Effect of adjusting the challenge-skill balance for occupational therapy in home-visit rehabilitation on the purpose of life of elderly clients

Abstract

The purpose of this study was to examine the effect of the Adjusting the Challenge-skill balance (ACS) process, which applies flow theory (flow model), on the subjective quality of life of elderly people who use home-visit rehabilitation. The research method was a crossover study, and 10 home-visit rehabilitation users were included in the study. In the experimental phase, ACS was implemented to meet the lifestyle and activity goals related to the care plan being used, and in the control phase, normal in-home rehabilitation services were provided. The primary outcome was subjective quality of life (Ikigai-9), and a generalized linear mixed model (Bayesian estimation method) was used for analysis. Results showed no significant difference between the experimental and control periods (difference: 0.87±0.48, 95% CI; -0.01-1.81). As a result, it can be difficult to balance challenges and skills when implementing ACS for real home life problems. In other words, it was suggested that it would be difficult to share goals and carry out the goal achievement process according to the CL situation, and that it might not have a positive impact on subjective QOL.