Marian Arbesman, Deborah Lieberman; Methodology for the Systematic Reviews on Occupational Therapy for Adults With Alzheimer’s Disease and Related Dementias. Am J Occup Ther 2011;65(5):490-496. doi: 10.5014/ajot.2011.002576.
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© 2018 American Occupational Therapy Association
Systematic reviews of literature relevant to adults with Alzheimer’s disease and their families are important to the practice of occupational therapy. We describe the seven questions that served as the focus for systematic reviews of the effectiveness of occupational therapy interventions for adults with Alzheimer’s disease and their families. We include the background for the reviews; the process followed for each question, including search terms and search strategy; the databases searched; and the methods used to summarize and critically appraise the literature. The final number of articles included in each systematic review; a summary of the results; the strengths and limitations of the findings; and implications for practice, education, and research are presented for the six questions addressing interventions in the areas of occupation, perception, environment, activity demands, fall prevention, and caregiver strategies.
Areas of occupation: What is the evidence for the effect of interventions designed to establish, modify, and maintain activities of daily living (ADLs), instrumental activities of daily living (IADLs), leisure, and social participation on quality of life, health and wellness, and client and caregiver satisfaction for people with Alzheimer’s disease and related dementias?
Perception: What is the evidence for the effect of interventions designed to modify and maintain perceptual abilities on the occupational performance of people with Alzheimer’s disease and related dementias?
Environment: What is the evidence for the effect of environment-based interventions on performance, affect, and behavior in both the home and institutions for people with AD?
Activity demands: What is the evidence for the effect of interventions designed to modify the activity demands of the occupations of self-care, work, leisure, and social participation for people with AD?
Fall prevention: What is the evidence for the effect of interventions to prevent falls in people with dementia?
Caregiver strategies: What is the evidence for the effect of educational and supportive strategies for caregivers of people with dementia on the ability to maintain participation in that role?
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