Adjusting Challenge-Skill Balance to Improve the Elderly's Quality of Life

NCT02606318 | Completed

• 1 other identifier: YIPPE-1
• Study Type: interventional
• Target: 56
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study was to clarify the effects on health-related QOL of occupational therapy involving the adjustment of challenge-skill balance in the activity of elderly clients.

Conditions

Elderly

Keywords

Occupational Therapy; Quality of Life

Outcome Measures

Primary Outcomes (2)

• Change in the EuroQol-5 Dimension questionnaire

  The EQ-5D defines health in five dimensions (mobility, self-care, usual activities, pain and discomfort, and anxiety or depression). The EQ-5D also has a visual analogue scale (EQ-VAS) that enables self-assessment on a scale from 0 (worst possible health) to 100 (best possible health).

  Baseline and 10 weeks

• Change in the Medical Outcome Study 8-Item Short-Form Health Survey questionnaire

  The SF-8 encompasses eight domains: general health, physical functioning, role physical, bodily pain, vitality, social functioning, role emotional, and mental health, which can be combined to yield a physical component summary score and a mental component summary score.

  Baseline and 10 weeks

Secondary Outcomes (2)

• Change in the Flow State Scale for Occupational Tasks questionnaire

  Baseline and 10 weeks

• Change in the Canadian Occupational Performance Measure questionnaire

  Baseline and 10 weeks

Study Arms (2)

Adjusted the challenge-skill balance

EXPERIMENTAL

This group received 10-session occupational therapy with adjustment of challenge-skill balance.This intervention aimed at improving the skill level for the activity has started once the balance were balanced.

Other: Adjusted the challenge-skill balance

Non-adjusted the challenge-skill balance

OTHER

This group received 10-session occupational therapy without adjustment of challenge-skill balance. That is conducted the therapy in the normal manner for the day care center.

Other: Non-adjusted the challenge-skill balance

Interventions

Adjusted the challenge-skill balance OTHER

In the first session of occupational therapy, the therapist assessed the client's problems in daily living using the Canadian Occupational Performance Measure. Based on the problems identified, an activity that could be supported in day care was selected. In the second session, the client performed the selected activity, and then the challenge and skill levels of the activity were evaluated. Based on these levels, adjustment of the challenge-skill balance in the activity was attempted. Occupational therapy consisted of 10 sessions of 20 minutes held over about 10 weeks

Adjusted the challenge-skill balance

Non-adjusted the challenge-skill balance OTHER

The first and second sessions were conducted in the same way as for the experimental group, except that the therapists were not informed of the client's subjective perception of the challenge and skill levels for the activity. From the third session, the therapists simply assessed the client's performance and conducted the therapy in the normal manner for the day care center, following the general guidelines for occupational therapy practice

Non-adjusted the challenge-skill balance

Eligibility Criteria

• Age: 62 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age \>60 years
• occupational therapy at the center for \>3 months

You may not qualify if:

• dementia
• visual impairment

Sponsors & Collaborators

• Harue Hospital: lead

Related Publications (2)

• Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010 Mar 24;8:18. doi: 10.1186/1741-7015-8-18.

  PMID: 20334633 BACKGROUND

• Hirao K, Kobayashi R, Okishima K, Tomokuni Y. Flow experience and health-related quality of life in community dwelling elderly Japanese. Nurs Health Sci. 2012 Mar;14(1):52-7. doi: 10.1111/j.1442-2018.2011.00663.x. Epub 2012 Jan 30.

  PMID: 22288733 BACKGROUND

Study Officials

• Tetsushi Nonaka, Ph.D

  Graduate School of Human Development and Environment

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MS, OTR

Study Record Dates

• First Submitted: November 7, 2015
• First Posted: November 17, 2015
• Study Start: December 1, 2013
• Primary Completion: April 1, 2014
• Study Completion: August 1, 2014
• Last Updated: November 20, 2015

Record last verified: 2015-11