Article

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.
CI - Copyright (c) 2012 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS