ABSTRACT

Objective: This study aimed to systematically review home-visit occupational therapy for children with disabilities.Methods: This study targeted the literature published in domestic and international databases, including PubMed, Web of Science, Embase, RISS, KISS, and the Yonsei University Library, from 2015 to 2025. The domestic keywords included “아동”, “장애”, “가정”, and “작업치료”, while international keywords were “disability”, “disorder”, “child”, “children”, “home program”, “home service”, “home-based”, “home visiting”, and “occupation”. Eight studies were selected based on the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guildeline, and analyzed using the patient, intervention, comparison, outcome (PICO) framework. Results: Interventions were primarily applied to children with autism spectrum disorder and their families, particularly their mothers. Five types of intervention were identified, with eating and feeding coaching being the most common. The most frequently reported positive effects of the interventions were occupational performance and eating and feeding skills, including behavior, motor, sensory, and social skills. The Canadian Occupational Performance Measure (COPM) and the Behavioral Pediatric Feeding Assessment Scale (BPFAS) were the most common assessment tools.Conclusion: This study confirmed that occupational therapy home visits have positive effects on children with disabilities, especially on various functional aspects, and may serve as a foundation for clinical practice and future policy development.