[Effects of Lifestyle Redesign on older adults: A systematic review].

Background. The Lifestyle Redesign (R) (LR) aims to support health, functioning, and quality of life of older adults through the development of healthy and meaningful routines. However, evidence concerning the effectiveness and cost-effectiveness of this intervention is scattered. Purpose. This study aimed to synthetize the clinical effects and cost-effectiveness of the LR as well as to verify the applicability of the results in a community-based setting in Quebec. Method. A systematic review of the literature was conducted, followed by a focus group with four occupational therapists. Findings. Considered as cost-effective (under $50,000 in quality-adjusted life-years), the LR offers benefits for both mental and physical health. According to occupational therapists, the LR is clearly relevant for their practice but involves some challenges. Implications. The LR is an occupational therapy intervention with promising clinical effects and cost-effectiveness for older adults living in the community.