinghealthfulnessoccupational therapy practicereasoning
Type
Article
Information
Ageing & Society , Volume 42 , Issue 3 , March 2022 , pp. 521 - 538
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Adams, F and Casteleijn, D (2014) New insights in collective participation: a South African perspective. South African Journal of Occupational Therapy 44, 81–87.Google Scholar
Ahlström, S (2008) Alcohol use and problems among older women and men: a review. Nordic Studies on Alcohol and Drugs 25, 154–161.CrossRefGoogle Scholar
Ashford, S and McIntyre, A (2013) The ageing body – body function and structures: part 1. In Atwal, A and McIntyre, A (eds), Occupational Therapy and Older People, 2nd Edn. Chichester, UK: Wiley-Blackwell, pp. 120–145.CrossRefGoogle Scholar
Barry, KL and Blow, BF (2016) Drinking over the lifespan: focus on older adults. Alcohol Research 38, 115–120.Google ScholarPubMed
Boomer, C and McCance, T (2017) Meeting the challenges of person-centredness in acute care. In McCormack, B and McCance, T (eds), Person-centred Practice in Nursing and Health Care: Theory and Practice, 2nd Edn. Oxford: Wiley Blackwell, pp. 205–214.Google Scholar
Caelli, K, Ray, L and Mill, J (2003) ‘Clear as mud’: toward greater clarity in generic qualitative research. International Journal of Qualitative Methods 2, 1–24.CrossRefGoogle Scholar
Cooper, S and Endacott, R (2007) Generic qualitative research: a design for qualitative research in emergency care? Emergency Medicine Journal 24, 816–819.CrossRefGoogle ScholarPubMed
Davidson, S and Rossall, P (2015) Evidence Review: Loneliness in Later Life. London: Age UK.Google Scholar
Dewing, J and McCormack, B (2017) Editorial: Tell me, how do you define person-centredness? Journal of Clinical Nursing 26, 2509–2510.CrossRefGoogle Scholar
Foster, J and Patel, S (2019) Prevalence of simultaneous use of alcohol and prescription medication in older adults: findings from a cross-sectional survey (Health Survey for England 2013). BMJ Open 9, e023730.CrossRefGoogle Scholar
Geels, LM, Vink, JM, Van Beek, JHDA, Bartels, M, Willemsen, G and Boomsma, DI (2013) Increases in alcohol consumption in women and elderly groups: evidence from an epidemiological study. BMC Public Health 13, 207.CrossRefGoogle ScholarPubMed
Griffin, SD and McConnell, D (2001) Australian occupational therapy practice in acute care settings. Occupational Therapy International 8, 184–197.CrossRefGoogle ScholarPubMed
Hallgren, MÅ, Högberg, P and Andréasson, S (2010) Alcohol consumption and harm among elderly Europeans: falling between the cracks. European Journal of Public Health 20, 616–617.CrossRefGoogle ScholarPubMed
Han, BH, Moore, AA, Sherman, S, Keyes, KM and Palamar, JJ (2017) Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014. Drug and Alcohol Dependence 170, 198–207.CrossRefGoogle ScholarPubMed
Healthcare Improvement Scotland: iHub (2020) Older People in Acute Care. Available at https://ihub.scot/improvement-programmes/acute-care-portfolio/older-people-in-acute-care/.Google Scholar
Holdsworth, C, Frisher, M, Mendonça, M, De Oliveiria, C, Pikharts, H and Shelton, N (2017) Lifecourse transitions, gender and drinking in later life. Ageing & Society 37, 462–494.CrossRefGoogle ScholarPubMed
Holley-Moore, G and Beach, B (2016) Drink Wise, Age Well: Alcohol Use and the Over 50s in the UK. London: International Longevity Centre-UK.Google Scholar
Institute of Alcohol Studies (2017) Older People's Drinking Habits: Very Little, Very Often. Available at http://www.ias.org.uk/Alcohol-knowledge-centre/Alcohol-and-older-people/Factsheets/Older-peoples-drinking-habits-Very-little-very-often.aspx.Google Scholar
Iparraguirre, J (2015) Socioeconomic determinants of risk of harmful alcohol drinking among people aged 50 or over in England. BMJ Open 5, e007684.CrossRefGoogle ScholarPubMed
Kantartzis, S and Molineux, M (2017) Collective occupation in public spaces and the construction of the social fabric. Canadian Journal of Occupational Therapy 84, 168–177.CrossRefGoogle ScholarPubMed
