Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial

Article


Clark, Florence, Jackson, Jeanne, Carlson, Mike, Chou, Chih-Ping, Cherry, Barbara J., Jordan-Marsh, Maryalice, Knight, Bob G., Mandel, Deborah, Blanchard, Jeanine, Granger, Douglas A., Wilcox, Rand R., Lai, Mei Ying, White, Brett, Hay, Joel, Lam, Claudia, Marterella, Abbey and Azen, Stanley P.. 2012. "Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial." Journal of Epidemiology and Community Health. 66 (9), pp. 782-790. https://doi.org/10.1136/jech.2009.099754
Article Title

Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial

ERA Journal ID13634
Article CategoryArticle
AuthorsClark, Florence (Author), Jackson, Jeanne (Author), Carlson, Mike (Author), Chou, Chih-Ping (Author), Cherry, Barbara J. (Author), Jordan-Marsh, Maryalice (Author), Knight, Bob G. (Author), Mandel, Deborah (Author), Blanchard, Jeanine (Author), Granger, Douglas A. (Author), Wilcox, Rand R. (Author), Lai, Mei Ying (Author), White, Brett (Author), Hay, Joel (Author), Lam, Claudia (Author), Marterella, Abbey (Author) and Azen, Stanley P. (Author)
Journal TitleJournal of Epidemiology and Community Health
Journal Citation66 (9), pp. 782-790
Number of Pages9
Year2012
Place of PublicationUnited Kingdom
ISSN0143-005X
1470-2738
Digital Object Identifier (DOI)https://doi.org/10.1136/jech.2009.099754
Web Address (URL)http://jech.bmj.com/content/66/9/782.full.pdf+html
Abstract

Background: 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.

Methods: 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 74.96±7.7 years; 53% <$12 000 annual income) recruited from 21 sites in the greater Los Angeles metropolitan area.

Results: 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.

Conclusions: 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.

Trial Registration: clinicaltrials.gov identifier:
NCT0078634.

ANZSRC Field of Research 2020420301. Aged health care
420313. Mental health services
440699. Human geography not elsewhere classified
Public Notes

Permanent restricted access to published version in accordance with the copyright policy of the publisher.

Erratum in Journal of Epidemiology and Community Health. 2012 November, Volume 66(11), page 1082.

Byline AffiliationsUniversity of Southern California, United States
California State University, United States
Johns Hopkins University, United States
Oregon Health and Science University, United States
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q3321/effectiveness-of-a-lifestyle-intervention-in-promoting-the-well-being-of-independently-living-older-people-results-of-the-well-elderly-2-randomised-controlled-trial

