Update on Productive Aging in the American Journal of Occupational Therapy 2011 (original) (raw)
Related papers
Update on Productive Aging Research in the American Journal of Occupational Therapy, 2012
American Journal of Occupational Therapy, 2013
This article describes a review of articles on productive aging published in the American Journal of Occupational Therapy (AJOT) during 2012 in light of the Centennial Vision charge of supporting practice through evidence. Seventeen AJOT articles published in 2012 specifically addressed productive aging. Of 6 Level I studies, 4 were systematic reviews that identified effective occupational therapy interventions for community-dwelling older adults; 1 randomized controlled trial examined the effectiveness of writing life reviews for residents of senior residences, and 1 meta-analysis investigated the effectiveness of fall-related efficacy and engagement in activity or occupation. Two Level II studies and 2 Level III studies produced support for the effectiveness of individual and group-based occupational therapy interventions. Of 7 descriptive studies addressing a variety of areas, 4 addressed the reliability and validity of assessments. In 2012, AJOT published more and higher quality...
Background From a global perspective, aging people from 60 years and over were 962 million in 2017 and it is expected to reach 2.1 billion by 2050. When elderly people are not engaged in daily life, they become physically, socially and mentally impaired. The occupation-based interventions in elderly people improve their health and selfsatisfaction in daily activities. Objective The aim was to analyse the role of Occupational Therapy in improving health and slowing down age-related declines. Methods The study was a systematic review of literature. Information on Occupational Therapy interventions was systematically searched from Cochrane library, MEDLINE and EMBASE database publications. The selection process of the studies was documented using PRISMA guidelines for intervention protocols. Results Literature search yielded 68 titles of relevant records. Of these five studies met inclusion criteria. One study explored the difference between group intervention and individual intervention; the results favoured group intervention. Comparison of Inter-professional approach with Occupational Therapy, the results favoured inter-professional practice in this population. Conclusions Occupational Therapy interventions seem to be effective in slowing down age related declines. However due to the heterogeneity in the intervention procedures, and duration of intervention, we suggest rigorous RCTS be undertaken to confirm that OT interventions delay age related declines.
Occupational therapy for community dwelling elderly people: a systematic review
Objective: occupational therapy might play an important role in maintaining independent living for community dwelling elderly people. The aim of this systematic review is to determine whether occupational therapy improves outcome for people who are ≥60 years and are living independently. Methods: an extensive search in MEDLINE, CINAHL, EMBASE, AMED and SCISEARCH until July 2002 was performed. Studies with controlled and uncontrolled designs were included. Six intervention categories were distinguished and individually analysed using a best-evidence synthesis, based on the type of design, the methodological quality, type of outcome measures and statistical significance of findings. Results: 17 studies were included, ten of which were randomised clinical trials. Six randomised clinical trials had a high methodological quality. Strong evidence is present for the efficacy of advising on assistive devices as part of a home hazards assessment on functional ability. There is some evidence for the efficacy of training of skills combined with a home hazard assessment in decreasing the incidence of falls in elderly people at high risk of falling. Some evidence is available for the efficacy of comprehensive occupational therapy on functional ability, social participation and quality of life. Insufficient evidence is present for the efficacy of counselling the primary caregiver of dementia patients about maintaining the patient's functional abilities. Conclusion: this review shows that occupational therapy interventions for community dwelling elderly people results in positive outcomes. Future research in the efficacy of occupational therapy in elderly patient groups such as people with dementia is recommended. Furthermore, research into tailoring interventions to the needs of elderly patients is recommended.
Occupational Therapy with Aging Adults: Promoting Quality of Life through Collaborative Practice
2015
Source Description: Look no further for the book that provides the information essential for successful practice in the rapidly growing field of gerontological occupational therapy! Occupational Therapy with Aging Adults is a new, comprehensive text edited by OT and gerontological experts Karen Frank Barney and Margaret Perkinson that takes a unique interdisciplinary and collaborative approach in covering every major aspects of geriatric gerontological occupational therapy practice. With 30 chapters written by 70 eminent leaders in gerontology and OT, this book covers the entire continuum of care for the aging population along with special considerations for this rapidly growing demographic. This innovative text also covers topical issues spanning the areas of ethical approaches to treatment; nutrition and oral health concerns; pharmacological issues; low vision interventions; assistive technology supports; and more to ensure readers are well versed in every aspect of this key pract...
Evaluation of an agency-based occupational therapy intervention to facilitate aging in place
The Gerontologist, 2013
The United States faces a growing population of older adults and accompanying functional disabilities, coupled with constrained public resources and diminishing informal supports. A variety of interventions that aim to improve client outcomes have been studied, but to date, there is limited translational research that examines the efficacy of moving such interventions from clinical trials to agency settings. A randomized controlled trial was conducted to evaluate a restorative occupational therapy intervention relative to "usual care" among community-dwelling older adults. The intervention included a detailed assessment from a person-environment perspective and provision of adaptive equipment and home modifications where appropriate. The intervention (n = 31) and control groups (n = 29) were evaluated at 3 months and assessed for changes in functional status, home safety, falls, health-related quality of life (HRQoL; EQ5D), depression, social support, and fear of falling; ...
