Browse > Article
http://dx.doi.org/10.22683/tsnr.2022.11.2.077

Effectiveness of Occupation Based Lifestyle Intervention Program for Health Management of Community Dwelling Older Adults  

Shin, Yun-Chan (Dept. of Occupational Therapy, College of Public Health and Health professions, University of Florida)
Park, Ji-Hyuk (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
Publication Information
Therapeutic Science for Rehabilitation / v.11, no.2, 2022 , pp. 77-91 More about this Journal
Abstract
Objective : This study aimed to assess the effects of occupation-based lifestyle intervention programs on older adults in the local community. Methods : Nine community-dwelling older individuals participated in this study using a one-group pre-post design. The occupation-based lifestyle intervention program consisted of 12 group sessions, and one individual session was conducted for seven weeks. Occupational balance, activity occupancy, activity participation, depression, health-related quality of life, and program satisfaction were assessed. Results : The average attendance rate of the nine participants was 10.11 (SD=1.36). Overall occupational balance (p=.012), activity participation status (p=.008), performance (p=.012), and satisfaction with activity participation (p=.008) were increased. Furthermore, the results showed changes in leisure time (p=.008) and rest time (p=.008). Finally, there were some improvements in the overall health-related quality of life (p=.034) and depression scores (p=.012). Conclusions : Occupation-based lifestyle intervention programs positively affected occupational balance, activity occupancy, activity participation, depression, and health-related quality of life in community-dwelling older adults. This research suggests promising benefits and feasibility of the program for community-dwelling older adults.
Keywords
Community; Elderly; Health; Life habit; Lifestyle; Occupational balance; Quality of life;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Baum, C. M., & Edwards, D. (2001). Activity card sort: Test manual. St Louis: Washington University School of Medicine.
2 Bejerholm, U. (2010). Occupational balance in people with schizophrenia. Occupational Therapy in Mental Health, 26(1), 1-17. https://doi.org/10.1080/01642120802642197   DOI
3 Carpenter, L., Baker, G. A., & Tyldesley, B. (2001). The use of the Canadian Occupational Performance Measure as an outcome of a pain management program. Canadian Journal of Occupational Therapy, 68(1), 16-22. https://doi.org/10.1177/000841740106800102   DOI
4 Cassidy, T. B., Richards, L. G., & Eakman, A. M. (2017). Feasibility of a lifestyle redesign(R)-Inspired intervention for well older adults. American Journal of Occupational Therapy, 71(4), 1-6. https://doi.org/10.5014/ajot.2017.024430   DOI
5 Cho, J. H. (2014). Comparison of cognitive impairment level according to characteristic and MMSE-DS of the elderly (Master's thesis). Korea National Open University.
6 Berger, S., Escher, A., Mengle, E., & Sullivan, N. (2018). Effectiveness of health promotion, management, and maintenance interventions within the scope of occupational therapy for community-dwelling older adults: A systematic review. American Journal of Occupational Therapy, 72(4), 1-10. https://doi.org/10.5014/ajot.2018.030346   DOI
7 Clark, F., Jackson, J., Carlson, M., Chou, C. P., Cherry, B. J., Jordan-Marsh, M., Knight, B. G., Mandel, D., Blanchard, J., Granger, D. A., Wilcox, R. R., Lai, M. Y., White, B., Hay, J., Lam, C., Marterella, A., & Azen, S. P. (2012). Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: Results of the well elderly 2 randomised controlled trial. Journal of Epidemiology & Community Health, 66(9), 782-790. https://doi.org/10.1136/jech.2009.099754   DOI
8 Christiansen, C. H., & Matuska, K. M. (2006). Lifestyle balance: A review of concepts and research. Journal of Occupational Science, 13(1), 49-61. https://doi.org/10.1080/14427591.2006.9686570   DOI
