No longer "us and them": integrating a recreation-based intervention as an interdisciplinary care approach in residential care settings
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Date
2025
Authors
Scott, Katelyn T.
University of Lethbridge. Faculty of Heath Sciences
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Publisher
Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences
Abstract
Recreation and leisure activities play a pivotal role in enhancing the holistic health for residents in residential care settings. Despite their proven benefits, these activities are often underutilized as an interdisciplinary care approach. The purpose of this study was to evaluate the effectiveness of the Feasible and Sustainable Culture Change Initiative (FASCCI) model on the integration of a recreation-based intervention (Tovertafel gaming console) as a routine interdisciplinary care approach in a residential care setting. Using an exploratory single-case, time series design, we assessed the impact of the FASCCI model training on outcomes across six-sequential time intervals (18-weeks total) by collecting baseline Tovertafel data (before the training) on two care floors and monitored its use post-training. Descriptive statistics and linear modeling were utilized to examine changes in Tovertafel use by interdisciplinary care team members from baseline across post-training intervals. Interviews (n = 7) and a feedback survey were also conducted to ascertain the participants’ perceptions of the process for implementing practice changes using the FASCCI model. Tovertafel use by interdisciplinary team members increased significantly according to a positive linear trend (F(1, 2) = 37.590. p<0.05, R2 = 0.949, r=0.974). Qualitative data indicated the application of the FASCCI model showed promise in breaking down interdisciplinary silos, and resulted in strengthened interdisciplinary relationships, holistic care provision, and shared decision-making. Quantitative and qualitative data demonstrated that it empowered nursing staff to view and utilize recreation as a means to assess resident needs and support daily care routines, leading to positive outcomes for the interdisciplinary team and residents.
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Keywords
FASCCI training model , Tovertafel , recreation-based interventions , interdisciplinary , therapeutic recreation