Lifestyle Matters

Abstract


Technical Summary

The research being proposed is a population based clinical and cost evaluation of an intervention which aims to assist older people to make positive changes to their lifestyle and by doing so avoid the decline associated with poor mental health and low quality of life. The intervention ?Lifestyle Matters? is recommended in NICE guidance but has not been robustly evaluated. It is delivered weekly to the same group of older people in a local community venue by facilitators who are trained using an existing resource and then supervised throughout. The intervention involves using a range of techniques to enable individuals to learn new activities and/or re-engage with neglected activities in a supportive atmosphere. The group intervention extends over four months and is supplemented by monthly individual sessions for each participant as described in the published manualised programme.
The research will involve recruiting people aged 65 years and over to the study from local communities in Bangor and Sheffield. Those who meet the study inclusion criteria will be randomised to either receive the intervention or to participate in data collection for the purposes of the study. The aim is to recruit 268 older people, with 134 being randomised to receive the intervention. All those recruited will be asked to complete a range of measures in questionnaire format at the outset, immediately following cessation of intervention delivery (4 months later) and once more 12 months after baseline measurement. They will all be asked to record their use of health and social care services. The primary study outcome is improved mental health. Secondary outcomes include overall quality of life, resilience and self efficacy, experience of loneliness and depressive symptoms and costs of involvement in the intervention compared with use of other existing services. Data will be analysed to determine whether the intervention has positive effect upon mental well being as well as the other factors mentioned above, and if there is a positive effect, to examine if it is maintained over time.
We also wish to explore the possibilities that this intervention might have for others with different needs and at various stages of the life course and will consult locally and nationally to identify the best populations to work with. We will then test the feasibility of Lifestyle Matters with the identified populations in each location by recruiting and delivering the programme and interviewing both facilitators and participants about their experiences.
 
Title Lifestyle Matters film 
Description We developed a film in order to showcase the Lifestyle Matters intervention. The film included study participants who, on the film, are shown taking part in the Lifestyle Matters groups and talking about the benefit they gained. The film also included the intervention facilitators who ran the Lifestyle Matters groups during the funded study. 
Type Of Art Film/Video/Animation 
Year Produced 2015 
Impact None noted, as yet 
URL http://www.lifestylematters.online/
 
Title Lifestyle Matters website 
Description We developed an online version of the Lifestyle Matters manual. We updated the previous manual following feedback during the Lifestyle Matters study participants and facilitators. The new manual is now freely accessible online, and provides potential intervention facilitators with pertinent information regarding how to set-up and run a Lifestyle Matters group. 
Type Of Art Artefact (including digital) 
Year Produced 2015 
Impact None known as yet 
URL http://www.lifestylematters.online/
 
Description Implementation of Lifestyle Matters within Oxleas NHS Trust
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
 
Description NICE guidance involvement
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
 
Description On-going enquiries from professional practitioners nationally and internationally regarding implementation of lifestyle matters
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Dr Karen McCarthy 
Organisation University College Cork
Country Ireland 
Sector Academic/University 
PI Contribution We arranged for Karen to attend the Lifestyle Matters local (Sheffield) dissemination event
Collaborator Contribution Karen attended the event and presented to the audience the work she had undertaken in the USA evaluating the Lifestyle Redesign intervention (the precursor to the Lifestyle Matters intervention).
Impact n/a
Start Year 2015
 
Description Hospital Authority, Hong Kong 
Organisation Hospital Authority of Hong Kong
Department Occupational Therapy Central Coordinating Committee
Country Hong Kong 
Sector Hospitals 
PI Contribution Invitation to be an overseas speaker on Lifestyle Programmes for older people to occupational therapists based in Hong Kong
Collaborator Contribution Funding for three day trip
Impact Educational programme
Start Year 2013
 
Description Lifestyle Redesign and Lifestyle Matters Collaboration 
Organisation University of Southern California
Department USC Chan Division of Occupational Science and Occupational Therapy
Country United States 
Sector Academic/University 
PI Contribution Exchange visit and information sharing opportunities. Two US researchers including author of the Lifestyle Redesign manual on which Lifestyle Matters is based visited the UK study team for 3 days in 2012. Lifestyle Matters programme CI and PI to attend US in 2014 (at expense of USC).
Collaborator Contribution Series of presentations, workshops and discussion forums for the current Lifestyle Matters study team to inform current programme of work based on experience of US colleagues. Also exchange of ideas, methods and approaches to delivering this type of research.
Impact Invitation to visit US colleagues in 2014 to discuss outcomes of current Lifestyle Matters work and to discuss further collaboration.
Start Year 2012
 
