title: Occupational therapy interventions to improve leisure and social participation for older adults with low vision: a systematic review.
abstract: This systematic review examined evidence regarding the effectiveness of interventions within the scope of occupational therapy practice to maintain, restore, and improve performance in leisure and social participation for older adults with low vision. We identified and reviewed 13 articles that met the inclusion criteria. Four themes related to interventions to improve leisure and social participation emerged from the literature review: using a problem-solving approach, delivering a combination of services, providing skills training, and making home visits and environmental adaptations. The strongest evidence supports using a problem-solving approach to improve leisure and social participation for older adults with low vision. Evidence was moderate supporting the delivery of a combination of services, either by one professional or through an interdisciplinary approach. Results for the effectiveness of skills training and home visits and home adaptations were mixed. Implications for practice, education, and research are discussed.
authors.affiliation: Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, Boston, MA 02215, USA. sueb@bu.edu
authors.forename: Sue
authors.initials: S
authors.lastname: Berger
authors.forename: Jessica
authors.initials: J
authors.lastname: McAteer
authors.forename: Kara
authors.initials: K
authors.lastname: Schreier
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kaldenberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019317:Evidence-Based Medicine; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007398:Interpersonal Relations; D007899:Leisure Activities; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D011788:Quality of Life; D016896:Treatment Outcome; D015354:Vision, Low / Q000534:rehabilitation*