{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:37Z","timestamp":1777943917039,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>While occupational therapists (OTs) promote quality of life through meaningful occupation, little attention has been paid to the role that leisure plays in palliative care. This review aims to explore the perceptions of service users and OTs regarding engagement in leisure activities at the end-of-life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>1. Determine the value of leisure activities for older adults living with cancer on the palliative pathway, 2. To identify interventions to promote occupational engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A qualitative systematic review was conducted in accordance with the PRISMA Statement. The electronic databases namely ASSIA, AMED, CINAHL, Medline, PsycArticles, and PubMed were searched. Qualitative studies meeting the eligibility criteria were included. Two reviewers independently screened the identified articles. The findings were qualitatively synthesised using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We included seven articles with 405 participants. This review demonstrated that leisure could help people in palliative care maintain a sense of identity and normalcy. Leisure also increased happiness and provided relief from pain. Occupational therapy interventions targeting leisure allowed people to maintain a consistent level of engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Further empirical research is required to explore palliative patients\u2019 perspectives on leisure and to develop specific occupational therapy interventions that enable OTs to facilitate leisure engagement for people in palliative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03080226251367641","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T08:15:14Z","timestamp":1761552914000},"page":"297-310","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Interventions for Improving Leisure for Older Adults on the Palliative Pathway Living With Advanced Cancer: A Qualitative Systematic Review"],"prefix":"10.1177","volume":"89","author":[{"given":"Collette","family":"Crilly","sequence":"first","affiliation":[{"name":"Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle Upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4407-7838","authenticated-orcid":false,"given":"Sureshkumar","family":"Kamalakannan","sequence":"additional","affiliation":[{"name":"Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle Upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Age UK (2019) End of life care (England). Report U.K. https:\/\/www.ageuk.org.uk\/globalassets\/age-uk\/documents\/policy-positions\/care-and-support\/ppp_end_of_life_care_en.pdf"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/11745398.2019.1710717"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951515000826"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15646"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03080226211009419"},{"key":"e_1_3_3_7_1","unstructured":"Butler K Henry C (2011) The route to success in end-of-life care \u2013 achieving quality for occupational therapy. Report NHS National End of Life Programme. https:\/\/www.england.nhs.uk\/improvement-hub\/wp-content\/uploads\/sites\/44\/2017\/11\/End-of-Life-Care-Route-to-Success-Occupational-Therapy.pdf"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.545-547"},{"key":"e_1_3_3_9_1","author":"Department of Health","year":"2008","unstructured":"Department of Health. (2008). End of life care strategy \u2013 Promoting high quality care for all adults at the end of life.","journal-title":"End of life care strategy \u2013 Promoting high quality care for all adults at the end of life"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.58248\/PN675"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.361"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.4276\/030802214X14151078348594"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12557"},{"key":"e_1_3_3_14_1","unstructured":"Higgins JPT Thomas J Chandler J et al. (Eds.) (2022). Cochrane Handbook for Systematic Reviews of Interventions version 6.3. [online] Cochrane. https:\/\/www.training.cochrane.org\/handbook"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/07380577.2014.898114"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-180221"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-015-0931-9"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2011.00958.x"},{"key":"e_1_3_3_19_1","doi-asserted-by":"crossref","unstructured":"Kircher C Hanna T Tranmer J et al. (2020) Defining and implementing early palliative care for persons diagnosed with a life-limiting chronic illness: A scoping review protocol. JBI Evidence Synthesis 18(11): 2335\u20132341. https:\/\/doi.org\/10.11124\/JBISRIR-D-19-00377","DOI":"10.11124\/JBISRIR-D-19-00377"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ece3.6368"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.3928\/15394492-20090914-03"},{"key":"e_1_3_3_22_1","doi-asserted-by":"crossref","unstructured":"Lasserson TJ Thomas J Higgins JP (2023) Chapter 1: Starting a review. [online] The Cochrane Collaboration. In: Higgins JPT Thomas J Chandler J et al. (eds) Cochrane handbook for systematic reviews of interventions version 6.5. https:\/\/training.cochrane.org\/handbook\/current\/chapter-01","DOI":"10.1002\/9781119536604.ch1"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.3928\/15394492-20120607-02"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-014-0579-0"},{"key":"e_1_3_3_25_1","unstructured":"Morgan E (2019) \u2018Living longer and old-age dependency \u2013 What does the future hold?\u2019 Office for National statsitics (ONS) U.K. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/ageing\/articles\/livinglongerandoldagedependencywhatdoesthefuturehold\/2019-06-24"},{"key":"e_1_3_3_26_1","unstructured":"National Cancer Institute (2021) Palliative care in cancer. National Cancer Institute. National Academies Press (US). https:\/\/www.cancer.gov\/about-cancer\/advanced-cancer\/care-choices\/palliative-care-fact-sheet"},{"key":"e_1_3_3_27_1","unstructured":"National Cancer Institute (2023) NCI dictionary of cancer terms. National Academies Press (US). https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/expand\/A#"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/eb-2015-102054"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2022.2057287"},{"key":"e_1_3_3_31_1","doi-asserted-by":"crossref","unstructured":"Page MJ McKenzie JE Bossuyt PM et al. (2021) The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 372: n71. https:\/\/doi.org\/10.1136\/bmj.n71","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2016.1225815"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/04419057.2013.782564"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/030802260606900603"},{"issue":"4","key":"e_1_3_3_35_1","first-page":"348","article-title":"The role of palliative care at the end of life","volume":"11","author":"Rome RB","year":"2011","unstructured":"Rome RB, Luminais HH, Bourgeois DA, et al. (2011) The role of palliative care at the end of life. The Ochsner Journal 11(4): 348\u2013352.","journal-title":"The Ochsner Journal"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2200037"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1534\/g3.113.007633"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406918768014"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/00084174221084466"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-019-0394-9"},{"key":"e_1_3_3_41_1","unstructured":"University of Canberra (2022) Systematic reviews in health. https:\/\/canberra.libguides.com\/systematic\/extract"},{"key":"e_1_3_3_42_1","unstructured":"University of Michigan Library (2023) Systematic reviews. https:\/\/guides.lib.umich.edu\/c.php?g=283340&p=2126706#s-lg-box-6479850"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.3126\/nje.v12i1.43633"},{"key":"e_1_3_3_44_1","unstructured":"World Health Organization (2020) Palliative Care. World Health Organization (WHO). https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care"}],"container-title":["British Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03080226251367641","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03080226251367641","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03080226251367641","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:42:10Z","timestamp":1777707730000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03080226251367641"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,27]]},"references-count":43,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/03080226251367641"],"URL":"https:\/\/doi.org\/10.1177\/03080226251367641","relation":{},"ISSN":["0308-0226","1477-6006"],"issn-type":[{"value":"0308-0226","type":"print"},{"value":"1477-6006","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,27]]}}}