The Live Well Intervention: Promoting health behavior change in older people living in South Western Sydney

The Live Well Intervention: Promoting health behavior change in older people living in South Western Sydney. Improve the health, wellbeing and resilience of older people/patients living in South Western Sydney through the Live Well goal setting intervention in the following six health domains: - physical activity - social activity - healthy eating - mental activity - mental wellbeing - positive thinking People 65 or over who live in South Western Sydney who are eligible for Older People's Mental Health (OPMH) services or in contact with Primary Healthcare who do not have a formal existing diagnosis of dementia will meet selection criteria and therefore be eligible to participate in this study. Suitable clinicians (including GPs, practice nurses and OPMH clinicians) will be trained in delivering the Live Well intervention and register for inclusion. Training will be delivered either in person or online via members of the Live Well project team who are senior clinicians working with South Western Sydney OPMH services. Training will be of 1.5 - 2 hours in duration. Training is didactic using powerpoint and online videos with the ability to interact/ask questions. There is no minimum timeframe between training and implementation of training. Training participants are required to provide both a registration form and feedback form to be provided access to intervention materials. These forms will be managed by administrative staff working with the project. People (patients/consumers) who match the selection criteria will be invited to participate in the study. The intervention will be offered individually either face to face or via videolink and can be conducted either at home or in a clinic setting. Trained clinicians will start a discussion with potential participants about how lifestyle impacts health, wellbeing and resilience. Then they will discuss the Live Well intervention as one way to address lifestyle factors. Potential participants will be given a participant information sheet on the study and consent will be obtained. Participants will be provided written information on the 6 domains of health and wellbeing. They then will choose one domain that they want to make a difference in and are supported to write a SMART goal (Specific, Measurable, Achievable, Realistic, Time-based) with support to anticipate and overcome potential barriers to goal achievement. SMART goals are generated by the participant with support from the clinician, not prescribed by the clinician. Examples of SMART goals: go for a 15 minute walk in the morning 3 times per week for 12 weeks; go to the local coffee shop twice a week with a friend for 12 weeks. The participants will use a Health and Wellness Questionnaire at pre and post intervention to quantitatively measure their health in the six domains. Post intervention measures will be taken at 6 and 12 weeks follow-up. At follow-up, they will also measure how they feel since setting their goal and their satisfaction with the helpfulness of the intervention to achieve their goal. Support will be offered to modify the goal, problem solve further barriers to participation, set a new goal or the person can choose to stop participation in the intervention. All written material and consumer information videos will be translated in 5 languages (Simplified Chinese, Vietnamese, Arabic, Assyrian and Spanish) and available via https://www.swsphn.com.au/live-well-introduction-to-ageing-well This material includes the poster; information brochure; videos; smart goal; information sheet and consent form; and evaluation sheets. An interpreter can also be used if required for consent. Videos can also be accessed via https://www.youtube.com/watch?v=Cznlj9z6MFY&list=PLaEI06Attd-xYSDz45zEUD9-x-uLxwvpY Participants will have the choice of whether they watch the videos with the clinician or at home. A sheet with QR code links to the videos will be available for the participant to easily access videos on demand. Videos range in duration from 1 minute 35seconds to 2minutes 40 seconds. There are 8 videos in total, one video for each of the 6 health domains, 1 video introducing the Live Well intervention and benefits of positive Lifestyle changes, and a video specifically outlining Live Well intervention process. The initial consultation is anticipated to take between 30-60 minutes, and subsequent consultations between 20-40 minutes. Follow-up consultations are recommended at 6 and 12 weeks. Additional supports to achieve goals will be discussed at the initial consultation when addressing potential barriers.