Person-Centered Occupational Therapy in Older Adults

NCT07672366 | Recruiting

• 1 other identifier: Yazicioglu_2
• Study Type: interventional
• Target: 154
• Locations: 1 country
• Sites: 1

Brief Summary

This study was designed to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance among community-dwelling older adults. The study is a randomized controlled trial utilizing semi-structured interviews and self-report measures. The target population consists of individuals aged 65 years and older living in Istanbul. The sample size was calculated using G\*Power software, indicating a minimum of 77 participants per group, for a total of 154 participants. Considering potential attrition, a total sample of 170 participants is planned. Data will be collected using a Sociodemographic Information Form, the Mini-Mental State Examination (MMSE), the Occupational Performance History Interview-II (OPHI-II), Goal Attainment Scaling (GAS), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Cognitive eligibility will be assessed using the MMSE, and individuals scoring 24 or higher will be included in the study. Through the OPHI-II, participants' life histories, roles, habits, and experiences related to daily activities will be explored, and individualized goals will be identified based on the information obtained. These goals will subsequently be structured using the Goal Attainment Scaling method. Participants will be randomly allocated to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation, while those in the control group will continue their usual daily routines without additional support. At the end of the study, outcomes related to quality of life and occupational balance will be compared between groups. The findings are expected to provide evidence regarding the role of a person-centered occupational therapy approach in supporting participation in daily life activities among older adults.

Conditions

Older Adults; Telerehabilitation

Keywords

older adults; person-centered; occupational therapy; life satisfaction; occupational balance

Outcome Measures

Primary Outcomes (2)

• World Health Organization Quality of Life Instrument-Older Adults Module

  Quality of life will be assessed using the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). The scale consists of 24 items and evaluates quality of life in older adults across six domains: sensory abilities, autonomy, past-present-future activities, social participation, death and dying, and intimacy. Total scores range from 24 to 120, with higher scores indicating better quality of life. The outcome will be the change in the total WHOQOL-OLD score from baseline to post-intervention

  Baseline and immediately after completion of the 6-week intervention period

• Activity-Role Balance Questionnaire

  Occupational balance will be assessed using the Activity-Role Balance Questionnaire. This self-report questionnaire consists of 11 items and evaluates individuals' perceived balance among daily activities and roles. Total scores range from 0 to 33, with higher scores indicating a higher level of perceived occupational balance. The outcome will be the change in the total Activity-Role Balance Questionnaire score from baseline to post-intervention.

  Baseline and immediately after completion of the 6-week intervention period.

Secondary Outcomes (1)

• Goal Attainment Scaling

  Immediately after completion of the 6-week intervention period.

Study Arms (2)

Experimental Group: Person-Centered Occupational Therapy via Telerehabilitation

EXPERIMENTAL

Participants assigned to the experimental group will receive a person-centered occupational therapy program delivered through telerehabilitation. The intervention will consist of one 40-minute online session per week for six consecutive weeks. Session content will be individualized based on information obtained from the Occupational Performance History Interview-II (OPHI-II), participants' daily routines, occupational roles, meaningful activities, environmental contexts, and collaboratively identified goals. Goal Attainment Scaling (GAS) will be used to structure individualized goals and monitor progress throughout the study period.

Behavioral: Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation

Control Group: Usual Daily Routine

NO INTERVENTION

Participants assigned to the control group will not receive any occupational therapy intervention during the study period. They will continue their usual daily routines and activities without additional support, guidance, or structured sessions. Outcome measures will be collected at the same assessment time points as the experimental group.

Interventions

Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation BEHAVIORAL

The intervention consists of a person-centered occupational therapy approach delivered through telerehabilitation. Following the Occupational Performance History Interview-II (OPHI-II), individualized goals are collaboratively established based on each participant's occupational history, daily routines, roles, meaningful activities, environmental context, and personal priorities. Goals are structured using Goal Attainment Scaling (GAS). Participants receive one 40-minute online session per week for six weeks. Sessions focus on supporting participation in meaningful activities, improving occupational balance, enhancing social participation, strengthening role engagement, promoting self-management strategies, and facilitating adaptations to daily routines and environmental demands according to individual needs.

Experimental Group: Person-Centered Occupational Therapy via Telerehabilitation

Eligibility Criteria

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

You may qualify if:

• Aged 65 years or older.
• Living independently in the community.
• Scoring 24 or higher on the Mini-Mental State Examination (MMSE).
• Having sufficient communication abilities to participate in interviews and assessments.
• Willing to participate and provide informed consent.

You may not qualify if:

• Having an acute medical or psychiatric condition that may prevent participation in the study.
• Having communication difficulties that interfere with participation despite the use of assistive devices (e.g., hearing aids, glasses).

Sponsors & Collaborators

• Atlas University: lead

Study Sites (1)

Atlas University

Istanbul, Kağıthane, 34408, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Personal Satisfaction

Condition Hierarchy (Ancestors)

Behavior

Central Study Contacts

Zeynep Çorakcı Yazıcıoğlu

CONTACT

+905376699979; zcorakci@gmail.com

Ceren Davutoğlu

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Participants are randomly assigned in parallel to one of two study groups: a person-centered occupational therapy group delivered via telerehabilitation or a control group receiving usual daily activities without additional intervention. Participants in the intervention group receive one 40-minute telerehabilitation session per week for six consecutive weeks. The content of the sessions is individualized according to each participant's occupational history, daily routines, meaningful activities, and personally identified goals. Participants in the control group continue their usual daily routines throughout the study period. Outcome measures are assessed at baseline and immediately after the six-week study period.

Study Record Dates

• First Submitted: June 14, 2026
• First Posted: June 26, 2026
• Study Start: April 15, 2026
• Primary Completion: July 1, 2026
• Study Completion: August 1, 2026
• Last Updated: June 26, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)