  • 1693
    total views
  • 11
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Real change or more of the same? Analysing Australian media's portrayal of intellectual disability during the NDIS rollout
Winterbotham, Sonya, Knight, Bob G. and du Preez, Jan du. 2023. "Real change or more of the same? Analysing Australian media's portrayal of intellectual disability during the NDIS rollout." Journal of Applied Research in Intellectual Disabilities. https://doi.org/10.1111/jar.13080
The relationship among openness, wisdom, and humor: a preliminary mediation model
Leeman, Trilas M., Knight, Bob G. and Fein, Erich C.. 2022. "The relationship among openness, wisdom, and humor: a preliminary mediation model." International Psychogeriatrics. 34 (7), pp. 627-636. https://doi.org/10.1017/S1041610222000400
Innovative approaches to long term care
Bahr, S., Koder, D., Jayaram, H., Davison, T., Knight, B. and Laidlaw, K.. 2022. "Innovative approaches to long term care." Asmundson, G (ed.) Comprehensive Clinical Psychology. Oxford, United Kingdom. Elsevier.
Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research
Snowden, Mark B., Steinman, Lesley E., Carlson, Whitney L., Mochan, Kara N., Abraido-Lanza, Ana F., Bryant, Lucinda L., Duffy, Michael, Knight, Bob G., Jeste, Dilip V., Leith, Katherine H., Lenze, Eric J., Logdson, Rebecca G., Satariano, William A., Zweiback, Damita J. and Anderson, Lynda A.. 2014. "Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research." Frontiers in Public Health. 2, pp. 1-14. https://doi.org/10.3389/fpubh.2014.00213
Values and the experience of family care-giving: cultural values or shared family values?
Knight, Bob, Keane, Niamh, Benea, Daniela and Stone, Richele. 2022. "Values and the experience of family care-giving: cultural values or shared family values?" Ageing and Society. https://doi.org/10.1017/S0144686X2200006X
An evaluation of the factor structure of the Self-Assessed Wisdom Scale (SAWS) and the creation of the SAWS-15 as a short measure for personal wisdom
Leeman, Trilas M., Knight, Bob G., Fein, Erich C., Winterbotham, Sonya and Webster, Jeffrey Dean. 2022. "An evaluation of the factor structure of the Self-Assessed Wisdom Scale (SAWS) and the creation of the SAWS-15 as a short measure for personal wisdom." International Psychogeriatrics. 34 (3), pp. 241-251. https://doi.org/10.1017/S1041610220004202
Older parents caring for adults with intellectual disability
Winterbotham, Sonya, Knight, Bob G. and du Preez, Jan. 2019. "Older parents caring for adults with intellectual disability." Innovations and Advances in Ageing Well: Joint Conference of the NZ Psychologists of Older People and the Australian Psychological Society’s Psychology & Ageing Interest Group in partnership with the Auckland University of Technology Centre for Active Ageing (2019). Auckland, New Zealand 28 - 29 Jun 2019 Aukland, New Zealand.
Re-evaluating the factor structure of the self-assessed wisdom scale (saws)
Leeman, Trilas M., Knight, Bob G., Fein, Erich C. and Winterbotham, Sonya. 2019. "Re-evaluating the factor structure of the self-assessed wisdom scale (saws)." Innovations and Advances in Ageing Well: Joint Conference of the NZ Psychologists of Older People and the Australian Psychological Society’s Psychology & Ageing Interest Group in partnership with the Auckland University of Technology Centre for Active Ageing (2019). Auckland, New Zealand 28 - 29 Jun 2019 Aukland, New Zealand.
Rural and urban older adults perceptions of mental health services accessibility
Knight, Bob G. and Winterbotham, Sonya. 2020. "Rural and urban older adults perceptions of mental health services accessibility." Aging and Mental Health. 24 (6), pp. 978-984. https://doi.org/10.1080/13607863.2019.1576159
Effects of age and mood on emotional face processing differ depending on the intensity of the facial expression
Durbin, Kelly A, Rastegar, Sarah and Knight, Bob G. 2020. "Effects of age and mood on emotional face processing differ depending on the intensity of the facial expression." Aging, Neuropsychology and Cognition. 27 (6), pp. 902-917. https://doi.org/10.1080/13825585.2019.1700900
Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review
Chan, Phoebe, Bhar, Sunil, Davison, Tanya E., Doyle, Colleen, Knight, Bob G., Koder, Deborah, Laidlaw, Ken, Pachana, Nancy, Wells, Yvonne and Wuthrich, Viviana M.. 2021. "Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review." Aging and Mental Health. 25 (2), pp. 187-205. https://doi.org/10.1080/13607863.2019.1686457
Wisdom across the ages and its modern day relevance
Mitchell, Leander. K., Knight, Bob G. and Pachana, Nancy. A.. 2017. "Wisdom across the ages and its modern day relevance." International Psychogeriatrics. 29 (8), pp. 1231-1234. https://doi.org/10.1017/S1041610217000783
