ABSTRACT

Objective: The purpose of this study was to identify the effects, duration of intervention, outcome measurements, and subjects of home based occupational therapy with randomized controlled trial Methods: The literature selection process was conducted through the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) method. The databases were collected using Pubmed, Medline, CINAHL, and EMbase. The quality of the literature was assessed using a bias risk assessment tool. Finally, 8 RCTs studies were selected for home based occupational therapy. Results: Among the randomized controlled studies that conducted interventions on home-based occupational therapy, there were two papers each for stroke, dementia, elderly person and one for spinal cord injury and traumatic brain injury. The average duration of home-based occupational therapy was 10 weeks, and the average number of visits was seven. Five outcome measurements were used for the motor function, four for falls, two for activities of daily living, two for care giver burden, and one for depression, pressure ulcer, and quality of life. The various effects of home-based occupational therapy were reported as improvements in motor functionality, activities of daily living, and prevention of falls, and a reduction of the depression symptoms and care giver burden. Conclusions: The systematic intervention and research methods of home based occupational therapy abroad are being conducted, and an institutional framework should be established in order to improve the quality and quantity of home based occupational therapy in Korea. This study is expected to be utilized not only as basic data for establishing the intervention strategy for domestic home based occupational therapy but also as a basis for institutional evidence.