Therapeutic intervention with an adapted toy

Effectiveness of Interventions Designed to Modify the Activity Demands of the Occupations of Self-Care and Leisure for People With Alzheimer’s Disease and Related Dementias

A systematic review of evidence for the effectiveness of modification of activity demands in the care of people with Alzheimer’s disease (AD) was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. The review included 10 articles addressing occupations of self-care and leisure. No reports related to work and social participation were located. Results suggest that evidence for this intervention’s effectiveness is strong. Four practice principles were derived from this appraisal: (1) Occupational therapy programs should be individualized to elicit the person’s highest level of retained skill and interest, (2) cues used while assisting people with AD to complete tasks should be short and provide clear direction, (3) compensatory strategies in the form of environmental modifications and simple adaptive equipment should be specifically implemented on the basis of the unique needs of the person, and (4) caregiver training and involvement are essential in implementing individualized programs.

A leisure-time frame of reference based on a literature analysis

The aims of this study were, through literature analyses, to identify the concept 'leisure time,' to design a model of leisure time and to study the empirical methods used in research literature on leisure time. The data for this article consisted of occupational therapy literature including 48 articles found through a search of the MEDLINE and PsychLIT databases for the period 1975-1989. The methods used for identifying and coding these data based on a set of questions presented by Guba and Lincoln (1985). For discovering the empirical methods used in the material, the work of Ostrow and Caplan (1985) was followed. The data analysis led to the development of a frame of reference of leisure time as used in occupational therapy literature. This model consists of the following dimensions: time, intrinsic motivation, free choice of activity, capability, structure of social and culture environment, leisure-time activity engaged in, goals, pleasure for pleasure's sake, diversion, recreation, relaxation, self-fulfillment, influence on individual, leisure role, leisure behavior, and satisfied harmonious person.