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      Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review

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          Abstract

          This systematic review examines the effectiveness of occupation- and activity-based interventions on community-dwelling older adults’ performance of instrumental activities of daily living (IADLs). It was conducted as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. Forty studies met the inclusion criteria and were critically appraised and synthesized. Within occupation-based and client-centered interventions, the evidence that multicomponent interventions improve and maintain IADL performance in community-dwelling older adults is strong. The results also indicate that client-centered, occupation-based interventions can be effective in improving and maintaining IADL performance. The evidence is moderate for functional task exercise programs and limited for simulated IADL interventions to improve IADL performance. In the area of performance skills, the evidence related to physical activity and cognitive skills training is mixed, and the evidence that vision rehabilitation interventions improve IADL performance in older adults with low vision is moderate. Implications for practice, education, and research are also discussed.

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          Author and article information

          Contributors
          Journal
          7705978
          440
          Am J Occup Ther
          Am J Occup Ther
          The American journal of occupational therapy : official publication of the American Occupational Therapy Association
          0272-9490
          1943-7676
          10 July 2017
          May-Jun 2012
          11 August 2017
          : 66
          : 3
          : 292-300
          Affiliations
          Assistant Professor, Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, San Juan, PR 00936-5067
          Assistive Technology Consultant, Puerto Rico Assistive Technology Program, Filus Institute, Central Administration, University of Puerto Rico, San Juan
          Associate Professor and Director, Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, San Juan
          Consultant, AOTA Evidence-Based Practice Project; President, ArbesIdeas, Inc.; and Adjunct Assistant Professor, Department of Rehabilitation Science, University at Buffalo, State University of New York, Williamsville
          Article
          PMC5553610 PMC5553610 5553610 nihpa888735
          10.5014/ajot.2012.003053
          5553610
          22549594
          a7b4b533-680c-4f59-a8bb-6bc468ec3041
          History
          Categories
          Article

          activities of daily living,community health services,occupational therapy,task performance and analysis,treatment outcome

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