Strengthening problem-solving skills through occupational therapy to improve older adults' occupational performance - A systematic review.

Background: Evidence supports the role of occupational therapy (OT) for older adults, and therapeutic use of problem solving may provide a way to improve older adult's occupational performance. Aim: To assess the effectiveness and describe the contents of OT interventions aimed at improving older ad...

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Publicado en:Scandinavian Journal of Occupational Therapy Vol. 30; no. 1; pp. 1 - 14
Autores principales: Nielsen, Tove Lise, Holst-Stensborg, Helene Winstrup, Nielsen, Louise Moeldrup
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
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      pub: Springer Nature
      place: New York, New York
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        10.1080/11038128.2022.2112281
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        atl: Strengthening problem-solving skills through occupational therapy to improve older adults' occupational performance - A systematic review.
      aug:
        au:
          Nielsen, Tove Lise
          Holst-Stensborg, Helene Winstrup
          Nielsen, Louise Moeldrup
        affil: Department of Occupational Therapy, VIA University College, Aarhus, Denmark
      sug:
        subj:
          Occupational Therapy In Old Age
          Problem Solving In Old Age
          Job Performance In Old Age
          Funding Source
          Activities of Daily Living
          Cognition
          Human
          Male
          Female
          Aged
          Aged, 80 and Over
          CINAHL Database
          Embase
          Medline
          Psycinfo
          Systematic Review
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Evidence supports the role of occupational therapy (OT) for older adults, and therapeutic use of problem solving may provide a way to improve older adult's occupational performance. Aim: To assess the effectiveness and describe the contents of OT interventions aimed at improving older adults' occupational performance by strengthening their problem-solving skills. Material and Methods: This systematic review followed the phases recommended by the Cochrane Collaboration. The following databases were searched for clinical trials on OT for populations 65+ years: CINAHL, EMBASE, MEDLINE and PsycINFO. The Cochrane risk-of-bias tool (RoB-2) and the GRADE approach were used to assess the quality of the evidence. Results were presented in tables and by narrative syntheses. Results: Five studies were included comprising a total of 685 participants. In four studies, OT with a problem-solving approach outperformed control conditions post intervention. The interventions involved problem identification, analysis, strategy development and implementation. Although no serious risk of bias was detected in the individual studies, the quality of evidence was deemed low due to inconsistent and imprecise results. Conclusions: Low-quality evidence suggests that strengthening older adults' problem-solving skills may improve their occupational performance. Significance: Further investigation is required before firm practice recommendations can be prepared.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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