Older AdultsNCT07672366
Person-Centered Occupational Therapy in Older Adults
A study testing Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation in people with Older Adults and Telerehabilitation, run by Atlas University at 1 site in Turkey (Türkiye).
Trial summary
This study was designed to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance among community-dwelling older adults. The study is a randomized controlled trial utilizing semi-structured interviews and self-report measures. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Older Adults, Telerehabilitation
- What is being tested?
- Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 160 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Apr 2026to 2 Aug 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Aged 65 years or older.
- Living independently in the community.
- Scoring 24 or higher on the Mini-Mental State Examination (MMSE).
- Having sufficient communication abilities to participate in interviews and assessments.
- Willing to participate and provide informed consent.
Who cannot join
- Having an acute medical or psychiatric condition that may prevent participation in the study.
- Having communication difficulties that interfere with participation despite the use of assistive devices (e.g., hearing aids, glasses).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of a Person-Centered Occupational Therapy Approach on Life Satisfaction and Occupational Balance in Older Adults: A Randomized Controlled Trial
This study was designed to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance among community-dwelling older adults. The study is a randomized controlled trial utilizing semi-structured interviews and self-report measures. The target population consists of individuals aged 65 years and older living in Istanbul. The sample size was calculated using G*Power software, indicating a minimum of 77 participants per group, for a total of 154 participants. Considering potential attrition, a total sample of 170 participants is planned.
Data will be collected using a Sociodemographic Information Form, the Mini-Mental State Examination (MMSE), the Occupational Performance History Interview-II (OPHI-II), Goal Attainment Scaling (GAS), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Cognitive eligibility will be assessed using the MMSE, and individuals scoring 24 or higher will be included in the study. Through the OPHI-II, participants' life histories, roles, habits, and experiences related to daily activities will be explored, and individualized goals will be identified based on the information obtained. These goals will subsequently be structured using the Goal Attainment Scaling method.
Participants will be randomly allocated to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation, while those in the control group will continue their usual daily routines without additional support. At the end of the study, outcomes related to quality of life and occupational balance will be compared between groups. The findings are expected to provide evidence regarding the role of a person-centered occupational therapy approach in supporting participation in daily life activities among older adults.
Read the detailed description
The global increase in the older adult population has highlighted the importance of interventions that support healthy aging, participation in meaningful activities, and quality of life. Aging is often accompanied by changes in physical, cognitive, and social functioning that may negatively affect participation in daily activities, occupational balance, and overall well-being. Occupational therapy aims to support individuals in maintaining participation in meaningful occupations and adapting to age-related changes in daily life.
Person-centered occupational therapy is an approach that emphasizes the individual's values, preferences, life experiences, goals, and priorities throughout the therapeutic process. By focusing on personally meaningful activities and roles, this approach seeks to enhance engagement, autonomy, and quality of life. Despite the growing recognition of person-centered care in geriatric practice, there remains limited evidence regarding the effectiveness of person-centered occupational therapy interventions delivered through telerehabilitation among community-dwelling older adults.
The present study aims to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance in community-dwelling older adults. Participants aged 65 years and older will be recruited from the community and screened for eligibility. Cognitive status will be evaluated using the Mini-Mental State Examination (MMSE), and individuals scoring 24 or above will be eligible to participate.
At baseline, participants will complete a Sociodemographic Information Form, the Occupational Performance History Interview-II (OPHI-II), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Through the OPHI-II, participants' occupational histories, life experiences, daily routines, habits, roles, environmental contexts, and occupational participation patterns will be explored. Based on the information obtained during the interview, individualized goals will be collaboratively established with each participant and structured using the Goal Attainment Scaling (GAS) methodology.
Following baseline assessment, participants will be randomly assigned to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation. The content of these sessions will be individualized according to each participant's occupational history, identified needs, personal goals, daily routines, meaningful activities, and environmental circumstances. The sessions will focus on supporting participation in meaningful activities, improving occupational balance, strengthening role engagement, promoting social participation, enhancing self-management strategies, and facilitating adaptations within the participant's daily environment when necessary.
Participants in the control group will continue their usual daily routines and will not receive person-centered occupational therapy during the study period. Upon completion of the intervention period, all participants will be reassessed using the WHOQOL-OLD, Activity-Role Balance Questionnaire, and Goal Attainment Scaling.
