Research Article  |   May 2018
Occupational Therapy Interventions to Improve Activities of Daily Living for Community-Dwelling Older Adults: A Systematic Review
Author Affiliations
  • Chiung-ju Liu, PhD, OTR, is Associate Professor, School of Health and Human Sciences, Indiana University, Indianapolis; liu41@iu.edu
  • Wen-Pin Chang, PhD, OTR/L, is Occupational Therapist, Autism Parent Care, Carmel, IN, and was Visiting Faculty, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis, at the time this article was written
  • Megan C. Chang, PhD, OTR/L, is Assistant Professor, College of Applied Sciences and Arts, San Jose State University, San Jose, CA
Article Information
Special Section: Evidence Reviews
Research Article   |   May 2018
Occupational Therapy Interventions to Improve Activities of Daily Living for Community-Dwelling Older Adults: A Systematic Review
American Journal of Occupational Therapy, May 2018, Vol. 72, 7204190060p1-7204190060p11. doi:10.5014/ajot.2018.031252
American Journal of Occupational Therapy, May 2018, Vol. 72, 7204190060p1-7204190060p11. doi:10.5014/ajot.2018.031252
Abstract

OBJECTIVE. This systematic review aimed to synthesize the effects of interventions within the scope of occupational therapy to improve performance of activities of daily living (ADLs) in community-dwelling older adults.

METHOD. Searches were conducted in CINAHL, the Cochrane Database of Systematic Reviews, MEDLINE, PsycINFO, and OTseeker. Empirical studies published between 1995 and 2015 were individually screened and appraised by two reviewers.

RESULTS. Forty-three studies met the review inclusion and exclusion criteria. Physical exercise was the most common intervention approach. Physical exercise interventions for frail older adults showed a moderate benefit, but no benefits were found for older adults without noticeable difficulty in ADLs. For older adults with difficulty in ADLs, there was a high benefit of using home-based intervention.

CONCLUSION. The findings of this systematic review highlight the importance of addressing older adults’ living environment in intervention to promote independence in ADLs.