Effects of a Person-Centered Occupational Therapy Approach on Life Satisfaction and Occupational Balance in Older Adults: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 160
- 试验地点
- 2
- 主要终点
- World Health Organization Quality of Life Instrument-Older Adults Module
研究概览
简要总结
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.
详细描述
The global increase in the older adult population has highlighted the importance of interventions that support healthy aging, participation in meaningful activities, and quality of life. Aging is often accompanied by changes in physical, cognitive, and social functioning that may negatively affect participation in daily activities, occupational balance, and overall well-being. Occupational therapy aims to support individuals in maintaining participation in meaningful occupations and adapting to age-related changes in daily life.
Person-centered occupational therapy is an approach that emphasizes the individual's values, preferences, life experiences, goals, and priorities throughout the therapeutic process. By focusing on personally meaningful activities and roles, this approach seeks to enhance engagement, autonomy, and quality of life. Despite the growing recognition of person-centered care in geriatric practice, there remains limited evidence regarding the effectiveness of person-centered occupational therapy interventions delivered through telerehabilitation among community-dwelling older adults.
The present study aims to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance in community-dwelling older adults. Participants aged 65 years and older will be recruited from the community and screened for eligibility. Cognitive status will be evaluated using the Mini-Mental State Examination (MMSE), and individuals scoring 24 or above will be eligible to participate.
At baseline, participants will complete a Sociodemographic Information Form, the Occupational Performance History Interview-II (OPHI-II), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Through the OPHI-II, participants' occupational histories, life experiences, daily routines, habits, roles, environmental contexts, and occupational participation patterns will be explored. Based on the information obtained during the interview, individualized goals will be collaboratively established with each participant and structured using the Goal Attainment Scaling (GAS) methodology.
Following baseline assessment, participants will be randomly assigned to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation. The content of these sessions will be individualized according to each participant's occupational history, identified needs, personal goals, daily routines, meaningful activities, and environmental circumstances. The sessions will focus on supporting participation in meaningful activities, improving occupational balance, strengthening role engagement, promoting social participation, enhancing self-management strategies, and facilitating adaptations within the participant's daily environment when necessary.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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).
研究组 & 干预措施
Experimental Group: Person-Centered Occupational Therapy via Telerehabilitation
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.
干预措施: Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation (Behavioral)
Control Group: Usual Daily Routine
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.
结局指标
主要结局
World Health Organization Quality of Life Instrument-Older Adults Module
时间窗: Baseline and immediately after completion of the 6-week intervention period
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
Activity-Role Balance Questionnaire
时间窗: Baseline and immediately after completion of the 6-week intervention period.
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.
次要结局
- Goal Attainment Scaling(Immediately after completion of the 6-week intervention period.)
研究者
Zeynep Yazicioglu
Assistant Professor
Atlas University