Karlsson, LB and Gunnarsson, E (2018) Squalor, chaos and feelings of disgust: care workers talk about older people with alcohol problems. Ageing & Society 38, 1624–1644.CrossRefGoogle Scholar
Maclean, F, Gill, J, O'May, F and Breckenridge, JP (2015) Alcohol use amongst older adults: knowledge and beliefs of occupational therapists working in physical health care settings. British Journal of Occupational Therapy 78, 320–330.CrossRefGoogle Scholar
Mays, N and Pope, C (2006) Quality in qualitative health research. In Pope, C and Mays, N (eds), Qualitative Research in Health Care. Oxford: Blackwell Publishing, pp. 82–101.CrossRefGoogle Scholar
McCormack, B (2012) Guest editorial. The International Practice Development Journal 2, 1–3.Google Scholar
McCormack, B and McCance, T (2017) Introduction. In McCormack, B and McCance, T (eds), Person-centred Practice in Nursing and Health Care: Theory and Practice, 2nd Edn. Oxford: Wiley Blackwell, pp. 1–10.CrossRefGoogle Scholar
Ng Fat, L and Fuller, E (2012) Drinking patterns. In Craig, R and Mindell, J (eds), Health Survey for England – 2011, Vol. 1, Health, Social Care and Lifestyles. Leeds, UK: Health and Social Care Information Centre, pp. 173–205. Available at https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-forengland/health-survey-for-england-2011-health-social-care-and-lifestyles.Google Scholar
O'Connell, H, Ai-Vyrn, C, Cunningham, C and Lawlor, B (2003) Alcohol use disorders in elderly people – redefining an age old problem in old age. British Medical Journal 327, 664–667.CrossRefGoogle ScholarPubMed
Pickersgill, M, Chan, S, Haddow, G, Laurie, G, Sridhar, D, Sturdy, S and Cunningham Burley, S (2018) The social sciences, humanities, and health. The Lancet 391, 1462–1463.CrossRefGoogle ScholarPubMed
Roberts, PS and Robinson, MR (2014) Occupational therapy's role in preventing acute readmissions. American Journal of Occupational Therapy 68, 254–259.CrossRefGoogle ScholarPubMed
Stewart, D and Law, M (2003) The environment: paradigms and practice in health, occupational therapy and inquiry. In Letts, L, Rigby, P and Stewart, D (eds), Using Environments to Enable Occupational Performance. Thorofare, NJ, USA: Slack, pp. 3–16.Google Scholar
The Royal College of Psychiatrists (2018) Our Invisible Addicts (College Report No. CR211), 2nd Edn. London: The Royal College of Psychiatrists,.Google Scholar
The Scottish Government (2019) The Scottish Health Survey – 2018 Edition. Edinburgh: The Scottish Government.Google Scholar
Thomas, DR (2006) A general inductive approach for analysing qualitative evaluation data. American Journal of Evaluation 27, 237–246.CrossRefGoogle Scholar
Wadd, S and Jones, R (2017) Evidence of age discrimination in alcohol policy, practice and research. In Wadd, S, Holley-Moore, G, Riaz, A and Jones, R (eds). Calling Time: Addressing Ageism and Age Discrimination in Alcohol Policy, Practice and Research. UK: Drink Wise, Age Well and University of Bedfordshire, pp. 17–27.Google Scholar
Wadd, S, Lapworth, K, Sullivan, M, Forrester, D and Galvani, S (2011) Working with Older Drinkers. Tilda Goldberg Centre for Social Work and Social Care. Available at http://uobrep.openrepository.com/uobrep/bitstream/10547/594572/1/FinalReport_0085.pdf.Google Scholar
Waldron, A and McGrath, M (2012) Alcohol disorders and older people: a preliminary exploration of healthcare professionals’ knowledge, in Ireland. International Journal of Therapy and Rehabilitation 19, 352–358.CrossRefGoogle Scholar
Wengraf, T (2001) Qualitative Research Interviewing: Biographic Narrative and Semi Structured Methods. London: Sage.CrossRefGoogle Scholar
World Federation of Occupational Therapy (2019) About Occupational Therapy. World Federation of Occupational Therapy. Available at https://www.wfot.org/about-occupational-therapy.Google Scholar
World Health Organization (2015) WHO Global Strategy on People-centred and Integrated Health Services. Geneva: World Health Organization.Google Scholar