A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial
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,...
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| Format: | Article |
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Oxford University Press
2017
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| Online Access: | https://eprints.nottingham.ac.uk/48635/ |
| _version_ | 1848797811402866688 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Mountain, Gail |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T20:09:48Z |
| format | Article |
| id | nottingham-48635 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:09:48Z |
| publishDate | 2017 |
| publisher | Oxford University Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-486352020-05-04T18:52:52Z https://eprints.nottingham.ac.uk/48635/ 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 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. Oxford University Press 2017-07-01 Article PeerReviewed 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 and Roberts, Jennifer (2017) A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial. Age and Ageing, 46 (4). pp. 627-634. ISSN 1468-2834 Older people; Occupational health; Randomised controlled trial; Mental health https://academic.oup.com/ageing/article/46/4/627/3052925 doi:10.1093/ageing/afx021 doi:10.1093/ageing/afx021 |
| spellingShingle | Older people; Occupational health; Randomised controlled trial; Mental health 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 A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| title | A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| title_full | A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| title_fullStr | A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| title_full_unstemmed | A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| title_short | A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| title_sort | preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial |
| topic | Older people; Occupational health; Randomised controlled trial; Mental health |
| url | https://eprints.nottingham.ac.uk/48635/ https://eprints.nottingham.ac.uk/48635/ https://eprints.nottingham.ac.uk/48635/ |