Occupation- and Activity-Based Interventions to Improve Performance of Instrumental Activities of Daily Living and Rest and Sleep for Children and Youth Ages 5--21: A Systematic Review.

Importance: Practitioners seek evidence from intervention effectiveness studies to provide best-practice services for children. Objective: To examine the effectiveness of occupation- and activity-based interventions to improve instrumental activities of daily living (IADLs) and sleep outcomes for ch...

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Publicado en:American Journal of Occupational Therapy Vol. 74; no. 2; pp. 1 - 33
Autores principales: Beisbier, Stephanie, Laverdure, Patricia
Formato: research systematic review tables/charts Journal Article
Publicado: American Occupational Therapy Association Mar/Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2020
      vid: 74
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      pid: 6680
      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2020.039636
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        atl: Occupation- and Activity-Based Interventions to Improve Performance of Instrumental Activities of Daily Living and Rest and Sleep for Children and Youth Ages 5--21: A Systematic Review.
      aug:
        au:
          Beisbier, Stephanie
          Laverdure, Patricia
        affil: Associate Professor, Occupational Therapy Department, Mount Mary University, Milwaukee, WI
      sug:
        subj:
          Activities of Daily Living
          Occupational Therapy
          Physical Activity
          Relaxation
          Sleep
          Occupational Therapy Practice, Evidence-Based
          Human
          Child, Preschool
          Child
          Adolescence
          Young Adult
          Systematic Review
          Medline
          Psycinfo
          CINAHL Database
          ERIC Database
          Occupational Therapy Systematic Evaluation of Evidence
          Cochrane Library
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Importance: Practitioners seek evidence from intervention effectiveness studies to provide best-practice services for children. Objective: To examine the effectiveness of occupation- and activity-based interventions to improve instrumental activities of daily living (IADLs) and sleep outcomes for children and youth ages 5--21 yr. Data Sources: MEDLINE, PsycINFO, CINAHL, ERIC, OTseeker, and Cochrane Database of Systematic Reviews. Study Selection and Data Collection: The American Occupational Therapy Association research methodologist conducted the first review of literature published from2000 to 2017. The results were exported, and we completed the subsequent stages of review. Only peer-reviewed Level I, II, and III evidence was reviewed. Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines and the Cochrane risk-of-bias guidelines were used to compile evidence and risk-of-bias tables. Findings: We reviewed 96 articles; 28 studies met the inclusion criteria for IADL and rest--sleep outcomes. Analysis resulted in several themes: rest--sleep, health management (nutrition--dietary, physical activity--fitness, wellness), and the IADLs of driving, communication management, and safety. Strong evidence exists for interventions embedded in school programming to improve physical activity and fitness and for sleep preparation activities to maximize quality of rest and sleep. Moderate-strength evidence exists for interactive education and skills training interventions to improve health routines, dietary behaviors, and IADL participation and performance. Conclusions and Relevance: Use of skills-focused training in activity- and occupation-based interventions was supported. Service provision in the context of natural environments, including school settings and with parental or caregiver participation, is recommended for children and youth ages 5--21 yr with varied abilities and diagnoses. What This Article Adds: Occupational therapy practitioners can confidently examine their current practices and choose activity- and occupation-based interventions and methods of service delivery that are supported by evidence.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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