Research Article
Issue Date: August 20, 2019
Published Online: August 21, 2019
Updated: August 28, 2019
Influence of Lifestyle Redesign® on Health, Social Participation, Leisure, and Mobility of Older French-Canadians
Author Affiliations
  • Mélanie Levasseur, PhD, OT, is Full Professor, School of Rehabilitation, Université de Sherbrooke, and Researcher, Research Centre on Aging, Eastern Townships Integrated University Centre for Health and Social Services–Sherbrooke Hospital University Centre (CIUSSSE–CHUS), Sherbrooke, Quebec, Canada; Melanie.Levasseur@usherbrooke.ca
  • Johanne Filiatrault, PhD, OT, is Associate Professor, School of Rehabilitation, Université de Montréal, and Researcher, Research Center, Montreal University Geriatric Institute, Montreal, Quebec, Canada.
  • Nadine Larivière, PhD, OT, is Full Professor, School of Rehabilitation, Université de Sherbrooke, and Researcher, University Institute for Primary Health Care and Social Services (IUPLSSS), CIUSSSE–CHUS, Sherbrooke, Quebec, Canada.
  • Jordane Trépanier, MOT, OT, is Student, Université du Québec à Trois-Rivières, Quebec, Canada. At the time of this study, she was Student, School of Rehabilitation, Université de Sherbrooke, and Student, Research Centre on Aging, CIUSSSE-CHUS, Sherbrooke, Quebec, Canada.
  • Marie-Hélène Lévesque, MOT, OT, is Student, School of Rehabilitation, Université de Sherbrooke, and Student, Research Centre on Aging, CIUSSSE–CHUS, Sherbrooke, Quebec, Canada.
  • Maryke Beaudry, MSW, is Research Assistant, Research Centre on Aging, CIUSSSE–CHUS, Sherbrooke, Quebec, Canada.
  • Manon Parisien, MSc, OT, is Reader, School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Quebec, Canada, and Research Coordinator, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Quebec, Canada.
  • Véronique Provencher, PhD, OT, is Assistant Professor, School of Rehabilitation, Université de Sherbrooke, and Researcher, Research Centre on Aging, CIUSSSE–CHUS, Sherbrooke, Quebec, Canada.
  • Yves Couturier, PhD, is Full Professor, School of Rehabilitation, Université de Sherbrooke, and Researcher, IUPLSSS, CIUSSSE–CHUS, Sherbrooke, Quebec, Canada.
  • Nathalie Champoux, MD, is Clinical Adjunct Professor, Department of Family Medicine, Université de Montréal, and Researcher, Research Center, Montreal University Geriatric Institute, Montreal, Quebec, Canada.
  • Hélène Corriveau, PhD, PT, is Full Professor, School of Rehabilitation, Université de Sherbrooke, and Researcher, Research Centre on Aging, CIUSSSE–CHUS, Sherbrooke, Quebec, Canada.
  • Hélène Carbonneau, PhD, Rec, is Full Professor, Department of Leisure, Culture and Tourism Studies, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
  • Fuschia Sirois, PhD, Psy, is Reader, Department of Psychology, University of Sheffield, Sheffield, England.
Article Information
Geriatrics/Productive Aging / Health and Wellness / Rehabilitation, Participation, and Disability / Research Articles
Research Article   |   August 20, 2019
Influence of Lifestyle Redesign® on Health, Social Participation, Leisure, and Mobility of Older French-Canadians
American Journal of Occupational Therapy, 08 2019, Vol. 73, 7305205030. https://doi.org/10.5014/ajot.2019.031732
American Journal of Occupational Therapy, 08 2019, Vol. 73, 7305205030. https://doi.org/10.5014/ajot.2019.031732
Abstract

Importance: Developed in California to enable community-dwelling older adults to maintain healthy and meaningful activities, Lifestyle Redesign® is a well-known cost-effective preventive occupational therapy intervention. The impact of a newly adapted French version on older French-Canadians was, however, unknown.

Objective: To explore the influence of Lifestyle Redesign on older French-Canadians’ health, social participation, leisure, and mobility.

Design: A mixed-methods design included a preexperimental component (questionnaires administered before and after the intervention and 3 and 6 mo postintervention) and an exploratory descriptive qualitative clinical study. Individual semidirected interviews were digitally audiotaped and transcribed, then underwent thematic content analysis using mix extraction grids.

Setting: Community.

Participants: Sixteen volunteers (10 women) aged 65–90 yr (mean = 76.4, standard deviation = 7.6), 10 without and 6 with disabilities. Inclusion criteria were age ≥65 yr, normal cognitive functions, residence in a conventional or senior home, and French speaking.

Intervention: French-Canadian 6-mo version of Lifestyle Redesign.

Outcomes and Measures: Health, social participation, leisure, and mobility were measured using the 36-item Short Form Health Survey, Social Participation Scale, Leisure Profile, and Life-Space Assessment, as well as a semistructured interview guide.

Results: The French-Canadian Lifestyle Redesign had a beneficial effect on participants’ mental health (p = .02) and interest in leisure (p = .02) and, in those with disabilities, social participation (p = .03) and attitudes toward leisure (p = .04). Participants reported positive effects on their mental health, leisure, mobility, and social participation, including frequency and quality of social interactions, and indicated that having an occupational routine fostered better health. None of the participants reported no effect.

Conclusion and Relevance: The translated and culturally adapted Lifestyle Redesign is a promising occupational therapy intervention for community-dwelling older French-Canadians.

What This Article Adds: This study sheds light on the influence of the French-Canadian version of the intervention not only on older adults’ health and social participation but also on their leisure activities and life-space mobility, two important outcomes not addressed in previous Lifestyle Redesign studies. Moreover, this study provides an in-depth understanding of the Lifestyle Redesign experience of French-Canadian older adults with and without disabilities, including participants with significant communication and mobility disabilities.