The primary outcome of the study is quality of life as measured by the WHOQOL-OLD. Secondary outcomes include occupational balance and goal attainment. The findings are expected to contribute to the evidence base regarding the effectiveness of person-centered occupational therapy delivered through telerehabilitation and provide guidance for occupational therapy services aimed at supporting healthy aging and participation among older adults living in the community.
- Conditions
- Older Adults, Telerehabilitation
- Being tested
- Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation
- Keywords
- older adults, person-centered, occupational therapy, life satisfaction, occupational balance
- Medical subject headings
- Personal Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Person-Centered Occupational Therapy Approach Delivered via TelerehabilitationBehavioural
The intervention consists of a person-centered occupational therapy approach delivered through telerehabilitation. Following the Occupational Performance History Interview-II (OPHI-II), individualized goals are collaboratively established based on each participant's occupational history, daily routines, roles, meaningful activities, environmental context, and personal priorities. Goals are structured using Goal Attainment Scaling (GAS). Participants receive one 40-minute online session per week for six weeks. Sessions focus on supporting participation in meaningful activities, improving occupational balance, enhancing social participation, strengthening role engagement, promoting self-management strategies, and facilitating adaptations to daily routines and environmental demands according to individual needs.
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group: Person-Centered Occupational Therapy via Telerehabilitation | Experimental | Participants assigned to the experimental group will receive a person-centered occupational therapy program delivered through telerehabilitation. The intervention will consist of one 40-minute online session per week for six consecutive weeks. Session content will be individualized based on information obtained from the Occupational Performance History Interview-II (OPHI-II), participants' daily routines, occupational roles, meaningful activities, environmental contexts, and collaboratively identified goals. Goal Attainment Scaling (GAS) will be used to structure individualized goals and monitor progress throughout the study period. Receives: Behavioral: Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation |
| Control Group: Usual Daily Routine | No intervention | Participants assigned to the control group will not receive any occupational therapy intervention during the study period. They will continue their usual daily routines and activities without additional support, guidance, or structured sessions. Outcome measures will be collected at the same assessment time points as the experimental group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
World Health Organization Quality of Life Instrument-Older Adults Module
Quality of life will be assessed using the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). The scale consists of 24 items and evaluates quality of life in older adults across six domains: sensory abilities, autonomy, past-present-future activities, social participation, death and dying, and intimacy. Total scores range from 24 to 120, with higher scores indicating better quality of life. The outcome will be the change in the total WHOQOL-OLD score from baseline to post-intervention
Measured: Baseline and immediately after completion of the 6-week intervention period
Activity-Role Balance Questionnaire
Occupational balance will be assessed using the Activity-Role Balance Questionnaire. This self-report questionnaire consists of 11 items and evaluates individuals' perceived balance among daily activities and roles. Total scores range from 0 to 33, with higher scores indicating a higher level of perceived occupational balance. The outcome will be the change in the total Activity-Role Balance Questionnaire score from baseline to post-intervention.
Measured: Baseline and immediately after completion of the 6-week intervention period.
Secondary outcomes (1)
Goal Attainment Scaling
Goal attainment will be assessed using Goal Attainment Scaling (GAS). Individualized goals will be established collaboratively with each participant based on the Occupational Performance History Interview-II and personal priorities. Each goal will be rated on a five-point scale ranging from -2 to +2, where 0 represents the expected level of goal achievement. Higher scores indicate greater goal attainment. The outcome will be the level of goal achievement at the end of the intervention period.
Measured: Immediately after completion of the 6-week intervention period.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jun 2026
- Study start15 Apr 2026
- Primary completion30 Jul 2026
- Study completion2 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Older AdultsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants are randomly assigned in parallel to one of two study groups: a person-centered occupational therapy group delivered via telerehabilitation or a control group receiving usual daily activities without additional intervention. Participants in the intervention group receive one 40-minute telerehabilitation session per week for six consecutive weeks. The content of the sessions is individualized according to each participant's occupational history, daily routines, meaningful activities, and personally identified goals. Participants in the control group continue their usual daily routines throughout the study period. Outcome measures are assessed at baseline and immediately after the six-week study period.
