Introduction / Rationale: Chronic obstructive pulmonary disease (COPD) limits older adults’ ability to perform daily activities, highlighting the need for effective occupational therapy (OT) interventions. This review synthesizes evidence on OT interventions for COPD patients, inspiring change in clinical practice and innovating future strategies to enhance engagement in activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
Objectives: This review examines the effectiveness of OT interventions for older adults with COPD, focusing specifically on outcomes related to daily living activities.
Methods / Approach: The review followed AOTA’s (2020) systematic review guidelines. Databases searched included: CINAHL Complete, MEDLINE in PubMed, OTseeker, Scopus, Web of Science, SPORT Discus, and hand searches for relevant articles were completed. Peer-reviewed studies that were written in English and published between 2010 and 2024 on OT interventions for older adults with COPD were screened and appraised.
Results: Ten full-text articles (five Level 1b, two Level 2b, and three Level 3b) met the inclusion criteria. Moderate to strong strength of evidence supports the effectiveness of OT interventions on ADLs and IADLs in COPD patients.
Practice Implications:
1. Integrate energy conservation techniques, assistive devices, pacing education, self-management, and structured strength training in OT interventions.
2. Adopt a personalized approach tailored to individual needs and goals.
3. Address breathlessness during ADLs with physical interventions and education to improve daily functioning.
Conclusion: OT interventions can improve daily task performance, increase satisfaction, and empower COPD patients to engage meaningfully in activities.
Contribution to the OT profession: This review synthesizes updated evidence regarding OT interventions for COPD patients across diverse settings, highlighting improvements in ADLs and IADLs.