Lifestyle Matters where did it come from

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Lifestyle Matters where did it come from?

• Gail Mountain
• Sheffield Hallam University

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Los Angeles USA
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University of Southern California Centre for
Lifestyle Redesign
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The Well Elderly study Lifestyle
Redesign University of Southern California Clark
F et al (1997) Occupational Therapy for
independent older living adults a randomised
controlled trial. Journal of the American
Medical Association, 278, 1321-1326
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Stated aim of the project

• "To evaluate the effectiveness of preventive
  occupational therapy services specifically
  tailored for multi-ethnic, independent living
  older adults." (Clark et al 1997).

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The programme
The underlying philosophy - understanding the
relationship between occupation (meaningful
activity), health and well-being
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The Research Found That.

• Participants experienced benefit health,
  function and quality of life
• Benefit was sustained six months later
• The interventions were cost effective

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Since then

• A larger trial currently being undertaken in Los
  Angeles
• Work on-going in America and elsewhere to look at
  how the programme can be adapted to meet the
  needs of other groups

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The importance of Ageing Well

• Active ageing and prevention of ill health in
  older people is a priority for policy makers
  across Europe
• But also
• Beautiful Old Age
• It ought to he lovely to be old
• To be full of the peace that comes of experience
• And wrinkled life fulfilment.
• DH Lawrence

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Lifestyle Redesign for older People living in Los
Angeles
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Lifestyle Redesign

• Would this programme work with community living
  older people in one city in the UK?

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What we had to consider

• Recruitment of older people
• Participation of older people and others
• Who will deliver the programme and how will they
  be prepared

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What we had to consider

• The content of the programme
• How to measure health gain
• Length of the programme and where it should be
  delivered