Abstract
BACKGROUND: There is a lack of evidence-based knowledge about the effectiveness of home-based OT for older adults aimed at improving occupational performance by practicing activities and tasks.
AIM: This review synthesizes and discusses evidence for the effectiveness of occupation-focused and occupation-based OT for older adults at home.
MATERIAL AND METHODS: Peer-reviewed quantitative papers were included.
PARTICIPANTS: ≥ 60-year-old adults with functional limitations.
INTERVENTION: OT aiming at improving occupational performance, primarily through the practice of activities and tasks.
OUTCOME: Occupational performance.
CONTEXT: Home. Three reviewers critically appraised 13 of 995 detected papers. Extracted data were presented and summarized descriptively.
RESULTS: Eight high-quality papers showed that occupation-focused and occupation-based OT using cognitive, behavioral and environmental strategies may significantly improve occupational performance in older, home-dwelling adults with physical health problems. Maintaining achieved improvements was a consistent challenge.
CONCLUSIONS AND SIGNIFICANCE: Evidence suggests that older adults' occupational performance can be significantly improved through low-intensity occupation-focused and occupation-based intervention. It is recommended to develop and test high-intensity OT programs and maintenance programs.
Originalsprog | Engelsk |
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Tidsskrift | Scandinavian Journal of Occupational Therapy |
Vol/bind | 24 |
Udgave nummer | 4 |
Sider (fra-til) | 235-248 |
ISSN | 1103-8128 |
DOI | |
Status | Udgivet - 2017 |