What are the short-term and long-term effects of occupation-focused and occupation-based occupational therapy in the home on older adults' occupational performance? a systematic review

Tove Lise Nielsen, Kirsten Schultz Petersen, Claus Vinther Nielsen, Janni Strøm, Monica Milters Ehlers, Merete Bjerrum

Publikation: Bidrag til tidsskriftReview (oversigtsartikel)peer review

24 Citationer (Scopus)

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.

OriginalsprogEngelsk
TidsskriftScandinavian Journal of Occupational Therapy
Vol/bind24
Udgave nummer4
Sider (fra-til)235-248
ISSN1103-8128
DOI
StatusUdgivet - 2017

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