Effectiveness of Health Promotion, Management, and Maintenance Interventions Within the Scope of Occupational Therapy for Community-Dwelling Older Adults: A Systematic Review

Berger, Sue; Escher, Anne; Mengle, Emily; Sullivan, Nicole

doi:10.5014/ajot.2018.030346

Cited by 27 publications

(8 citation statements)

References 59 publications

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“…This article provided an example of how to apply evidence from systematic reviews on productive aging to inform and guide clinical decision making (Berger et al, 2018;Elliott & Leland, 2018;Hunter & Kearney, 2018;Liu et al, 2018;Smallfield & Lucas Molitor, 2018a, 2018b. For further evidence-based information on productive aging, see the American Occupational Therapy Association's (AOTA's) Occupational Therapy Practice Guidelines for Productive…”

Section: Resultsmentioning

confidence: 99%

Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults

Smallfield

Elliott²

2019

The American Journal of Occupational Therapy

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Evidence Connection articles provide clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of an older adult who was referred to outpatient occupational therapy services due to chronic back pain from herniated discs. Findings from the systematic review of occupational therapy for community-dwelling older adults were published in the July/

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Section: Resultsmentioning

confidence: 99%

Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults

Smallfield

Elliott²

2019

The American Journal of Occupational Therapy

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“…Regarding the first question of this study, from 2007 to the present, the number of studies on Community Occupational Therapy experienced a gradual increase, which may indicate growing interest in this area of research. Principally, this fact may be related to an aging population, and that there needs to be more outcome studies in order to evaluate the effectiveness of such an intervention [ 37 , 38 , 39 ]. In relation to this fact, we could confirm that research on Community Occupational Therapy currently constituted a consolidated line of research during the period studied.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Community Occupational Therapy Interventions: A Scoping Review

Estrany-Munar¹,

Talavera-Valverde

Souto-Gómez

et al. 2021

IJERPH

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Background: This review aims to evaluate the level of scientific evidence for the effectiveness of Community Occupational Therapy interventions. Methods: A systematic review was used to analyze and synthesize the studies collected. The databases of Cochrane, OTseeker, OTCATS, Web of Science, Scielo and Scopus were used in order to collect articles published between 2007 and 2020. PRISMA recommendations were followed. Results: A total of 12 articles comprised part of the study (7 randomized controlled studies, 4 systematic reviews and 1 meta-analysis). The main areas of practice were geriatric gerontology (22.1%) and mental health (19.7%), which were statistically significant (χ2; p < 0.005) compared to the rest. Regarding the studies analyzed, all of them had scores of >7 on the PEDro and AMSTAR scales. Conclusions: Research on Community Occupational Therapy constitutes a consolidated line of research but the objectives and areas of research were limited. Descriptive qualitative methodology predominated and studies on the effectiveness of Community Occupational Therapy interventions showed a medium–low level of evidence.

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“…For example, Bouman, van Rossum, Nelemans, et al 24 systematic review of seven RCTs on preventive home visits found that those programs had no effect. Berger, Escher, Mengle, et al 25 systematic review of 38 articles on occupational therapy-based home care services found some benefits for participants' occupational performance, mixed results for quality-of-life indicators and no effect on health care utilization. Our analysis also included one primary study 26 covering similar ground that found no meaningful effect from the restorative occupational therapy intervention studied.…”

Section: If It Were Easy It Would Succeed More Oftenmentioning

confidence: 99%

A Realist Review of the Home care Literature and its Blind Spots

Contandriopoulos

Stajduhar

Sanders

et al. 2021

Preprint

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Rationale, aims and objectives: There is a large body of literature from all over the world that describes, analyzes, or evaluates home care models and interventions. The present article aims to identify the practical lessons that can be gained from a systematic examination of that literature. Method: We conducted a three-step sequential search process from which 113 documents were selected. That corpus was then narratively analyzed according to a realist review approach. Results: A first level of observation is that there are multiple blind spots in the existing literature on home care. The definition and delimitation of what constitutes home care services is generally under-discussed. In the same way, the composition of the basket of care provided and its fit with the need of recipients is under-addressed. Finally, the literature relies heavily on RCTs whose practical contribution to decisions or policy is disputable.At a second level, our analysis suggests that three mechanisms (system integration, case management and relational continuity) are core characteristics of home care models effectiveness. Conclusion: We conclude by providing advice for creating effective home care system change through rational and participatory design and evaluation alongside public dialogue about the purpose and future of home care.

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Effectiveness of Health Promotion, Management, and Maintenance Interventions Within the Scope of Occupational Therapy for Community-Dwelling Older Adults: A Systematic Review

Abstract: Addressing health promotion, management, and maintenance is within the scope of occupational therapy practice and has been shown to improve occupational performance and QOL for older adults. Implications for practice and future research are discussed.

Cited by 27 publications

References 59 publications

Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults

Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults

The Effectiveness of Community Occupational Therapy Interventions: A Scoping Review

A Realist Review of the Home care Literature and its Blind Spots

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