{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:08:58Z","timestamp":1791493738325,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["UL1RR025747"],"award-info":[{"award-number":["UL1RR025747"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006293","name":"American Society of Clinical Oncology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006293","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>The impact of occupational therapy (OT) and physical therapy (PT) on functional outcomes in older adults with cancer is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Two\u2010arm single\u2010institution randomized controlled trial of outpatient OT\/PT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Comprehensive cancer center with two off\u2010site OT\/PT clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>We recruited adults 65\u2009years and older with a recent diagnosis or recurrence of cancer within 5\u2009years, with at least one functional limitation as identified by a geriatric assessment. Participants were randomized to OT\/PT or usual care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>INTERVENTION<\/jats:title>\n                    <jats:p>Rehabilitation consisted of individualized OT and PT that addressed functional activities and strength\/endurance needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>Primary outcome was functional status as measured by the Nottingham Extended Activities of Daily Living scale. Secondary outcomes were Patient\u2010Reported Outcomes Measurement Information System\u2010Global Mental Health (GMH) and Global Physical Health (GPH), ability to participate in Social Roles (SR), physical function, and activity expectations and self\u2010efficacy (Possibilities for Activity Scale [PActS]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Among those recruited (N\u2009=\u200963), only 45 patients (71%) were evaluable due to loss of follow\u2010up and\/or nonreceipt of intervention. The median age was 74\u2009years; 53% were female, and 91% were white. Overall, 30% patients had hematologic malignancies, 30% breast cancer, and 16% colorectal cancers. A total of 65% were in active treatment; 49% had stage 3 or 4 disease. At follow\u2010up, both OT\/PT (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.02) and usual care (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.03) groups experienced a decline in functional status. PActS scores between groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.04) was significantly improved in the intervention group. GMH and SR met criteria for minimally important clinical difference favoring the intervention, but not statistical significance. Several barriers were noted in the implementation of the intervention program: recruitment, concerns about cost, distance, scheduling, and limited treatment provided.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>OT\/PT may positively influence activity expectations and self\u2010efficacy. Future research needs to address significant barriers to implementation to increase use of OT\/PT services and access to quality care. J Am Geriatr Soc 67:953\u2013960, 2019.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15930","type":"journal-article","created":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T07:59:42Z","timestamp":1556524782000},"page":"953-960","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Older Adults with Cancer: A Randomized Controlled Trial of Occupational and Physical Therapy"],"prefix":"10.1111","volume":"67","author":[{"given":"Mackenzi","family":"Pergolotti","sequence":"first","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"},{"name":"Department of Occupational Therapy Colorado State University  Fort Collins Colorado"},{"name":"ReVital Cancer Rehabilitation Select Medical  Mechanicsburg Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison M.","family":"Deal","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-5232","authenticated-orcid":false,"given":"Grant R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"},{"name":"Division of Hematology and Oncology University of Alabama at Birmingham  Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley L.","family":"Bryant","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten A.","family":"Nyrop","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley R.","family":"Covington","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Colorado State University  Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryce B.","family":"Reeve","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"},{"name":"Center for Health Measurement, Department of Population Health Sciences and Pediatrics School of Medicine, Duke University  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Basch","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyman B.","family":"Muss","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"An Aging Nation: The Older Population in the United States. 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