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To the Editor.—Whether preventive community occupational therapy (OT) programs are associated with a reduced incidence of unintentional injuries (eg, falls, hip fractures), or with an otherwise reduced risk of hospitalization or institutionalization remains unclear. Consequently, the demonstration that engaging persons in OT programs translates into a reduction of health-related costs is only presumptive. As the authors seem to recognize in the discussion of their findings, a complete cost-benefit analysis is critical before a wholehearted endorsement of OT programs.

In addition, one should be able to dissect out whether there are specific components of the intervention that may be responsible for the positive effects of OT programs. Although we lack specific details of the OT protocol used by Clark and colleagues, it seems that a more precise understanding of the prognostic implication of physical therapy alone(ie, a specific exercise program), as opposed to OT or any multidisciplinary approach, warrants future . . . [Full Text of this Article]

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