Leen De Coninck1,2,3, Geertruida E Bekkering2, Leen Bouckaert3, Anja Declercq4, Maud J L Graff5, Bert Aertgeerts1,2. 1. Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium. 2. CEBAM Belgian Centre for Evidence-based Medicine vzw, Leuven, Belgium. 3. Department of Occupational Therapy, University College Artevelde, Ghent, Belgium. 4. LUCAS Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium. 5. Scientific Institute for Quality of Health Care and Department of Rehabilitation, Donders Center for Cognition, Brain and Behavior, Radboud University Medical Centre, Nijmegen, the Netherlands.
Abstract
OBJECTIVES: The objective is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community-dwelling physically frail older people. DESIGN: We conducted a systematic review and meta-analysis. We included randomized controlled trials reporting on occupational therapy as intervention, or as part of a multidisciplinary approach. This systematic review was carried out in accordance with the Cochrane methods of systematic reviews of interventions. MEASUREMENTS: Meta-analyses were performed to pool results across studies using the standardized mean difference. The primary outcome measures were mobility, functioning in daily living activities, and social participation. Secondary outcome measures were fear of falling, cognition, disability, and number of falling persons. RESULTS: Nine studies met the inclusion criteria. Overall, the studies were of reasonable quality with low risk of bias. There was a significant increase in all primary outcomes. The pooled result for functioning in daily living activities was a standardized mean difference of -0.30 (95% CI -0.50 to -0.11; P = .002), for social participation -0.44 (95% CI -0.69, -0.19; P = .0007) and for mobility -0.45 (95% CI -0.78 to -0.12; P = .007). All secondary outcomes showed positive trends, with fear of falling being significant. No adverse effects of occupational therapy were found. CONCLUSION: There is strong evidence that occupational therapy improves functioning in community-dwelling physically frail older people.
OBJECTIVES: The objective is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community-dwelling physically frail older people. DESIGN: We conducted a systematic review and meta-analysis. We included randomized controlled trials reporting on occupational therapy as intervention, or as part of a multidisciplinary approach. This systematic review was carried out in accordance with the Cochrane methods of systematic reviews of interventions. MEASUREMENTS: Meta-analyses were performed to pool results across studies using the standardized mean difference. The primary outcome measures were mobility, functioning in daily living activities, and social participation. Secondary outcome measures were fear of falling, cognition, disability, and number of falling persons. RESULTS: Nine studies met the inclusion criteria. Overall, the studies were of reasonable quality with low risk of bias. There was a significant increase in all primary outcomes. The pooled result for functioning in daily living activities was a standardized mean difference of -0.30 (95% CI -0.50 to -0.11; P = .002), for social participation -0.44 (95% CI -0.69, -0.19; P = .0007) and for mobility -0.45 (95% CI -0.78 to -0.12; P = .007). All secondary outcomes showed positive trends, with fear of falling being significant. No adverse effects of occupational therapy were found. CONCLUSION: There is strong evidence that occupational therapy improves functioning in community-dwelling physically frail older people.
Authors: Manuel Montero-Odasso; Nathalie van der Velde; Finbarr C Martin; Mirko Petrovic; Maw Pin Tan; Jesper Ryg; Sara Aguilar-Navarro; Neil B Alexander; Clemens Becker; Hubert Blain; Robbie Bourke; Ian D Cameron; Richard Camicioli; Lindy Clemson; Jacqueline Close; Kim Delbaere; Leilei Duan; Gustavo Duque; Suzanne M Dyer; Ellen Freiberger; David A Ganz; Fernando Gómez; Jeffrey M Hausdorff; David B Hogan; Susan M W Hunter; Jose R Jauregui; Nellie Kamkar; Rose-Anne Kenny; Sarah E Lamb; Nancy K Latham; Lewis A Lipsitz; Teresa Liu-Ambrose; Pip Logan; Stephen R Lord; Louise Mallet; David Marsh; Koen Milisen; Rogelio Moctezuma-Gallegos; Meg E Morris; Alice Nieuwboer; Monica R Perracini; Frederico Pieruccini-Faria; Alison Pighills; Catherine Said; Ervin Sejdic; Catherine Sherrington; Dawn A Skelton; Sabestina Dsouza; Mark Speechley; Susan Stark; Chris Todd; Bruce R Troen; Tischa van der Cammen; Joe Verghese; Ellen Vlaeyen; Jennifer A Watt; Tahir Masud Journal: Age Ageing Date: 2022-09-02 Impact factor: 12.782
Authors: Alessandro Lanzoni; Christian Pozzi; Elena Lucchi; Andrea Fabbo; Maud J L Graff; Carola M E Döpp Journal: Aging Clin Exp Res Date: 2022-10-18 Impact factor: 4.481
Authors: Catherine J Evans; Lucy Ison; Clare Ellis-Smith; Caroline Nicholson; Alessia Costa; Adejoke O Oluyase; Eve Namisango; Anna E Bone; Lisa Jane Brighton; Deokhee Yi; Sarah Combes; Sabrina Bajwah; Wei Gao; Richard Harding; Paul Ong; Irene J Higginson; Matthew Maddocks Journal: Milbank Q Date: 2019-03 Impact factor: 4.911
Authors: Marco Meyer; Stefanie Schmetsdorf; Thomas Stein; Ulrich Niemoeller; Andreas Arnold; Iris Reuter; Karel Kostev; Ralf-Achim Grünther; Christian Tanislav Journal: Healthcare (Basel) Date: 2021-05-11
Authors: María Del Canto de Hoyos Alonso; Ana Gorroñogoitia Iturbe; Iñaki Martín Lesende; José Miguel Baena Díez; Jesús López-Torres Hidalgo; Purificación Magán Tapia; Miguel Ángel Acosta Benito; Yolanda Herreros Herreros Journal: Aten Primaria Date: 2018-05 Impact factor: 1.137