Experience and Influence of Lifestyle Redesign® Training in French-Canadian Occupational Therapists.
Marie-Hélène Lévesque, Mélanie Levasseur
OTs' knowledge of Lifestyle Redesign improved after training, but their intention to implement it in practice did not change.
Participants said they needed more hands-on group facilitation practice and authentic examples before they could use the approach with clients.
Key findings
1Participants' knowledge of Lifestyle Redesign improved after training, with a 12-point increase on a 60-question test (median 33 to 45) that exceeded the minimally important difference threshold of 1.69.
2No statistically significant change was found in any of the five behavioural-intention constructs (intention, social influence, beliefs about capabilities, beliefs about consequences, moral norm), although a few individual items related to social influence, intention, and beliefs about consequences showed clinically meaningful shifts.
3Post-test knowledge scores were higher for in-person modules than for online modules, and participants consistently preferred in-person delivery for complex theoretical content, finding the online format less engaging and harder to retain.
Still to come
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Pilot study with 24 participants and no control group; the pre-experimental design means the knowledge gain could partly reflect familiarity with the test rather than genuine learning. All participants were women, and the purposive sample may have attracted more motivated or already-interested OTs, inflating the positive experience ratings. The study measured intention to implement within the next year, not whether anyone actually started delivering Lifestyle Redesign; no follow-up was done. The cultural adaptation was mainly a translation of the original American material; the training videos were subtitled English rather than originally produced in French, and participants found them unrealistic. Self-reported questionnaires carry a risk of social-desirability bias, though the authors note that the null intention result argues against a strong positive bias. The knowledge test was created or adapted by the same team that designed the training, so it may reflect familiarity with the specific material rather than transferable competence.
Declared interests
Funded by the Fonds de recherche du Québec – Santé (scholarship to the first author) and the Canadian Institutes of Health Research (scholarship to the first author and grant #126315). The first author held a CIHR New Investigator award and a Tier 1 Canadian Research Chair. No industry or product-manufacturer funding was declared.
The easy way to misread this
Do not read the 12-point knowledge gain as evidence that this training successfully prepares OTs to deliver Lifestyle Redesign in practice. The behavioural-intention measure showed no significant change across all five constructs, the study did not track whether anyone actually implemented the approach, and the knowledge test was written by the same team that designed the training. A clinician who completes this course may feel more informed but is no closer to running a group than before.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →