Research Article  |   May 2013
Occupational Therapy Interventions to Improve Leisure and Social Participation for Older Adults With Low Vision: A Systematic Review
Author Affiliations
  • Sue Berger, PhD, OTR/L, BCG, FAOTA, is Clinical Associate Professor, Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, 635 Commonwealth Avenue, Boston, MA 02215; sueb@bu.edu
  • Jessica McAteer, MS, OTR/L, was Graduate Student, Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, Boston, at the time of the review
  • Kara Schreier, MS, OTR/L, is Staff Occupational Therapist, New England Rehabilitation Hospital, Woburn, MA. At the time of the review, she was Graduate Student, Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, Boston
  • Jennifer Kaldenberg, MSA, OTR/L, SCLV, CLVT, FAOTA, is Clinical Assistant Professor, Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, and Adjunct Assistant Professor of Vision Rehabilitation, New England College of Optometry, Boston
Article Information
Evidence-Based Practice / Geriatrics/Productive Aging / Rehabilitation, Participation, and Disability / Vision / Special Issue on Effectiveness of Occupational Therapy Interventions for Older Adults With Low Vision
Research Article   |   May 2013
Occupational Therapy Interventions to Improve Leisure and Social Participation for Older Adults With Low Vision: A Systematic Review
American Journal of Occupational Therapy, May 2013, Vol. 67, 303-311. doi:10.5014/ajot.2013.005447
American Journal of Occupational Therapy, May 2013, Vol. 67, 303-311. doi:10.5014/ajot.2013.005447
Abstract

This systematic review examined evidence regarding the effectiveness of interventions within the scope of occupational therapy practice to maintain, restore, and improve performance in leisure and social participation for older adults with low vision. We identified and reviewed 13 articles that met the inclusion criteria. Four themes related to interventions to improve leisure and social participation emerged from the literature review: using a problem-solving approach, delivering a combination of services, providing skills training, and making home visits and environmental adaptations. The strongest evidence supports using a problem-solving approach to improve leisure and social participation for older adults with low vision. Evidence was moderate supporting the delivery of a combination of services, either by one professional or through an interdisciplinary approach. Results for the effectiveness of skills training and home visits and home adaptations were mixed. Implications for practice, education, and research are discussed.