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

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 Pr...

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Publicado en:American Journal of Occupational Therapy Vol. 66; no. 3; pp. 292 - 301
Autores principales: Orellano, Elsa, Colón, Wanda I., Arbesman, Marian
Formato: research systematic review Journal Article
Publicado: American Occupational Therapy Association May/Jun2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2012
      vid: 66
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review.
      aug:
        au:
          Orellano, Elsa
          Colón, Wanda I.
          Arbesman, Marian
        affil: Assistant Professor, Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, San Juan, PR 00936-5067; Assistive Technology Consultant, Puerto Rico Assistive Technology Program, Filus Institute, Central Administration, University of Puerto Rico, San Juan
      sug:
        subj:
          Activities of Daily Living In Old Age
          Community Health Services
          Occupational Therapy Practice, Evidence-Based
          Task Performance and Analysis In Old Age
          Treatment Outcomes
          Medline
          CINAHL Database
          Psycinfo
          Cochrane Library
          Human
          Community Living
          Aged
          Scales
          Aged: 65+ years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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