Occupational therapy for independent-living older adults. A randomized controlled trial.
BACKGROUND
Preventive health programs may mitigate against the health risks of older adulthood.


OBJECTIVE
To evaluate the effectiveness of preventive occupational therapy (OT) services specifically tailored for multiethnic, independent-living older adults. Design.-A randomized controlled trial.


METHODS
Two government subsidized apartment complexes for independent-living older adults.


METHODS
A total of 361 culturally diverse volunteers aged 60 years or older.


METHODS
An OT group, a social activity control group, and a nontreatment control group. The period of treatment was 9 months.


METHODS
A battery of self-administered questionnaires designed to measure physical and social function, self-rated health, life satisfaction, and depressive symptoms.


RESULTS
Benefit attributable to OT treatment was found for the quality of interaction scale on the Functional Status Questionnaire (P=.03), Life Satisfaction Index-Z (P=.03), Medical Outcomes Study Health Perception Survey (P=.05), and for 7 of 8 scales on the RAND 36-Item Health Status Survey, Short Form: bodily pain (P=.03), physical functioning (P=.008), role limitations attributable to health problems (P=.02), vitality (P=.004), social functioning (P=.05), role limitations attributable to emotional problems (P=.05), and general mental health (P=.02).


CONCLUSIONS
Significant benefits for the OT preventive treatment group were found across various health, function, and quality-of-life domains. Because the control groups tended to decline over the study interval, our results suggest that preventive health programs based on OT may mitigate against the health risks of older adulthood.
Clark
F
F
Department of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles 90033, USA.
Azen
S P
SP
Zemke
R
R
Jackson
J
J
Carlson
M
M
Mandel
D
D
Hay
J
J
Josephson
K
K
Cherry
B
B
Hessel
C
C
Palmer
J
J
Lipson
L
L
D000203:Activities of Daily Living; D000368:Aged; D000704:Analysis of Variance; D005260:Female; D006293:Health Promotion; D006305:Health Status Indicators; D016852:Housing for the Elderly; D006801:Humans; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires