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Best Practice Physical Activity Programs for Older Adults and ADL/IADL Performance: A Scoping Review

Toto, Pamela E. PhD, OTR/L, BCG, FAOTA; Raina, Ketki D. PhD, OTR/L; Holm, Margo B. PhD, OTR/L, FAOTA; Schlenk, Elizabeth A. PhD, RN; Rogers, Joan C. PhD, OTR/L, FAOTA

Topics in Geriatric Rehabilitation: January/March 2013 - Volume 29 - Issue 1 - p 67–76
doi: 10.1097/TGR.0b013e3182780813
Special Features

Best practice physical activity guidelines for older adults recommend multicomponent physical activity programs that incorporate behavioral change strategies and a safe design. This review examined research implementing best practice interventions and their impact on activities of daily living (ADL) and instrumental activities of daily living (IADL) for community-dwelling older adults. Of the 15 studies identified, all reported gains in at least 1 outcome, but few incorporated all features of best practice. Only 1 study evaluated ADL/IADL performance. More research implementing best practice physical activity guidelines and targeting ADL/IADL performance is indicated to understand the impact of such programs on everyday living.

Department of Occupational Therapy (Drs Toto, Raina, Holm, and Rogers) and School of Nursing (Dr Schlenk), University of Pittsburgh, Pittsburgh, Pennsylvania

Correspondence: Pamela E. Toto, PhD, OTR/L, BCG, FAOTA, Department of Occupational Therapy, University of Pittsburgh, 5025 Forbes Tower, Pittsburgh, PA 15260 (

The authors report no conflicts of interest and no sources of funding.

© 2013 Lippincott Williams & Wilkins, Inc.