RESUMEN
OBJECTIVE: This systematic review examined the effectiveness of health promotion, management, and maintenance interventions within the scope of occupational therapy to improve occupational performance and quality of life (QOL) and decrease health care utilization for community-dwelling older adults. METHOD: Thirty-eight articles representing 36 studies were included in the review. Articles were published 2008-2015 and described studies of participants with a mean age of 65 or older who were living in the community. RESULTS: Strong evidence supports the use of group, individual, or a combination of group and individual interventions to improve occupational performance. Group interventions were also effective at improving QOL. The evidence was insufficient that any of these interventions decreased health care utilization. CONCLUSION: Addressing health promotion, management, and maintenance is within the scope of occupational therapy practice and has been shown to improve occupational performance and QOL for older adults. Implications for practice and future research are discussed.
Asunto(s)
Envejecimiento , Educación en Salud , Promoción de la Salud , Terapia Ocupacional , Calidad de Vida , Actividades Cotidianas , Anciano , Conductas Relacionadas con la Salud , Humanos , Vida Independiente , Instituciones ResidencialesRESUMEN
In this study, we examined the effectiveness of a community-based, occupational therapy intervention situated within an intensive comprehensive aphasia program (ICAP). Occupational therapy interventions addressed goals of participants with chronic stroke and aphasia for improving their satisfaction with and performance of instrumental activities of daily living, social participation, leisure, work, and volunteer activities. Over 3 yr, 19 people with chronic stroke and aphasia participated in a month-long, intensive, interprofessional, community-based program. Significant improvement in participation in valued activities was demonstrated on the Canadian Occupational Performance Measure (p < .01), goal attainment scaling (p < .01), and two domains of the Stroke Impact Scale (p < .05). We conclude that occupational therapy using collaborative goal setting and problem solving as part of an interprofessional team may be an important component to include in ICAPs to address functional participation goals.