9 Clark, F., Azen, S. P., Carlson, M., Mandel, D., LaBree, L., Hay, J., Zemke, R., Jackson, J., & Lipson, L. (2001). Embedding health-promoting changes into the daily lives of independent-living older adults: Long-term follow-up of occupational therapy intervention. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 56(1), 60-63. https://doi.org/10.1093/geronb/56.1.P60   DOI
10 Clark, F., Azen, S. P., Zemke, R., Jackson, J., Carlson, M., Mandel, D., Hay, J., Josephson, K., Cherry, B., Hessel, C., Palmer, J., & Lipson, L. (1997). Occupational therapy for independent-living older adults: A randomized controlled trial. Journal of the Korean Medical Association, 278(16), 1321-1326. https://doi.org/10.1001/jama.1997.03550160041036   DOI
11 Dugow, H., & Connolly, D. (2012). Exploring impact of independent living programme on activity participation of elderly people with chronic conditions. International Journal of Therapy and Rehabilitation, 19(3), 154-162. https://doi.org/10.12968/ijtr.2012.19.3.154   DOI
12 Shin, Y. C., & Park, J. H. (2020). Feasibility and effect of lifestyle intervention program on older community-dwelling adults: Pilot study. Journal of Korean Society of Occupational Therapy, 28(2), 1-12. https://doi.org/10.14519/kjot.2020.28.2.01   DOI
13 Cezaretto, A., Barros, C. R., Almeida-Pititto, B., Siqueira-Catania, A., Monfort-Pires, M., Folchetti, L. G. D., & Ferreira, S. R. G. (2017). Lifestyle intervention using the psychoeducational approach is associated with greater cardiometabolic benefits and retention of individuals with worse health status. Archives of Endocrinology and Metabolism, 61(1), 36-44. https://doi.org/10.1590/2359-3997000000185   DOI
14 Clark, F. (2015). Lifestyle redesign: The intervention tested in the USC well elderly studies (2nd ed.). AOTA Press, The American Occupational Therapy Association, Inc.
15 Shin, Y. C. (2019). Effectiveness of occupation based lifestyle intervention program for health management of community dwelling elderly (Master's thesis). Yonsei University.
16 Steultjens, E. M., Dekker, J., Bouter, L. M., Jellema, S., Bakker, E. B., & van den Ende, C. H. M. (2004). Occupational therapy for community dwelling elderly people: A systematic review. Age and Ageing, 33(5), 453-460. https://doi.org/10.1093/ageing/afh174   DOI
17 WHOQOL Group. (1998). Development of the world health organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551-558. https://doi.org/10.1017/s0033291798006667   DOI
18 Jackson, J., Carlson, M., Mandel, D., Zemke, R., & Clark, F. (1998). Occupation in lifestyle redesign: The well elderly study occupational therapy program. American Journal of Occupational Therapy, 52(5), 326-336. https://doi.org/10.5014/ajot.52.5.326   DOI
19 Eaton, W. W., Smith, C., Ybarra, M., Muntaner, C., & Tien, A. (2004). Center for epidemiologic studies depression scale: Review and revision (CESD and CESD-R). APA PsycNet. https://psycnet.apa.org/record/2004-14941-011
20 Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. https://doi.org/ 10.1016/0022-3956(75)90026-6.   DOI
21 Jeon, I. G., & Lee, S. H. (2008). The effect of regular exercise on anxiety level of older people. Journal of the Korean Gerontological Society, 28(4), 953-968.
22 Jo, H. S. (2006). Relationship between health related lifestyle and health status of student nurses. The Korean Journal of Fundamentals of Nursing, 13(3), 493-500.
23 Kim, H. J., Lee, C. Y., Jung, H. R., Lee, G. H., & Kim, D. H. (2015). The effect of the multi intervention program applying to dementia elderly. The Journal of Korean Society of Community Based Occupational Therapy, 5(2), 11-21. https://doi.org/10.18598/kcbot.2015.05.02.02   DOI
24 Kim, H. M., Lee, J. S., & Jeon, B. J. (2014). The effect of the lifestyle redesign program on the quality of life of elderlies with dementia. Journal of Korean Society of Occupational Therapy, 22(1), 1-14. https://doi.org/10.14519/jksot.2014.22.1.01   DOI
25 Kim, S. M. (2016). Lifestyle of one-person households and their preparation for old age (Doctoral dissertation). Chonnam National University.
