Date Presented 04/03/2025
A lifestyle change motivation and lifestyle behaviors reinforcement program showed significant improvements in perceived benefits, self-efficacy, dementia-preventive lifestyle behaviors, lifestyles, and depression, indicating community applicability.
Primary Author and Speaker: Hyunseo An
Additional Authors and Speakers: Inhye Kim, Sohyeon Yun, Jiwon Shin, Hyun Yang, Hae Yean Park
PURPOSE: This study explored a Health Belief Model-based dementia prevention program to reinforce lifestyle changes in middle-aged and older adults, addressing the need for community-based dementia-preventive programs.
DESIGN: A one-group pre-post design was used with nine participants. The program integrated lifestyle change motivation and lifestyle behaviors for dementia prevention over 10 sessions across five weeks.
METHOD: The KEEP (Knowledge, Evaluation, Experience, Plan) strategy guided the program. A gold medal project served as a reward. Pre- and post-assessments measured lifestyle change motivation, lifestyle behaviors, multifaceted lifestyle, and depression. The Wilcoxon signed-rank test analyzed changes. Post-program satisfaction surveys and qualitative interviews assessed participant experiences.
RESULTS: Significant improvements were found in perceived benefits (p = .018) and self-efficacy (p = .034) for lifestyle change motivation. Cognitive, social, health-promoting activities and overall lifestyle behaviors improved (p = .016, p = .011, p = .027, p = .012, respectively). Secondary outcomes showed significant improvements in physical activity (p=.008), activity participation (p = .011), overall multifaceted lifestyle (p=.008), and depression (p = .018). Participants reported satisfaction and positive changes.
CONCLUSION: The HBM-based program improved dementia prevention motivation and behaviors in middle-aged and older adults, suggesting its applicability in community settings. The first to integrate motivation and behaviors, this study provides data for developing community-based dementia prevention programs in occupational therapy.
IMPACT STATEMENT: This new program shows potential to enhance dementia prevention practices in occupational therapy through client-centered motivation and community behavior change interventions.
References
Kim, S., Sargent-Cox, K., Cherbuin, N., & Anstey, K. J. (2014). Development of the motivation to change lifestyle and health behaviours for dementia risk reduction scale. Dementia and Geriatric Cognitive Disorders Extra, 4(2), 172–183. https://doi.org/10.1159/000362228
An, H., Kim, I., & Park, H. Y. (in press). Validity and reliability of the Korean version of the motivation to change lifestyle and health behaviors for dementia risk reduction scale. Korean Journal of Occupational Therapy, 32(2).
Oh, H. (2017). Influencing factors on dementia preventive behavior in the elderly [Master’s thesis, The Graduate School of Medical and Health Sciences, Catholic University of Daegu].
Park, J. H., Park, H. Y., Hong, I., Han, D. S., Lim, Y. M., Kim, A. R., Nam, S., Park, K. H., Lim, S., Bae, S., & Jin, Y. (2023). Conceptual model of establishing lifestyle (Lifestyle-DEPER [Decision, Execution, Personal Factor, Environment, Resources]) and lifestyle intervention strategies. Therapeutic Science for Rehabilitation, 12(4), 9–22. https://doi.org/10.22683/tsnr.2023.12.4.009
