OT 504 Week 8 Large Group 2: Health and Wellness in Aging l

What is Lifestyle Redesign®?

An evidence-based OT intervention that promotes health, well-being, and healthy aging by helping individuals build healthier daily routines and habits.

What are the three USC Well Elderly studies?

Well Elderly I (1994–1997), Well Elderly II (2004–2009), ¡Vivir Mi Vida! (2011–present).

What was the goal of Well Elderly I?

To determine whether preventive OT (Lifestyle Redesign®) improves health and well-being in ethnically diverse, independent older adults.

What questions did WE I investigate?

Does Lifestyle Redesign improve psychosocial health? Does it improve physical health? Are improvements maintained 6 months later? Is it cost-effective?

What groups were compared in WE I?

Lifestyle Redesign group, Structured social group, No-treatment control group.

What were the three purposes of WE II?

Replicate WE I findings, Examine mediating mechanisms, Extend research from efficacy to effectiveness.

What mediators were hypothesized in WE II?

Healthy activity, Active coping, Social support, Perceived control.

What occurs during Lifestyle Redesign group meetings?

Instructional presentations, Peer exchange, Direct experience, Personal exploration.

What occurs during individual OT sessions?

Personal goals, Habit building, Traditional OT, Individualized reinforcement of group content.

What topics were covered in Well Elderly I?

Occupation, health, aging, Transportation, Physical & mental activity, Dining, Time use, Home/community safety, Relationships, Community outings.

What additional modules were added in WE II?

Stress & inflammation management, Community mobility, Thriving, Navigating healthcare, Hormones, aging & sexuality, Personal engagement plans.

What health improvements were found in the Well Elderly studies?

Better mental health, Better social functioning, Greater vitality, Less bodily pain, Greater life satisfaction, Less depression.

What additional findings came from the WE studies?

Slowed functional decline, Cost-effective intervention, Better outcomes with ≥5 individualized OT sessions plus group sessions, Better outcomes when OT and participant shared ethnic background.

What is the goal of ¡VMV!?

Improve health outcomes in late-midlife and young-old Latino adults through a lifestyle intervention delivered in safety-net healthcare systems.

What were the five research goals of ¡VMV!?

Improve meaningful patient outcomes, Test implementation in primary care, Test telehealth delivery, Examine mediating mechanisms, Evaluate cost-effectiveness.

How were community needs identified for ¡VMV!?

Patient interviews, Waiting room conversations, Patient surveys, Promotores de salud.

Who are Promotores de Salud?

Trusted community health workers who helped co-design and deliver the intervention.

What healthy lifestyle domains were identified by participants?

Mental health & well-being, Stress management, Weight management, Personal finances, Family, friends & community, Disease management.

How was the Well Elderly intervention adapted for ¡VMV!?

Targeted adults ages 50–64, Tailored for Latino communities, Adapted for rural settings, Developed with community partners, Co-designed with Promotores.

What common themes exist across constructs of aging well?

Lifespan perspective, Multiple domains, Dynamic process, Person-environment interaction, Individualized experience, Resilience.

What is resilience?

The ability to bounce back, recover, grow, and reintegrate after adversity or change.

What influences resilience?

Physical resources, Psychological resources, Social support, Environmental supports.

What is Healthy People 2030?

The U.S. national public health agenda that establishes measurable health objectives to improve population health.

What are the six core healthy lifestyle behaviors?

Healthful eating, Physical activity, Stress management, Tobacco cessation, Healthy sleep, Healthy relationships.

What are important nutrition considerations for older adults?

Taste and smell changes, Appetite changes, Oral health issues, Chronic disease management.

Why is physical activity important for older adults?

It improves health, mobility, strength, function, and independence.

Why should sedentary behavior be reduced?

Sedentary behavior independently predicts poorer health, even in physically active people.

What stress considerations are unique to older adults?

Later-life stressors, Importance of coping strategies developed across the lifespan.

Can older adults still benefit from quitting smoking?

Yes. Smoking cessation improves health at any age.

Why is healthy sleep important?

Sleep supports physical health, cognition, mood, and overall well-being.

Why are relationships important for healthy aging?

Strong social connections improve health, well-being, and longevity.

What is Universal Design?

Designing products and environments so they can be used by the widest range of people without requiring adaptation.

What is OT's role in Universal Design?

Apply knowledge of human abilities and occupations to create environments that are usable for everyone.

What are the seven principles of Universal Design?

Equitable Use, Flexibility in Use, Simple & Intuitive Use, Perceptible Information, Tolerance for Error, Low Physical Effort, Size & Space for Approach and Use.

What are the ACLM 6 healthy lifestyle behaviors and the 7 principles of Universal Design?

Healthy Lifestyle Behaviors: Eat well, Be physically active, Manage stress, Quit tobacco, Sleep well, Maintain relationships. Universal Design: Equitable Use, Flexibility, Simple & Intuitive, Perceptible Information, Tolerance for Error, Low Physical Effort, Size & Space for Use.