Revisiting the Do-Live-Well Health Promotion Framework: A Citation Content Analysis.
Kennedy A Hamilton, Lori J Letts, Nadine Larivière and 1 others
PMID 36624635WHAT IT FOUND
Only 17 published works applied the Do-Live-Well framework between 2017 and 2022.
Most used it as a theoretical lens for qualitative research rather than a clinical tool. Adoption remains limited primarily to occupational therapy circles in Canada and the United States.
Key findings
01The citation search yielded 17 citations (ten peer-reviewed articles and seven theses) that applied the Do-Live-Well framework.
02Within these 17 citations, the framework was used to inform research (10), to inform clinical practice (5), and to advance knowledge translation (2).
03Nine of the citations were from Canada and three from the United States, with single citations from France, Sweden, Switzerland, Ireland, and Germany.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The analysis is limited to published sources, so it misses clinicians using the framework in practice without publishing. Only 17 citations applied the framework, indicating low overall adoption in the literature. The framework was developed by Canadian occupational therapists, which may limit its cultural relevance and uptake in other regions. Most applications were in qualitative research, so there is little evidence of effectiveness in clinical trials.
Declared interests
Two of the included citations on knowledge translation were authored by members of the DLW research team. The authors of the current analysis are also associated with the DLW framework.
The easy way to misread this
Do not assume the Do-Live-Well framework is a validated clinical intervention. The paper reports only that it has been used as a theoretical lens in research and to guide the development of some tools, but it does not provide evidence that using the framework improves patient health outcomes.