Attentional avoidant biases as mediators in the association between experiential avoidance and blood pressure in dementia family caregivers
Marquez-Gonzalez, Maria, Cabrera, Isabel, Losada, Andres and Knight, Bob. 2018. "Attentional avoidant biases as mediators in the association between experiential avoidance and blood pressure in dementia family caregivers." Aging and Mental Health. 25 (2), pp. 669-677. https://doi.org/10.1080/13607863.2017.1293003
Understanding the Mechanisms of Change in a Lifestyle Intervention for Older Adults
Juang, Christine, Knight, Bob G., Carlson, Mike, Schepens Niemiec, Stacey L., Vigen, Cheryl and Clark, Florence. 2017. "Understanding the Mechanisms of Change in a Lifestyle Intervention for Older Adults." The Gerontologist. 58 (2), pp. 353-361. https://doi.org/10.1093/geront/gnw152
The effects of the MORE wisdom resources on spousal caregivers’ life satisfaction: an application of the resilience model
Kim, Seungyoun and Knight, Bob G.. 2017. "The effects of the MORE wisdom resources on spousal caregivers’ life satisfaction: an application of the resilience model." Clinical Gerontologist. 40 (5), pp. 413-427. https://doi.org/10.1080/07317115.2016.1209607
Caregiving Subgroups Differences in the Associations Between the Resilience Resources and Life Satisfaction
Kim, Seungyoun and Knight, Bob G.. 2018. "Caregiving Subgroups Differences in the Associations Between the Resilience Resources and Life Satisfaction." Journal of Applied Gerontology. 37 (12), pp. 1540-1563. https://doi.org/10.1177/0733464816669804
Adapting psychotherapy for older adults with Parkinson's disease
Knight, Bob, Dissanayaka, Nadeeka N. W. and Pachana, Nancy A.. 2016. "Adapting psychotherapy for older adults with Parkinson's disease." International Psychogeriatrics. 28 (10), pp. 1631-1636. https://doi.org/10.1017/S1041610216000569
Brief on the role of psychologists in residential and home care services for older adults
Davison, Tanya E., Koder, Deborah, Helmes, Edward, Doyle, Colleen, Bhar, Sunil, Mitchell, Leander, Hunter, Carol, Knight, Bob and Pachana, Nancy. 2016. "Brief on the role of psychologists in residential and home care services for older adults." Australian Psychologist. https://doi.org/10.1111/ap.12209
Age differences in the connection of mood and cognition: evidence from studies of mood congruent effects
Knight, Bob G., Rastegar, Sarah and Kim, Seungyoun. 2016. "Age differences in the connection of mood and cognition: evidence from studies of mood congruent effects." Warner Schaie, K. and Willis, Sherry L. (ed.) Handbook of the psychology of aging. Tokyo. Elsevier. pp. 280-302
Psychological assessment and therapy with older adults
Knight, Bob G. and Pachana, Nancy A.. 2015. Psychological assessment and therapy with older adults. United Kingdom. Oxford University Press.
Age differences in interpreting ambiguous situations: the effects of content themes and depressed mood
Juang, Christine and Knight, Bob G.. 2016. "Age differences in interpreting ambiguous situations: the effects of content themes and depressed mood." Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 71 (6), pp. 1024-1033. https://doi.org/10.1093/geronb/gbv037
Influences on the perception of elder financial abuse among older adults in Southern California
Knight, Bob G., Kim, Seungyoun, Rastegar, Sarah, Jones, Scott, Jump, Victoria and Wong, Serena. 2015. "Influences on the perception of elder financial abuse among older adults in Southern California." International Psychogeriatrics. 28 (1), pp. 163-169. https://doi.org/10.1017/S1041610215000587
Parental emotional support during emerging adulthood and baby boomers' well-being in midlife
Poon, Cecilia Y. M. and Knight, Bob G.. 2013. "Parental emotional support during emerging adulthood and baby boomers' well-being in midlife." International Journal of Behavioral Development. 37 (6), pp. 498-504. https://doi.org/10.1177/0165025413498217
Cross-cultural differences in dementia: the sociocultural health belief model
Sayegh, Phillip and Knight, Bob G.. 2013. "Cross-cultural differences in dementia: the sociocultural health belief model." International Psychogeriatrics. 25 (4), pp. 517-530. https://doi.org/10.1017/S104161021200213X
Accreditation in the profession of psychology: a cautionary tale
Maiden, Robert, Knight, Bob G., Howe, Judith L. and Kim, Seungyoun. 2012. "Accreditation in the profession of psychology: a cautionary tale." Gerontology and Geriatrics Education. 33 (1), pp. 55-74. https://doi.org/10.1080/02701960.2012.640728
Positivity effects in older adults' perception of facial emotion: the role of future time perspective
Kellough, Jennifer L. and Knight, Bob G.. 2012. "Positivity effects in older adults' perception of facial emotion: the role of future time perspective." Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 67B (2), pp. 150-158. https://doi.org/10.1093/geronb/gbr079
