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Arthritis is a chronic condition that presents physical and psychosocial challenges that can affect daily functioning. The researchers in this study examined two frequently used methods of occupational therapy intervention—enabling or preparatory activities and occupation-based activities—for managing and improving symptoms of arthritis to improve participation, satisfaction, and self-efficacy in activities of daily living (ADLs).

Twenty-nine older Hispanic women with osteoarthritis participated in the study and were randomized into two intervention groups and a control group. Whereas the occupation-based intervention group consisted of 10–15 min of enabling or preparatory activities, followed by 30 min of occupation-based activities, the enabling/preparatory-based intervention group consisted of 30 min of enabling intervention followed by 10–15 min of occupation-based activities. The control group participants received social visits in the same frequency and duration as the two intervention groups, without any occupational therapy. All interventions were provided in the participants’ own home setting.

Results from the study indicate that participants in both the occupational-based and the enabling/preparatory-based intervention groups showed improvement in ADL performance and self-efficacy. However, only participants in the enabling/preparatory-based intervention group


A product of the American Occupational Therapy Association's Evidence-based Literature Review Project.


Copyright © 2016 American Occupational Therapy Association. All Rights Reserved. Reproduced here with permission.

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Originally published as: Borcich, J., Sheehy, E., & Li, K. (2016). Critically Appraised Paper for Occupational therapy intervention: Effects on self-care, performance, satisfaction, self-esteem/self-efficacy, and role functioning of older hispanic females with arthritis. Occupational Therapy in Health Care, 26(2–3). Bethesda, MD: American Occupational Therapy Association, Evidence-Based Practice Project.