Telehealth Lifestyle Pilot Study for Improving Occupational Performance in Older Adults.

IF 1.5 4区医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-10-10 DOI:10.1177/15394492241284566

Cortney M Leverentz, Brianne Salvati, Cary Moore, Julia Shin, Yongyue Qi, Vanessa D Jewell

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Abstract

Occupation-centered lifestyle interventions improve health and delay age-related declines in older adults; however, little is known about the impact of a brief telehealth lifestyle program delivered individually. This pilot investigated the Holistic Occupational Performance Empowerment (HOPE) program on occupational performance and health-related quality of life. Twelve community-dwelling older adults completed six weekly lifestyle sessions to enhance behavior change toward individualized health goals. Goal Attainment Scaling (GAS) and the Short Form 20-Item Survey (SF-20) were administered preintervention and postintervention to measure program outcomes. Among 36 health-related goals, 69.4% achieved or exceeded the expected level of attainment. A paired samples t-test revealed statistically higher posttest GAS scores compared with pretest scores, indicating significant improvements in occupational performance. SF-20 mental health scores increased postintervention, although not significantly. Preliminary findings suggest that HOPE could positively impact occupational performance in community-dwelling older adults warranting a future large-scale randomized controlled trial.

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改善老年人职业表现的远程保健生活方式试点研究。

以职业为中心的生活方式干预能改善老年人的健康状况，延缓与年龄相关的衰退；然而，人们对单独提供的简短远程保健生活方式计划的影响知之甚少。这项试验调查了整体职业表现赋能（HOPE）计划对职业表现和与健康相关的生活质量的影响。12 名居住在社区的老年人完成了每周六次的生活方式课程，以加强行为改变，实现个性化的健康目标。在干预前和干预后分别进行了目标达成量表（GAS）和 20 项短表调查（SF-20），以衡量计划的成果。在 36 个与健康相关的目标中，69.4% 达到或超过了预期水平。配对样本 t 检验显示，与干预前相比，干预后的 GAS 分数在统计学上更高，这表明职业表现有了显著改善。干预后，SF-20 精神健康评分有所提高，但不明显。初步研究结果表明，HOPE 可对居住在社区的老年人的职业表现产生积极影响，值得在未来进行大规模随机对照试验。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.