Healthy Older Adults
Conditions
Keywords
social participation, meaningful activities, complex intervention, digitalization, occupational therapy
Brief summary
The goal of this feasibility study is to evaluate the design, content and delivery of Health Web 1.0, a web-based occupational therapy group intervention supporting older adults' social participation and meaningful activities in daily life. More specifically, this feasibility study aims to: * Determine the acceptability and adherence of the Health Web among older adults and occupational therapists. * Determine the perceived values, benefits, harms and unintended consequences of the Health Web among older adults. * Explore changes experienced by older adults and the potential outcomes of social participation and meaningful activities in daily life. The participants will be invited to participate in a web-based group intervention including thematic sessions over a period of seven weeks.
Detailed description
The demographic changes associated with a growing ageing population worldwide imply a need for a shift in the health and social care system and a need for new innovations and interventions to support active and healthy ageing. Important aspects of healthy ageing, emphasized by the World Health Organization (WHO), are possibilities for social participation and the ability to create and maintain social relationships. In Sweden, there is an ongoing transition in the health care system towards personalized and integrated care, in which people are encouraged to take greater responsibility for their health. Additionally, digital solutions have been identified as an opportunity to offer new interventions to meet the needs of this transition. For professionals such as occupational therapists, this implies a need to increase the use of new digital interventions that address healthy ageing and support social participation. According to occupational therapy research, digital technology has the potential to support older adults' social participation and reduce experiences of loneliness. Thus, developing health promotion interventions that support the development of strategies for social participation when ageing is an important concern within occupational therapy. To address this background, a web-based occupational therapy group intervention, the Health Web, has been developed, with a focus on strategies for social participation and meaningful activities in daily life to support healthy ageing. This feasibility study will be conducted using a pretest and posttest design without a control group to evaluate feasibility and potential results. Qualitative and quantitative data will be collected concurrently in a convergent mixed-method design. The combination of data provides enables a comprehensive evaluation of feasibility. Health Web 1.0 is a health promoting intervention targeting older adults 65+ and is delivered by Occupational Therapists in municipality primary healthcare settings in northern Sweden. This feasibility study provides important information to further evaluate and refine the intervention programme prior to larger-scale testing.
Interventions
BEHAVIORALHealth Web 1.0
The Health Web intervention will be delivered by an Occupational therapist (OT) via a digital communication platform. The intervention includes two introduction sessions, five theme sessions and a follow-up session. Each theme session includes a short educational video followed by a reflection assignment and a group meeting. The intervention aims to support older adults in becoming aware of, reflecting on, using and developing strategies for social participation and meaningful activities in daily life.
Sponsors
Luleå Tekniska Universitet
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Health promotion intervention supporting the development of strategies for social participation when ageing
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 65 years or older * living in ordinary housing * experience with a changed life situation that can influence possibilities for social participation * having access to a computer or tablet and access to and experience with using the internet and e-mail * able to assimilate information and express themselves through speech.
Exclusion criteria
* living in a short-term unit or nursing home or having an ongoing application to a nursing home * having a disease or condition that affects the ability to provide informed consent and participate in data collection and the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occupational Balance Questionnaire (OBQ) | The outcome measure is completed within 2 weeks before the intervention is initiated, within 2 weeks after the intervention is completed and 3 months after the intervention is completed. | The OBQ consists of 11 items that are graded on a 4-point ordinal scale from 0-3; these items range from "completely" disagree to "completely" agree and are summed to a total score ranging between 0 and 33. A higher score implies more satisfaction with the amount and variation of occupations, i.e., a higher level of occupational balance. Used to capture the satisfaction with, and the variation in daily activities. |
Countries
Sweden
Contacts
PRINCIPAL_INVESTIGATORAnneli Nyman
Luleå Tekniska Universitet
Outcome results
None listed