Description Post doctoral research supervision and conference speaker 
Organisation University of Puerto Rico
Department School of Health Professions and School of Medicine
Country Puerto Rico 
Sector Academic/University 
PI Contribution On-going opportunities to collaborate with Puerto Rico on applied Lifestyle Research and involvement in Hispanics in Research capability endowment program (funded by US NIH). Conference presentations
Collaborator Contribution Funding for two trips to Puerto Rico 2011 and 2014.
Impact Publications in progress based on the work of post doctoral researcher Dr Elsa Orellano whom I have been mentoring
Start Year 2009
 
Description University of Puerto Rico 
Organisation University of Puerto Rico
Country Puerto Rico 
Sector Academic/University 
PI Contribution Mentorship of post-doctoral researcher by Gail Mountain as part of University funded programme.
Collaborator Contribution Post doctoral researcher is using lifestyle Matters work and adapting to the Puerto Rico context .
Impact Adaption of the intervention to the Puerto Rico context. Publication of the research (listed as a separate output)
Start Year 2014
 
Title 'Journeying through dementia' draft manualised programme 
Description New programme of self management activities to be used in a group setting with people with early stage dementia 
IP Reference  
Protection Copyrighted (e.g. software)
Year Protection Granted 2013
Licensed No
Impact None as yet
 
Title Update of Lifestyle Matters manualised intervention 
Description Participant and facilitator interviews and records being used to create a second edition of the manual for publication. This is currently in development, so this updated version of the Lifestyle Matters manual is not currently copyrighted. 
IP Reference  
Protection Copyrighted (e.g. software)
Year Protection Granted
Licensed No
Impact None as yet
 
Description British Society of Gerontology 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Poster presentation describing "Lifestyle Matters for Depression in Later Life: A Feasibility Study of a Healthy Ageing", detailing the methods of the study

Unknown
Year(s) Of Engagement Activity 2014
 
Description Community Forum 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact Research Assistants attended a meeting with the local Community Forum and presented the study.

The forum agreed to circulate maketing materials to relevant older people groups in the area and signposted the study team to a number of other local groups and organisations to approach for recruitment activity.
Year(s) Of Engagement Activity 2012
 
Description Dementia Research forum (Sheffield Institute for Translational Neuroscience) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Two presentations on Journeying through Dementia study and Psychosocial research to date including Lifestyle Matters. Attendees were researchers and AHPs working in care for the elderly and mental health.

Unknown
Year(s) Of Engagement Activity 2014
 
Description Expert Elders Network (Sheffield), Dissemination and PPI 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact First presentation delivered in January 2012 to inform and engage the participant community in Sheffield in the research and to obtain feedback on study documentation as part of PPI activity.

Second presentation delivered in July 2012 when study recruitment was open to engage the participant population in Sheffield.



Outcomes from the first meeting in January 2012 included amendments to study materials based on feedback from the Expert Elders network. They also agreed for the study team to attend future meetings to present the study when it was open to recruitment.

Outcomes from the meeting in July 2012 included the Expert Elders network agreed to circulate marketing materials for the study to there membership.
Year(s) Of Engagement Activity 2012
 
Description Filming Lifestyle Matters intervention and views of participants and facilitators 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact This activity involved recruiting participants, facilitators and researchers involved in the Lifestyle Matters intervention to create a documentary film of their experiences. This is being edited and will be freely available on Youtube or similar and on a final project website.

To be determined when film is available
Year(s) Of Engagement Activity 2015
 
Description GP Newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Health professionals
Results and Impact A newsletter was designed specifically for GPs who were assisting with study recruitment and to send to targeted GPs for future recruitment activity.

The GPs have responded well to the newletter, particulalry indicating the importance of being kept informed about study progress, levels of participation and benefits to their patients.
Year(s) Of Engagement Activity 2012
 
Description Gail Mountain chairing the refreshing of NICE guidance PH16 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Refreshing of the guidance (PH16 - "Occupational therapy and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care") resulted in the inclusion of evidence relating to the Lifestyle Matters intervention.

