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KMID : 0603920190270020121
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Journal of Korean Academy of Occupational Therapy
2019 Volume.27 No. 2 p.121 ~ p.133
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A Systematic Review of Randomized Controlled Trials(RCTs) With Home Based Occupational Therapy Intervention
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Jang Wan-Ho
Hwang Su-Bin
Moon Kwang-Tae
Choi Won-Seuk
Kim Jong-Bae
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Abstract
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Objective: The purpose of this study was to identify the effects, duration of intervention, outcome measurements,and subjects of home based occupational therapy with randomized controlled trial
Methods: The literature selection process was conducted through the Preferred Reporting Items for SystematicReviews and Meta-Analyses(PRISMA) method. The databases were collected using Pubmed, Medline, CINAHL,and EMbase. The quality of the literature was assessed using a bias risk assessment tool. Finally, 8 RCTs studieswere selected for home based occupational therapy.
Results: Among the randomized controlled studies that conducted interventions on home-based occupationaltherapy, there were two papers each for stroke, dementia, elderly person and one for spinal cord injury andtraumatic brain injury. The average duration of home-based occupational therapy was 10 weeks, and the averagenumber of visits was seven. Five outcome measurements were used for the motor function, four for falls, two foractivities of daily living, two for care giver burden, and one for depression, pressure ulcer, and quality of life. Thevarious effects of home-based occupational therapy were reported as improvements in motor functionality,activities of daily living, and prevention of falls, and a reduction of the depression symptoms and care giverburden.
Conclusions: The systematic intervention and research methods of home based occupational therapy abroad arebeing conducted, and an institutional framework should be established in order to improve the quality and quantityof home based occupational therapy in Korea. This study is expected to be utilized not only as basic data forestablishing the intervention strategy for domestic home based occupational therapy but also as a basis forinstitutional evidence.
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KEYWORD
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Home based occupational therapy, Communality based rehabilitation, Community care
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