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Titre : | Occupational Therapy Practice Guidelines for Adults With Chronic Conditions (2022) |
Auteurs : | Beth Fields ; Stacy Smallfield |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 76, n° 2, March 2022) |
Article en page(s) : | p. 1-30 |
Note générale : | 10.5014/ajot.2022/762001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Ergothérapie ; Guide de bonnes pratiques ; Guides de bonnes pratiques cliniques comme sujet ; Maladies chroniques multiples |
Résumé : | Importance: Demand is increasing for occupational therapy practitioners to help the growing population of adults with chronic conditions manage their conditions. Objective: This Practice Guideline, which is informed by systematic reviews of the literature on the use of self-management interventions, is meant to guide occupational therapy practitioners' clinical decision making when working with community-dwelling adults with chronic conditions. The chronic conditions included heart disease, chronic lung conditions, diabetes, and kidney disease. The self-management interventions addressed ADLs and sleep and rest; IADLs; education, work, volunteering, leisure, and social participation; and the caregiver role. Method: We reviewed, discussed, and integrated the clinical recommendations developed from four systematic reviews, supporting literature, and expert opinion to provide recommendations for practice. Results: A total of 102 articles were included in the systematic reviews, which served as the primary basis for the practice recommendations. Conclusions and Recommendations: Strong to moderate evidence supports clinical recommendations for the use of self-management interventions when working with clients with chronic conditions. We recommend the use of a multimodal approach that includes three componentseducation, goal setting, and problem solvingover an extended period to assist clients in establishing self-management habits and routines. On the basis of emerging evidence and expert opinion, we recommend that occupational therapy practitioners consider using a prevention approach, helping clients establish habits and routines, and emphasizing shared goal setting when addressing clients' self-management of chronic conditions. What This Article Adds: This Practice Guideline provides a summary of strong to moderate evidence that supports clinical recommendations for the use of self-management interventions with clients with chronic conditions. When guided by this evidence, occupational therapy practitioners are better able to help clients meet their occupational challenges. This Practice Guideline provides a summary of strong to moderate evidence that supports clinical recommendations for the use of self-management interventions for adults with chronic conditions. Two case studies, with decision-making algorithms, are presented to highlight how occupational therapy practitioners can apply the evidence to practice |
Disponible en ligne : | Oui |
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