None known
Year(s) Of Engagement Activity 2014,2015
 
Description Keynote at "Health and Wellbeing through Occupation" conference at Bournemouth University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact None known
Year(s) Of Engagement Activity 2015
 
Description Lifestyle Matters end of study event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact We held a end of dissemination event. 85 occupational therapist and other NHS professionals from the local area attended, and learnt about what the Lifestyle Matters study involved and what the results were. The event sparked questions and discussions from the audience

A number of attendees asked for further information about how they could implement the Lifestyle Matters intervention within their own service
Year(s) Of Engagement Activity 2015
 
Description Loneliness Research Conference 
Form Of Engagement Activity Scientific meeting (conference/symposium etc.)
Part Of Official Scheme? No
Type Of Presentation Poster Presentation
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Collaborator Ann Bowling presented at the conference and took the opportunity to display a poster to peers at the conference about the funded study (PLINY).

Not known
Year(s) Of Engagement Activity 2012
URL http://www.campaigntoendloneliness.org/loneliness-conference/
 
Description NICE Guidance Revision PH16 (Occupational Therapy and Physical Activity) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact This activity is still ongoing
Year(s) Of Engagement Activity 2014
 
Description Parliamentary Working Group 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Unknown
Year(s) Of Engagement Activity 2014
 
Description Patient and Public Input into Lifestyle Matters Dissemination Strategy 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact A member of the local Health Watch board, plus a member of the local Public Health department, worked with the study team in order to inform the dissemination strategy for the Lifestyle Matters study. The member of the Health Watch board provided input into how the dissemination strategy could be improved to target lay people. The member of the local Public Health department provided input into how the strategy could be improved and targeted towards local and national public health and occupational therapy practitioners.

The dissemination strategy was altered in order to better target the study results towards practitioners and lay people. We planned to hold a event at each study site (Bangor and Sheffield) in order to disseminate the results.
Year(s) Of Engagement Activity 2015
 
Description Presentation at American Occupational Therapy congress 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Invited presentation as part of a parallel session during the American Occupational therapy congress. Approximately 50 delegates attended and questions were raised
Year(s) Of Engagement Activity 2016
 
Description Presentation to the UK occupational therapy profession 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Disseminate the findings from the Lifestyle Matters trial to the occupational therapy profession
Year(s) Of Engagement Activity 2016
 
Description Research into ageing across Yorkshire: highlighting our strengths conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation paper presentation
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Two presentations delivered at conference. Attendees were AHPs working in care for the elderly and mental health.

Unknown
Year(s) Of Engagement Activity 2014
 
Description Sheffield 50+ Newspaper Article 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact Free advertisement placed in a local Sheffield Newspaper in July 2012 in collaboration with 50+ Sheffield as part of their regular column.

A small number of enquires were recieved in response to the advertisement.
Year(s) Of Engagement Activity Pre-2006,2012
 
Description Sheffield Hallam University collaborative research event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Presentation given to Sheffield Hallam University collaborative research event. Attendees included nursing and allied health professionals and students

Increase in awareness of the study among the attendees
Year(s) Of Engagement Activity 2014
 
Description Sheffield Health and Social Care 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Implementation of draft intervention for older people with depression, via discussions with Sheffield Health and Social Care Foundation Trust about implementing the intervention in practice.

None as yet
Year(s) Of Engagement Activity 2014
 
Description University of Southern California Presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Presentation to an international research group regarding the Lifestyle Matters study and in-depth conversation regarding the theory and application of the Lifestyle Matters programme.

Increase of awareness of the study for those attending the meeting. Development of theory and applications of Lifestyle Redesign programmes.
Year(s) Of Engagement Activity 2014
 
Description University of Ulster Lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Gail Mountain gave a talk to 3rd year Occupational Therapy students about the Lifestyle Matters study. The talk sparked questions and discussion, and it was hoped that the students would implement Lifestyle Matters based interventions in practice.

N/A
Year(s) Of Engagement Activity 2015
 
Description Workshop for Specialty Program in Medical Services for Occupational Therapists 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Three day workshop for occupational therapists - this was largely centered around Lifestyle Matters and its implementation for various user groups. GM was the sole invited presenter.

Increase of awareness of the Lifestyle Matters intervention and its potential affects.
Year(s) Of Engagement Activity 2014
 
Description World Congress on Healthy Ageing 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The talk sparked discussion during the presentation itself, where delegates discussed how they could implement the Lifestyle Matters intervention within their service.

A number of delegates stated that they would look into implementing the intervention within their own service. The presentation provided them with information on how this could be achieved.
Year(s) Of Engagement Activity 2015