Mountain Gail Anne, Craig Claire Louise
ScHARR, University of Sheffield, Sheffield, UK.
Occup Ther Int. 2011 Mar;18(1):48-58. doi: 10.1002/oti.309. Epub 2010 Dec 9.
The purpose of this study was to examine the feasibility of introducing and delivering an occupation-based lifestyle intervention, inspired by the US Lifestyle Redesign® into a UK context and to test requirements for a future robust clinical evaluation. The intervention involves a weekly facilitated group session to assist participants to engage with new and neglected occupations supplemented by an individual monthly meeting with one of the facilitators. A range of quantitative and qualitative methods were employed for the entire research programme. An in-depth interview was conducted with all participants before and after the 8-month programme and their progress was documented in reflective diaries maintained by the programme facilitators. The four participants whose narratives are described in this paper were experiencing eroded lifestyle as a result of diminished health combined with other challenges of later life. However, results of post-intervention interviews revealed that all had been able to engage with new and re-engage with neglected occupations despite continuing compromises. None of the participants reported experiencing improved physical health but all talked about the improvements to their confidence, self-efficacy and overall well-being which they attributed to the programme. Therefore, the intervention appears to warrants the investment necessary for population-based evaluation.
本研究的目的是检验将受美国“生活方式重塑”启发的基于职业的生活方式干预引入英国背景并进行实施的可行性，并测试未来进行有力临床评估的要求。该干预包括每周一次的小组辅导课程，以帮助参与者参与新的和被忽视的活动，每月还会与一名辅导人员进行一次单独面谈。整个研究项目采用了一系列定量和定性方法。在为期8个月的项目前后，对所有参与者进行了深入访谈，并由项目辅导人员将他们的进展记录在反思日记中。本文所描述的四位参与者由于健康状况下降以及晚年的其他挑战，生活方式受到了侵蚀。然而，干预后访谈的结果显示，尽管仍存在各种困难，他们都能够参与新的活动，并重新参与那些被忽视的活动。没有一位参与者报告身体健康有所改善，但所有人都谈到了他们的信心、自我效能感和总体幸福感有所提升，并将其归功于该项目。因此，该干预似乎值得投入基于人群评估所需的资源。
