Methodology for the Systematic Reviews on Occupation- and Activity-Based Intervention Related to Productive Aging

Self Cite

This systematic review examines the effectiveness of occupation- and activity-based interventions on community-dwelling older adults’ performance of instrumental activities of daily living (IADLs). It was conducted as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. Forty studies met the inclusion criteria and were critically appraised and synthesized. Within occupation-based and client-centered interventions, the evidence that multicomponent interventions improve and maintain IADL performance in community-dwelling older adults is strong. The results also indicate that client-centered, occupation-based interventions can be effective in improving and maintaining IADL performance. The evidence is moderate for functional task exercise programs and limited for simulated IADL interventions to improve IADL performance. In the area of performance skills, the evidence related to physical activity and cognitive skills training is mixed, and the evidence that vision rehabilitation interventions improve IADL performance in older adults with low vision is moderate. Implications for practice, education, and research are also discussed.

Section: Methodsmentioning

confidence: 99%

Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review

Orellano

Colon

Arbesman

2012

Self Cite

“…Studies were then further analyzed, categorized, and summarized according to established protocols. Detailed information about the methodology and a complete list of search terms for the entire project dedicated to productive aging can be found in "Methodology for the Systematic Reviews on Occupation-and Activity-Based Intervention Related to Productive Aging" in this issue (Arbesman & Lieberman, 2012).…”

Section: Methodsmentioning

confidence: 99%

Systematic Review of the Effect of Home Modification and Fall Prevention Programs on Falls and the Performance of Community-Dwelling Older Adults

Chase

Mann

Wasek

et al. 2012

Self Cite

167

129

Evidence-Based Practice Project. Thirty-three articles were analyzed and synthesized. The strongest results were found for multifactorial programs that included home evaluations and home modifications, physical activity or exercise, education, vision and medication checks, or assistive technology to prevent falls. Positive outcomes included a decreased rate of functional decline, a decrease in fear of falling, and an increase in physical factors such as balance and strength. The strength of the evidence for physical activity and home modification programs provided individually was moderate. Implications for practice, education, and research are also discussed. T his systematic review was part of a larger project that reviewed research studies examining the effect of occupation-and activity-based interventions designed to promote and support productive aging. The objective of this systematic review was to synthesize existing literature to answer the following focused question: "What is the evidence for the effect of home modification and fall prevention programs on the performance of community-dwelling older adults?" We reviewed the effect of home modification as both a separate intervention and a component of several fall prevention programs. Fall prevention programs that studied the effects of physical activity interventions on strength, endurance, or balance, such as exercise-based or tai chi intervention programs, were also included in this review.

“…We used a grading system to evaluate the scientific evidence on the basis of the work of Sackett, Rosenberg, Muir Gray, Haynes, and Richardson (1996). Detailed information about the methodology for the entire evidence-based literature review and this particular focused question can be found in the article "Methodology for the Systematic Reviews on Occupation-and Activity-Based Intervention Related to Productive Aging" (Arbesman & Lieberman, 2012) in this issue.…”

Section: Methodsmentioning

confidence: 99%

“…Stav, W. B., Hallenen, T., Lane, J., & Arbesman, M. (2012). Systematic review of occupational engagement and health outcomes among community-dwelling older adults.…”

mentioning

confidence: 99%

Systematic Review of Occupational Engagement and Health Outcomes Among Community-Dwelling Older Adults

Stav

Hallenen

Lane

et al. 2012

Self Cite

114

We conducted this systematic review, one of four related to productive aging, to explore the existing evidence for the health benefits of engagement in occupations and activities among older adults. The review incorporates the breadth of areas of occupation in which older adults engage and the range of health benefits derived from that engagement. The results of this review demonstrate the multidisciplinary appreciation for occupational engagement and associated well-being and elucidate the health effects of engagement in a wide variety of occupations and activities. Additionally, the results of this systematic review support occupational therapy's historical ideologies and core philosophies linking occupational engagement to improved health and well-being. The findings suggest an increasing role for occupational therapy service delivery in community-based health promotion and prevention efforts to meet the everyday activity and health needs of the growing older adult population.