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Lori Letts, Mary Edwards, Julie Berenyi, Kathy Moros, Colleen O’Neill,
Colleen O’Toole, Colleen McGrath
KEY WORDS An evidence-based review was undertaken to answer the question, “What is the evidence for the effect of
activities of daily living interventions designed to establish, modify, and maintain activities of daily living (ADLs), instrumental
activities of daily living (IADLs), leisure, and social participation on quality of life (QOL), health and well-
Alzheimer disease
ness, and client and caregiver satisfaction for people with Alzheimer’s disease and related dementias?”
health promotion
A systematic search of electronic databases and application of inclusion and exclusion criteria guided the
interpersonal relations selection of 26 articles. Limited high-level evidence on ADL interventions was identified. IADL interventions
leisure activities for people living in the community showed promise. Tailored and activity-based leisure interventions were
quality of life common and seemed to have positive impacts on caregiver satisfaction, and some interventions had
positive results for client well-being and QOL. Social participation interventions focused on people with
dementia still able to engage in verbal social interactions; these interventions had at least short-term pos-
itive effects.
Letts, L., Edwards, M., Berenyi, J., Moros, K., O’Neill, C., O’Toole, C., et al. (2011). Using occupations to improve quality of
Lori Letts, PhD, OT Reg. (Ont.), is Associate Professor
and Assistant Dean, Occupational Therapy Program, life, health and wellness, and client and caregiver satisfaction for people with Alzheimer’s disease and related
School of Rehabilitation Science, McMaster University, dementias. American Journal of Occupational Therapy, 65, 497–504. doi: 10.5014/ajot.2011.002584
Hamilton, Ontario.