Occupational Therapy Interventions and Early Engagement for Patients in Intensive Care: A Systematic Review.

Importance: Patients in intensive care units (ICUs) experience complex functional, physical, and cognitive needs that affect their engagement in activities of daily living (ADLs). Occupational therapy practitioners are uniquely positioned to address these needs to optimize patients' functional recov...

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Published in:American Journal of Occupational Therapy Vol. 79; no. 1; pp. 1 - 11
Main Authors: Smith, Morgan, Tsai, Stephanie, Peterson, Elyse
Format: research systematic review tables/charts Journal Article
Published: American Occupational Therapy Association Jan/Feb2025
Online Access:View this record in EBSCOhost
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      dt: Jan/Feb2025
      vid: 79
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2025.050695
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        atl: Occupational Therapy Interventions and Early Engagement for Patients in Intensive Care: A Systematic Review.
      aug:
        au:
          Smith, Morgan
          Tsai, Stephanie
          Peterson, Elyse
        affil: Morgan Smith, OTD, OTR/L, is Occupational Therapist, Department of Occupational Therapy, Keck Medical Center, University of Southern California, Los Angeles
      sug:
        subj:
          Occupational Therapy Evaluation
          Early Intervention
          Critical Care
          Patient Participation
          Cognitive Therapy
          Human
          Systematic Review
          Critically Ill Patients
          CINAHL Database
          PubMed
          Cochrane Library
          Professional Role
          Activities of Daily Living
          Psychological Well-Being
      ab: Importance: Patients in intensive care units (ICUs) experience complex functional, physical, and cognitive needs that affect their engagement in activities of daily living (ADLs). Occupational therapy practitioners are uniquely positioned to address these needs to optimize patients' functional recovery. Objective: To examine occupational therapy–specific interventions as they relate to early engagement for patients in the ICU. Data Sources: CINAHL, PubMed, ProQuest, OTseeker, and Cochrane Library databases. Study Selection and Data Collection: The Cochrane methodology was used to collect, evaluate, and analyze articles, then reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines for conducting a systematic review. Articles published from January 2012 to December 2021 evaluating adults who received occupational therapy interventions in ICUs with Level 1b, 2b, or 3b evidence were included. Findings: Nine articles met the inclusion criteria and the research objective. Findings showed moderate evidence for ADLs, physical rehabilitation, and cognitive interventions in promoting functional outcomes for patients in the ICU. Conclusions and Relevance: This systematic review introduces the term early engagement to describe occupational therapy–specific interventions for patients recovering in the ICU and supports occupational therapy's role in this setting. Further research is needed to strengthen the evidence for occupational therapy–specific interventions and early engagement in the ICU. Plain-Language Summary: Patients in the intensive care unit experience complex needs that affect their participation in activities of daily living (ADLs). Current research demonstrates moderate evidence for early engagement with ADLs, physical rehabilitation, and cognitive interventions performed by occupational therapy practitioners. This systematic review introduces the term early engagement, which captures how occupational therapy practitioners provide holistic interventions for patients in the intensive care unit to promote patient well-being and functional recovery. This systematic review introduces the term early engagement to describe occupational therapy-specific interventions for patients recovering in the ICU.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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