Article

We describe the results of a systematic review of the literature on occupation-
and activity-based health management and maintenance interventions for productive
aging. We found moderate to strong evidence that client-centered occupational
therapy improved physical functioning and occupational performance related to
health management in community-dwelling older adults, as well as in adults with
osteoarthritis and macular degeneration. We found moderate evidence that health
education programs reduce pain and increase physical activity and that
individualized health action plans improve activities of daily living function
and participation in physical activities. The evidence that self-management
programs result in a decrease in pain and disability and that incorporating
cognitive-behavioral principles into physical activity improves long-term
participation in exercise was also moderate. Although the evidence for skill-specific training in isolation is limited, effectiveness increases when
skill-specific training is combined with health management programs. The implications for practice, education, and research are discussed.
CI - Copyright (c) 2012 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS