A randomised clinical trial of a wellness programme for healthy older people

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Background: With a growing increase in the population of older people worldwide, there is an undeniable need for efficient and cost-effective service delivery in occupational therapy.

Method: This randomised clinical trial employed a parallel design, with an experimental and a control group and a pre-test and post-test, to evaluate the effectiveness of a wellness programme based on the Model of Human Occupation (MOHO). Participants were 65 years of age or older, community-dwelling Japanese older people. Data were analysed for 30 experimental participants who received a 15-session MOHO programme and 33 controls who received a 15-session standard care, crafts programme. Quality of life and psychological wellbeing were compared between groups using the Japanese versions of the Life Satisfaction Index – Z (LSI-Z) and the World Health Organisation Quality of Life-26 (QOL26), respectively.

Results: The LSI-Z score for the experimental group improved an average of 3.4 points whereas the control group's mean score improved by 0.1 point. The mean change for the experimental group (m.chg = 3.4, SD = 5.8) was significantly different (p = 0.01) from that of the control group (m.chg = 0.1, SD = 4.8) and the effect size (Cohen's d) was 0.62 (95% confidence interval = 0.13-1.11). The psychological domain score (QOL26) improved slightly for the experimental group whereas it declined slightly for the control group. The mean change was significantly different (p = 0.02) between the experimental (m.chg = 0.1, SD = 0.5) and control (m.chg = −0.1, SD = 0.3) groups; effect size (Cohen's d) was 0.49 (95% confidence interval = 0.02-0.96).

Conclusion: The findings support the conclusion that MOHO-based occupational therapy interventions can promote wellness effectively in older people by having an impact on quality of life and sense of wellbeing.


Document Type: Research Article

DOI: http://dx.doi.org/10.4276/030802210X12892992239314

Publication date: November 1, 2010

More about this publication?
  • The British Journal of Occupational Therapy (BJOT) is the official journal of the College of Occupational Therapists. Its purpose is to publish articles relevant to theory, practice, research, education and management in occupational therapy internationally.

    BJOT publishes research articles, critical reviews, practice analyses, opinion pieces, editorials, letters to the editor, book reviews and an annual index. Please refer to the author's guide at http://www.cot.co.uk/british-journal-bjot/british-journal-occupational-therapy

    Submissions can be made at http://mc.manuscriptcentral.com/bjot

    The 2013 Impact Factor for The British Journal of Occupational Therapy is 0.897.

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