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

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background There is a lack of evidence-based knowledge about the effectiveness of home-based occupational therapy 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 occupational therapy for older adults at home. Material and methods Peer-reviewed quantitative papers were included. Participants: > 60-year-old adults with functional limitations. Intervention: Occupational therapy 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 summarised descriptively. Results Eight high-quality papers showed that occupation-focused and occupation-based occupational therapy using cognitive, behavioural 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 occupational therapy programmes and maintenance programmes.
Translated title of the contributionHvilke kort- og langtidseffekter har aktivitetsfokuseret og aktivitetsbaseret ergoterapi i hjemmet på ældre borgeres aktivitetsudførelse? Et systematisk review
Original languageEnglish
JournalScandinavian Journal of Occupational Therapy
Volume24
Issue number4
Pages (from-to)235-248
Number of pages14
ISSN1103-8128
DOIs
Publication statusPublished - 4 Jul 2017

Keywords

  • disease, health science and nursing

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