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Articles

Instrumental Activities of Daily Living in Pediatric Occupational Therapy Practice: A Survey of Current Practice Patterns and Perceived Importance

ORCID Icon, &
Pages 46-61 | Received 15 Aug 2020, Accepted 12 May 2021, Published online: 21 Jun 2021
 

Abstract

Aims

We investigated how instrumental activities of daily living (IADLs) are addressed and perceived, in comparison to activities of daily living (ADLs), across preschool (3–5 years), middle childhood (6–11 years), early adolescence (12–15 years), and older adolescence (16–21 years) age groups by pediatric occupational therapy (OT) practitioners.

Method

247 OT practitioners with at least 2 years of pediatric work experience in the U.S. completed an electronic survey assessing (a) type of IADLs most frequently addressed and (b) type of IADLs perceived as most important across the age groups.

Results

With increasing age of children and adolescents with disabilities, frequency and perceived importance of addressing IADLs increased in comparison to ADLs; there was a statistically significant relationship between the frequency and the perceived importance of addressing IADLs for all 12 activities across the age groups.

Conclusion

The decision-making process in addressing IADLs in pediatric OT practice was significantly influenced by the practitioners’ perceived importance of IADLs.

Disclosure statement

The authors declare that there is no conflict of interest.

Additional information

Notes on contributors

Julia Shin

Julia Shin is an Assistant Professor in the Department of Occupational Therapy within the School of Pharmacy and Health Professions at Creighton University.

Bonnie Decker

Bonnie Decker is a former Associate Professor in the Department of Occupational Therapy at the University of St. Augustine for Health Sciences.

Shirley Blanchard

Shirley Blanchard is a Professor in the Department of Occupational Therapy within the School of Pharmacy and Health Professions at Creighton University.

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