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Occupational therapy interventions to improve performance of instrumental activities of daily living for community-dwelling older adults: A systematic review

*Corresponding author for this work
Scholary Output:
Contribution to journal
Review article
 Peer-review

Abstract

OBJECTIVE. We examined the effectiveness of interventions within the scope of occupational therapy to improve the performance of instrumental activities of daily living (IADLs) for community-dwelling older adults. METHOD. We searched and examined the literature (2008 through 2016) using four electronic databases. Fourteen studies met the inclusion criteria and were critically appraised and synthesized. RESULTS. Analysis revealed four thematic areas: cognitive, self-management, prevention, and home-based multidisciplinary rehabilitation interventions. Strong evidence supports the use of tailored, multidisciplinary, home-based care programs to support older adults to maintain IADL improvements over time and the use of cognitive interventions to improve memory, executive function, functional status, and everyday problem solving. In addition, strong evidence indicates that tailored home-based preventive sessions were beneficial to mediate functional disability and satisfaction with performance. CONCLUSION. Evidence supports tailored interventions designed to enhance IADL performance. More studies are needed that focus on IADLs specifically and that use IADLs in their interventions.

Publication Information

Output type

Scholary Output:
Contribution to journal
Review article
 Peer-review

Original language

English (US)

Article number

7204190050

Journal (Volume, Issue Number)

American Journal of Occupational Therapy (Volume 72, Issue 4)

Publication milestones

  • Published - 07/01/2018

Publication status

Published - 07/01/2018

ISSN

0272-9490

Publication IDs

  • Scopus: 85049735939
  • PubMed: 29953829

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Publication metrics

Metrics

Fractional count
2
Fractional count
1
Fractional count
2
Fractional count
1
SciVal
citations
18
Scopus
citations
49, opens in new tab
SciVal
FWCI
2.14
SciVal
Author count
2
SciVal
Paper percentile
90
SciVal
Top percentile
10

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Social media
47
Citation count
46
Captures
184

Funding Details

This systematic review was supported by the American Occupational Therapy Association (AOTA) as part of the Evidence-Based Practice (EBP) Project (Lieberman & Scheer, 2002). The research question and search terms for the review were developed by the methodology consultant, AOTA staff, and an advisory group in consultation with the review authors. The search terms related to IADLs and study and trial designs are listed in Supplemental Table 1 (available online at http://otjournal.net; navigate to this article, and click on “Supplemental”). Databases searched included MEDLINE, PsycINFO, CINAHL, and OTseeker. In addition, consolidated information sources, such as the Cochrane Database of Systematic Reviews, were included in the search. Reference lists from articles included in the systematic review were examined for potential articles, and selected journals were hand searched to ensure that all appropriate articles were included.
FunderFunding numbers
AOTA
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