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Titre : | Long-Term Follow-Up of a Lifestyle Intervention for Late-Midlife, Rural-Dwelling Latinos in Primary Care (2021) |
Auteurs : | Stacey Schepens Niemiec ; Cheryl L. P. Vigen ; Jenny Martinez ; Jeanine Blanchard ; Mike Carlson |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 75, n° 2, March/April 2021) |
Article en page(s) : | p. 1-11 |
Note générale : | doi:10.5014/ajot.2021.042861 |
Langues: | Anglais |
Descripteurs : |
HE Vinci État de santé ; Hispano-américain ; Soins de santé primaires ; Sujet âgé |
Résumé : |
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: symptomwell-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 symptomwell-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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149050350&site=ehost-live |