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21 Cards in this Set

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What does the lifestyle redesign demonstrate?

The Lifestyle Redesign intervention demonstrates evidence of being an effective preventative technique in community- based settings

Where is Lifestyle Redesign used and why is it used?

Lifestyle redesign is being used at the University of Southern California Occupational Therapy Faculty Practice (OTPF) to provide occupational therapy interventions

What is the definition Lifestyle Redesign?

Lifestyle Redesign is defined as the process of developing and enacting a customized routine of health promoting and meaningful activites

What does the term "lifestyle" include?

The term "lifestyle" includes:




-ADL's, IADL's, Habits & Routines, Health Status, Environmental Press, Attitude & Mood




-Daily choices

What is the Lifestyle Redesign?

-Lifestyle is created by focused attention upon daily and weekly occupations and routines




-Lifestyle Redesign empowers clients to be the director over their own life, health, and choices




-Clients become their own health advocates




-The approach aims to facilitate gradual lifestyle changes over a prolonged period of time

What is the goal of Lifestyle Redesign?

The goal of Lifestyle Redesign is to help the clients determine the lifestyle changes they want to make

What is Wellness? (AOTA, 2008, P676)

Wellness is a state of mental and physical balance and fitness.




Wellness is an important construct of Lifestyle Redesign

What are the four core ideas from the occupational therapy profession that shaped the development of Lifestyle Redesign?

1) Occupation is life itself.




2) Occupation can create new visions of possible lives




3) Occupation has a curative effect on physcial and mental health and on a sense of life order and routine




4) Occupation has a place in preventative care.

What are the components crucial to the success of Lifestyle Redesign?

Attitude of the therapist and environment that s/he created for intervention




Inclusion of four key methods of service delivery: didactic, presentation, peer exchange, direct experience, and personal exploration

What are the 4 key ides learned by participants that contributed to the success of the intervention?

1) Experience in occupation creates radiating, not linear exchange




2) "Occupational self analysis is possible" and through this process participants are encouraged to identify barriers to desired changes and the next small steps to get them there.




3) When people understand the elements of occupation, they have tool kit to redesign their lives." Selection of occupations becomes more intentional and participants are guided through the process of recognizing and experiencing meaning in their selected occupations.




4) "Occupation is the impetus that propels people forward."

What are the key components of Lifestyle Redesign Programs created since the USC Well Elderly Study?

-Occupational therapy and participate engage in occupational storytelling and story making to create the lifestyle will enact




-Interventions can be in individual or group formats




-Meetings occur at the same time and locations weekly.




The occupational therapist presents a different topic each week

What fraction of adults are categorized as obese?

1/3 of adults are in the United States are categorized as obese (with body mass index of >30)




An additional 1/3 of the population have a BMI of 25-29.9, classified as overweight




The Lifestyle Redesign Weight Management Program was created to address obesity and associated co-morbidities

What many insurance companies require of clients prior to authorizing bariatric surgery?

Insurance companies may require clients to try other interventions to lifestyle modification programs prior to authorizing bariatric surgery.

How can the Lifestyle Redesign program be used?

The Lifestyle Redesign program can be used as an intervention to help bariatric clients establish new performance patterns to optimize the success of surgery by:




-Changing eating routines


-Incorporating new nutritional needs


-Increasing physical activity

How did the Lifestyle Redesign for Diabetes Program Evolve?

The Lifestyle Redesign for Diabetes Program evolved from the weight management program.




-Designed to target growing populations with diabetes




-Adds information about preventing and managing diabetes




-Assists clients with gaining and sustaining healthy eating routines and blood sugar levels




-Encourages increased physical activity and attention to stress management

How did the Lifestyle Redesign Program for Headaches and migraines develop?

The Lifestyle Redesign Program for Headaches and migraines developed from the pain management program-




-18% of women and 6% of men in the United States suffer from migraines




-This is equivalent over 38 million people




-The group format is often successful for the chronic headache population secondary to shared traits and demographics





Lifestyle Redesign for the College Student

-Evidence of a significant increase in the number of college students who seek counseling services




-Increase in the prescribed use of psychotropic medications with this population




-Lifestyle Redesign help students acquire skills to meet developmentally appropriate demands

What are some topics included in Lifestyle Redesign for the College Student?

Some topics include:


-Time management


-Self-motivation


-Improved focus


-Problem solving


-Improved organizational skills


-Decreased procrastination


-Creation of optimal work or study contexts


-Stress reduction


-Promotion of healthy lifestyle balance

Lifestyle Redesign Programs for Mental Health

-All Lifestyle Redesign Programs inherently address the mental health of clients




-Can be an appropriate intervention method for people who have moderate to mild symptoms from psychosocial disease




-Intervention emphasizes lifestyle factors and lifestyle changes as a way to influence and improve:


+Self regulation


+Mood


+Attention


+Concentration


+Motivation

What are 3 additional examples of intervention settings that use Lifestyle Redesign?

1)Employee Wellness (created by Daly)


An 8-week wellness and health promotion program for employees at USC




2)Live Your Best Life (created by Chu)


A stroke prevention program that targets women ages 35-65 who have transient ischemic attack (TIA)




3) Lifestyle Matters (Mountain, Craig, Mozley, Ball, 2006)


An adapted version of the USC Well-Elderly Study in Great Britain

Reimbursement for Lifestyle Redesign

-Reimbursement for the LIfestyle Redesign programs comes primarily from the clients health insurance




-Common occupational therapy codes can be used to document and bill for these alternative methods of delivering intervention




Self pay, grants, and special contracts are among other possibilities as potential payor sources