Research Article  |   July 2011
Occupational Therapy Interventions for Chronic Diseases: A Scoping Review
Author Affiliations
  • Carri Hand, MSc, is PhD Candidate, School of Rehabilitation Science, McMaster University, IAHS 403, 1400 Main Street West, Hamilton, Ontario, Canada L8S 1C7; handc@mcmaster.ca
  • Mary Law, PhD, OT Reg (Ontario), FCAOT, is Professor, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada. She holds the John and Margaret Lillie Chair in Childhood Disability Research
  • Mary Ann McColl, PhD, MTS, is Associate Director, Centre for Health Services and Policy Research, and Professor, Department of Community Health and Epidemiology and School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada
Article Information
Cardiopulmonary Conditions / Diabetes / Health and Wellness / Mental Health / Multidisciplinary Practice / Musculoskeletal Impairments / Rehabilitation, Disability, and Participation
Research Article   |   July 2011
Occupational Therapy Interventions for Chronic Diseases: A Scoping Review
American Journal of Occupational Therapy, July/August 2011, Vol. 65, 428-436. doi:10.5014/ajot.2011.002071
American Journal of Occupational Therapy, July/August 2011, Vol. 65, 428-436. doi:10.5014/ajot.2011.002071
Abstract

OBJECTIVE. We reviewed the evidence regarding the effectiveness of community occupational therapy interventions, delivered alone or within a multidisciplinary team, in improving occupational outcomes for adults with selected chronic diseases.

METHOD. We completed a scoping review of randomized controlled trials published from 1988 through 2008. Studies included participants with heart disease, depression, rheumatoid arthritis, osteoarthritis, chronic obstructive pulmonary disorder, or diabetes.

RESULTS. Sixteen studies met the inclusion criteria. Ten studies found significant differences between intervention and control groups for at least one outcome of function in activities of daily living, functional self-efficacy, social or work function, psychological health, general health, or quality of life. Conflicting evidence exists regarding the impact of intervention on physical function and health.

CONCLUSION. Occupational therapy can improve occupational outcomes in adults with chronic diseases. Using and building on this evidence, occupational therapists can continue to promote their role in helping to meet this population's needs.