Long-Term Follow-Up of a Lifestyle Intervention for Late-Midlife, Rural-Dwelling Latinos in Primary Care
| Autor: | Mike Carlson, Jenny Martinez, Stacey L. Schepens Niemiec, Jeanine Blanchard, Cheryl Vigen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Occupational therapy 030506 rehabilitation medicine.medical_specialty Population Context (language use) Telehealth 03 medical and health sciences 0302 clinical medicine Occupational Therapy Intervention (counseling) Health care medicine Humans 030212 general & internal medicine education Life Style Research Articles education.field_of_study Sleep disorder Primary Health Care business.industry Hispanic or Latino Middle Aged medicine.disease Blood pressure 0305 other medical science business Delivery of Health Care Follow-Up Studies |
| Zdroj: | The American Journal of Occupational Therapy |
| ISSN: | 1943-7676 0272-9490 |
| DOI: | 10.5014/ajot.2021.042861 |
| Popis: | Importance: Rural-dwelling Latinos are an underresourced population in need of accessible and effective wellness programs. Objective: To evaluate patients’ long-term health-related outcomes after lifestyle intervention. Design: An uncontrolled pilot trial assessing change in health from pretreatment to long-term follow-up (12 mo after intervention completion, no contact) and from posttreatment to long-term follow-up. Setting: Rural, community-based primary care. Participants: Latino and Hispanic safety-net primary care patients, ages 50 to 64 yr. Intervention: A culturally tailored, 4-mo lifestyle intervention co-led by occupational therapy practitioners and Latino community health workers that features telehealth and in-home sessions covering topics such as healthy eating and navigating health care. Outcomes and Measures: Self-reported and physiological outcomes: symptom–well-being (primary), stress, sleep disturbance, social satisfaction, physical activity, patient activation, blood pressure, and weight. Exit interviews addressed health experiences and intervention impact on participants’ lives. Results: Participants (N = 27) demonstrated clinically significant pretreatment to long-term follow-up benefits in all symptom–well-being dimensions (Cohen’s d ≥ 0.8, p ≤ .004), with additional gains from posttreatment to long-term follow-up (d ≥ 0.4, p ≤ .05). Significant improvements from pre- to posttreatment in systolic blood pressure, stress, and social role and activity satisfaction were maintained at long-term follow-up. No changes were observed in weight, physical activity, or diastolic blood pressure. Participants described the intervention’s sustained positive effect on their wellness. Conclusions and Relevance: A lifestyle intervention led by occupational therapy practitioners and community health workers in a primary care context has potential to achieve long-term health benefits in rural-dwelling, late-midlife Latinos. What This Article Adds: This study reveals that rural, late-midlife Latinos showed long-lasting improvements in psychological and physical health after finishing a program that helped them make healthy lifestyle choices. This finding supports the unique contribution of occupational therapy in primary care settings. |
| Databáze: | OpenAIRE |
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