Evidence map›Paper›PMID 38306186›Full record

ReviewThe American journal of occupational therapy : official publication of the American Occupational Therapy Association2024

Occupational Therapy Practice Guidelines for Adults Living With Alzheimer's Disease and Related Neurocognitive Disorders.

Stacy Smallfield, Lizabeth Metzger, Melissa Green, Laura Henley, Elizabeth K Rhodus

Abstract readReview
In one paragraph

Review in The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Celebrating 40 years of the University of Kentucky Alzheimer's Disease Research Center.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stacy SmallfieldStacy Smallfield, DrOT, OTR/L, BCG, FAOTA, is Associate Program Director, Doctoral Capstone Coordinator, and Associate Professor in Occupational Therapy Program, Department of Health and Rehabilitation Sciences, College of Allied Health Professions, University of Nebraska Medical Center, Omaha.
Lizabeth MetzgerLizabeth Metzger, MSOT, OTD, OTR/L, is Registry Occupational Therapist, InHome Therapy, Chicago, IL.
Melissa GreenMelissa Green, OT, OTD, OTR, is Assistant Professor, Occupational Therapy Department, Bay Path University, Longmeadow, MA.
Laura HenleyLaura Henley, MS, OTR/L, CDP, is Rehabilitation Program Manager, HealthPRO Heritage, Louisville, KY.
Elizabeth K RhodusElizabeth K. Rhodus, PhD, MS, OTR/L, is Assistant Professor, Sanders-Brown Center on Aging, Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington.

Funding

University of Kentucky Alzheimer's Disease Research CenterP30AG072946 · NIA · UNIVERSITY OF KENTUCKY · PI LINDA J VAN ELDIK · 2021 to 2026
$23.5M
Improving Person-Environment Fit of Community-Residing Older Adults with Dementia Through Assessment and Individualized InterventionK23AG075262 · NIA · UNIVERSITY OF KENTUCKY · PI Elizabeth Rhodus · 2022 to 2026
$895k
NIA NIH HHS K23 AG075262NIA NIH HHS L30 AG079409NIA NIH HHS P30 AG072946
6 · The paper itself

Abstract

importanceThere are currently 55 million adults living with declining functional cognition-altered perception, thoughts, mood, or behavior-as the result of Alzheimer's disease (AD) and related neurocognitive disorders (NCDs). These changes affect functional performance and meaningful engagement in occupations. Given the growth in demand for services, occupational therapy practitioners benefit from consolidated evidence of effective interventions to support adults living with AD and related NCDs and their care partners.

objectiveThese Practice Guidelines outline effective occupational therapy interventions for adults living with AD and related NCDs and interventions to support their care partners.

methodWe synthesized the clinical recommendations from a review of recent systematic reviews.

resultsTwelve systematic reviews published between 2018 and 2021 served as the foundation for the practice recommendations. CONCLUSION AND RECOMMENDATIONS: Reminiscence, exercise, nonpharmacological behavioral interventions, cognitive therapy, sensory interventions, and care partner education and training were found to be most effective to support adults living with AD and related NCDs. Plain-Language Summary: These Practice Guidelines provide strong and moderate evidence for occupational therapy practitioners to support adults living with Alzheimer's disease (AD) and related neurocognitive disorders (NCDs) and their care partners. They provide specific guidance for addressing the decline in cognition, behavioral and psychological symptoms of dementia, and pain experience of adults living with AD and related NCDs. The guidelines also describe interventions to support care partners. With support from the evidence, occupational therapy practitioners are better equipped to address the unique needs of adults living with AD and related NCDs and their care partners.

Indexed as

Alzheimer DiseaseOccupational TherapyActivities of Daily LivingAdultHumansMemoryNeurocognitive Disorders

Identifiers

PMID38306186
PMCPMC10985123

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.