Lifestyle Redesign

Key results of the 1997 Study: OT for independent living older adults, randomized controlled trial

• OT group outperformed both intros groups across health and well being measures

• OT group improved in physical function, vitality, mental health, and life satisfaction

• Highlighted value of professionally-guided, occupation based interventions

1997 OT for independent living older adults: control trial - outcome measure

Self-administered questionnaires, life satisfaction Index Z, CES Depression Scale, MOS Gen. Health Survey, RAND SF-36

1997 OT for independent living older adults: control trial - implications for future

Replication in diverse setting, cost benefit analysis, explore occupational factors tat support long-term well being

1997 OT for independent living older adults: control trial - groups

OT group, social activity control, non-treatment control

Why did the 1997 OT for independent living older adults: control trial work?

• remembered humans = occupational beings and occupation is a mechanism for health

• Health focused, personally meaningful, individualized approach

• Addressed real-life barriers

• Promoted self-efficacy and sense of control

Purpose of 2012 OT for independent living older adults: control trial

Evaluate effectiveness and cost effectiveness of a 6 month ot lifestyle intervention

Intervention in 2012 OT for independent living older adults: control trial

Small group and individual OT led sessions focused on daily habits, health routines, and meaning activity engagement

2012 OT for independent living older adults: control trial - outcomes of interest

Health related QoL, life satisfaction, depression, cognition, and cost effectiveness

2012 OT for independent living older adults: control trial - outcome measures

RAND SF 36v2, CES-D, LSI-Z, CERAD (immediate recall, delayed recall, recognition, Cost per quality adjusted life year

2012 OT for independent living older adults: control trial - why it worked

• produced similar results to previous study WITH significant mental well-being improvements (e.g. vitality, social roles, and emotional functioning)

• Cognitive outcomes were no significantly affected

• Findings are consistent across diverse settings and populations

• Intervention showed to be cost effective

2012 OT for independent living older adults: control trial - Implications for OT

• reinforces OT’s preventative/wellness focused role

• Value of client centered lifestyle redesign (empower to adapt routines)

• Validates OT in diverse, community based contexts with impact

• Encourages future studies to explore modular cognitive content and interventions in rural or institutional settings

Findings of Long-term Follow Up of a Lifestyle Intervention for Late-Midlife, Rural Dwelling Latinos in Primary Care (2021)

• lifestyle redesign is cultural adaptable

• Long term effects are possible

• Health promoting occupations are relevant to cultural, social, and environmental realities

• Improved physical, mental and social health outcomes

• OT in primary care with community health workers

Lifestyle Redesign Studies prove what about OT

• meaningful occupation drives health/wellness, well-being, QoL

• Daily life = medicine

• OT leverages the Reciprocal relationship of the health cycle across contexts and lifespan

• OT is cost effective and preventative