Elizabeth A. Pyatak, PhD, OTR/L, CDCES, DipACLM, FAOTA, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles;
Kristine Carandang, PhD, OTR/L, is Research Scientist, San Diego, CA, and Co-Lead, Young Patients' Autoimmune Research and Empowerment Alliance, River Falls, WI.
Am J Occup Ther. 2022 Sep 1;76(5). doi: 10.5014/ajot.2022.049269.
Lifestyle Redesign® originated as a preventive occupational therapy intervention for healthy older adults, and it was found to be both effective and cost effective in the Well Elderly Studies initiated in the 1990s. Building on that empirical foundation, the scope of Lifestyle Redesign has been greatly expanded as a general intervention framework addressing prevention and chronic condition management in a wide range of populations, settings, and conditions. Yet until now, its full scope, defining characteristics, and supporting evidence have not been clearly and succinctly described, limiting its potential reach and impact.
To outline the definition and key characteristics of Lifestyle Redesign, provide a scoping review of its evidence base and future directions for research, describe its current applications, and make recommendations for its use in clinical practice.
We searched PubMed and CINAHL, tables of contents of 10 occupational therapy journals, and citations in two seminal Lifestyle Redesign publications to identify articles published in 1997-2020 that described quantitative outcomes (for n ≥ 20) of interventions meeting the defining characteristics of Lifestyle Redesign.
Our scoping review yielded 12 publications providing supportive evidence for Lifestyle Redesign's positive impact on a range of health and well-being outcomes among both well populations and those with chronic conditions.
Lifestyle Redesign has the potential to meet a growing need in clinical and community settings for health care services that address prevention, health promotion, and chronic disease management. What This Article Adds: Current evidence supports the use of Lifestyle Redesign to improve health and well-being for a range of client populations. This review outlines its defining characteristics and current applications to improve its implementation in clinical practice and expand related research efforts.
生活方式重塑最初是一种针对健康老年人的预防性职业治疗干预措施，在 20 世纪 90 年代发起的“健康老年人研究”中，它被证明是有效且具有成本效益的。在此实证基础上，生活方式重塑的范围已大大扩大，成为一种通用的干预框架，用于解决各种人群、环境和条件下的预防和慢性疾病管理问题。然而，到目前为止，其全面的范围、定义特征和支持证据尚未得到明确和简洁的描述，限制了其潜在的应用范围和影响。
概述生活方式重塑的定义和主要特征，对其证据基础和未来研究方向进行范围综述，描述其当前应用，并就其在临床实践中的应用提出建议。
我们在 PubMed 和 CINAHL 上进行了检索，查阅了 10 种职业治疗杂志的目录，并查阅了两篇重要的生活方式重塑出版物中的参考文献，以确定在 1997 年至 2020 年间发表的描述符合生活方式重塑定义特征的干预措施的定量结果（n ≥ 20）的文章。
我们的范围综述共纳入 12 篇文献，为生活方式重塑对健康人群和慢性病患者的一系列健康和福祉结果产生积极影响提供了支持性证据。
生活方式重塑有可能满足临床和社区环境中对预防、健康促进和慢性病管理服务日益增长的需求。这篇综述概述了它的定义特征和当前应用，以改善其在临床实践中的实施，并扩大相关研究工作。
