Telehealth Lifestyle Pilot Study for Improving Occupational Performance in Older Adults.

Cortney M Leverentz, Brianne Salvati, Cary Moore, Julia Shin, Yongyue Qi, Vanessa D Jewell

Journal: OTJR : occupation, participation and health 2025;45(2):209-218

PMID: 39385615

Abstract

Occupation-centered lifestyle interventions improve health and delay age-related declines in older adults; however, little is known about the impact of a brief telehealth lifestyle program delivered individually. This pilot investigated the Holistic Occupational Performance Empowerment (HOPE) program on occupational performance and health-related quality of life. Twelve community-dwelling older adults completed six weekly lifestyle sessions to enhance behavior change toward individualized health goals. Goal Attainment Scaling (GAS) and the Short Form 20-Item Survey (SF-20) were administered preintervention and postintervention to measure program outcomes. Among 36 health-related goals, 69.4% achieved or exceeded the expected level of attainment. A paired samples -test revealed statistically higher posttest GAS scores compared with pretest scores, indicating significant improvements in occupational performance. SF-20 mental health scores increased postintervention, although not significantly. Preliminary findings suggest that HOPE could positively impact occupational performance in community-dwelling older adults warranting a future large-scale randomized controlled trial.

Address: Creighton University, Omaha, NE, USA.; Creighton University, Omaha, NE, USA.; Western Oregon University, Salem, USA.; Creighton University, Omaha, NE, USA.; University of Alaska Anchorage, USA.; The University of North Carolina at Chapel Hill, USA.
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