Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

Coninck, Leen De; Bekkering, Geertruida E; Bouckaert, Leen; Declercq, Anja; Graff, Maud; Aertgeerts, Bert

doi:10.1111/jgs.14889

Cited by 74 publications

(64 citation statements)

References 30 publications

(129 reference statements)

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“…Benefits from such interventions in elderly populations have been described broadly. 45 – 48 A systematic review of home- and community-based occupational therapy from 2017 concluded that there is strong evidence that occupational therapy improves the ability to perform daily activities in elderly. 45 …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the “Elderly Activity Performance Intervention” on elderly patients’ discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Nielsen¹,

Maribo²,

Kirkegaard³

et al. 2018

CIA

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PurposeTo examine the effectiveness of the Elderly Activity Performance Intervention on reducing the risk of readmission in elderly patients discharged from a short-stay unit at the emergency department.Patients and methodsThe study was conducted as a nonrandomized, quasi-experimental trial. Three hundred and seventy-five elderly patients were included and allocated to the Elderly Activity Performance Intervention (n=144) or usual practice (n=231). The intervention consisted of 1) assessment of the patients’ performance of daily activities, 2) referral to further rehabilitation, and 3) follow-up visit the day after discharge. Primary outcome was readmission (yes/no) within 26 weeks. The study was registered in ClinicalTrial.gov (NCT02078466).ResultsNo between-group differences were found in readmission. Overall, 44% of the patients in the intervention group and 42% in the usual practice group were readmitted within 26 weeks (risk difference=0.02, 95% CI: [−0.08; 0.12] and risk ratio=1.05, 95% CI: [0.83; 1.33]). No between-group differences were found in any of the secondary outcomes.ConclusionThe Elderly Activity Performance Intervention showed no effectiveness in reducing the risk of readmission in elderly patients discharged from a short-stay unit at the emergency department. The study revealed that 60% of the elderly patients had a need for further rehabilitation after discharge.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of the “Elderly Activity Performance Intervention” on elderly patients’ discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Nielsen¹,

Maribo²,

Kirkegaard³

et al. 2018

CIA

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“…However, no study has been conducted in our national literature. Actually, most of the studies have been conducted on geriatric population (De Coninck, Bekkering, Bouckaert et al, 2017;Stark, Keglovits, Arbesman et al, 2017;Kamei, Kajii, Yamamoto et al, 2015;Matsuda et al, 2011). Whiteneck et al (2004) reported that the five most important environmental barriers for subjects with SCI: natural environment, transportation, domestic assistance, the availability of healthcare, and governmental policies.…”

Section: Discussionmentioning

confidence: 99%

Home Safety of Individuals with Neurological Disorders: A Turkish Sample

Kara¹,

Cavlak²,

Altuğ³

2018

Ergoterapi Ve Rehabilitasyon Dergisi

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The aim of this study is to determine the home safety status and associated risks of individuals with neurological disorders. Material and Methods: Eighty-three individuals with neurological disorders living in Denizli constitute the sample group of the study. The Home Safety Checklist was employed in order to evaluate the home safety status of the participants. Results: While 93% of the participants (n=77) were considered to be living in 'dangerous' homes, 7% (n=6) had 'good' homes according to the Home Safety Checklist scores. In this study's sample, no participant was considered to be living in a 'perfect' home. Conclusion: The results are indicative of the fact that the home safety scores of participants with neurological disorders are very low. In light of this, the environment and living area of the affected individuals should be adapted according to their limitations in such a way so as to enable them to live a barrier-free and easier life.

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“…Podría pensarse que este número es bajo en proporción, no obstante, dicha valoración debe hacerse con responsabilidad a la luz de la evidencia disponible. Como ejemplo, esta revisión constató que el problema de salud N°36 "Órtesis (o ayudas técnicas) para personas de 65 años y más" no incorpora la acción del terapeuta ocupacional, siendo ésta un componente de intervención frecuente en la acción y formación profesional, y en la que existe evidencia creciente de su efectividad a partir de ensayos controlados aleatorizados, revisiones sistemáticas y estudios de costo efectividad (Clark et al, 2012;De Coninck et al, 2017;Zingmark, Nilsson, Norström, Sahlén & Lindholm, 2017).…”

Section: Discussionunclassified

Análisis de las prestaciones de terapia ocupacional incluídas en el régimen de garantías explícitas en salud (GES)

Gajardo

Catalán

Rioseco

et al. 2018

Rev. Chil. Ter. Ocup.

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Introducción: La ley 19.966 establece un régimen de Garantías Explícitas en Salud que define el acceso, calidad, oportunidad y protección financiera de las prestaciones para el tratamiento de 80 patologías en Chile. Debido al alcance y la relevancia de esta modalidad institucional de atención en salud en un nivel nacional, es pertinente indagar en la incorporación de terapia ocupacional. Objetivo: Identificar las prestaciones de terapia ocupacional incluidas en el régimen de Garantías Explícitas en Salud al año 2017 y caracterizarlas según su frecuencia en los problemas de salud y según nivel de evidencia y grado de recomendación. Método: Revisión documental del Listado de Prestaciones Específicas versión 2016, y de las 80 Guías Clínicas GES. Resultados: Se identificó una prestación de terapia ocupacional denominada “Atención Integral por Terapeuta Ocupacional”. Dicha prestación se incluye en 12 problemas de salud según el Listado de Prestaciones Específicas. Se encontraron 10 Guías Clínicas que incorporan terapia ocupacional, con variados de grados de recomendación, mayormente C y D. En relación con la cobertura de terapia ocupacional existe discordancia entre lo referido en Listado de Prestaciones Específicas y Guías Clínicas. Conclusiones: La terapia ocupacional tiene un limitado respaldo en evidencia en el sistema de Garantías Explícitas en Salud. Estos hallazgos refuerzan la necesidad de un mayor análisis de la evidencia de terapia ocupacional en los problemas de salud cubiertos por esta modalidad para fortalecer el diálogo con los tomadores de decisiones, y si es pertinente, continuar ampliando su cobertura garantizada a otros problemas de salud.

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Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

Abstract: There is strong evidence that occupational therapy improves functioning in community-dwelling physically frail older people.

Cited by 74 publications

References 30 publications

Effectiveness of the “Elderly Activity Performance Intervention” on elderly patients’ discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Effectiveness of the “Elderly Activity Performance Intervention” on elderly patients’ discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Home Safety of Individuals with Neurological Disorders: A Turkish Sample

Análisis de las prestaciones de terapia ocupacional incluídas en el régimen de garantías explícitas en salud (GES)

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Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

Abstract: There is strong evidence that occupational therapy improves functioning in community-dwelling physically frail older people.

Cited by 74 publications

References 30 publications

Effectiveness of the &ldquo;Elderly Activity Performance Intervention&rdquo; on elderly patients&rsquo; discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Effectiveness of the &ldquo;Elderly Activity Performance Intervention&rdquo; on elderly patients&rsquo; discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Home Safety of Individuals with Neurological Disorders: A Turkish Sample

Análisis de las prestaciones de terapia ocupacional incluídas en el régimen de garantías explícitas en salud (GES)

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Product

Resources

About

Effectiveness of the “Elderly Activity Performance Intervention” on elderly patients’ discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Effectiveness of the “Elderly Activity Performance Intervention” on elderly patients’ discharge from a short-stay unit at the emergency department: a quasi-experimental trial