School of Health and Related Research, The University of Sheffield, Sheffield, UK.
Dementia Services Development Centre, Bangor University, Bangor, UK.
BMJ Open. 2017 Sep 24;7(9):e016711. doi: 10.1136/bmjopen-2017-016711.
To assess the long-term effect on health and well-being of the Lifestyle Matters programme.
Qualitative study of a subset of intervention arm participants who participated in the Lifestyle Matters randomised controlled trial (RCT).
The intervention took place at community venues within two sites in the UK.
A purposeful sample of 13 participants aged between 66 and 88 years from the intervention arm of the RCT were interviewed at 24 months post randomisation. Interviews aimed to understand how participants had used their time in the preceding 2 years and whether the intervention had any impact on their lifestyle choices, participation in meaningful activities and well-being.
Lifestyle Matters is a 4-month occupational therapy intervention, consisting of group and individual sessions, designed to enable community living older people to make positive lifestyle choices and participate in new or neglected activities through increasing self-efficacy.
Interviews revealed that the majority of interviewed participants were reportedly active at 24 months, with daily routines and lifestyles not changing significantly over time. All participants raised some form of benefit from attending Lifestyle Matters, including an improved perspective on life, trying new hobbies and meeting new friends. A number of intervention participants spoke of adapting to their changing circumstances, but there were significant and lasting benefits for 2 of 13 intervention participants interviewed.
The majority of those who experienced the Lifestyle Matters intervention reported minor benefits and increases in self-efficacy, but they did not perceive that it significantly improved their health and well-being. The two participants who had experienced major benefits also reported having had life-changing events, suggesting that this intervention is most effective at the time when lifestyle has to be reconsidered if mental well-being is to be sustained.
ISRCTN, ISRCTN67209155, post results.
评估生活方式 Matters 计划对健康和幸福感的长期影响。
对生活方式 Matters 随机对照试验（RCT）干预组部分参与者进行的定性研究。
干预在英国两个地点的社区场所进行。
从 RCT 的干预组中选取了年龄在 66 至 88 岁之间的 13 名有目的的参与者进行了访谈，这些参与者在随机分组后 24 个月进行了访谈。访谈旨在了解参与者在过去 2 年内如何利用时间，以及干预是否对他们的生活方式选择、参与有意义的活动和幸福感产生任何影响。
生活方式 Matters 是一项为期 4 个月的职业治疗干预措施，包括小组和个人会议，旨在通过增强自我效能感，使社区生活中的老年人能够做出积极的生活方式选择，并参与新的或被忽视的活动。
访谈显示，大多数接受访谈的参与者在 24 个月时报告称仍保持活跃状态，日常活动和生活方式并未随时间发生重大变化。所有参与者都从参加生活方式 Matters 中获得了某种形式的收益，包括对生活的看法有所改善、尝试新的爱好和结识新朋友。一些干预参与者谈到了适应他们不断变化的环境，但在接受访谈的 13 名干预参与者中有 2 人从中获得了重大的受益。
大多数经历过生活方式 Matters 干预的人报告称只获得了一些微小的益处和自我效能感的增强，但他们并不认为这显著改善了他们的健康和幸福感。两名获得重大受益的参与者也报告称经历了改变生活的事件，这表明该干预措施在需要重新考虑生活方式以维持心理健康时最为有效。
ISRCTN，ISRCTN67209155，结果后注册。
