Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

@article{DeConinck2017HomeAC,
  title={Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review},
  author={Leen De Coninck and Geertruida E Bekkering and Leen Bouckaert and Anja Declercq and Maud J.L. Graff and Bert Aertgeerts},
  journal={Journal of the American Geriatrics Society},
  year={2017},
  volume={65}
}
The objective is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community‐dwelling physically frail older people. 
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References

SHOWING 1-10 OF 38 REFERENCES
A Randomized Trial of a Multicomponent Home Intervention to Reduce Functional Difficulties in Older Adults
OBJECTIVES: To test the efficacy of a multicomponent intervention to reduce functional difficulties, fear of falling, and home hazards and enhance self‐efficacy and adaptive coping in older adultsExpand
The Effectiveness of a Community‐Based Program for Reducing the Incidence of Falls in the Elderly: A Randomized Trial
Objectives: To test whether Stepping On, a multifaceted community‐based program using a small‐group learning environment, is effective in reducing falls in at‐risk people living at home.
Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial.
OBJECTIVE To determine the effectiveness of community based occupational therapy on daily functioning of patients with dementia and the sense of competence of their care givers. DESIGN Single blindExpand
Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study
TLDR
Community occupational therapy intervention for patients with dementia and their care givers is successful and cost effective, especially in terms of informal care giving. Expand
Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
TLDR
Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes. Expand
Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial
TLDR
A lifestyle-oriented occupational therapy intervention has beneficial effects for ethnically diverse older people recruited from a wide array of community settings and has the potential to help reduce health decline and promote well-being in older people. Expand
A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study).
TLDR
This problem-based geriatric intervention improved functional abilities and mental well-being of vulnerable older people and can increase the effectiveness of primary care for this population. Expand
Effects of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: a randomized controlled trial.
TLDR
Community occupational therapy should be advocated both for dementia patients and their caregivers, because it improves their mood, quality of life, and health status and caregivers' sense of control over life. Expand
Prevention of falls in the elderly trial (PROFET): a randomised controlled trial
TLDR
The study shows that an interdisciplinary approach to this high-risk population can significantly decrease the risk of further falls and limit functional impairment. Expand
The Effectiveness of a Community-Based Program for Reducing the Incidence of Falls in the Elderly: A Randomized Trial
TLDR
The results of this study renew attention to the idea that cognitive-behavioral learning in a small-group environment can reduce falls, and suggest that Stepping On offers a successful fall-prevention option. Expand
...
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3
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...