Occupational Therapy Interventions to Improve Activities of Daily Living for Community-Dwelling Older Adults: A Systematic Review

Liu, Chiung-ju; Chang, Wen-Pin; Chang, Megan

doi:10.5014/ajot.2018.031252

Cited by 37 publications

(39 citation statements)

References 71 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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“…Second, this research underscores the importance of considering the living environment in all aging-in-place interventions, extending from the home (e.g., Liu, Change, & Change, 2018) to community-situated occupations. Cognitive strategies, such as the ones employed by these individuals, will be most successful when they reflect nuances of specific communities, such as the potential benefit of travelling father to maintain familiarity or centralizing errands near a friend or family member.…”

Section: Implications For Occupational Therapymentioning

confidence: 90%

“We need more things for us”: Being low income and underoccupied in older age

Shank¹,

Kenley²,

Brown³

et al. 2019

Can J Occup Ther

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Background. Low-income older adult populations have increased vulnerability to occupational engagement barriers and poor health outcomes while aging in community settings. Purpose. The purpose of this study was to examine the relationship between community navigation and well-being for low-income older adults. Method. Community-dwelling older adults ( N = 10) were recruited for this multimethod observational cohort study, which employed GPS data, measures of well-being, and semistructured interviews across 12 months. Grounded theory processes were followed to analyze and integrate the qualitative, quantitative, and spatial data. Findings. Findings were three patterns of community navigation. In particular, patterns of being chronically underoccupied were noted for this low-income population. Specific place-based challenges are explained along with strategies used to mitigate these challenges. Implications. Supporting community navigation, especially social interaction opportunities, can maximize well-being; and older residents’ occupational participation may be unnecessarily curtailed by geographic, economic, and social factors beyond their control. Community navigation strategies should be considered holistically by occupational therapists as part of interventions supporting aging in place.

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“…The focus of occupational therapy is placed on individuals' meaningful participation of activities [74]. This may act as structuring the engagement in activities of older adults need to do (self-care), enjoy doing (leisure), and do for progress (productivity) and help them to develop a sense of self-worth and wellbeing [75][76][77][78].…”

Section: Consideration Of Rehabilitation For Cfsmentioning

confidence: 99%

Hypothalamic-Pituitary-Adrenal (HPA) Axis and Chronic Fatigue Syndrome in Older Adults: The Rehabilitation Perspectives

Lai

Uscinska

Yan

2020

Neuroimaging - Neurobiology, Multimodal and Network Applications

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Chronic fatigue syndrome (CFS) is a long-term and debilitating condition that regards as a neurological disease. Its symptoms include profound physical and mental fatigue (characteristically made worse by exertion), muscle and joint pain, disturbed sleep, and both concentration and memory problems. CFS is a kind of human stress-related disorders that are characterized by alterations in hypothalamic-pituitary-adrenal (HPA) axis activity. Investigation of abnormal activity of the HPA axis in various neurological and neuropsychiatric disorders can date back at least 60 years, and its relation to CFS had been reported in the early 1990s. This chapter further disseminated updated evidence for disruption of HPA function in CFS, with the explanation on the relationship between cytokines and HPA activities. Moreover, very limited literature had addressed the importance of rehabilitation to them. This chapter addresses this gap by sharing a pilot rehabilitation outcome on a single-blinded randomized control trial with a parallel group experimental design in the application of activity scheduling (AS) program of occupational therapy for a group of community-dwelling older adults with CFS. The primary objective is to study the outcome of physical functioning of individual participants. The second objective is to study the outcome of AS on impact of caring role through assessing individual caregivers' perceived burden in care. The third objective is to study the time that needed in taking care; individuals' perception of enjoyment and achievement in their participated activities will be evaluated. There was a significant effect of AS on the physical functioning of participants as measured by Functional Independence Measure (FIM), as the primary outcome measure, in experimental group, with Wilk's λ = 0.72, F (2,57) = 18.75, p < 0.001. Moreover, in secondary outcome measures, there is a significant decrease in the impact of caring role as reflected by their perceived burden as measured by the Chinese Zarit Burden Interview (CZBI) in caring for experimental group, with Wilk's λ = 0.72, F (2,97) = 18.75, p < 0.001. Another study set out to examine the effect of time on caring activities for those recruited couples in AS group. There was significant effect of AS on caring activities with Wilk's λ = 0.71, F (2,97) = 12.47, p < 0.001. With proper coaching and regular facilitation regarding AS, activity participation in older adults with CFS can be greatly enhanced. Behavioral intervention, such as AS, can supplement therapeutic treatment or may lead to decline in CFS symptoms.

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Occupational Therapy Interventions to Improve Activities of Daily Living for Community-Dwelling Older Adults: A Systematic Review

Abstract: The findings of this systematic review highlight the importance of addressing older adults' living environment in intervention to promote independence in ADLs.

Cited by 37 publications

References 71 publications

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

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

“We need more things for us”: Being low income and underoccupied in older age

Hypothalamic-Pituitary-Adrenal (HPA) Axis and Chronic Fatigue Syndrome in Older Adults: The Rehabilitation Perspectives

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