Effectiveness of Occupational Therapy Interventions for Adults With Systemic Lupus Erythematosus: A Systematic Review
Abstract
OBJECTIVE. Our objective was to assess the efficacy of occupational therapy–related interventions for adults with systemic lupus erythematosus (SLE). METHOD. We reviewed intervention studies published from 2000 to 2017. The method used for conducting the review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PEDro scale was used to evaluate methodological quality. Risk of bias was appraised with methods described by the Cochrane Methods Group. RESULTS. The final analysis included 20 studies (10 physical activity and 10 psychoeducational). Moderate evidence supports physical activity to improve depression, fatigue, exercise tolerance, and function without exacerbation of disease symptoms. Strong evidence supports psychoeducational interventions using cognitive–behavioral approaches to improve pain, depression, anxiety, perceived stress, quality of life, and function. Moderate evidence supports patient education and self-management interventions for pain, depression, anxiety, perceived stress, quality of life, and function. CONCLUSION. Further research on occupation-based interventions for people with SLE is needed.
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Physical activity and psychoeducation programs seem to help reduce distress in AP-ROD.
“Both physical activity and psychoeducation programs seem to help reduce distress in AP-ROD [23, 24].”
From Connect-ROD – development and qualitative evaluation of a community-based group intervention to support well-being in patients with a rare or orphan disease (2024) · cites this paper as [23]
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“Both physical activity and psychoeducation programs seem to help reduce distress in AP-ROD [23, 24].”
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- Authors
- Poole, J. L., Bradford, J. D., & Siegel, P.
- Affiliations
- University of New Mexico (US)
- Joshua D. Bradford, MOT, OTR/L, is Occupational Therapist, Manzano del Sol, Albuquerque, NM, and La Vida Llena, Albuquerque, NM
- Corresponding author
- Poole, Janet L.
- ORCID
- Poole, Janet L.
- Venue
- American Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 2019-06-14
- Volume
- 73
- Issue
- 4
- Pages
- 572-592
- ISSN
- 0272-9490 (ISSN-L)
- 1943-7676
- OpenAlex
- W2744735737
- Cited by
- 16
- References
- 53
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 1 · 2019: 1
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- UNM’s Digital Repository (University of New Mexico) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- systemic lupus erythematosus, occupational therapy intervention, physical activity, psychoeducational intervention, cognitive behavioral therapy, patient education, self-management, depression, fatigue, pain, anxiety, perceived stress, quality of life, functional capacity
- MeSH terms
- Adult, Anxiety, Fatigue, Humans, Lupus Erythematosus, Systemic, Occupational Therapy, Quality of Life
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