Table 1

The Well Elderly Lifestyle Redesign® intervention

Objective	To assist elders in developing a personally meaningful, healthy lifestyle that is sustainable within the fabric of their everyday routines
Responsible professionals	Occupational therapists licensed to practice in California
	Therapists completed 40 h of training to standardise provision of the Lifestyle Redesign® protocol in accord with manualised specifications
	Therapists participated in weekly or bi-weekly meetings with the on-site project director and manager to ensure intervention fidelity and quality control
Format	Weekly 2-h small group sessions led by a licensed occupational therapist
	– Didactic presentation; peer exchange; direct experience (participation in activities); personal exploration (application of content to self)
	Up to 10 individual 1-h sessions with an occupational therapist in homes or community settings
Key elements of intervention	Identification and implementation of feasible and sustainable activity-relevant changes
	Development of plans to overcome mundane obstacles to enacting activity-relevant changes (eg, bodily aches or transportation limitations)
	Participation in selected activities; rehearsal and repetition of changes to everyday routine
Modular content areas	Impact of everyday activity on health
	– How activity contributes to health; impact of ageing on activity patterns; incorporating physical and mental exercise into everyday life
	Time use and energy conservation
	– Evaluating time use; assessing daily energy patterns; energy conservation and joint protection; adapting activities and daily routines
	Transportation utilisation
	– Available forms of transportation; cost, convenience, and accessibility; impact of transportation resources/constraints on activity; transportation as activity or facilitator of activity
	Home and community safety
	– Review common safety hazards; fall prevention; home safety evaluation; balancing safety concerns with activity; preparing for emergencies; provision of assistive devices and home modifications as needed
	Social relationships
	– Building social connections through activity; impact of ageing on social relationships; obstacles to effective communication; coping with loss and grief
	Cultural awareness
	– How culture influences everyday activity; strategies for managing cultural differences in everyday life; learning about different cultures
	Goal setting
	– Developing attainable goals for health improvements through daily activity
	Changing routines and habits
	– Evaluating temporal rhythms of activity (daily, weekly, monthly, annual); assessing readiness to change; implementing sustainable changes to activity patterns