26 Hay, J., LaBree, L., Luo, R., Clark, F., Carlson, M., Mandel, D., Zemke, R., Jackson, J., & Azen, S. P. (2002). Cost-effectiveness of preventive occupational therapy for independent-living older adults. Journal of the American Geriatrics Society, 50(8), 1381-1388. https://doi.org/10.1046/j.1532-5415.2002.50359.x   DOI
27 Won, K. A., Shin, Y. C., Park, S. M., Han, A. R., & Park, J. H. (2019). Characteristics and effects of lifestyle interventions for community dwelling older adults: A systematic review. Therapeutic Science for Rehabilitation, 8(2), 7-30. https://doi.org/10.22683/tsnr.2019.8.2.007   DOI
28 Yamada, T., Kawamata, H., Kobayashi, N., Kielhofner, G., & Taylor, R. R. (2010). A randomised clinical trial of a wellness programme for healthy older people. British Journal of Occupational Therapy, 73(11), 540-548. https://doi.org/10.4276/030802210x12892992239314   DOI
29 Korea Center for Disease Control and Prevention. (2017). 2008-2016 Regional health statistics at a glance volume 1 (summary). https://chs.cdc.go.kr/chs/sub03/sub03_03_01.do?pageNo=1.
30 Korea Ministry of Health and Welfare. (2017). 2017 Survey on the elderly. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=344953&page=1
31 Lee, G. H., & Lee, H. J. (2016). A study on developmental direction of leisure activity for elderly in the occupational therapy perspectives. The Journal of Occupational Therapy for the Aged and Dementia, 10(1), 7-16.
32 Lee, S., Oh, S. T., Ryu, S. Y., Jun, J. Y., Lee, K. S., Lee, E., Park, J. Y., Yi, S. W., & Choi, W. J. (2016). Validation of the Korean version of Center for Epidemiologic Studies Depression Scale-Revised (K-CESD-R). Korean Journal of Psychosomatic Medicine, 24(1), 83-93.   DOI
33 Law, M., Baptiste, S., McColl, M., Opzoomer, A., Polatajko, H., & Pollock, N. (1990). The Canadian Occupational Performance Measure: An outcome measure for occupational therapy. Canadian Journal of Occupational Therapy, 57(2), 82-87. https://doi.org/10.1177/000841749005700207.   DOI
34 Min, S. K., Lee, C. I., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of Korean version of WHO Quality Of Life scale abbreviated version (WHOQOL-BREF). Journal of Korean Neuropsychiatric Association, 39(3), 571-579.
35 Rosenthal, N. A. (2015). Infections, chronic disease, and the epidemiological transition: A new perspective. Clinical Infectious Diseases, 61(3), 489-490. https://doi.org/10.1093/cid/civ280   DOI
36 Lee, J. H., Um, K. W., Futoyu, Y., & Nakajima, K. (2012). The relationship between heath-related lifestyles and living functions of Korean and Japanese elders. Health and Social Welfare Review, 32(1), 58-88. https://doi.org/10.15709/hswr.2012.32.1.58   DOI
37 Lee, S. H. (2010). Development, reliability, and validity of the Korean activity card sort (Doctoral dissertation). Yonsei University.
38 Lin, A., Zhang, G., Liu, Z., Gu, J., Chen, W., & Luo, F. (2014). Community-based lifestyle intervention for reducing blood pressure and glucose among middle-aged and older adults in China: A pilot study. International Journal of Environmental Research and Public Health, 11(11), 11645-11663. https://doi.org/10.3390/ijerph111111645.   DOI
39 Mandel, D. R., Jackson, J. M., Zemke, R., Nelson, L. & Clark, F. A. (1999). Lifestyle redesign: Implementing the well elderly program. AOTA press, The American Occupational Therapy Association, Inc.
40 Matthews, M. M., Hsu, F. C., Walkup, M. P., Barry, L. C., Patel, K. V., & Blair, S. N. (2011). Depressive symptoms and physical performance in the lifestyle interventions and independence for elders pilot study. Journal of the American Geriatrics Society, 59(3), 495-500. https://doi.org/10.1111/j.1532-5415.2011.03319.x   DOI
41 Matuska, K. (2012). Description and development of the Life Balance Inventory. OTJR: Occupation, Participation and Health, 32(1), 220-228. https://doi.org/10.3928/15394492-20110610-01   DOI
42 National Center for Chronic Disease Prevention and Health Promotion. (2015). The four domains of chronic disease prevention: Working toward healthy people in healthy communities. Center for Chronic Disease Control and Prevention. https://stacks.cdc.gov/view/cdc/27508
43 McColl, M. A., Paterson, M., Davies, D., Doubt, L., & Law, M. (2000). Validity and community utility of the Canadian Occupational Performance Measure. Canadian Journal of Occupational Therapy, 67(1), 22-30. https://doi.org/10.1177/000841740006700105   DOI
44 Seoul National University Bundang Hospital. (2009). Standardization of dementia diagnosis tools. Korea ministry of health and welfare. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=336739&page=1
45 Han, S. H., & Lee, S. K. (2012). Regional disability free life expectancy and related factors in Korea. Korea Journal of Population Studies, 35(2), 209-232.