Occupational Therapy for Elderly People
Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation, 2017
The population of the elderly is raising in the improved countries with the death age becoming later in life due to the improvement of contemporary therapy approaches and socioeconomic and cultural levels. Most older people with major disability of recent onset have the potential to benefit from geriatric rehabilitation. Rehabilitation for older people should have specific goals. Rehabilitation of elderly people involves an active process, delivered through a coordinated multidisciplinary team approach, aiming to improve function and enable subjects to live their lives to the whole potential. The major goal of rehabilitation programs for older people is to assist them to manage personal activities of daily living without the assistance of another person. Occupational therapy facilitates optimal occupational performance and community participation across the full spectrum of ability. In this chapter, there is information on the principles of occupational rehabilitation for elderly people and evaluation and different therapy approaches in occupational therapy.
A Meta-Analysis of the Effectiveness of Occupational Therapy for Older Persons
American Journal of Occupational Therapy, 1996
Given the current health care debate, it is imperative to document the usefulness of various health services for older persons, a rapidly growing population at increased risk for a wide variety of physical and functional impairments. A meta-analysis was conducted to examine the degree of effectiveness of occupational therapy for older persons. For a sample of 15 distinct tests of occupational therapy, a positive unweighted mean effect size of .51 (.54 when corrected for instrument unreliability) was obtained, along with a highly significant cumulative result for treatment success (p < .001). Beneficial treatment effects extended to activities of daily living–functional and psychosocial outcomes. The results for physical outcomes suggested a beneficial effect, although not every meta-analytic test yielded significant results. It was concluded that factors such as publication bias or poor study design are incapable of accounting for the positive meta-analytic result and that occupa...
Promoting Quality of Life in Elders: An Occupation-Based Occupational Therapy Program
World Federation of Occupational Therapists Bulletin, 2001
cultural ensitivity, lifestyle redesign, independent living, well-elders. hamper a person' ability to actually perform day-today occupations. However, it is important to consid I' aging not as merely an individual xp rience; rather su cessful aging is an endeavor to which all people of th social system contribut. urrent shifts in social views about succe ful aging, by both the elder and young r members of soci ty, present uncomfortable onflicts with traditions strongly embedded in our societies. Rapid developm nts in the e onomic systems around the world also have rev rberating effects on family syst ms and in particular, on people who ar attempting to ag succe fully. Exampl s f changes in so iety that may be sources of onflict include: reduced support of extended family, many women employed in the paid workforce, and changing idea about the "proper way to age." Without traditional guid lin , elder, their familie ,and ociety lack 1'01 models who hay ucce fully aged und rthc new circumstan e. A great challenge for health care pro id r , researchers, and elders i how to en ure that th quality of individual and family life can be maintained during the e tended life span. Aging I' arch has focus d on di ease and disability, wh t one might call th n gativ aspects of aging. ertainly di ease and disability are common fears because loss of physical capaciti s is oft n relat d to aging. However, the increas in life span that is
Occupational therapy for independent-living older adults. A randomized controlled trial
JAMA: The Journal of the American Medical Association, 1997
O b j e c t i v e. \ p = m-\ T o evaluate the effectiveness of preventive occupational therapy (OT) services specifically tailored for multiethnic, independent-living older adults. De s i g n. \ p = m-\ A randomized controlled trial. Set t i ng. \ p=m-\ Two government subsidized apartment complexes for independentliving older adults. S u b j e c t s. \ p = m-\ A total of 361 culturally diverse volunteers aged 60 years or older. I n t e r v e n t i o n. \ p = m-\ A n OT group, a social activity control group, and a nontreatment control group. The period of treatment was 9 months. Main Outcome M e a s u r e s. \ p = m-\ A battery of self-administered questionnaires designed to measure physical and social function, self-rated health, life satisfaction, and depressive symptoms.
Canadian Journal of Occupational Therapy, 2003
Background. This paper examines the results of a critical literature review describing the provision of education and functional training programs by occupational therapists with older adults to maximize their occupational performance. Purpose. The critical review addressed the following question: What is the effectiveness of education and functional training programs in improving occupational performance and quality of life for older adults? Review methods are described and the outcomes of the critical review discussed. Results. The results indicate that there is evidence that programs are effective in three areas: prevention of functional decline and falls, stroke and rheumatoid arthritis. Methodological limitations exist in some studies. There are several randomized controlled studies in this area, though the description of specific occupational therapy interventions is often vague and the programs could not be easily duplicated by occupational therapists. Practice implications. ...