Behavioral Activation and Occupational Therapy to Improve Self-Management in Older Adults with Multiple Chronic Conditions

What this Trial Is About

Researchers are evaluating a combined behavioral activation and occupational therapy approach to improve independence in health self-management activities among older adults with multiple chronic conditions (MCC) and functional limitations. This pilot randomized controlled trial aims to address the challenges faced by older adults who often struggle with daily health tasks, such as physical activity and symptom monitoring, which can worsen disability and increase risks of institutionalization and death. The study focuses on a novel intervention designed to empower this population in managing their health effectively at home. The intervention involves a 10-week program delivered by a licensed occupational therapist trained in behavioral activation. Participants receive weekly sessions in their homes, focusing on goal setting, activity planning, problem-solving, and adapting daily routines to improve health self-management. They will also use a Fitbit Charge 5 to monitor physical activity. The study compares this intervention to an enhanced usual care group, which receives the same assessments, a Fitbit with training, and educational materials about living with chronic conditions. Participants will be involved in baseline, 10-week, and 22-week assessments including self-reported measures of occupational performance and self-management abilities. The study collects data on behavioral activation, self-efficacy, and feasibility factors such as recruitment and adherence. Follow-up assessments are conducted by an unbiased evaluator to examine changes and the intervention's acceptability. The total participation spans over 22 weeks, providing important information for future larger-scale studies and interventions.

Behavioral Activation + Occupational Therapy: An Innovative Intervention for Empowered Self-Management of Multiple Chronic Conditions