46 Oh, S. S., Kim, J. S., & Jeon, S. W. (2016). Research trend on the leisure policy for the elderly and their leisure activity types. Journal of Leisure Studies, 14(1), 63-82. https://doi.org/10.22879/slos.2016.14.1.63   DOI
47 Pan, A. W., Chung, L., & Hsin-Hwei, G. (2003). Reliability and validity of the Canadian Occupational Performance Measure for clients with psychiatric disorders in Taiwan. Occupational Therapy International, 10(4), 269-277. https://doi.org/10.1002/oti.190   DOI
48 Park, S. M., Park, H. Y., & Park, J. H. (2017). A review on concept and measurement of occupational balance: Trend and theraputic prospects. Journal of the Korean Society for Wellness, 12(3), 115-125. https://doi.org/10.21097/ksw.2017.08.12.3.115   DOI
49 Statistics Korea. (2017). Future population estimation trial: 2015-2045. http://eiec.kdi.re.kr/policy/ materialView.do?num= 166189
50 Smith, N. R., Kielhofner, G., & Watts, J. H. (1986). The relationships between volition, activity pattern, and life satisfaction in the elderly. American Journal of Occupational Therapy, 40(4), 278-283. https://doi.org/10.5014/ajot.40.4.278.   DOI
51 Sassi, F., & Hurst, J. (2008). The prevention of lifestyle-related chronic diseases: An economic framework. Organisation for Economic Co-operation and Development. https://doi.org/10.1787/18152015   DOI
52 Mountain, G., Windle, G., Hind, D., Walters, S., Keertharuth, A., Chatters, R., Sprange, K., Craig, C., Cook, S., Lee, E., Chater, T., Woods, R., Newbould, L., Powell, L., Shortland, K., & Roberts, J. (2017). A preventative lifestyle intervention for older adults (lifestyle matters): A randomised controlled trial. Age and Ageing, 46(4), 627-634. https://doi.org/10.1093/ageing/afx021   DOI
53 Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100 306   DOI
54 Reynolds, R., Dennis, S., Hasan, I., Slewa, J., Chen, W., Tian, D., Bobba, S., & Zwar, N. (2018). A systematic review of chronic disease management interventions in primary care. Biomed Central Family Practice, 19(1), 1-13. https://doi.org/10.1186/s12875-017-0692-3   DOI
55 Park, S. M., & Park, J. H. (2019). A study on the validity and reliability of the Korean version of a Life Balance Inventory (K-LBI). Journal of Korean Society of Occupational Therapy, 27(1), 15-26. https://doi.org/10.14519/kjot.2019.27.1.02   DOI
56 Ip, E. H., Church, T., Marshall, S. A., Zhang, Q., Marsh, A. P., Guralnik, J., King, A. C., Rejeski, W. J., & LIFE-P Study Investigators. (2012). Physical activity increases gains in and prevents loss of physical function: Results from the lifestyle interventions and independence for elders pilot study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68(4), 426-432. https://doi.org/10.1093/gerona/gls186   DOI
57 Kim, H. O. & Joung, K. H. (2009). Comparison of health lifestyle among elders according to residential area. Journal of Korean Gerontological Nursing, 11(1), 16-28. https://doi.org/10.17079/jkgn.2020.22.1.1   DOI
58 Juang, C., Knight, B. G., Carlson, M., Niemiec, S. L. S., Vigen, C., & Clark, F. (2018). Understanding the mechanisms of change in a lifestyle intervention for older adults. The Gerontologist, 58(2), 353-361. https://doi.org/10.1093/geront/gnw152   DOI