- Masking
- None (open label)
- Enrolment
- 160 participants (actual)
Sponsor and investigators
- Lead sponsor
- Atlas University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zeynep Yazicioglu, Atlas University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07672366
- Sponsor's protocol ID
- Yazicioglu_2
- Status last verified
- Jun 2026
- First submitted
- 14 Jun 2026
- Last updated
- 5 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of a Person-Centered Occupational Therapy Approach on Life Satisfaction and Occupational Balance in Older Adults: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07672366
- Acronym / sponsor ID
- Yazicioglu_2
- Conditions
- Older Adults, Telerehabilitation
- Keywords
- older adults, person-centered, occupational therapy, life satisfaction, occupational balance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 160 participants (actual)
- Lead sponsor
- Atlas UniversityUniversity, hospital or other
- Study start
- 15 Apr 2026 (actual)
- Primary completion
- 30 Jul 2026 (actual)
- Study completion
- 2 Aug 2026 (actual)
- First posted
- 26 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was designed to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance among community-dwelling older adults. The study is a randomized controlled trial utilizing semi-structured interviews and self-report measures. The target population consists of individuals aged 65 years and older living in Istanbul. The sample size was calculated using G*Power software, indicating a minimum of 77 participants per group, for a total of 154 participants. Considering potential attrition, a total sample of 170 participants is planned.
Data will be collected using a Sociodemographic Information Form, the Mini-Mental State Examination (MMSE), the Occupational Performance History Interview-II (OPHI-II), Goal Attainment Scaling (GAS), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Cognitive eligibility will be assessed using the MMSE, and individuals scoring 24 or higher will be included in the study. Through the OPHI-II, participants' life histories, roles, habits, and experiences related to daily activities will be explored, and individualized goals will be identified based on the information obtained. These goals will subsequently be structured using the Goal Attainment Scaling method.
Participants will be randomly allocated to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation, while those in the control group will continue their usual daily routines without additional support. At the end of the study, outcomes related to quality of life and occupational balance will be compared between groups. The findings are expected to provide evidence regarding the role of a person-centered occupational therapy approach in supporting participation in daily life activities among older adults.
Detailed description
The global increase in the older adult population has highlighted the importance of interventions that support healthy aging, participation in meaningful activities, and quality of life. Aging is often accompanied by changes in physical, cognitive, and social functioning that may negatively affect participation in daily activities, occupational balance, and overall well-being. Occupational therapy aims to support individuals in maintaining participation in meaningful occupations and adapting to age-related changes in daily life.
Person-centered occupational therapy is an approach that emphasizes the individual's values, preferences, life experiences, goals, and priorities throughout the therapeutic process. By focusing on personally meaningful activities and roles, this approach seeks to enhance engagement, autonomy, and quality of life. Despite the growing recognition of person-centered care in geriatric practice, there remains limited evidence regarding the effectiveness of person-centered occupational therapy interventions delivered through telerehabilitation among community-dwelling older adults.
The present study aims to investigate the effects of a person-centered occupational therapy approach on quality of life and occupational balance in community-dwelling older adults. Participants aged 65 years and older will be recruited from the community and screened for eligibility. Cognitive status will be evaluated using the Mini-Mental State Examination (MMSE), and individuals scoring 24 or above will be eligible to participate.
At baseline, participants will complete a Sociodemographic Information Form, the Occupational Performance History Interview-II (OPHI-II), the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD), and the Activity-Role Balance Questionnaire. Through the OPHI-II, participants' occupational histories, life experiences, daily routines, habits, roles, environmental contexts, and occupational participation patterns will be explored. Based on the information obtained during the interview, individualized goals will be collaboratively established with each participant and structured using the Goal Attainment Scaling (GAS) methodology.
Following baseline assessment, participants will be randomly assigned to either the intervention group or the control group. Participants in the intervention group will receive person-centered occupational therapy sessions delivered via telerehabilitation. The content of these sessions will be individualized according to each participant's occupational history, identified needs, personal goals, daily routines, meaningful activities, and environmental circumstances. The sessions will focus on supporting participation in meaningful activities, improving occupational balance, strengthening role engagement, promoting social participation, enhancing self-management strategies, and facilitating adaptations within the participant's daily environment when necessary.
Participants in the control group will continue their usual daily routines and will not receive person-centered occupational therapy during the study period. Upon completion of the intervention period, all participants will be reassessed using the WHOQOL-OLD, Activity-Role Balance Questionnaire, and Goal Attainment Scaling.
