The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study

Objectives To assess the long-term effect on health and well-being of the Lifestyle Matters programme. Design Qualitative study of a subset of intervention arm participants who participated in the Lifestyle Matters randomised controlled trial (RCT). Setting The intervention took...

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Main Authors: Chatters, Robin, Roberts, Jennifer, Mountain, Gail, Cook, Sarah, Windle, Gill, Craig, Claire, Sprange, Kirsty
Format: Article
Published: BMJ Publishing Group Ltd 2017
Online Access:https://eprints.nottingham.ac.uk/48637/
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author Chatters, Robin
Roberts, Jennifer
Mountain, Gail
Cook, Sarah
Windle, Gill
Craig, Claire
Sprange, Kirsty
author_facet Chatters, Robin
Roberts, Jennifer
Mountain, Gail
Cook, Sarah
Windle, Gill
Craig, Claire
Sprange, Kirsty
author_sort Chatters, Robin
building Nottingham Research Data Repository
collection Online Access
description Objectives To assess the long-term effect on health and well-being of the Lifestyle Matters programme. Design Qualitative study of a subset of intervention arm participants who participated in the Lifestyle Matters randomised controlled trial (RCT). Setting The intervention took place at community venues within two sites in the UK. Participants A purposeful sample of 13 participants aged between 66 and 88 years from the intervention arm of the RCT were interviewed at 24 months post randomisation. Interviews aimed to understand how participants had used their time in the preceding 2 years and whether the intervention had any impact on their lifestyle choices, participation in meaningful activities and well-being. Intervention Lifestyle Matters is a 4-month occupational therapy intervention, consisting of group and individual sessions, designed to enable community living older people to make positive lifestyle choices and participate in new or neglected activities through increasing self-efficacy. Results Interviews revealed that the majority of interviewed participants were reportedly active at 24 months, with daily routines and lifestyles not changing significantly over time. All participants raised some form of benefit from attending Lifestyle Matters, including an improved perspective on life, trying new hobbies and meeting new friends. A number of intervention participants spoke of adapting to their changing circumstances, but there were significant and lasting benefits for 2 of 13 intervention participants interviewed. Conclusion The majority of those who experienced the Lifestyle Matters intervention reported minor benefits and increases in self-efficacy, but they did not perceive that it significantly improved their health and well-being. The two participants who had experienced major benefits also reported having had life-changing events, suggesting that this intervention is most effective at the time when lifestyle has to be reconsidered if mental well-being is to be sustained. Trial registration ISRCTN67209155, post results.
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spelling nottingham-486372020-05-04T19:03:10Z https://eprints.nottingham.ac.uk/48637/ The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study Chatters, Robin Roberts, Jennifer Mountain, Gail Cook, Sarah Windle, Gill Craig, Claire Sprange, Kirsty Objectives To assess the long-term effect on health and well-being of the Lifestyle Matters programme. Design Qualitative study of a subset of intervention arm participants who participated in the Lifestyle Matters randomised controlled trial (RCT). Setting The intervention took place at community venues within two sites in the UK. Participants A purposeful sample of 13 participants aged between 66 and 88 years from the intervention arm of the RCT were interviewed at 24 months post randomisation. Interviews aimed to understand how participants had used their time in the preceding 2 years and whether the intervention had any impact on their lifestyle choices, participation in meaningful activities and well-being. Intervention Lifestyle Matters is a 4-month occupational therapy intervention, consisting of group and individual sessions, designed to enable community living older people to make positive lifestyle choices and participate in new or neglected activities through increasing self-efficacy. Results Interviews revealed that the majority of interviewed participants were reportedly active at 24 months, with daily routines and lifestyles not changing significantly over time. All participants raised some form of benefit from attending Lifestyle Matters, including an improved perspective on life, trying new hobbies and meeting new friends. A number of intervention participants spoke of adapting to their changing circumstances, but there were significant and lasting benefits for 2 of 13 intervention participants interviewed. Conclusion The majority of those who experienced the Lifestyle Matters intervention reported minor benefits and increases in self-efficacy, but they did not perceive that it significantly improved their health and well-being. The two participants who had experienced major benefits also reported having had life-changing events, suggesting that this intervention is most effective at the time when lifestyle has to be reconsidered if mental well-being is to be sustained. Trial registration ISRCTN67209155, post results. BMJ Publishing Group Ltd 2017-09-01 Article PeerReviewed Chatters, Robin, Roberts, Jennifer, Mountain, Gail, Cook, Sarah, Windle, Gill, Craig, Claire and Sprange, Kirsty (2017) The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study. BMJ Open, 7 (9). e016711/1-e016711/10. ISSN 2044-6055 http://bmjopen.bmj.com/content/7/9/e016711.info doi:10.1136/bmjopen-2017-016711 doi:10.1136/bmjopen-2017-016711
spellingShingle Chatters, Robin
Roberts, Jennifer
Mountain, Gail
Cook, Sarah
Windle, Gill
Craig, Claire
Sprange, Kirsty
The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study
title The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study
title_full The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study
title_fullStr The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study
title_full_unstemmed The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study
title_short The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study
title_sort long-term (24-month) effect on health and well-being of the lifestyle matters community-based intervention in people aged 65 years and over: a qualitative study
url https://eprints.nottingham.ac.uk/48637/
https://eprints.nottingham.ac.uk/48637/
https://eprints.nottingham.ac.uk/48637/