Person-Centered Occupational Therapy in Older Adults
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorAtlas University
About this trial
This study was designed to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance among community-dwelling older adults. The study is a randomized controlled trial utilizing semi-structured interviews and self-report measures. The target population consists of individuals aged 65 years and older living in Istanbul. The sample size was calculated using G\*Power software, indicating a minimum of 77 participants per group, for a total of 154 participants. Considering potential attrition, a total sample of 170 participants is planned.
Data will be collected using a Sociodemographic Information Form, the Mini-Mental State Examination (MMSE), the Occupational Performance History Interview-II (OPHI-II), Goal Attainment Scaling (GAS), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Cognitive eligibility will be assessed using the MMSE, and individuals scoring 24 or higher will be included in the study. Through the OPHI-II, participants' life histories, roles, habits, and experiences related to daily activities will be explored, and individualized goals will be identified based on the information obtained. These goals will subsequently be structured using the Goal Attainment Scaling method.
Participants will be randomly allocated to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation, while those in the control group will continue their usual daily routines without additional support. At the end of the study, outcomes related to quality of life and occupational balance will be compared between groups. The findings are expected to provide evidence regarding the role of a person-centered occupational therapy approach in supporting participation in daily life activities among older adults.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 65 years or older.
Living independently in the community.
Scoring 24 or higher on the Mini-Mental State Examination (MMSE).
Having sufficient communication abilities to participate in interviews and assessments.
Disqualifiers
Having an acute medical or psychiatric condition that may prevent participation in the study.
Having communication difficulties that interfere with participation despite the use of assistive devices (e.g., hearing aids, glasses).
Trial design
Design model
Parallel
Treatments tested in this trial
Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation
BehavioralThe intervention consists of a person-centered occupational therapy approach delivered through telerehabilitation. Following the Occupational Performance History Interview-II (OPHI-II), individualized goals are collaboratively established based on each participant's occupational history, daily routines, roles, meaningful activities, environmental context, and personal priorities. Goals are structured using Goal Attainment Scaling (GAS). Participants receive one 40-minute online session per week for six weeks. Sessions focus on supporting participation in meaningful activities, improving occupational balance, enhancing social participation, strengthening role engagement, promoting self-management strategies, and facilitating adaptations to daily routines and environmental demands according to individual needs.
Treatment groups
154 Participants
are divided into 2 treatment groupsGroup A: Experimental Group: Person-Centered Occupational Therapy via TelerehabilitationExperimental treatment 1 intervention
Group B: Control Group: Usual Daily RoutineNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
World Health Organization Quality of Life Instrument-Older Adults Module
Quality of life will be assessed using the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). The scale consists of 24 items and evaluates quality of life in older adults across six domains: sensory abilities, autonomy, past-present-future activities, social participation, death and dying, and intimacy. Total scores range from 24 to 120, with higher scores indicating better quality of life. The outcome will be the change in the total WHOQOL-OLD score from baseline to post-intervention
Time frame
Baseline and immediately after completion of the 6-week intervention period2
Activity-Role Balance Questionnaire
Occupational balance will be assessed using the Activity-Role Balance Questionnaire. This self-report questionnaire consists of 11 items and evaluates individuals' perceived balance among daily activities and roles. Total scores range from 0 to 33, with higher scores indicating a higher level of perceived occupational balance. The outcome will be the change in the total Activity-Role Balance Questionnaire score from baseline to post-intervention.
Time frame
Baseline and immediately after completion of the 6-week intervention period.Secondary outcomes
1
Goal Attainment Scaling
Goal attainment will be assessed using Goal Attainment Scaling (GAS). Individualized goals will be established collaboratively with each participant based on the Occupational Performance History Interview-II and personal priorities. Each goal will be rated on a five-point scale ranging from -2 to +2, where 0 represents the expected level of goal achievement. Higher scores indicate greater goal attainment. The outcome will be the level of goal achievement at the end of the intervention period.
Time frame
Immediately after completion of the 6-week intervention period.Sponsors and contacts
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Source ClinicalTrials.gov