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Occupational Therapy Interventions to Improve Performance of Instrumental
Activities of Daily Living for Community-Dwelling Older Adults

HUNTER EG; KEARNEY PJ
AM J OCCUP THER , 2018, vol. 72, n° 4, p. 7204190050 (9 p)
Doc n°: 187845
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2018.031062
Descripteurs : KB3 - ACTIVITES DE LA VIE QUOTIDIENNE, MA - GERONTOLOGIE

We examined the effectiveness of interventions within the scope of
occupational therapy to improve the performance of instrumental activities of
daily living (IADLs) for community-dwelling older adults. METHOD: We searched and
examined the literature (2008 through 2016) using four electronic databases.
Fourteen studies met the inclusion criteria and were critically appraised and
synthesized. RESULTS: Analysis revealed four thematic areas: cognitive,
self-management, prevention, and home-based multidisciplinary rehabilitation
interventions. Strong evidence supports the use of tailored, multidisciplinary,
home-based care programs to support older adults to maintain IADL improvements
over time and the use of cognitive interventions to improve memory, executive
function, functional status, and everyday problem solving. In addition, strong
evidence indicates that tailored home-based preventive sessions were beneficial
to mediate functional disability and satisfaction with performance. CONCLUSION:
Evidence supports tailored interventions designed to enhance IADL performance.
More studies are needed that focus on IADLs specifically and that use IADLs in
their interventions.
CI - Copyright (c) 2018 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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