Adjusting Challenge-Skill Balance to Improve the Elderly's Quality of Life

Harue Hospital

Status: Completed

Conditions: Elderly

Treatments: Other: Adjusted the challenge-skill balance; Other: Non-adjusted the challenge-skill balance

Study type: Interventional

Funder types: Other

Identifiers

NCT02606318

YIPPE-1

Details and patient eligibility

About

The purpose of this study was to clarify the effects on health-related QOL of occupational therapy involving the adjustment of challenge-skill balance in the activity of elderly clients.

Full description

This study was single-blind, randomized controlled trial. Clients were randomly assigned by blocked randomization (block size 4) to either the experimental group (occupational therapy that included assessment and adjustment of the challenge-skill balance of the activities) or to the control group (occupational therapy as normally conducted at the day care center). Randomization was stratified by sex and EuroQol visual analogue scale, resulting in four layers. The primary outcome was change in health-related quality of life after 10 sessions of occupational therapy. Clients were assessed before the intervention (pre-test) and after the 10th session (post-test). Significant differences were observed in the EuroQol-5 Dimension (EQ-5D) score and in the Medical Outcome Study 8-Item Short-Form Health Survey (SF-8) scores for general health, physical functioning , and vitality.

Enrollment: 56 patients

Sex: All

Ages: 62 to 95 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age >60 years
• occupational therapy at the center for >3 months

Exclusion criteria

• dementia
• visual impairment

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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56 participants in 2 patient groups

Adjusted the challenge-skill balance

Experimental group

Description:

This group received 10-session occupational therapy with adjustment of challenge-skill balance.This intervention aimed at improving the skill level for the activity has started once the balance were balanced.

Treatment:

Other: Adjusted the challenge-skill balance

Non-adjusted the challenge-skill balance

Other group

Description:

This group received 10-session occupational therapy without adjustment of challenge-skill balance. That is conducted the therapy in the normal manner for the day care center.

Treatment:

Other: Non-adjusted the challenge-skill balance