Table 1

The Well Elderly Lifestyle Redesign® intervention

ObjectiveTo 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

  • 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