支持社区居住老年人社会参与和休闲活动的职业治疗干预措施：一项系统综述。
Occupational Therapy Interventions Supporting Social Participation and Leisure Engagement for Community-Dwelling Older Adults: A Systematic Review.
作者信息
Smallfield Stacy, Molitor Whitney Lucas
机构信息
Stacy Smallfield, DrOT, OTR/L, BCG, FAOTA, is Associate Professor of Occupational Therapy and Medicine and Assistant Director, Occupational Therapy Entry-Level Professional Programs, Washington University School of Medicine, St. Louis, MO;
Whitney Lucas Molitor, OTD, OTR/L, BCG, is Assistant Professor, Department of Occupational Therapy, University of South Dakota, Vermillion.
出版信息
Am J Occup Ther. 2018 Jul/Aug;72(4):7204190020p1-7204190020p8. doi: 10.5014/ajot.2018.030627.
This systematic review examines the evidence for the effectiveness of interventions within the scope of occupational therapy that address leisure engagement and social participation among community-dwelling older adults. Eleven Level I, 1 Level II, 1 Level III, and 1 Level IV studies met inclusion criteria. Included articles addressed two themes: interventions supporting social participation and interventions supporting leisure engagement. Strong evidence supports leisure education interventions to enhance leisure engagement, and moderate evidence supports chronic disease self-management programs to support leisure engagement. Mixed evidence exists for community-based group interventions and electronic gaming to support social participation. Routine use of leisure education and chronic disease self-management programs to enhance leisure engagement and selective use of community-based groups and electronic gaming to support social participation are recommended.
本系统评价考察了职业治疗范围内针对社区居住的老年人休闲参与和社会参与的干预措施有效性的证据。11项I级、1项II级、1项III级和1项IV级研究符合纳入标准。纳入的文章涉及两个主题：支持社会参与的干预措施和支持休闲参与的干预措施。有力证据支持休闲教育干预措施可增强休闲参与，中等证据支持慢性病自我管理项目有助于支持休闲参与。关于支持社会参与的社区团体干预和电子游戏存在混合证据。建议常规使用休闲教育和慢性病自我管理项目来增强休闲参与，并选择性地使用社区团体和电子游戏来支持社会参与。
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