Occupational therapy for elderly: Evidence mapping of randomised controlled trials from 2004–2012

Objective Previous systematic reviews on occupational therapy for elderly included studies until 2003. The present evidence mapping summarizes recent evidence for the efficacy of occupational therapy with older persons based on randomised controlled trials from 2004–2012. Method An electronic search...

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Bibliographic Details
Published in:Zeitschrift für Gerontologie und Geriatrie 2015-01, Vol.48 (1), p.52-72
Main Authors: Voigt-Radloff, S., Ruf, G., Vogel, A., van Nes, F., Hüll, M.
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Accidental Falls - statistics & numerical data
Activities of Daily Living
Aged
Aged, 80 and over
Aging
Comorbidity
Evidence-Based Medicine
Female
Geriatrics/Gerontology
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Occupational Therapy - statistics & numerical data
Persons with Disabilities - rehabilitation
Persons with Disabilities - statistics & numerical data
Randomized Controlled Trials as Topic - statistics & numerical data
Social Sciences
Treatment Outcome
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Summary:Objective Previous systematic reviews on occupational therapy for elderly included studies until 2003. The present evidence mapping summarizes recent evidence for the efficacy of occupational therapy with older persons based on randomised controlled trials from 2004–2012. Method An electronic search in Cochrane and Medline databases identified publications of randomised controlled trials on occupational therapy interventions for persons ≥ 65 years old. Two raters independently extracted data and analysed the quality of samples, interventions and outcome evalutations according to PRISMA criteria. Results In all, 136 abstracts were identified and 48 studies analysed, from these 12 on stroke, 15 on falls and mobility, 7 on dementia, 4 on prevention and 10 on other conditions. Reports of adverse events and evaluations of costs and long-term outcomes are frequently lacking. Conclusion The most promising fields for further research are primary and secondary prevention in persons with stroke, falls or mobility problems and tertiary prevention in persons with dementia. Future trials should be conducted and reported according to consented reporting guidelines of the equator network.
ISSN:0948-6704
1435-1269
1435-1269
DOI:10.1007/s00391-013-0540-6