Introduction: Population ageing increases the need for approaches that enable older adults to live safely and independently in their home environment for as long as possible. Home-based occupational therapy plays an important role by assessing functional abilities, adapting the environment, introducing assistive devices, and supporting daily activities to maintain independence. In Slovenia, this role is particularly relevant in the context of the development of long-term care. Aim: The aim of this thesis was to review existing literature on home-based occupational therapy for older adults and to define its role in maintaining independence. Methods: A systematic literature review was conducted. The search was carried out in March 2026 in the PubMed, CINAHL, and Web of Science databases via the Digital Library of the University of Ljubljana. Studies were selected based on predefined inclusion and exclusion criteria. The selection process was presented using a PRISMA diagram, while methodological quality was assessed using JBI appraisal tools. Levels of evidence were determined according to AOTA criteria. Results: A total of 12 articles published between 2016 and 2026 were included in the final analysis. The studies were conducted in different countries and used various methodological approaches. Findings show that home-based occupational therapy interventions mainly include environmental modifications, training in activities of daily living and instrumental activities, introduction of assistive devices, fall prevention, support in establishing routines, and education of users and caregivers. The role of occupational therapists is also evident within reablement approaches and long-term care services, where they support independence, safety, and participation of older adults. Discussion and conclusion: The review confirms that occupational therapy plays an important role in maintaining independence of older adults in the home environment, particularly through individualized and client-centered interventions. However, variations in intervention approaches, duration, and content across studies limit direct comparison of results. The findings highlight the need for further research, especially regarding long-term effects and implementation within different long-term care systems. The results are relevant for Slovenia, where the development of long-term care creates opportunities for greater integration of occupational therapy in supporting aging in place.
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