SynthesisPloS one2016
Functional Assessments Used by Occupational Therapists with Older Adults at Risk of Activity and Participation Limitations: A Systematic Review.
Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Early supported discharge for older adults admitted to hospital with medical complaints: a systematic review and meta-analysis.BMC geriatrics · 2022Pooled it
- Self-reported quality of life following stroke: a systematic review of instruments with a focus on their psychometric properties.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Pooled it
- Falls and potential therapeutic interventions among elderly and older adult patients with cancer: a systematic review.African health sciences · 2021Pooled it
- Pooled it
- Reliability and validity of on-road driving tests in vulnerable adults: a systematic review.International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation · 2019Pooled it
- Early inpatient rehabilitation for acutely hospitalized older patients: a systematic review of outcome measures.BMC geriatrics · 2019Pooled it
- Trial
- Citicoline on the Barthel Index: Severe and moderate brain injury.Indian journal of pharmacologyTrial
- Discordance Between Self-Report and Performance-Based Measures Among At-Risk Older Adults: A Secondary Data Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2026Article
- Simulation training for holistic and systematic health needs assessments of older adults: a qualitative study.Advances in simulation (London, England) · 2025Article
- Initial evaluation of measurement properties of the Work Environment Impact Questionnaire (WEIQ) - using Rasch analysis.Health and quality of life outcomes · 2024Article
- Caregiver Support Role in Occupational Therapy Video Telehealth: A Scoping Review.Topics in geriatric rehabilitation · 2023Article
- Occupational performance skills in Parkinson's disease: relationship with health-related quality of life and caregiver burden.Revista de neurologia · 2023Article
- Energy conservation, minimum steps, and adaptations when needed: A scoping review.Hong Kong journal of occupational therapy : HKJOT · 2022Article
- Healthy ageing through participation in community situated activities: A scoping review of assessment instruments to support occupational therapy practice.Australian occupational therapy journal · 2022Article
- Acting on better data for general medical care will help solve our acute hospital access crisis.The Medical journal of Australia · 2022Article
- Item analysis of the Eating Assessment Tool (EAT-10) by the Rasch model: a secondary analysis of cross-sectional survey data obtained among community-dwelling elders.Health and quality of life outcomes · 2020Article
- What do care home managers believe constitutes an 'assessment for frailty' of care home residents in North-West London? A survey.BMC geriatrics · 2019Article
- Validity and responsiveness of the work functioning impairment scale (WFun) in workers with pain due to musculoskeletal disorders.Journal of occupational health · 2018Article
- Converting Functional Autonomy Measurement System Scores of Patients Post-Stroke to FIM Scores.Physiotherapy Canada. Physiotherapie Canada · 2018Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe use of functional assessments to evaluate patient change is complicated by a lack of consensus as to which assessment is most suitable for use with older adults.
objectiveTo identify and appraise the properties of assessments used to evaluate functional abilities in older adults.
methodsA systematic review of randomised controlled trials of occupational therapy interventions was conducted up to 2012 to identify assessments used to measure function. Two authors screened and extracted data independently. A second search then identified papers investigating measurement properties of each assessment. Studies from the second search were included if: i) published in English, ii) the assessment was not modified from its original published form, iii) study aim was to evaluate the quality of the tool, iv) and was original research. Translated versions of assessments were excluded. Measurement quality was rated using the COSMIN checklist and Terwee criteria.
resultsTwenty-eight assessments were identified from the systematic search of occupational therapy interventions provided to older adults. Assessments were of varied measurement quality and many had been adapted (although still evaluated as though the original tool had been administered) potentially altering the conclusions drawn about measurement quality. Synthesis of best evidence established 15 functional assessments have not been tested in an older adult population.
conclusionsThe Functional Autonomy Measurement System (SMAF) appears to be a promising assessment for use with older adults. Only two tools (the SMAF and the Assessment of Motor and Process Skills (AMPS)) were deemed to be responsive to change when applied to older adults. Health professionals should use functional assessments that have been validated with their population and in their setting. There are reliable and valid assessments to capture the functional performance of older adults in community and hospital settings, although further refinement of these assessments may be necessary.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.