Sue Berger, Jessica McAteer, Kara Schreier, Jennifer Kaldenberg; Occupational Therapy Interventions to Improve Leisure and Social Participation for Older Adults With Low Vision: A Systematic Review. Am J Occup Ther 2013;67(3):303-311. doi: 10.5014/ajot.2013.005447.
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© 2019 American Occupational Therapy Association
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.
Use a problem-solving approach in either a group or individual format.
Provide a combination of services, which can include education, skills training, social support, sighted guide training, and home visits. These interventions may be provided through an interdisciplinary team or by a single professional.
Improve lighting, especially task-specific lighting.
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