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A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial

Mountain, Gail; Windle, Gill; Hind, Daniel; Walters, Stephen; Keertharuth, Anju; Chatters, Robin; Sprange, Kirsty; Cook, Sarah; Lee, Ellen; Chater, Tim; Woods, R.; Newbould, Louise; Powell, Lauren; Shortland, Katy; Roberts, Jennifer

Authors

Gail Mountain g.a.mountain@sheffield.ac.uk

Gill Windle

Daniel Hind

Stephen Walters

Anju Keertharuth

Robin Chatters

Sarah Cook

Ellen Lee

Tim Chater

R. Woods

Louise Newbould

Lauren Powell

Katy Shortland

Jennifer Roberts



Abstract

Objectives

to test whether an occupation-based lifestyle intervention can sustain and improve the mental well-being of adults aged 65 years or over compared to usual care, using an individually randomised controlled trial.

Participants

288 independently living adults aged 65 years or over, with normal cognition, were recruited from two UK sites between December 2011 and November 2015.

Interventions

lifestyle Matters is a National Institute for Health and Care Excellence recommended multi-component preventive intervention designed to improve the mental well-being of community living older people at risk of decline. It involves weekly group sessions over 4 months and one to one sessions.

Main outcome measures

the primary outcome was mental well-being at 6 months (mental health (MH) dimension of the SF-36). Secondary outcomes included physical health dimensions of the SF-36, extent of depression (PHQ-9), quality of life (EQ-5D) and loneliness (de Jong Gierveld Loneliness Scale), assessed at 6 and 24 months.

Results


data on 262 (intervention = 136; usual care = 126) participants were analysed using intention to treat analysis. Mean SF-36 MH scores at 6 months differed by 2.3 points (95 CI: −1.3 to 5.9; P = 0.209) after adjustments.

Conclusions

analysis shows little evidence of clinical or cost-effectiveness in the recruited population with analysis of the primary outcome revealing that the study participants were mentally well at baseline. The results pose questions regarding how preventive interventions to promote well-being in older adults can be effectively targeted in the absence of proactive mechanisms to identify those who at risk of decline.

Trial Registration
ISRCTN67209155.

Citation

Mountain, G., Windle, G., Hind, D., Walters, S., Keertharuth, A., Chatters, R., …Roberts, J. (2017). A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial. Age and Ageing, 46(4), https://doi.org/10.1093/ageing/afx021

Journal Article Type Article
Acceptance Date Nov 11, 2016
Online Publication Date Feb 25, 2017
Publication Date Jul 1, 2017
Deposit Date Dec 12, 2017
Publicly Available Date Dec 12, 2017
Journal Age and Ageing
Print ISSN 0002-0729
Electronic ISSN 1468-2834
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 46
Issue 4
DOI https://doi.org/10.1093/ageing/afx021
Keywords Older people; Occupational health; Randomised controlled trial; Mental health
Public URL http://eprints.nottingham.ac.uk/id/eprint/48635
Publisher URL https://academic.oup.com/ageing/article/46/4/627/3052925
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Lifestyle matters.pdf (366 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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