The primary outcome of the study is quality of life as measured by the WHOQOL-OLD. Secondary outcomes include occupational balance and goal attainment. The findings are expected to contribute to the evidence base regarding the effectiveness of person-centered occupational therapy delivered through telerehabilitation and provide guidance for occupational therapy services aimed at supporting healthy aging and participation among older adults living in the community.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants are randomly assigned in parallel to one of two study groups: a person-centered occupational therapy group delivered via telerehabilitation or a control group receiving usual daily activities without additional intervention. Participants in the intervention group receive one 40-minute telerehabilitation session per week for six consecutive weeks. The content of the sessions is individualized according to each participant's occupational history, daily routines, meaningful activities, and personally identified goals. Participants in the control group continue their usual daily routines throughout the study period. Outcome measures are assessed at baseline and immediately after the six-week study period.
| Arm | Type | Receives |
|---|---|---|
| Experimental Group: Person-Centered Occupational Therapy via Telerehabilitation | Experimental | Behavioral: Person-Centered Occupational Therapy Approach Delivered via TelerehabilitationParticipants assigned to the experimental group will receive a person-centered occupational therapy program delivered through telerehabilitation. The intervention will consist of one 40-minute online session per week for six consecutive weeks. Session content will be individualized based on information obtained from the Occupational Performance History Interview-II (OPHI-II), participants' daily routines, occupational roles, meaningful activities, environmental contexts, and collaboratively identified goals. Goal Attainment Scaling (GAS) will be used to structure individualized goals and monitor progress throughout the study period. |
| Control Group: Usual Daily Routine | No intervention | –Participants assigned to the control group will not receive any occupational therapy intervention during the study period. They will continue their usual daily routines and activities without additional support, guidance, or structured sessions. Outcome measures will be collected at the same assessment time points as the experimental group. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (5 listed)
- Aged 65 years or older.
- Living independently in the community.
- Scoring 24 or higher on the Mini-Mental State Examination (MMSE).
- Having sufficient communication abilities to participate in interviews and assessments.
- Willing to participate and provide informed consent.
Key exclusion criteria (2 listed)
- Having an acute medical or psychiatric condition that may prevent participation in the study.
- Having communication difficulties that interfere with participation despite the use of assistive devices (e.g., hearing aids, glasses).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Person-Centered Occupational Therapy Approach Delivered via TelerehabilitationThe intervention consists of a person-centered occupational therapy approach delivered through telerehabilitation. Following the Occupational Performance History Interview-II (OPHI-II), individualized goals are collaboratively established based on each participant's occupational history, daily routines, roles, meaningful activities, environmental context, and personal priorities. Goals are structured using Goal Attainment Scaling (GAS). Participants receive one 40-minute online session per week for six weeks. Sessions focus on supporting participation in meaningful activities, improving occupational balance, enhancing social participation, strengthening role engagement, promoting self-management strategies, and facilitating adaptations to daily routines and environmental demands according to individual needs. | Behavioural | Experimental Group: Person-Centered Occupational Therapy via Telerehabilitation |
Primary outcome
World Health Organization Quality of Life Instrument-Older Adults Module
Time frame: Baseline and immediately after completion of the 6-week intervention period
Quality of life will be assessed using the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). The scale consists of 24 items and evaluates quality of life in older adults across six domains: sensory abilities, autonomy, past-present-future activities, social participation, death and dying, and intimacy. Total scores range from 24 to 120, with higher scores indicating better quality of life. The outcome will be the change in the total WHOQOL-OLD score from baseline to post-intervention
Activity-Role Balance Questionnaire
Time frame: Baseline and immediately after completion of the 6-week intervention period.
Occupational balance will be assessed using the Activity-Role Balance Questionnaire. This self-report questionnaire consists of 11 items and evaluates individuals' perceived balance among daily activities and roles. Total scores range from 0 to 33, with higher scores indicating a higher level of perceived occupational balance. The outcome will be the change in the total Activity-Role Balance Questionnaire score from baseline to post-intervention.
1 secondary outcome
Goal Attainment Scaling
Time frame: Immediately after completion of the 6-week intervention period.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Person-Centered Occupational Therapy Approach Delivered via Telerehabilitation in people with Older Adults and Telerehabilitation, run by Atlas University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
World Health Organization Quality of Life Instrument-Older Adults Module (time frame: Baseline and immediately after completion of the 6-week intervention period). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2026.