[Effects of Lifestyle Redesign on older adults: A systematic review]

BACKGROUND.

The Lifestyle Redesign® (LR) aims to support health, functioning, and quality of life of older adults through the development of healthy and meaningful routines. However, evidence concerning the effectiveness and cost-effectiveness of this intervention is scattered.

PURPOSE.

This study aimed to synthetize the clinical effects and cost-effectiveness of the LR as well as to verify the applicability of the results in a community-based setting in Quebec.

METHOD.

A systematic review of the literature was conducted, followed by a focus group with four occupational therapists.

FINDINGS.

Considered as cost-effective (under $50,000 in quality-adjusted life-years), the LR offers benefits for both mental and physical health. According to occupational therapists, the LR is clearly relevant for their practice but involves some challenges.

IMPLICATIONS.

The LR is an occupational therapy intervention with promising clinical effects and cost-effectiveness for older adults living in the community.

A framework for occupational enablement to facilitate social change in community practice

BACKGROUND.

Community practice in occupational therapy is becoming increasingly relevant worldwide. Moreover, a social-change approach focusing on occupational enablement is pertinent in community practice as occupational therapists endeavour to promote health, well-being, and occupational justice in communities.

PURPOSE.

Drawing on theory from the fields of community development, community engagement, and occupational enablement, and based on the findings of a previous empirical, qualitative study, a framework for occupational enablement in community practice was developed.

KEY ISSUES.

This article presents the background to the development of the framework, after which the framework is introduced and discussed in terms of the composition, relevance, and application of its components. The framework details outcomes and objectives that may be targeted and activities that may be utilized successfully during occupational therapy community practice engagements. It further illuminates facilitators of enablement related to contextual factors, stakeholders, and strategies that enhance the potential for enabling community practice engagements.

IMPLICATIONS.

This framework can provide a strategic management guideline for occupational therapists and students who engage with communities in endeavours such as community development and service learning.