Mental health and aging in the 21st century
Knight, Bob G. and Sayegh, Philip. 2011. "Mental health and aging in the 21st century." Journal of Aging & Social Policy. 23 (3), pp. 228-243. https://doi.org/10.1080/08959420.2011.579494
Impact of childhood parental abuse and neglect on sleep problems in old age
Poon, Cecilia Y. M. and Knight, Bob G.. 2011. "Impact of childhood parental abuse and neglect on sleep problems in old age ." Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 66B (3), pp. 307-310. https://doi.org/10.1093/geronb/gbr003
Training in professional psychology in the US: an increased focus on competency attainment
Knight, Bob G.. 2011. "Training in professional psychology in the US: an increased focus on competency attainment ." Australian Psychologist. 46 (2), pp. 140-141. https://doi.org/10.1111/j.1742-9544.2011.00026.x
Mentoring for professional geropsychology within a doctoral program
Knight, Bob G.. 2011. "Mentoring for professional geropsychology within a doctoral program." Educational Gerontology: an international journal. 37 (5), pp. 378-387. https://doi.org/10.1080/03601277.2011.553559
The effects of familism and cultural justification on the mental and physical health of family caregivers
Sayegh, Philip and Knight, Bob G.. 2011. "The effects of familism and cultural justification on the mental and physical health of family caregivers." Journal of Gerontology Series B: Psychological Sciences and Social Sciences. 66B (1), pp. 3-14. https://doi.org/10.1093/geronb/gbq061
Age differences in the complexity of emotion perception
Kim, Seungyoun, Geren, Jennifer L. and Knight, Bob G.. 2015. "Age differences in the complexity of emotion perception." Experimental Aging Research. 41 (5), pp. 556-571. https://doi.org/10.1080/0361073X.2015.1085727
Contextual adult lifespan theory for adapting psychotherapy with older adults
Knight, B. G., Juang, Ch. and Poon, C. Y. M.. 2015. "Contextual adult lifespan theory for adapting psychotherapy with older adults." Maercker, I. A. (ed.) Alterpsychoterapie und klinische gerontopsycholgie. Heidelberg. Springer.
Using the CALTAP life span developmental framework with older adults
Pachana, Nancy A., Mitchell, Leander K. and Knight, Bob G.. 2015. "Using the CALTAP life span developmental framework with older adults." GeroPsych. 28 (2), pp. 77-86. https://doi.org/10.1024/1662-9647/a000126
Aging and the effects of emotion on cognition: implications for psychological interventions for depression and anxiety
Knight, Bob G. and Durbin, Kelly. 2015. "Aging and the effects of emotion on cognition: implications for psychological interventions for depression and anxiety." Psych Journal. 4 (1), pp. 11-19. https://doi.org/10.1002/pchj.84
Adaptation of the Three-Dimensional Wisdom Scale (3D-WS) for the Korean cultural context
Kim, Seungyoun and Knight, Bob G.. 2015. "Adaptation of the Three-Dimensional Wisdom Scale (3D-WS) for the Korean cultural context." International Psychogeriatrics. 27 (2), pp. 267-278. https://doi.org/10.1017/S1041610214002178
Can we do better? Researchers' experiences with ethical review boards on projects with later life as a focus
Pachana, Nancy A., Liddle, Jacki, Peel, Nancye M., Beattie, Elizabeth, Juang, Christine and Knight, Bob G.. 2015. "Can we do better? Researchers' experiences with ethical review boards on projects with later life as a focus." Journal of Alzheimer's Disease. 43 (3), pp. 701-707. https://doi.org/10.3233/JAD-141956
Functional assessment and neuropsychiatric inventory questionnaires: measurement invariance across Hispanic and non-Hispanic whites
Sayegh, Philip and Knight, Bob G.. 2014. "Functional assessment and neuropsychiatric inventory questionnaires: measurement invariance across Hispanic and non-Hispanic whites." The Gerontologist. 54 (3), pp. 375-386. https://doi.org/10.1093/geront/gnt026
Assessment and diagnosis of dementia in Hispanic and non-Hispanic white outpatients
Sayegh, Philip and Knight, Bob G.. 2013. "Assessment and diagnosis of dementia in Hispanic and non-Hispanic white outpatients." The Gerontologist. 53 (5), pp. 760-769. https://doi.org/10.1093/geront/gns190
Emotional reactivity to network stress in middle and late adulthood: the role of childhood parental emotional abuse and support
Poon, Cecilia Y. M. and Knight, Bob G.. 2012. "Emotional reactivity to network stress in middle and late adulthood: the role of childhood parental emotional abuse and support." The Gerontologist. 52 (6), pp. 782-791. https://doi.org/10.1093/geront/gns009
Confirmatory factor analysis of a brief version of the Zarit Burden Inventory in black and white dementia caregivers
Flynn Longmire, Crystal V. and Knight, Bob G.. 2011. "Confirmatory factor analysis of a brief version of the Zarit Burden Inventory in black and white dementia caregivers." The Gerontologist. 51 (4), pp. 453-462. https://doi.org/10.1093/geront/gnr011