Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial.
Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial.
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DOI：
10.1136/jech.2009.099754
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发表时间：
2012-09
影响因子：
6.3
通讯作者：
Azen SP
中科院分区：
文献类型：
--
作者：
Clark F;Jackson J;Carlson M;Chou CP;Cherry BJ;Jordan-Marsh M;Knight BG;Mandel D;Blanchard J;Granger DA;Wilcox RR;Lai MY;White B;Hay J;Lam C;Marterella A;Azen SP
老年人面临健康下降和丧失独立性的风险。生活方式干预为减少这种负面结果提供了可能。本研究的目的是确定一种预防性的基于生活方式的职业治疗干预的有效性和成本效益，在各种社区为基础的网站，在改善精神和身体健康和认知功能的种族多样化的老年人。进行了一项随机对照试验，在6个月的实验期内比较了职业治疗干预和无治疗对照条件。参与者包括从大洛杉矶都市区的21个地点招募的460名年龄在60-95岁之间的男性和女性（平均年龄74.9±7.7岁; 53%的人年收入<12000美元）。 与未接受治疗的对照组相比，干预组参与者在身体疼痛、活力、社会功能、心理健康、复合心理功能、生活满意度和抑郁症等指标上表现出更有利的变化（ps<0.05）。干预组在质量调整生命年方面有显著更大的增加（p<0.02），这是成本效益高的（每单位41218美元/英国24868英镑）。 认知功能结局指标未发现干预效应。以生活方式为导向的职业治疗干预对从各种社区环境中招募的种族多样的老年人具有有益的影响。由于这种干预措施具有成本效益，而且适用范围广泛，因此有可能帮助减少老年人健康状况的下降，促进老年人的福祉。clinicaltrials.gov标识符：NCT 0078634。
Older people are at risk for health decline and loss of independence. Lifestyle interventions offer potential for reducing such negative outcomes. The aim of this study was to determine the effectiveness and cost-effectiveness of a preventive lifestyle-based occupational therapy intervention, administered in a variety of community-based sites, in improving mental and physical well-being and cognitive functioning in ethnically diverse older people. A randomised controlled trial was conducted comparing an occupational therapy intervention and a no-treatment control condition over a 6-month experimental phase. Participants included 460 men and women aged 60–95 years (mean age 74.9±7.7 years; 53% <$12 000 annual income) recruited from 21 sites in the greater Los Angeles metropolitan area. Intervention participants, relative to untreated controls, showed more favourable change scores on indices of bodily pain, vitality, social functioning, mental health, composite mental functioning, life satisfaction and depressive symptomatology (ps<0.05). The intervention group had a significantly greater increment in quality-adjusted life years (p<0.02), which was achieved cost-effectively (US $41 218/UK £24 868 per unit). No intervention effect was found for cognitive functioning outcome measures. A lifestyle-oriented occupational therapy intervention has beneficial effects for ethnically diverse older people recruited from a wide array of community settings. Because the intervention is cost-effective and is applicable on a wide-scale basis, it has the potential to help reduce health decline and promote well-being in older people. clinicaltrials.gov identifier: NCT0078634.
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影响因子：
2
作者：
Low, Gail;Molzahn, Anita E.
通讯作者：
Molzahn, Anita E.
影响因子：
3.7
作者：
Gitlin, LN;Belle, SH;Ory, MG
通讯作者：
Ory, MG
影响因子：
4.6
作者：
LEWINSOHN, PM;HOBERMAN, HM;ROSENBAUM, M
通讯作者：
ROSENBAUM, M
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S
影响因子：
11.3
作者：
Foley, KL;Reed, PS;DeVellis, RF
通讯作者：
DeVellis, RF