Occupation- and Activity-Based Interventions to Improve Performance of Activities of Daily Living, Play, and Leisure for Children and Youth Ages 5 to 21: A Systematic Review.
Importance: The findings support the use of occupation- and activity-based interventions to improve the occupational participation of children and youth with disabilities. Objective: To examine the effectiveness of occupation- and activity-based interventions to improve participation and performance...
| Published in: | American Journal of Occupational Therapy Vol. 75; no. 1; pp. 1 - 25 |
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| Main Authors: | , |
| Format: | research systematic review tables/charts Journal Article |
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American Occupational Therapy Association
Jan/Feb2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147924417&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147924417 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Jan/Feb2021 vid: 75 iid: 1 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 147924417 147924417 147924417 10.5014/ajot.2021.039560 147924417 ppf: 1 ppct: 24 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Occupation- and Activity-Based Interventions to Improve Performance of Activities of Daily Living, Play, and Leisure for Children and Youth Ages 5 to 21: A Systematic Review. aug: au: Laverdure, Patricia Beisbier, Stephanie affil: Patricia Laverdure, OTD, OTR/L, BCP, FAOTA, is Assistant Professor and Program Director, Old Dominion University, Norfolk, VA sug: subj: Physical Performance Activities of Daily Living Play and Playthings Leisure Activities Occupational Therapy Physical Activity Human Systematic Review Child Adolescence Young Adult Medline Psycinfo CINAHL Database ERIC Database Cochrane Library Occupational Therapy Systematic Evaluation of Evidence Occupational Therapy Practice, Evidence-Based Persons with Disabilities Child: 6-12 years Adolescent: 13-18 years ab: Importance: The findings support the use of occupation- and activity-based interventions to improve the occupational participation of children and youth with disabilities. Objective: To examine the effectiveness of occupation- and activity-based interventions to improve participation and performance in activities of daily living (ADLs), play, and leisure in children and youth. Data Sources: MEDLINE, PsycINFO, CINAHL, ERIC, OTseeker, and Cochrane Database of Systematic Reviews; reference lists of retrieved articles; and tables of contents of selected journals were searched to identify peer-reviewed studies published between 2000 and 2017. Study Selection and Data Collection: Studies addressing occupation- and activity-based interventions and outcomes for children ages 5 to 21 were selected and appraised using Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines, evaluated for risk of bias, and synthesized to develop practice recommendations. Findings: Fifteen Level I (meta-analyses, systematic reviews, and randomized controlled trials), 5 Level II (two groups, nonrandomized), and 3 Level III (one group, pretest–posttest, retrospective) studies were examined and categorized by type of intervention and outcome. Each study used occupation- or activity-based interventions and reported ADL, play, or leisure outcomes. Intervention themes identified include supporting engagement in occupations, supporting participation with cognitive supports, and using technology to support occupational participation and performance. Conclusions and Relevance: Strong evidence indicates that engagement in occupations and activities, practice within and across environments, and coaching and feedback improve participation and performance in ADLs and functional mobility. Moderate evidence supports the use of collaborative goal setting, modeling, and guided participation in play and leisure. Moderate evidence also supports technological interventions for ADL, play, and leisure performance. What This Article Adds: Engaging children and youth in occupations and activities; providing guidance in goal direction, planning, and feedback to enhance their participation; coaching caregivers in effective carryover; and providing technology-based intervention can improve the occupational participation and performance of children and youth. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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