Influence of Lifestyle Redesign® on Health, Social Participation, Leisure and Mobility of Older French-Canadians

NCT03398642 | Completed DMC

• 2 other identifiers: 2015-488126315
• Study Type: interventional
• Target: 16
• Locations: 0 countries
• Sites: N/A

Brief Summary

To address population aging, health professionals, including occupational therapists, need to engage in effective interventions. The preventive occupational therapy intervention called Lifestyle Redesign® empowers older adults to regularly perform healthy and fulfilling activities. Lifestyle Redesign® has been shown to benefit physical and mental health and be cost-effective. This pilot study explored the influence of Lifestyle Redesign® on older French- Canadians' health, social participation, leisure and mobility. Method: A mixed-method design was used with 16 participants (10 women) aged 65-90 (76.4±7.6 y), 10 without and 6 with disabilities. Health, social participation, leisure and mobility questionnaires were administered before and after the 6-month intervention, as well as 3 and 6 months post-intervention. Semi-directed interviews were also conducted.

Conditions

Community-dwelling Older Adults

Keywords

Occupational therapy; Health promotion; Life Style; Quality of life; Aging; Aged; Community participation

Outcome Measures

Primary Outcomes (1)

• 36-item Short Form Health Survey (SF-36) version 2, for the assessment of changes in physical and Mental Health from before at 6, 9 and 12 months after the intervention

  Full scale name: 36-item Short Form Health Survey (SF-36) version 2. Construct: The SF-36v2® assesses the health-related quality of life (HRQOL). Scale ranges: 0-100 for the scoring of eight health domains: (1-Physical Functioning, 2-Role Physical, 3-Bodily Pain, 4-General Health, 5-Vitality, 6-Social Functioning, 7-Role Emotional, 8-Mental Health) and of the Physical Component Summary (PCS) and Mental Component Summary (MCS), which can be calculated when seven scale scores are available and, for the PCS, when the Physical Functioning scale is not missing and for the MCS, when the Mental Health scale is not missing. A unique scoring algorithm is apply to the calculation of the summary scores depending upon which particular scale score is missing from the eight scale profiles. Higher score indicates better health.

  Baseline, 6, 9, 12 months

Secondary Outcomes (4)

• Social Participation Scale, for the assessment of change in the frequency of participation in ten community activities from before at 6, 9 and 12 months after the intervention

  Baseline, 6, 9, 12 months

• Leisure Profile, for the assessment of change in leisure, attitudes and limitations from before at 6, 9, and 12 months after the intervention

  Baseline, 6, 9, 12 months

• French-Canadian version of Life-Space Assessment, for the assessment of change in range, independence and frequency of movement in the 4 last weeks from before at 6, 9 and 12 months after the intervention

  Baseline, 6, 9, 12 months

• Exploration of the influence of the French Lifestyle Redesign

  About one month after the intervention

Study Arms (1)

French Lifestyle Redesign

EXPERIMENTAL

16 older adults, 10 without and 6 with disabilities, participated to weekly 2-hour group sessions, including outings, and monthly 1-hour individual sessions led by a occupational therapist over 6-month period and promoting healthy lifestyle and involvement in meaningful activities.

Behavioral: French Lifestyle Redesign

Interventions

French Lifestyle Redesign BEHAVIORAL

Lifestyle Redesign® is a preventive occupational therapy intervention designed to promote meaningful and healthy activities. The French-Canadian Lifestyle Redesign® intervention was led by an occupational therapist (OT) who took the University of Southern California 6-hour online introductory training course and was supervised on a weekly basis. Weekly 2-hour group sessions were held over a six-month period.These sessions were based on 12 modules (e.g. occupation, health and aging; transportation and occupation) from the 2nd edition of the Lifestyle Redesign® Manual and involved didactic presentations, peer exchanges, reflective exercises, direct experience and personal exploration. Every month, one group outing was targeted and individual meetings with the OT were planned.

French Lifestyle Redesign

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 and over
• Normal cognitive functions
• Living in a conventional or residential home for semi-independent seniors
• French-speaking -

You may not qualify if:

• Moderate or severe cognitive impairment \[score \< 17 Adult Lifestyles and Function Interview-Mini-Mental State Examination (ALFI-MMSE)\]
• Moderate or severe language impairment -

Sponsors & Collaborators

• Université de Sherbrooke: lead
• Université de Montréal: collaborator
• Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal: collaborator
• Research Centre on Aging, CIUSSS de l'Estrie-CHUS: collaborator
• Université du Québec à Trois-Rivières: collaborator
• University of Sheffield: collaborator

Study Officials

• Mélanie Levasseur

  Université de Sherbrooke, Centre de recherche sur le vieillissement

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Professor

Study Record Dates

• First Submitted: November 7, 2017
• First Posted: January 12, 2018
• Study Start: July 9, 2015
• Primary Completion: May 27, 2016
• Study Completion: November 9, 2016
• Last Updated: January 17, 2018

Record last verified: 2018-01